Illinois General Assembly - Bill Status for HB3630
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 Bill Status of HB3630  102nd General Assembly


Short Description:  INS-PHARMACY BENEFIT MANAGERS

House Sponsors
Rep. Greg Harris - Sue Scherer - C.D. Davidsmeyer - Dan Caulkins, Bob Morgan, Jonathan Carroll, Deb Conroy, Anna Moeller, Ann M. Williams, Nicholas K. Smith, Mark L. Walker, Patrick Windhorst, Curtis J. Tarver, II, Robyn Gabel, Thomas M. Bennett, Brad Halbrook, Tim Butler, Janet Yang Rohr, Daniel Swanson, Dan Brady, Dave Severin, Chris Miller, Barbara Hernandez, Jehan Gordon-Booth, Charles Meier, Stephanie A. Kifowit, David Friess, Amy Grant, Bradley Stephens, Delia C. Ramirez and Mike Murphy

Last Action
DateChamber Action
  3/27/2021HouseRule 19(a) / Re-referred to Rules Committee

Statutes Amended In Order of Appearance
215 ILCS 5/155.37
215 ILCS 5/424from Ch. 73, par. 1031
215 ILCS 5/513b1
215 ILCS 5/513b1.1 new
215 ILCS 5/513b1.3 new
305 ILCS 5/5-5.12from Ch. 23, par. 5-5.12
305 ILCS 5/5-36


Synopsis As Introduced
Amends the Illinois Insurance Code. Provides that if a generic equivalent for a brand name drug is approved by the federal Food and Drug Administration, plans that provide coverage for prescription drugs through the use of a drug formulary that are amended, delivered, issued, or renewed in the State on or after January 1, 2022 shall comply with specified requirements. Provides that the Department of Insurance may adopt rules to implement provisions concerning notice of change of drug formulary. In provisions concerning a contract between a health insurer and a pharmacy benefit manager, provides that a pharmacy benefit manager must update and publish maximum allowable cost pricing information according to specified requirements, must provide a reasonable administrative appeal procedure to allow pharmacies to challenge maximum allowable costs, and must comply with specified requirements if an appeal is denied. Sets forth provisions concerning pharmacy benefit manager contracts; specified requirements that a pharmacy benefit manager shall comply with; and specified requirements that an auditing entity shall comply with when conducting a pharmacy audit. Provides that a violation of specified provisions is an unfair method of competition and unfair and deceptive act or practice in the business of insurance. Sets forth provisions concerning applicability of the Pharmacy Benefit Managers Article of the Illinois Insurance Code, and provisions concerning fiduciary responsibility of a pharmacy benefit manager. Defines terms. Makes other changes. Amends the Illinois Public Aid Code. Sets forth provisions concerning reimbursement of professional dispensing fees and acquisition costs for pharmacy providers.

Actions 
DateChamber Action
  2/19/2021HouseFiled with the Clerk by Rep. Greg Harris
  2/22/2021HouseFirst Reading
  2/22/2021HouseReferred to Rules Committee
  3/4/2021HouseAdded Co-Sponsor Rep. Bob Morgan
  3/8/2021HouseAdded Chief Co-Sponsor Rep. Sue Scherer
  3/10/2021HouseAdded Co-Sponsor Rep. Jonathan Carroll
  3/10/2021HouseAdded Chief Co-Sponsor Rep. C.D. Davidsmeyer
  3/10/2021HouseAdded Co-Sponsor Rep. Deb Conroy
  3/10/2021HouseAdded Co-Sponsor Rep. Anna Moeller
  3/10/2021HouseAdded Co-Sponsor Rep. Ann M. Williams
  3/10/2021HouseAdded Co-Sponsor Rep. Nicholas K. Smith
  3/10/2021HouseAdded Co-Sponsor Rep. Mark L. Walker
  3/12/2021HouseAdded Co-Sponsor Rep. Patrick Windhorst
  3/12/2021HouseAdded Co-Sponsor Rep. Curtis J. Tarver, II
  3/16/2021HouseAdded Co-Sponsor Rep. Robyn Gabel
  3/16/2021HouseAdded Co-Sponsor Rep. Thomas M. Bennett
  3/16/2021HouseAdded Co-Sponsor Rep. Brad Halbrook
  3/16/2021HouseAssigned to Prescription Drug Affordability & Accessibility Committee
  3/16/2021HouseAdded Co-Sponsor Rep. Tim Butler
  3/16/2021HouseAdded Co-Sponsor Rep. Janet Yang Rohr
  3/17/2021HouseAdded Co-Sponsor Rep. Daniel Swanson
  3/18/2021HouseAdded Co-Sponsor Rep. Dan Brady
  3/18/2021HouseAdded Co-Sponsor Rep. Dave Severin
  3/18/2021HouseAdded Co-Sponsor Rep. Chris Miller
  3/22/2021HouseAdded Co-Sponsor Rep. Barbara Hernandez
  3/24/2021HouseAdded Chief Co-Sponsor Rep. Dan Caulkins
  3/24/2021HouseAdded Co-Sponsor Rep. Jehan Gordon-Booth
  3/24/2021HouseAdded Co-Sponsor Rep. Charles Meier
  3/26/2021HouseAdded Co-Sponsor Rep. Stephanie A. Kifowit
  3/27/2021HouseRule 19(a) / Re-referred to Rules Committee
  3/29/2021HouseAdded Co-Sponsor Rep. David Friess
  3/29/2021HouseAdded Co-Sponsor Rep. Amy Grant
  4/1/2021HouseAdded Co-Sponsor Rep. Bradley Stephens
  4/14/2021HouseAdded Co-Sponsor Rep. Delia C. Ramirez
  4/21/2021HouseAdded Co-Sponsor Rep. Mike Murphy

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