[ Back ] [ Bottom ]
91_HB4176eng
HB4176 Engrossed LRB9109951JSpc
1 AN ACT concerning prescription drug information cards.
2 Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
4 Section 1. Short title. This Act may be cited as the
5 Uniform Prescription Drug Information Card Act.
6 Section 5. Legislative intent. It is the intent of the
7 legislature to lessen patients' waiting times, decrease
8 administrative burdens for pharmacies, and improve care to
9 patients by minimizing confusion, eliminating unnecessary
10 paperwork, and streamlining the dispensing of prescription
11 products paid for by third-party payors. This Act shall be
12 broadly applied and interpreted to effectuate this purpose.
13 Section 10. Definitions. As used in this Act, the
14 following terms have the meanings given in this Section.
15 "Department" means the Department of Insurance.
16 "Director" means the Director of Insurance.
17 "Health benefit plan" means an accident and health
18 insurance policy or certificate subject to the Illinois
19 Insurance Code, a voluntary health services plan subject to
20 the Voluntary Health Services Plans Act, a health maintenance
21 organization subscriber contract subject to the Health
22 Maintenance Organization Act, a plan provided by a multiple
23 employer welfare arrangement, or a plan provided by another
24 benefit arrangement, to the extent permitted by the federal
25 Employee Retirement Income Security Act of 1974, or by any
26 waiver of or other exception to that Act provided under
27 federal law or regulation. Without limitation, "health
28 benefit plan" does not mean any of the following types of
29 insurance:
30 (1) accident;
HB4176 Engrossed -2- LRB9109951JSpc
1 (2) credit;
2 (3) disability income;
3 (4) long-term or nursing home care;
4 (5) specified disease;
5 (6) dental or vision;
6 (7) coverage issued as a supplement to liability
7 insurance;
8 (8) medical payments under automobile or
9 homeowners;
10 (9) insurance under which benefits are payable with
11 or without regard to fault as statutorily required to be
12 contained in any liability policy or equivalent
13 self-insurance;
14 (10) hospital income or indemnity.
15 Section 15. Uniform prescription drug information cards
16 required.
17 (a) A health benefit plan that provides coverage for
18 prescription drugs or devices and an administrator of such a
19 plan including, but not limited to, third-party
20 administrators for self-insured plans and state-administered
21 plans shall issue to its insureds a card or other technology
22 containing uniform prescription drug information. The uniform
23 prescription drug information card or technology shall be in
24 the format most recently adopted by the National Council for
25 Prescription Drug Programs (NCPDP) and shall include all of
26 the required and conditional or situational fields as defined
27 in the NCPDP Pharmacy ID Card Implementation Guide or
28 successor document.
29 (b) A new uniform prescription drug information card or
30 technology shall be issued by a health benefit plan upon
31 enrollment and reissued upon any change in the insured's
32 coverage that affects data elements contained on the card or
33 upon any change in the NCPDP implementation guide or
HB4176 Engrossed -3- LRB9109951JSpc
1 successor document, provided that change affects data
2 elements contained on the card. Newly issued cards or
3 technology shall be updated with the latest coverage
4 information and shall conform to the NCPDP standards then in
5 effect and to the implementation guide then in use.
6 Section 20. Applicability and enforcement.
7 (a) This Act applies to health benefit plans that are
8 amended, delivered, issued, or renewed on and after the
9 effective date of this amendatory Act of the 91st General
10 Assembly. For purposes of this Act, a renewal of a health
11 benefit plan is deemed to occur on the anniversary date of
12 the contract with the health benefit plan.
13 (b) The Director may adopt rules necessary to implement
14 the Department's responsibilities under this Act. To enforce
15 the provisions of this Act, the Director may issue a cease
16 and desist order or require a health benefit plan to submit a
17 plan of correction for violations of this Act, or both.
18 Subject to the provisions of the Illinois Administrative
19 Procedure Act, the Director may, pursuant to Section 403A of
20 the Illinois Insurance Code, impose upon a health benefit
21 plan an administrative fine not to exceed $250,000 for
22 failure to submit a requested plan of correction, failure to
23 comply with its plan or correction, or repeated violations of
24 this Act.
25 Section 99. Effective date. This Act takes effect on
26 January 1, 2001.
[ Top ]