CON SUB-PMP-INTERSTATE SHARING

Illinois General Assembly - Full Text of HB4602

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HB4602 - 104th General Assembly

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104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
HB4602

Introduced 2/3/2026, by Rep. Katie Stuart

SYNOPSIS AS INTRODUCED:

720 ILCS 570/316.1

Amends the Illinois Controlled Substances Act. Provides that
interstate data sharing agreements shall be mutual. Provides that the
Department of Human Services shall only share data if the reciprocal state
provides the opportunity to access data from the reciprocating state to
licensed healthcare entities and application vendors regardless of their
method of connection to the Prescription Monitoring Program for interstate
data sharing as defined in administrative rule. Effective immediately.
LRB104 17341 RLC 30765 b

A BILL FOR

HB4602
LRB104 17341 RLC 30765 b
1

AN ACT concerning criminal law.

2

Be it enacted by the People of the State of Illinois,
3
represented in the General Assembly:

4

Section 5.
The Illinois Controlled Substances Act is
5
amended by changing Section 316.1 as follows:

6

(720 ILCS 570/316.1)
7

Sec. 316.1.
Access to the integration of pharmacy records
8
with the Prescription Monitoring Program.
9

(a) Subject to the requirements and limitations set out in
10
this Section and in administrative rule, the Department shall
11
not require, either expressly or effectively, Electronic
12
Health Records Systems, pharmacies, or other providers to
13
utilize a particular entity or system for access to the
14
integration of pharmacy records with the Prescription
15
Monitoring Program.
16

(1) Any entity or system for integration (transmitting
17

the data maintained by the Prescription Monitoring
18

Program) into an Electronic Health Records System,
19

Certified Health IT Module, Pharmacy Dispensing System, or
20

Pharmacy Management System must meet applicable
21

requirements outlined in administrative rule, including,
22

but not limited to, the following:
23

(A) enter into a data sharing agreement with the

HB4602
- 2 -
LRB104 17341 RLC 30765 b
1

Department of Human Services, Prescription Monitoring
2

Program;
3

(B) all security requirements noted within this
4

Section, administrative rule, and all other applicable
5

State and federal security and privacy requirements;
6

(C) the Prescription Monitoring Program shall have
7

administrative control over the approval of each site
8

and individual integration point and the Prescription
9

Monitoring Program shall have the ability to disable
10

individual integration points, at no additional cost
11

to the State;
12

(D) interstate data sharing shall be completed
13

with written authorization from the Prescription
14

Monitoring Program;
15

(E) data available from the Prescription
16

Monitoring Program shall not be stored, cached, or
17

sold and the State may inspect and review an entity or
18

system for integration to assure and confirm the same,
19

subject to a reasonable non-disclosure agreement, as
20

permitted by State law, to protect the entity's or
21

system's trade secrets or other proprietary
22

information;
23

(F) analysis of data shall only be allowed with
24

express written permission from the Prescription
25

Monitoring Program; and
26

(G) access to audit data, shall be available in

HB4602
- 3 -
LRB104 17341 RLC 30765 b
1

hourly to real-time increments at no cost to the
2

State.
3

(2) Electronic Health Record Systems, Certified Health
4

IT Modules, Pharmacy Management Systems, and Pharmacy
5

Dispensing Systems integrated with the Prescription
6

Monitoring Program must meet applicable requirements
7

outlined in rule, including, but not limited to, the
8

following:
9

(A) provide their customers (healthcare entity,
10

pharmacy, provider, prescriber, dispenser, etc.) the
11

choice of approved integration vendor, meeting the
12

requirements of this Section and administrative rule,
13

or direct connect to the Illinois Prescription
14

Monitoring Program;
15

(B) provide their customers with access to the
16

data provided by the customer's chosen integration
17

vendor as allowed under State and federal statute; and
18

(C) follow all State and federal security and
19

privacy standards.
20

(3) Customers required to integrate under State or
21

federal law must meet the requirements outlined in
22

administrative rule, including, but not limited to, the
23

following:
24

(A) the customer retains the choice of which
25

integration vendor or direct connect is utilized to
26

connect to the Illinois Prescription Monitoring

HB4602
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LRB104 17341 RLC 30765 b
1

Program; and
2

(B) customers seeking to contract with a new
3

integration vendor, shall enter into a memorandum of
4

understanding with the Prescription Monitoring
5

Program.
6

(b) The Illinois Prescription Monitoring Program may
7
exercise the power, by rule, to require Memoranda of
8
Understanding with all customers. The general contents of the
9
memorandum of understanding shall be set out in rule and shall
10
include, but not be limited to:
11

(1) the acknowledgment and choice of the customer of
12

the method of integration with the Prescription Monitoring
13

Program and
14

(2) the data use and other requirements on the
15

customer in accessing and using the Prescription
16

Monitoring Program.
17

A fee cannot be levied as part of a memorandum of
18
understanding required by the Department under this Section.
19

(c) Non-compliance by the Integration Vendor, Electronic
20
Health Record System, Certified Health IT Module, Pharmacy
21
Management System or Pharmacy Dispensing System, customer, or
22
any parties required to comply with this Section may result in
23
the party being prohibited from serving as entity or system
24
for integration with the Prescription Monitoring Program,
25
termination of contracts, agreements, or other business
26
relationships. The Department shall institute appropriate cure

HB4602
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LRB104 17341 RLC 30765 b
1
notices, as necessary to remedy non-compliance.
2

(d) Interstate data sharing agreements shall be mutual.
3
The Department shall only share data if the reciprocal state
4
provides the opportunity to access data from the reciprocating
5
state to licensed healthcare entities and application vendors
6
regardless of their method of connection to the Prescription
7
Monitoring Program for interstate data sharing as defined in
8
administrative rule.
9
(Source: P.A. 103-477, eff. 7-1-24
.)

10

Section 99.
Effective date.
This Act takes effect upon
11
becoming law.

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