Bill > SB1746

This bill amends several Illinois insurance-related laws to regulate how health benefit plans handle clinician-administered drugs, which are prescription drugs that cannot be self-administered and are typically given in medical settings like physician offices or hospitals. Specifically, the bill prohibits health benefit plans and pharmacy benefit managers from requiring patients to obtain these drugs from a specific pharmacy, steering patients to certain pharmacies, denying coverage based on the drug's source, imposing higher cost-sharing for drugs obtained from certain providers, or restricting the site of service where the drug is administered. The bill ensures that clinician-administered drugs meet federal drug supply chain security standards and applies to health insurance plans for state employees, counties, municipalities, schools, health maintenance organizations, and voluntary health services plans starting January 1, 2026. The Department of Insurance is authorized to adopt rules to implement these provisions, and the bill defines key terms such as "clinician-administered drug" and "site of service" to provide clarity. By preventing health plans from restricting patient and provider choices, the bill aims to improve access to medical treatments and reduce administrative barriers to receiving necessary medications.

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https://www.ilga.gov/legislation/BillStatus.asp?DocNum=1746&GAID=18&DocTypeID=SB&SessionID=114&GA=104