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significant health consequences.
Insulin discount program.
(a) The Department shall offer a discount program that
allows participants to purchase insulin at a discounted,
(b) The discount program shall:
(1) provide a participant with a card or electronic
document that identifies the participant as eligible for
(2) provide a participant with information about
pharmacies that will honor the discount;
(3) allow a participant to purchase insulin at a
discounted, post-rebate price; and
(4) provide a participant with instructions to pursue
a reimbursement of the purchase price from the
participant's health insurer.
(c) The discount program shall charge a price for insulin
that allows the program to retain only enough of any rebate for
the insulin to make the State risk pool whole for providing
discounted insulin to participants.
The Illinois Insurance Code is amended by
changing Section 356z.41 as follows:
(215 ILCS 5/356z.41)
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Cost sharing in prescription insulin drugs;
limits; confidentiality of rebate information.
(a) As used in this Section, "prescription insulin drug"
means a prescription drug that contains insulin and is used to
control blood glucose levels to treat diabetes but does not
include an insulin drug that is
administered to a patient
(b) This Section applies to a group or individual policy
of accident and health insurance amended, delivered, issued,
or renewed on or after the effective date of this amendatory
Act of the 101st General Assembly.
(c) An insurer that provides coverage for prescription
insulin drugs pursuant to the terms of a health coverage plan
the insurer offers shall limit the total amount that an
insured is required to pay for a 30-day supply of covered
prescription insulin drugs at an amount not to exceed
, regardless of the quantity or type of covered
prescription insulin drug used to fill the insured's
(d) Nothing in this Section prevents an insurer from
reducing an insured's cost sharing by an amount greater than
the amount specified in subsection (c).
(e) The Director may use any of the Director's enforcement
powers to obtain an insurer's compliance with this Section.
(f) The Department may adopt rules as necessary to
implement and administer this Section and to align it with
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(g) On January 1 of each year, the limit on the amount that
an insured is required to pay for a 30-day supply of a covered
prescription insulin drug shall increase by a percentage equal
to the percentage change from the preceding year in the
medical care component of the Consumer Price Index of the
Bureau of Labor Statistics of the United States Department of
(Source: P.A. 101-625, eff. 1-1-21
This Act takes effect January