Illinois General Assembly - Bill Status for SB3203
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 Bill Status of SB3203  103rd General Assembly


Short Description:  INS CD-INHALER COVERAGE

Senate Sponsors
Sen. Mattie Hunter - Willie Preston - Julie A. Morrison - Mike Simmons, Javier L. Cervantes, Cristina Castro, Laura Fine, Christopher Belt, Emil Jones, III, Rachel Ventura, Mike Porfirio, Michael E. Hastings, Linda Holmes, Sally J. Turner, Robert Peters, Sara Feigenholtz, Celina Villanueva, Sue Rezin, Terri Bryant, David Koehler, Lakesia Collins, Michael W. Halpin, Mary Edly-Allen, Adriane Johnson, Elgie R. Sims, Jr. and Kimberly A. Lightford

House Sponsors
(Rep. Laura Faver Dias)

Last Action
DateChamber Action
  4/11/2024HouseArrived in House

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.

Senate 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.

Senate Floor Amendment No. 2
Further amends the State Employees Group Insurance Act of 1971. Makes a technical change.

Actions 
DateChamber Action
  2/6/2024SenateFiled with Secretary by Sen. Mattie Hunter
  2/6/2024SenateFirst Reading
  2/6/2024SenateReferred to Assignments
  2/14/2024SenateAssigned to Insurance
  2/21/2024SenateAdded as Co-Sponsor Sen. Javier L. Cervantes
  2/22/2024SenateAdded as Co-Sponsor Sen. Cristina Castro
  2/26/2024SenateAdded as Chief Co-Sponsor Sen. Willie Preston
  2/28/2024SenateAdded as Co-Sponsor Sen. Laura Fine
  3/4/2024SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. Mattie Hunter
  3/4/2024SenateSenate Committee Amendment No. 1 Referred to Assignments
  3/5/2024SenateSenate Committee Amendment No. 1 Assignments Refers to Insurance
  3/5/2024SenateAdded as Co-Sponsor Sen. Christopher Belt
  3/6/2024SenateSenate Committee Amendment No. 1 Adopted
  3/6/2024SenateDo Pass as Amended Insurance; 007-003-000
  3/6/2024SenatePlaced on Calendar Order of 2nd Reading March 7, 2024
  3/6/2024SenateAdded as Chief Co-Sponsor Sen. Julie A. Morrison
  3/6/2024SenateAdded as Co-Sponsor Sen. Emil Jones, III
  3/7/2024SenateAdded as Co-Sponsor Sen. Rachel Ventura
  3/8/2024SenateAdded as Co-Sponsor Sen. Mike Porfirio
  3/13/2024SenateAdded as Co-Sponsor Sen. Michael E. Hastings
  3/14/2024SenateSecond Reading
  3/14/2024SenatePlaced on Calendar Order of 3rd Reading March 20, 2024
  3/14/2024SenateAdded as Co-Sponsor Sen. Linda Holmes
  3/14/2024SenateAdded as Co-Sponsor Sen. Sally J. Turner
  3/14/2024SenateAdded as Co-Sponsor Sen. Robert Peters
  3/14/2024SenateAdded as Co-Sponsor Sen. Sara Feigenholtz
  3/19/2024SenateAdded as Co-Sponsor Sen. Celina Villanueva
  3/22/2024SenateAdded as Co-Sponsor Sen. Sue Rezin
  3/22/2024SenateAdded as Co-Sponsor Sen. Terri Bryant
  3/22/2024SenateAdded as Co-Sponsor Sen. David Koehler
  4/3/2024SenateAdded as Co-Sponsor Sen. Lakesia Collins
  4/4/2024SenateAdded as Co-Sponsor Sen. Michael W. Halpin
  4/4/2024SenateSenate Floor Amendment No. 2 Filed with Secretary by Sen. Mattie Hunter
  4/4/2024SenateSenate Floor Amendment No. 2 Referred to Assignments
  4/9/2024SenateSenate Floor Amendment No. 2 Be Approved for Consideration Assignments
  4/11/2024SenateRecalled to Second Reading
  4/11/2024SenateSenate Floor Amendment No. 2 Adopted
  4/11/2024SenatePlaced on Calendar Order of 3rd Reading
  4/11/2024SenateThird Reading - Passed; 053-002-000
  4/11/2024SenateAdded as Co-Sponsor Sen. Mary Edly-Allen
  4/11/2024SenateAdded as Co-Sponsor Sen. Adriane Johnson
  4/11/2024SenateAdded as Co-Sponsor Sen. Elgie R. Sims, Jr.
  4/11/2024SenateAdded as Chief Co-Sponsor Sen. Mike Simmons
  4/11/2024HouseArrived in House
  4/12/2024SenateAdded as Co-Sponsor Sen. Kimberly A. Lightford
  4/12/2024HouseChief House Sponsor Rep. Laura Faver Dias

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