Bill Text: IL HB5518 | 2023-2024 | 103rd General Assembly | Introduced

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Bill Title: Amends the Illinois Insurance Code. Provides that "State-regulated health plan" means any health insurance plan issued by an insurer regulated by the State or health insurance plan operated and administered by the State, including, but not limited to, the medical assistance program under the Medical Assistance Article of the Illinois Public Aid Code, fee-for-service plans, and managed care organizations. Provides that for every State-regulated health plan, an information packet on all insurance products offered to enrollees must be made available to the public, which must be viewable before choosing a health plan, that includes specified information concerning the plan's drug formulary and the costs for drugs. Provides that the information packet must be made available both online in any patient portal and in a printed format. Provides that the information packet must be updated within 7 days after any change to the drug formulary, and notice of the change to the drug formulary and change to drug costs must be sent to beneficiaries by mail or electronically.

Spectrum: Partisan Bill (Democrat 9-0)

Status: (Introduced) 2024-04-05 - Rule 19(a) / Re-referred to Rules Committee [HB5518 Detail]

Download: Illinois-2023-HB5518-Introduced.html

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103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB5518 Introduced , by Rep. Jenn Ladisch Douglass SYNOPSIS AS INTRODUCED:
215 ILCS 5/155.37a new
Amends the Illinois Insurance Code. Provides that "State-regulated health plan" means any health insurance plan issued by an insurer regulated by the State or health insurance plan operated and administered by the State, including, but not limited to, the medical assistance program under the Medical Assistance Article of the Illinois Public Aid Code, fee-for-service plans, and managed care organizations. Provides that for every State-regulated health plan, an information packet on all insurance products offered to enrollees must be made available to the public, which must be viewable before choosing a health plan, that includes specified information concerning the plan's drug formulary and the costs for drugs. Provides that the information packet must be made available both online in any patient portal and in a printed format. Provides that the information packet must be updated within 7 days after any change to the drug formulary, and notice of the change to the drug formulary and change to drug costs must be sent to beneficiaries by mail or electronically.
LRB103 38809 RPS 68946 b
A BILL FOR
HB5518 LRB103 38809 RPS 68946 b
AN ACT concerning regulation.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Illinois Insurance Code is amended by
adding Section 155.37a as follows:
(215 ILCS 5/155.37a new)
Sec. 155.37a. State-regulated health plan drug formulary
posting.
(a) As used in this Section, "State-regulated health plan"
means any health insurance plan issued by an insurer regulated
by the State or health insurance plan operated and
administered by the State, including, but not limited to, the
medical assistance program under Article V of the Illinois
Public Aid Code, fee-for-service plans, and managed care
organizations.
(b) For every State-regulated health plan, an information
packet on all insurance products offered to enrollees must be
made available to the public, which must be viewable before
choosing a health plan, that includes the following
information:
(1) a current drug formulary listing all medications
and products available, including both generic and name
brand versions of each drug, and the tier for each drug;

HB5518 - 2 - LRB103 38809 RPS 68946 b