Sen. Laura M. Murphy
Filed: 5/2/2023
 
 

 

 

 
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1
AMENDMENT TO HOUSE BILL 2189 




2    AMENDMENT NO. ______. Amend House Bill 2189 by replacing 
3everything after the enacting clause with the following:








 
 
4    "Section 5. The Illinois Insurance Code is amended  by 
5changing Section 356z.41 as follows:
 
6    (215 ILCS 5/356z.41)
7    Sec. 356z.41. Cost sharing in prescription insulin drugs; 
8limits; confidentiality of rebate information. 
9    (a) As used in this Section: ,
10    "Department" means the Department of Central Management 
11Services.
12    "Director" means the Director of Central Management 
13Services. 
14    "Prescription prescription insulin drug" means a 
15prescription drug that contains insulin and is used to control 
16blood glucose levels to treat diabetes but does not include an 
 
 
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1insulin drug that is
administered to a patient intravenously.
2    (b) This Section applies to a group or individual policy 
3of accident and health insurance amended, delivered, issued, 
4or renewed on or after the effective date of this amendatory 
5Act of the 101st General Assembly. 
6    (c) An insurer that provides coverage for prescription 
7insulin drugs pursuant to the terms of a health coverage plan 
8the insurer offers shall limit the total amount that an 
9insured is required to pay for a 30-day supply of covered 
10prescription insulin drugs at an amount not to exceed $35 
11$100, regardless of the quantity or type of covered 
12prescription insulin drug used to fill the insured's 
13prescription.
14    (d) Nothing in this Section prevents an insurer from 
15reducing an insured's cost sharing by an amount greater than 
16the amount specified in subsection (c).
17    (e) The Director may use any of the Director's enforcement 
18powers to obtain an insurer's compliance with this Section.
19    (f) The Department may adopt rules as necessary to 
20implement and administer this Section and to align it with 
21federal requirements.
22    (g) On January 1 of each year, the limit on the amount that 
23an insured is required to pay for a 30-day supply of a covered 
24prescription insulin drug shall increase by a percentage equal 
25to the percentage change from the preceding year in the 
26medical care component of the Consumer Price Index of the 
 
 
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1Bureau of Labor Statistics of the United States Department of 
2Labor.

3(Source: P.A. 101-625, eff. 1-1-21.)
  
 
4    Section 99. Effective date. This Act takes effect January 
51, 2025.".