HB 3630

  • Illinois House Bill
  • 102nd Regular Session
  • Introduced in House
  • House
  • Senate
  • Governor

Ins-Pharmacy Benefit Managers

Abstract

Amends the Illinois Insurance Code. Provides that if a generic equivalent for a brand name drug is approved by the federal Food and Drug Administration, plans that provide coverage for prescription drugs through the use of a drug formulary that are amended, delivered, issued, or renewed in the State on or after January 1, 2022 shall comply with specified requirements. Provides that the Department of Insurance may adopt rules to implement provisions concerning notice of change of drug formulary. In provisions concerning a contract between a health insurer and a pharmacy benefit manager, provides that a pharmacy benefit manager must update and publish maximum allowable cost pricing information according to specified requirements, must provide a reasonable administrative appeal procedure to allow pharmacies to challenge maximum allowable costs, and must comply with specified requirements if an appeal is denied. Sets forth provisions concerning pharmacy benefit manager contracts; specified requirements that a pharmacy benefit manager shall comply with; and specified requirements that an auditing entity shall comply with when conducting a pharmacy audit. Provides that a violation of specified provisions is an unfair method of competition and unfair and deceptive act or practice in the business of insurance. Sets forth provisions concerning applicability of the Pharmacy Benefit Managers Article of the Illinois Insurance Code, and provisions concerning fiduciary responsibility of a pharmacy benefit manager. Defines terms. Makes other changes. Amends the Illinois Public Aid Code. Sets forth provisions concerning reimbursement of professional dispensing fees and acquisition costs for pharmacy providers.

Bill Sponsors (31)

Greg Harris

     
Primary

Deb Conroy

     
Cosponsor

Brad Halbrook

     
Cosponsor

Jehan Gordon-Booth

     
Cosponsor

Charles Meier

     
Cosponsor

Votes


No votes to display

Actions


Apr 21, 2021

House

Added Co-Sponsor Rep. Mike Murphy

Apr 14, 2021

House

Added Co-Sponsor Rep. Delia C. Ramirez

Apr 01, 2021

House

Added Co-Sponsor Rep. Bradley Stephens

Mar 29, 2021

House

Added Co-Sponsor Rep. Amy Grant

House

Added Co-Sponsor Rep. David Friess

Mar 27, 2021

House

Rule 19(a) / Re-referred to Rules Committee

Mar 26, 2021

House

Added Co-Sponsor Rep. Stephanie A. Kifowit

Mar 24, 2021

House

Added Co-Sponsor Rep. Charles Meier

House

Added Co-Sponsor Rep. Jehan Gordon-Booth

House

Added Chief Co-Sponsor Rep. Dan Caulkins

Mar 22, 2021

House

Added Co-Sponsor Rep. Barbara Hernandez

Mar 18, 2021

House

Added Co-Sponsor Rep. Chris Miller

House

Added Co-Sponsor Rep. Dan Brady

House

Added Co-Sponsor Rep. Dave Severin

Mar 17, 2021

House

Added Co-Sponsor Rep. Daniel Swanson

Mar 16, 2021

House

Assigned to Prescription Drug Affordability & Accessibility Committee

House

Added Co-Sponsor Rep. Robyn Gabel

House

Added Co-Sponsor Rep. Thomas M. Bennett

House

Added Co-Sponsor Rep. Brad Halbrook

House

Added Co-Sponsor Rep. Tim Butler

House

Added Co-Sponsor Rep. Janet Yang Rohr

Mar 12, 2021

House

Added Co-Sponsor Rep. Curtis J. Tarver, II

House

Added Co-Sponsor Rep. Patrick Windhorst

Mar 10, 2021

House

Added Co-Sponsor Rep. Nicholas K. Smith

House

Added Co-Sponsor Rep. Ann M. Williams

House

Added Co-Sponsor Rep. Anna Moeller

House

Added Co-Sponsor Rep. Deb Conroy

House

Added Co-Sponsor Rep. Jonathan Carroll

House

Added Chief Co-Sponsor Rep. C.D. Davidsmeyer

House

Added Co-Sponsor Rep. Mark L. Walker

Mar 08, 2021

House

Added Chief Co-Sponsor Rep. Sue Scherer

Mar 04, 2021

House

Added Co-Sponsor Rep. Bob Morgan

Feb 22, 2021

House

First Reading

House

Referred to Rules Committee

Feb 19, 2021

House

Filed with the Clerk by Rep. Greg Harris

Bill Text

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Related Documents

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Sources

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