State of Illinois
90th General Assembly
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90_SB1078

      215 ILCS 125/2-3.1        from Ch. 111 1/2, par. 1405.1
          Amends the Health Maintenance Organization Act.   Adds  a
      caption  and  makes technical changes to a Section concerning
      the dispensing of drugs.
                                                     LRB9003496JSgc
                                               LRB9003496JSgc
 1        AN ACT to amend the Health Maintenance  Organization  Act
 2    by changing Section 2-3.1.
 3        Be  it  enacted  by  the People of the State of Illinois,
 4    represented in the General Assembly:
 5        Section 5.  The Health Maintenance  Organization  Act  is
 6    amended by changing Section 2-3.1 as follows:
 7        (215 ILCS 125/2-3.1) (from Ch. 111 1/2, par. 1405.1)
 8        Sec. 2-3.1.  Drugs and drug products.
 9        (a)  No health maintenance organization shall cause to be
10    dispensed any drug other than that prescribed by a physician.
11    Nothing  herein  shall  prohibit drug product selection under
12    Section 3.14 of the "Illinois Food, Drug and  Cosmetic  Act",
13    approved  June  29,  1967, as amended, and in accordance with
14    the requirements of Section 25 of the "Pharmacy Practice  Act
15    of 1987", approved September 24, 1987, as amended.
16        (b)  No  health maintenance organization shall include in
17    any contract with any physician  providing  for  health  care
18    services  any provision requiring such physician to prescribe
19    any particular  drug  product  to  any  enrollee  unless  the
20    enrollee is a hospital in-patient where such drug product may
21    be  permitted  pursuant  to  written guidelines or procedures
22    previously established by a  pharmaceutical  or  therapeutics
23    committee  of  a  hospital,  approved by the medical staff of
24    such hospital and specifically approved, in writing,  by  the
25    prescribing  physician  for  his  or  her  patients  in  such
26    hospital, and unless it is compounded, dispensed or sold by a
27    pharmacy  located  in  a hospital, as defined in Section 3 of
28    the Hospital Licensing Act or a hospital organized under  the
29    "An  Act  in  relation  to  the founding and operation of the
30    University of  Illinois  Hospital  Act  and  the  conduct  of
31    University  of  Illinois health care programs", approved July
                            -2-                LRB9003496JSgc
 1    3, 1931, as amended.
 2    (Source: P.A. 85-1246.)

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