Bill > SB3203

Introduced Session

Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or managed care plan amended, delivered, issued, or renewed on or before December 31, 2025 that provides coverage for prescription drugs may not deny or limit coverage for prescription inhalers (instead of prescription inhalants) based upon any restriction on the number of days before an inhaler refill may be obtained if, contrary to those restrictions, the inhalants have been ordered or prescribed by the treating physician and are medically appropriate. Provides that a group or individual policy of accident and health insurance or managed care plan amended, delivered, issued, or renewed on or after January 1, 2026 that provides coverage for prescription drugs shall limit the total amount that a covered person is required to pay for a covered prescription inhaler to an amount not to exceed $25 per 30-day supply, and provides that nothing in the provisions prevents a group or individual policy of accident and health insurance or managed care plan from reducing a covered person's cost sharing to an amount less than the cap. Makes a conforming change. Provides that coverage for prescription inhalers shall not be subject to any deductible, except to the extent that the coverage would disqualify a high-deductible health plan from eligibility for a health savings account. Authorizes rulemaking and enforcement by the Department of Insurance. Amends the State Employees Group Insurance Act of 1971. Provides that the program of health benefits shall provide coverage for prescription inhalers under the Illinois Insurance Code.

AI Summary

Committee Categories

Laura Faver Dias (D)*,  Mattie Hunter (D)*,  Christopher Belt (D),  Harry Benton (D),  Diane Blair-Sherlock (D),  Terri Bryant (R),  Mary Beth Canty (D),  Cristina Castro (D),  Javier Cervantes (D),  Sharon Chung (D),  Lakesia Collins (D),  Terra Costa Howard (D),  Margaret Croke (D),  Eva-Dina Delgado (D),  Kimberly du Buclet (D),  Mary Edly-Allen (D),  Sara Feigenholtz (D),  Laura Fine (D),  La Shawn Ford (D),  Will Guzzardi (D),  Mike Halpin (D),  Matt Hanson (D),  Michael Hastings (D),  Norma Hernandez (D),  Maura Hirschauer (D),  Linda Holmes (D),  Lilian Jiménez (D),  Adriane Johnson (D),  Emil Jones (D),  Dave Koehler (D),  Jenn Ladisch Douglass (D),  Lindsey LaPointe (D),  Kimberly Lightford (D),  Camille Lilly (D),  Theresa Mah (D),  Joyce Mason (D),  Rita Mayfield (D),  Debbie Meyers-Martin (D),  Julie Morrison (D),  Suzanne Ness (D),  Kevin Olickal (D),  Robert Peters (D),  Mike Porfirio (D),  Willie Preston (D),  Abdelnasser Rashid (D),  Sue Rezin (R),  Mike Simmons (D),  Elgie Sims (D),  Katie Stuart (D),  Nabeela Syed (D),  Sally Turner (R),  Rachel Ventura (D),  Celina Villanueva (D),  Chris Welch (D),  Maurice West (D),  Janet Yang Rohr (D), 

Public Act . . . . . . . . . 103-0951 (on 08/09/2024)

Official Document