Bill > HB2680

This bill amends the Illinois Insurance Code to require health and accident insurance plans that cover prescription drugs to include any amounts paid by or on behalf of the insured when calculating the insured's out-of-pocket maximum or cost-sharing requirements. Starting January 1, 2027, this means that if a patient receives help paying for their prescription drugs from sources like a copay assistance program, charitable organization, or another person, those payments will count towards their total out-of-pocket expenses. This could potentially help insured individuals reach their out-of-pocket maximums more quickly and reduce their overall healthcare costs. The bill includes a specific exception for high-deductible health plans (HDHPs) to ensure that including these payments does not jeopardize the plan's eligibility for a health savings account (HSA), which offers tax advantages for medical expenses. By requiring insurers to count these additional payments, the bill aims to provide more financial transparency and potentially lower the financial burden of prescription drug costs for insured individuals.

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https://www.ilga.gov/legislation/BillStatus.asp?DocNum=2680&GAID=18&DocTypeID=HB&SessionID=114&GA=104