Bill Text: IL SB3734 | 2019-2020 | 101st General Assembly | Introduced

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Bill Title: Amends the Illinois Insurance Code. Provides that a pharmacy benefit manager may not reimburse a pharmacist or pharmacy for a prescription drug or pharmacy service in an amount less than the amount the pharmacy benefit manager reimburses itself or an affiliate for the same prescription drug or pharmacy service. Provides that the Section applies to insurers that provide coverage for prescription drugs and pharmacy services, including through a pharmacy benefit manager. Defines terms. Effective immediately.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Failed) 2021-01-13 - Session Sine Die [SB3734 Detail]

Download: Illinois-2019-SB3734-Introduced.html

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101ST GENERAL ASSEMBLY State of Illinois 2019 and 2020 SB3734 Introduced 2/14/2020, by Sen. Andy Manar SYNOPSIS AS INTRODUCED:
215 ILCS 5/513b7 new
Amends the Illinois Insurance Code. Provides that a pharmacy benefit manager may not reimburse a pharmacist or pharmacy for a prescription drug or pharmacy service in an amount less than the amount the pharmacy benefit manager reimburses itself or an affiliate for the same prescription drug or pharmacy service. Provides that the Section applies to insurers that provide coverage for prescription drugs and pharmacy services, including through a pharmacy benefit manager. Defines terms. Effective immediately.
LRB101 19650 BMS 69138 b
A BILL FOR
SB3734 LRB101 19650 BMS 69138 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 513b7 as follows:
(215 ILCS 5/513b7 new)
Sec. 513b7. Reimbursement for prescription drugs or
pharmacy services to affiliates.
(a) As used in this Section:
"Insured" means an individual entitled to health care
benefits for prescription drugs or pharmacy services under a
health insurance policy or contract issued or delivered in this
State by an entity subject to this Section.
"Pharmacist" has the meaning given to that term in
subsection (k-5) of Section 3 of the Pharmacy Practice Act.
"Pharmacy" has the meaning given to that term in subsection
(a) of Section 3 of the Pharmacy Practice Act.
"Pharmacy benefit manager" has the meaning given to that
term in subsection (a) of Section 513b1 of this Code.
(b) This Section applies to the following:
(1) An insurer as defined in subsection (b) of Section
370g of this Code that provides coverage for prescription
drugs and pharmacy services.

SB3734 - 2 - LRB101 19650 BMS 69138 b
(2) An insurer as defined in subsection (b) of Section
370g of this Code that provides coverage for prescription
drugs and pharmacy services through a pharmacy benefit
manager.
(c) A pharmacy benefit manager may not reimburse a
pharmacist or pharmacy for a prescription drug or pharmacy
service in an amount less than the amount the pharmacy benefit
manager reimburses itself or an affiliate for the same
prescription drug or pharmacy service.
Section 99. Effective date. This Act takes effect upon
becoming law.