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| | HB3137 Enrolled | | LRB099 07692 MLM 27825 b |
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| 1 | | AN ACT concerning eye care coverage.
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| 2 | | Be it enacted by the People of the State of Illinois,
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| 3 | | represented in the General Assembly:
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| 4 | | Section 1. Short title. This Act may be cited as the |
| 5 | | Topical Eye Medication Prescription Act.
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| 6 | | Section 5. Coverage. Every insurer that amends, delivers, |
| 7 | | issues, or renews an individual or group policy of accident and |
| 8 | | health insurance in this State that provides coverage for |
| 9 | | prescription topical eye medication shall not deny coverage for |
| 10 | | the refilling of a prescription for topical eye medication |
| 11 | | when: |
| 12 | | (1) the medication is to treat a chronic condition of |
| 13 | | the eye; |
| 14 | | (2) the refill is requested by the insured prior to the |
| 15 | | last day of the prescribed dosage period and after at least |
| 16 | | 75% of the predicted days of use; and |
| 17 | | (3) the prescribing physician licensed to practice |
| 18 | | medicine in all its branches or optometrist indicates on |
| 19 | | the original prescription that refills are permitted and |
| 20 | | that the early refills requested by the insured do not |
| 21 | | exceed the total number of refills prescribed.
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