Rep. Laura Fine

Filed: 4/19/2018

 

 


 

 


 
10000HB4146ham002LRB100 14115 JLS 38393 a

1
AMENDMENT TO HOUSE BILL 4146

2    AMENDMENT NO. ______. Amend House Bill 4146 on page 3 by
3replacing lines 13 through 16 with the following:
4        "This paragraph (3) does not prohibit a health care
5    plan from removing a brand name drug or changing its
6    preferred or tiered cost-sharing if the plan adds a
7    therapeutically equivalent generic drug (as determined by
8    the United States Food and Drug Administration) if such
9    generic drug was not available on the market at the
10    beginning of the enrollee's plan year if the health care
11    plan does all of the following at least 30 days before
12    making the formulary change:
13            (i) provide general notification of the change in
14        its formulary to current and prospective enrollees;
15        and
16            (ii) provide direct notification to enrollees
17        currently prescribed the drug, including information
18        on the specific drugs involved and steps they may take

 

 

10000HB4146ham002- 2 -LRB100 14115 JLS 38393 a

1        to request coverage determinations and exceptions.
2        This paragraph (3) does not apply to a health plan as
3    defined in the State Employees Group Insurance Act of 1971
4    or medical assistance under Article V of the Illinois
5    Public Aid Code.".