Illinois HB 4699: FREEDOM TO WORK-ALL EMPLOYEES

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
HB4699

Introduced , by Rep. Anne Stava 

SYNOPSIS AS INTRODUCED:

225 ILCS 85/45 new

 Amends the Pharmacy Practice Act. Defines "large pharmacy chain" and "retail pharmacy". Provides that a large pharmacy chain operating in the State shall ensure that each of the large pharmacy chain's retail pharmacy locations maintains, at minimum, an inventory that is sufficient to cover the needs of existing patients for up to 14 days without needing to restock. Requires each retail pharmacy location to implement a predictive restocking practice to prevent or mitigate future inventory shortages. Provides that, if a patient attempts to fill a prescription that a retail pharmacy location does not have in stock, the retail pharmacy location shall provide timely mail-order fulfillment, up to and including overnight shipping, if necessary to provide a medication approved by the United States Food and Drug Administration in time to ensure no missed doses.

LRB104 18757 AAS 32200 b

A BILL FOR

HB4699LRB104 18757 AAS 32200 b

1 AN ACT concerning regulation.

2 Be it enacted by the People of the State of Illinois, 

3represented in the General Assembly:

4 Section 5. The Pharmacy Practice Act is amended by adding 

5Section 45 as follows:

6 (225 ILCS 85/45 new)

7 Sec. 45. Inventory standards for large pharmacy chains.

8 (a) As used in this Section:

9 "Large pharmacy chain" means an entity that is engaged in 

10the practice of pharmacy, that operates at scale, and that 

11meets one or more of the following characteristics:

12 (1) the entity operates 10 or more retail pharmacy 

13 locations statewide or 50 or more retail pharmacy 

14 locations nationally;

15 (2) the entity is owned, oper