Illinois HB 4761: INC TX-OPPORTUNITY ZONES

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
HB4761

Introduced , by Rep. Natalie A. Manley 

SYNOPSIS AS INTRODUCED:

215 ILCS 5/513b1

 Amends the Illinois Insurance Code. In provisions concerning pharmacy benefit manager contracts, provides that a pharmacy benefit manager must not reimburse a pharmacy or pharmacist for a prescription drug or pharmacy service in an amount less than the national average drug acquisition cost for the prescription drug or pharmacy service at the time the drug is administered or dispensed, plus a professional dispensing fee of $10.49. Provides that, if the national average drug acquisition cost is not available at the time a drug is administered or dispensed, a pharmacy benefit manager may not reimburse in an amount that is less than the wholesale acquisition cost of the drug, plus a professional dispensing fee of $10.49.

LRB104 19429 BAB 32877 b

A BILL FOR

HB4761LRB104 19429 BAB 32877 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 Illinois Insurance Code is amended by 

5changing Section 513b1 as follows:

6 (215 ILCS 5/513b1)

7 Sec. 513b1. Pharmacy benefit manager contracts.

8 (a) As used in this Article: 

9 "340B drug discount program" means the program established 

10under Section 340B of the federal Public Health Service Act, 

1142 U.S.C. 256b. 

12 "340B entity" means a covered entity as defined in 42 

13U.S.C. 256b(a)(4) authorized to participate in the 340B drug 

14discount program. 

15 "340B pharmacy" means any pharmacy used to dispense 340B 

16drugs for a covered entity, whether entity-owned or external.

17 "Affiliate" means a person or entity that directly or 

18i