{"data":{"id":"us-il/215-ilcs-5-356z.45","jurisdiction":"us-il","citation":"215 ILCS 5/356z.45","heading":"Coverage for patient care services provided by a pharmacist.","body":"A group or individual policy of accident and health insurance or a managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2023 shall provide coverage for health care or patient care services provided by a pharmacist if:\n(1) the pharmacist meets the requirements and scope of practice as set forth in Section 43 or Section 43.5 of the Pharmacy Practice Act;\n(2) the health plan provides coverage for the same service provided by a licensed physician, an advanced practice registered nurse, or a physician assistant;\n(3) the pharmacist is included in the health benefit plan's network of participating providers; and\n(4) a reimbursement has been successfully negotiated in good faith between the pharmacist and the health plan.","path":["CHAPTER 215 INSURANCE","Illinois Insurance Code."],"source_url":"https://www.ilga.gov/legislation/ILCS/details?ActID=1249\u0026ChapterID=22\u0026ChapAct=FullText\u0026Print=True","current_through":"at least Public Act 104-790","vintage":"","retrieved_at":"2026-09-15T04:46:30Z","sha256":"598ca412b9d47fae4888d05d5c5a21c241f87117176ab5bc206a25e17450fd07","source_id":"us-il","stale":false,"prev":"us-il/215-ilcs-5-356z.44","next":"us-il/215-ilcs-5-356z.46"},"notice":"GroundRules: Original legal text. Not legal advice."}