HB4146ham002 100TH GENERAL ASSEMBLY

Rep. Laura Fine

Filed: 4/19/2018

10000HB4146ham002 LRB100 14115 JLS 38393 a

AMENDMENT TO HOUSE BILL 4146

AMENDMENT NO. ______. Amend House Bill 4146 on page 3 by replacing lines 13 through 16 with the following:

"This paragraph (3) does not prohibit a health care plan from removing a brand name drug or changing its preferred or tiered cost-sharing if the plan adds a therapeutically equivalent generic drug (as determined by the United States Food and Drug Administration) if such generic drug was not available on the market at the beginning of the enrollee's plan year if the health care plan does all of the following at least 30 days before making the formulary change:

(i) provide general notification of the change in its formulary to current and prospective enrollees; and

(ii) provide direct notification to enrollees currently prescribed the drug, including information on the specific drugs involved and steps they may take to request coverage determinations and exceptions.

This paragraph (3) does not apply to a health plan as defined in the State Employees Group Insurance Act of 1971 or medical assistance under Article V of the Illinois Public Aid Code.".