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91_HB4415
LRB9110899JSpc
1 AN ACT to amend the Health Maintenance Organization Act
2 by changing Section 2-3.1.
3 Be it enacted by the People of the State of Illinois,
4 represented in the General Assembly:
5 Section 5. The Health Maintenance Organization Act is
6 amended by changing Section 2-3.1 as follows:
7 (215 ILCS 125/2-3.1) (from Ch. 111 1/2, par. 1405.1)
8 Sec. 2-3.1. Drugs and drug products.
9 (a) No health maintenance organization shall cause to be
10 dispensed any drug other than that prescribed by a physician.
11 Nothing herein shall prohibit drug product selection under
12 Section 3.14 of the "Illinois Food, Drug and Cosmetic Act",
13 approved June 29, 1967, as amended, and in accordance with
14 the requirements of Section 25 of the "Pharmacy Practice Act
15 of 1987", approved September 24, 1987, as amended.
16 (b) No health maintenance organization shall include in
17 any contract with any physician providing for health care
18 services any provision requiring such physician to prescribe
19 any particular drug product to any enrollee unless the
20 enrollee is a hospital in-patient where such drug product may
21 be permitted pursuant to written guidelines or procedures
22 previously established by a pharmaceutical or therapeutics
23 committee of a hospital, approved by the medical staff of
24 such hospital and specifically approved, in writing, by the
25 prescribing physician for his or her patients in such
26 hospital, and unless it is compounded, dispensed or sold by a
27 pharmacy located in a hospital, as defined in Section 3 of
28 the Hospital Licensing Act or a hospital organized under "An
29 Act in relation to the founding and operation of the
30 University of Illinois Hospital and the conduct of University
31 of Illinois health care programs", approved July 3, 1931, as
-2- LRB9110899JSpc
1 amended.
2 (Source: P.A. 85-1246.)