|
| | 103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024
SB3203 Introduced 2/6/2024, by Sen. Mattie Hunter SYNOPSIS AS INTRODUCED:
| | | Amends the Illinois Insurance Code. Provides that a health plan shall limit the total amount that a covered person is required to pay for a covered prescription inhaler at an amount not to exceed $25 per 30-day supply and shall limit the total amount that a covered person is required to pay for all covered prescription inhalers at an amount not to exceed $50 in total per 30 days. Provides that coverage for prescription inhalers shall not be subject to any deductible. Provides that nothing in the provisions prevents a health plan from reducing a covered person's cost sharing to an amount less than the cap. Authorizes rulemaking and enforcement by the Department of Insurance. Effective January 1, 2025. | |
| | |
| | A BILL FOR |
|
|
| | SB3203 | | LRB103 37942 CES 68074 b |
|
|
|
| 1 | | AN ACT concerning regulation.
|
| 2 | | Be it enacted by the People of the State of Illinois, |
| 3 | | represented in the General Assembly:
|
| 4 | | Section 5. The Illinois Insurance Code is amended by |
| 5 | | adding Section 356z.71 as follows:
|
| 6 | | (215 ILCS 5/356z.71 new) |
| 7 | | Sec. 356z.71. Prescription inhalers. |
| 8 | | (a) In this Section: |
| 9 | | "Health plan" means a policy of accident and health |
| 10 | | insurance or managed care plan that is amended, delivered, |
| 11 | | issued, or renewed on or after the effective date of this |
| 12 | | amendatory Act of the 103rd General Assembly that provides |
| 13 | | coverage for prescription inhalers. |
| 14 | | "Prescription inhaler" means a prescribed medical device |
| 15 | | that delivers inhaled medications used to treat respiratory |
| 16 | | conditions and the prescribed inhaled medication. |
| 17 | | "Prescription inhaler" includes metered-dose inhalers, |
| 18 | | nebulizers, and dry powder inhalers. "Prescription inhaler" |
| 19 | | does not include inhalers available over the counter without a |
| 20 | | prescription to provide temporary relief from respiratory |
| 21 | | symptoms. |
| 22 | | (b) A health plan shall limit the total amount that a |
| 23 | | covered person is required to pay for a covered prescription |