Bill > HB3752

This bill amends multiple Illinois insurance and healthcare-related laws to add a new requirement for prescription drug coverage continuity. Specifically, starting January 1, 2027, group and individual health insurance policies and managed care plans will be prohibited from limiting or excluding coverage of a prescription drug that an enrollee has been continuously using for at least 6 months, provided that the drug was originally selected by the enrollee's prescribing provider while the enrollee was covered by their current or previous health plan. The bill impacts several key pieces of legislation, including the State Employees Group Insurance Act, Counties Code, Illinois Municipal Code, School Code, Health Maintenance Organization Act, Limited Health Service Organization Act, Voluntary Health Services Plans Act, and Illinois Public Aid Code. By ensuring continuity of prescription drug coverage, the bill aims to protect patients from potential disruptions in their medical treatment when changing health insurance plans, potentially reducing gaps in care and helping patients maintain consistent access to medications they rely on.

Business and Industry, Health and Social Services

https://www.ilga.gov/legislation/BillStatus.asp?DocNum=3752&GAID=18&DocTypeID=HB&SessionID=114&GA=104