IllinoisIllinois law protects 340B providers' access to pharmacy partners
Illinois law protects 340B providers' access to pharmacy partners and requires annual reporting, with some provider groups starting in 2029.
What it does
People and drug makers may not block Illinois 340B providers from getting covered drugs or choosing pharmacy partners, unless federal law bars the drug receipt.
People and drug makers may not demand extra 340B pricing or program data, or impose added inventory rules, unless state or federal law requires them.
340B providers must report program and patient-care information each year; some small and safety-net providers start in 2029. The state must report Medicaid drug use and costs by 2028.
Each 340B provider may use a drug only for outpatient care the patient received in the past 18 months and must prevent, and repay, duplicate discounts.
Argument forThese rules could help covered providers keep using pharmacy partners for 340B drugs and limit demands for data or extra inventory checks.
Argument againstAnnual reports could take staff time at covered providers, especially because they must gather drug cost, payment, audit, and patient-care information.
More detail
People and drug makers may not block covered providers from getting 340B drugs or choosing pharmacies to dispense them. This applies to Illinois entities in the federal 340B drug discount program and pharmacies they hire to dispense the drugs, including qualifying pharmacies outside Illinois. A drug receipt may be blocked when federal law prohibits it. The law does not apply in a way that conflicts with federal law; required limits on distribution of certain drugs are not violations. The law took effect August 7, 2026.
People and drug makers may not require covered providers or their pharmacy partners to provide certain information or follow extra inventory rules. These limits apply to 340B covered entities and pharmacies dispensing 340B drugs for them. They may not demand 340B drug pricing or other information unless state or federal law requires it. They may not impose inventory management rules, including extra audits, unless a state or federal agency requires them. The law took effect August 7, 2026.
Covered entities must report on their 340B programs, and the state health department must report on Medicaid drug use and costs. The annual reporting duty covers 340B covered entities. The department's report covers outpatient drugs dispensed or given through Illinois Medicaid, by fee-for-service and each managed care plan. The annual reports include program recertification, charity care information when required, drug costs and payments, claims, audits, and effects on patients and communities. Hospitals with fewer than 100 licensed beds, Critical Access Hospitals, Safety-Net Hospitals, and 340B grantees are exempt until January 1, 2029. If the department lacks a required Medicaid data item, it must estimate it reasonably and explain what information is missing. Most provider reports are due each August 1 starting in 2026; the exempt groups begin August 1, 2029. The department's report is due January 1, 2028.
Each covered entity must limit 340B drug use to recent outpatient care and maintain a policy to prevent duplicate discounts. These duties apply to each 340B covered entity in Illinois. A provider may dispense or give a 340B drug only for outpatient care the patient received within the prior 18 months. The policy must prevent ordering replacement drugs when another covered entity will replenish the same pharmacy dispense, and must include a process to repay manufacturers for duplicate discounts received. Each provider must file its policy with the General Assembly every year; the law took effect August 7, 2026.
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Where it stands
- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Looking ahead
No hearings or votes scheduled.
History
- 2026
- Aug 7Public Act . . . . . . . . . 104-0758Latest
- Aug 7Effective Date August 7, 2026
- Aug 7Governor J. B. Pritzker ApprovedBecame Law
- Jun 26Sent to the GovernorTo Governor
- Jun 1Passed Both Houses
- Jun 1House Concurs
- Jun 1Senate Floor Amendment No. 2 House Concurs 113-001-000
- Jun 1Senate Committee Amendment No. 1 House Concurs 113-001-000
- May 31
- Vote recorded Concurrence, Amendment 2. Result: pass.Lower
- Vote recorded Concurrence, Amendment 1. Result: pass.Lower
- May 14Added Co-Sponsor Rep. Dave Vella
- Apr 23Added Co-Sponsor Rep. Lilian Jiménez
- Apr 16Added Co-Sponsor Rep. Dave Severin
- Apr 8Added Co-Sponsor Rep. Dagmara Avelar
- Apr 8Added Co-Sponsor Rep. Theresa Mah
- Apr 7Added Co-Sponsor Rep. Will Guzzardi
- Apr 7Added Co-Sponsor Rep. Robyn Gabel
- Apr 2Added Co-Sponsor Rep. Abdelnasser Rashid
- Mar 26Added Co-Sponsor Rep. Lindsey LaPointe
- Mar 26Added Co-Sponsor Rep. Elizabeth "Lisa" Hernandez
- Mar 26Added Co-Sponsor Rep. Paul Jacobs
- Mar 25Added Co-Sponsor Rep. Emanuel "Chris" Welch
- Mar 23Removed Co-Sponsor Rep. Kimberly Du Buclet
- Mar 13Added Co-Sponsor Rep. Margaret A. DeLaRosa
- Mar 9Added Co-Sponsor Rep. Kimberly Du Buclet
- Feb 17Senate Floor Amendment No. 2 Motion to Concur Recommends Be Adopted Rules Committee; 003-002-000
- Feb 17Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Rules Committee; 003-002-000
- Feb 17Placed on Calendar Order of Concurrence Senate Amendment(s) 1, 2
- Feb 17Approved for Consideration Rules Committee; 003-002-000
- Feb 13Added Co-Sponsor Rep. Kelly M. Cassidy
- 2025
- Jul 1Senate Floor Amendment No. 2 Rule 19(b) / Motion Referred to Rules Committee
- Jul 1Senate Committee Amendment No. 1 Rule 19(b) / Motion Referred to Rules Committee
- Jul 1Rule 19(b) / Re-referred to Rules Committee
- Jun 11Added as Alternate Co-Sponsor Sen. Christopher Belt
- May 31Added as Alternate Co-Sponsor Sen. Steve Stadelman
- May 31Added as Alternate Co-Sponsor Sen. Napoleon Harris III
- May 31Added as Alternate Co-Sponsor Sen. Mary Edly-Allen
- May 31Added Co-Sponsor Rep. Marcus C. Evans, Jr.
- May 31Added Chief Co-Sponsor Rep. La Shawn K. Ford
- May 30Senate Floor Amendment No. 2 Motion to Concur Recommends Be Adopted Executive Committee; 012-000-000
- Vote recorded Do Pass, Amendment 2. Result: pass.Lower
- Vote recorded Do Pass, Amendment 1. Result: pass.Lower
- May 30Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Executive Committee; 012-000-000
- May 30Removed Co-Sponsor Rep. Natalie A. Manley
- May 30Senate Floor Amendment No. 2 Motion to Concur Rules Referred to Executive Committee
- May 30Senate Committee Amendment No. 1 Motion to Concur Rules Referred to Executive Committee
- May 29Senate Floor Amendment No. 2 Motion to Concur Referred to Rules Committee
- Vote recorded Third Reading. Result: pass.Upper
- May 29Senate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee
- May 29Senate Floor Amendment No. 2 Motion Filed Concur Rep. Anna Moeller
- May 29Senate Committee Amendment No. 1 Motion Filed Concur Rep. Anna Moeller
- May 29Added as Alternate Co-Sponsor Sen. Mike Simmons
- May 29Placed on Calendar Order of Concurrence Senate Amendment(s) 1, 2
- May 29Arrived in HouseMinor
- May 29Added as Alternate Co-Sponsor Sen. Celina Villanueva
- May 29Added as Alternate Co-Sponsor Sen. Michael W. Halpin
- May 29Third Reading - Passed; 055-000-000Passed Senate
- May 29Placed on Calendar Order of 3rd Reading
- May 29Senate Floor Amendment No. 2 Adopted; KoehlerMajor
- May 29Recalled to Second ReadingMinor
- May 29Added Chief Co-Sponsor Rep. Yolonda Morris
- May 29Chief Sponsor Changed to Rep. Anna Moeller
- May 29Added as Alternate Chief Co-Sponsor Sen. Terri Bryant
- May 28Senate Floor Amendment No. 2 Recommend Do Adopt Executive; 013-000-000
- Vote recorded Do Pass, Amendment 2. Result: pass.Upper
- May 28Added as Alternate Chief Co-Sponsor Sen. Dale Fowler
- May 28Added as Alternate Chief Co-Sponsor Sen. Rachel Ventura
- May 28Alternate Chief Sponsor Changed to Sen. David Koehler
- May 28Added as Alternate Co-Sponsor Sen. Rachel Ventura
- May 28Senate Floor Amendment No. 2 Assignments Refers to Executive
- May 28Senate Floor Amendment No. 2 Referred to Assignments
- May 28Senate Floor Amendment No. 2 Filed with Secretary by Sen. David KoehlerMinor
- May 23Rule 2-10 Third Reading/Passage Deadline Established As June 1, 2025
- May 15Placed on Calendar Order of 3rd Reading May 20, 2025
- May 15Second ReadingMinor
- May 15Placed on Calendar Order of 2nd ReadingMinor
- May 15Do Pass as Amended Executive; 009-004-000
- May 14Senate Committee Amendment No. 1 AdoptedMajor
- Vote recorded Do Pass, Amendment 1. Result: pass.Upper
- Vote recorded Do Pass. Result: pass.Upper
- May 14Senate Committee Amendment No. 1 Assignments Refers to Executive
- May 13Senate Committee Amendment No. 1 Referred to Assignments
- May 13Senate Committee Amendment No. 1 Filed with Secretary by Sen. Don HarmonMinor
- May 9Rule 2-10 Committee Deadline Established As May 23, 2025
- May 8Alternate Chief Sponsor Changed to Sen. Don Harmon
- May 8Assigned to ExecutiveMinor
- May 1Added Co-Sponsor Rep. Natalie A. Manley
- May 1Added Co-Sponsor Rep. Jawaharial Williams
- Apr 10Referred to Assignments
- Apr 10First ReadingMinor
- Apr 10Chief Senate Sponsor Sen. Mark L. Walker
- Apr 10Placed on Calendar Order of First ReadingMinor
- Apr 10Arrive in SenateMinor
- Apr 9House Floor Amendment No. 1 TabledMinor
- Vote recorded Third Reading. Result: pass.Lower
- Apr 9Third Reading - Short Debate - Passed 116-000-000Passed House
- Apr 9Placed on Calendar Order of 3rd Reading - Short Debate
- Apr 9House Floor Amendment No. 2 AdoptedMajor
- Apr 8House Floor Amendment No. 2 Recommends Be Adopted Insurance Committee; 014-000-000Minor
- Vote recorded Do Pass, Amendment 2. Result: pass.Lower
- Apr 7House Floor Amendment No. 2 Rules Refers to Insurance Committee
- Mar 26House Floor Amendment No. 2 Referred to Rules Committee
- Mar 26House Floor Amendment No. 2 Filed with Clerk by Rep. Rick RyanMinor
- Mar 26Held on Calendar Order of Second Reading - Short DebateMinor
- Mar 26Second Reading - Short DebateMinor
- Mar 25Added Chief Co-Sponsor Rep. Camille Y. Lilly
- Mar 25Added Chief Co-Sponsor Rep. Nicolle Grasse
- Mar 25Chief Sponsor Changed to Rep. Rick Ryan
- Mar 18House Floor Amendment No. 1 Rules Refers to Insurance Committee
- Mar 13House Floor Amendment No. 1 Referred to Rules Committee
- Mar 13House Floor Amendment No. 1 Filed with Clerk by Rep. Nicolle GrasseMinor
- Mar 12Placed on Calendar 2nd Reading - Short DebateMinor
- Mar 11Do Pass / Short Debate Insurance Committee; 011-006-000
- Vote recorded Do Pass. Result: pass.Lower
- Feb 27Removed Co-Sponsor Rep. Camille Y. Lilly
- Feb 27Added Co-Sponsor Rep. Camille Y. Lilly
- Feb 25Assigned to Insurance CommitteeMinor
- Feb 4Referred to Rules Committee
- Feb 4First ReadingMinor
- Jan 31Filed with the Clerk by Rep. Nicolle GrasseIntroduced
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