Illinois Senate Bill 3498 (Prior Session Legislation)

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Completed Legislative Action
Spectrum: Partisan Bill (Democrat 1-0)
Status: Failed on January 9 2019 - 100% progression
Action: 2019-01-09 - Session Sine Die
Text: Latest bill text (Introduced) [HTML]

Amends the Managed Care Reform and Patient Rights Act. Requires a policy or plan sponsor to notify the prescribing physician and the patient in writing 60 days before making a formulary change that alters the terms of coverage or discontinues coverage for a prescribed drug that the patient is receiving. Contains provisions for receiving the notice electronically. Provides that a policy or plan sponsor may provide the patient with the written notification, along with a 60-day supply of the prescription drug, at the time the patient requests a refill. Provides that nothing in the provisions prohibits insurers or pharmacy benefit managers from using certain managed pharmacy care tools so long as an exception process is in place allowing the prescriber to petition for coverage a non-preferred drug if sufficient clinical reasons justify an exception to the normal protocol.

MANAGED CARE-FORMULARY CHANGES

Sen. Elgie Sims [D]

Date	Chamber	Action
2019-01-09	Senate	Session Sine Die
2018-04-27	Senate	Rule 3-9(a) / Re-referred to Assignments
2018-04-13	Senate	Rule 2-10 Committee Deadline Established As April 27, 2018
2018-02-27	Senate	Assigned to Insurance
2018-02-16	Senate	Referred to Assignments
2018-02-16	Senate	First Reading
2018-02-16	Senate	Filed with Secretary by Sen. Elgie R. Sims, Jr.

Chapter	Article	Section	Citation Type	Statute Text
215	134	45.3	New Code	See Bill Text

Type	Source
Summary	https://www.ilga.gov/legislation/BillStatus.asp?DocNum=3498&GAID=14&DocTypeID=SB&SessionID=91&GA=100
Text	https://www.ilga.gov/legislation/100/SB/10000SB3498.htm