Docket Room
HB 5421·IL·house

340B INTEGRITY ACT

In CommitteeFiled Feb 6, 2026
Sponsor: Bob Morgan
Latest Action

Referred to Rules Committee

Feb 13, 2026

Summary

Starting in 2027, hospitals and clinics that participate in the federal 340B drug discount program may not bill state Medicaid fee‑for‑service or managed‑care plans for those drugs. Beginning July 1 2026, they must use at least 80% of their 340B profits to reduce out‑of‑pocket costs for low‑income patients, with the remainder supporting free or discounted care. The law also adds annual reporting duties to the Department of Insurance and requires state agencies to study the impact on employee health plans.

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