Illinois House Bill 4862

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Spectrum: Partisan Bill (Democrat 1-0)
Status: Introduced on February 6 2024 - 25% progression
Action: 2024-02-07 - Referred to Rules Committee
Pending: House Rules Committee
Text: Latest bill text (Introduced) [HTML]

Amends the Illinois Insurance Code. Provides that a pharmacy benefit manager or health benefit plan issuer that covers prescription drugs shall provide certain information, including the issuer's patient-specific prescription benefit information, the enrollee's specific eligibility, and cost-sharing information, regarding a covered prescription drug to an enrollee or the enrollee's prescribing provider on request. Sets forth requirements for providing that information. Provides that a pharmacy benefit manager or health benefit plan issuer may not deny or delay a response to a request for that information for the purpose of blocking the release of the information; restrict a prescribing provider from communicating certain information to the enrollee; interfere with, prevent, or materially discourage access to or the exchange or use of the information; or penalize a prescribing provider for disclosing the information or prescribing, administering, or ordering a lower cost or clinically appropriate alternative drug. Amends the State Employees Group Insurance Act of 1971, the School Code, the Health Maintenance Organization Act, the Limited Health Service Organization Act, and the Voluntary Health Services Plans Act to require plans issued under those Acts to comply with the requirements. Effective January 1, 2025.

INS CD-PRESCRIPTION DRUG INFO

Rep. Nicholas Smith [D]

Date	Chamber	Action
2024-02-07	House	Referred to Rules Committee
2024-02-07	House	First Reading
2024-02-06	House	Filed with the Clerk by Rep. Nicholas K. Smith

Chapter	Article	Section	Citation Type	Statute Text
105	5	10-22.3f	Amended Code	Citation Text
215	125	5-3	Amended Code	Citation Text
215	130	4003	Amended Code	Citation Text
215	165	10	Amended Code	Citation Text
215	5	356z.71	New Code	See Bill Text
215	5	513b8	New Code	See Bill Text
5	375	6.11	Amended Code	Citation Text

Type	Source
Summary	https://www.ilga.gov/legislation/BillStatus.asp?DocNum=4862&GAID=17&DocTypeID=HB&SessionID=112&GA=103
Text	https://www.ilga.gov/legislation/103/HB/10300HB4862.htm