Bill Status of HB 4504   103rd General Assembly

Short Description:  INS CD-INHALER COVERAGE

House Sponsors
Rep. Laura Faver Dias-Jawaharial Williams-Camille Y. Lilly-Harry Benton-Marcus C. Evans, Jr., Abdelnasser Rashid, La Shawn K. Ford, Rita Mayfield, Eva-Dina Delgado, Yolonda Morris, Martin J. Moylan, Joyce Mason, Terra Costa Howard, Emanuel "Chris" Welch, Dave Vella, Diane Blair-Sherlock, Jenn Ladisch Douglass, Katie Stuart, Robert "Bob" Rita, Stephanie A. Kifowit, Sue Scherer, Maurice A. West, II, Robyn Gabel and Kevin John Olickal

Last Action  View All Actions

DateChamber Action
  1/7/2025HouseSession Sine Die

Statutes Amended In Order of Appearance
215 ILCS 5/356z.71 new

Synopsis As Introduced
Amends the Illinois Insurance Code. Provides that a health plan shall limit the total amount that a covered person is required to pay for a covered prescription inhaler at an amount not to exceed $25 per 30-day supply and shall limit the total amount that a covered person is required to pay for all covered prescription inhalers at an amount not to exceed $50 in total per 30 days. Provides that coverage for prescription inhalers shall not be subject to any deductible. Provides that nothing in the provisions prevents a health plan from reducing a covered person's cost sharing to an amount less than the cap. Authorizes rulemaking and enforcement by the Department of Insurance. Effective January 1, 2025.

House Committee Amendment No. 1
Deletes reference to:
215 ILCS 5/356z.71 new
Adds reference to:
5 ILCS 375/6.11
215 ILCS 5/356z.5

Replaces everything after the enacting clause. Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or managed care plan amended, delivered, issued, or renewed on or before December 31, 2025 that provides coverage for prescription drugs may not deny or limit coverage for prescription inhalers (instead of prescription inhalants) based upon any restriction on the number of days before an inhaler refill may be obtained if, contrary to those restrictions, the inhalants have been ordered or prescribed by the treating physician and are medically appropriate. Provides that a group or individual policy of accident and health insurance or managed care plan amended, delivered, issued, or renewed on or after January 1, 2026 that provides coverage for prescription drugs shall limit the total amount that a covered person is required to pay for a covered prescription inhaler to an amount not to exceed $25 per 30-day supply, and provides that nothing in the provisions prevents a group or individual policy of accident and health insurance or managed care plan from reducing a covered person's cost sharing to an amount less than the cap. Makes a conforming change. Provides that coverage for prescription inhalers shall not be subject to any deductible, except to the extent that the coverage would disqualify a high-deductible health plan from eligibility for a health savings account. Authorizes rulemaking and enforcement by the Department of Insurance. Amends the State Employees Group Insurance Act of 1971. Provides that the program of health benefits shall provide coverage for prescription inhalers under the Illinois Insurance Code.

Actions 
DateChamber Action
  1/18/2024HouseFiled with the Clerk by Rep. Laura Faver Dias
  1/31/2024HouseFirst Reading
  1/31/2024HouseReferred to Rules Committee
  2/22/2024HouseAdded Co-Sponsor Rep. Camille Y. Lilly
  2/22/2024HouseAdded Co-Sponsor Rep. Abdelnasser Rashid
  2/22/2024HouseRemoved Co-Sponsor Rep. Camille Y. Lilly
  2/28/2024HouseAssigned to Insurance Committee
  3/1/2024HouseAdded Co-Sponsor Rep. La Shawn K. Ford
  3/1/2024HouseAdded Co-Sponsor Rep. Rita Mayfield
  3/1/2024HouseHouse Committee Amendment No. 1 Filed with Clerk by Rep. Laura Faver Dias
  3/1/2024HouseHouse Committee Amendment No. 1 Referred to Rules Committee
  3/1/2024HouseAdded Co-Sponsor Rep. Eva-Dina Delgado
  3/6/2024HouseAdded Co-Sponsor Rep. Yolonda Morris
  3/11/2024HouseAdded Co-Sponsor Rep. Martin J. Moylan
  3/12/2024HouseHouse Committee Amendment No. 1 Rules Refers to Insurance Committee
  3/12/2024HouseHouse Committee Amendment No. 1 Adopted in Insurance Committee; by Voice Vote
  3/12/2024HouseDo Pass as Amended / Short Debate Insurance Committee; 010-002-000
  3/12/2024HouseAdded Chief Co-Sponsor Rep. Jawaharial Williams
  3/12/2024HouseAdded Chief Co-Sponsor Rep. Camille Y. Lilly
  3/13/2024HousePlaced on Calendar 2nd Reading - Short Debate
  3/21/2024HouseAdded Chief Co-Sponsor Rep. Harry Benton
  3/21/2024HouseAdded Chief Co-Sponsor Rep. Marcus C. Evans, Jr.
  3/21/2024HouseChief Co-Sponsor Changed to Rep. Marcus C. Evans, Jr.
  3/21/2024HouseAdded Co-Sponsor Rep. Joyce Mason
  3/22/2024HouseAdded Co-Sponsor Rep. Terra Costa Howard
  4/1/2024HouseAdded Co-Sponsor Rep. Emanuel "Chris" Welch
  4/9/2024HouseAdded Co-Sponsor Rep. Dave Vella
  4/10/2024HouseAdded Co-Sponsor Rep. Diane Blair-Sherlock
  4/10/2024HouseSecond Reading - Short Debate
  4/10/2024HousePlaced on Calendar Order of 3rd Reading - Short Debate
  4/12/2024HouseAdded Co-Sponsor Rep. Jenn Ladisch Douglass
  4/12/2024HouseAdded Co-Sponsor Rep. Katie Stuart
  4/15/2024HouseAdded Co-Sponsor Rep. Robert "Bob" Rita
  4/15/2024HouseAdded Co-Sponsor Rep. Stephanie A. Kifowit
  4/15/2024HouseAdded Co-Sponsor Rep. Sue Scherer
  4/15/2024HouseAdded Co-Sponsor Rep. Maurice A. West, II
  4/17/2024HouseAdded Co-Sponsor Rep. Robyn Gabel
  4/18/2024HouseAdded Co-Sponsor Rep. Kevin John Olickal
  4/19/2024HouseRule 19(a) / Re-referred to Rules Committee
  1/7/2025HouseSession Sine Die

Back To Top