HB2189 EngrossedLRB103 24836 BMS 51168 b



1    AN ACT concerning regulation.

 
2    Be it enacted by the People of the State of Illinois, 
3represented in the General Assembly: 







 
 
4    Section 5. The Illinois Insurance Code is amended  by 
5changing Section 356z.41 as follows:
 
6    (215 ILCS 5/356z.41)
7    Sec. 356z.41. Cost sharing in prescription insulin drugs; 
8limits; confidentiality of rebate information. 
9    (a) As used in this Section, "prescription insulin drug" 
10means a prescription drug that contains insulin and is used to 
11control blood glucose levels to treat diabetes but does not 
12include an insulin drug that is
administered to a patient 
13intravenously.
14    (b) This Section applies to a group or individual policy 
15of accident and health insurance amended, delivered, issued, 
16or renewed on or after the effective date of this amendatory 
17Act of the 101st General Assembly. 
18    (c) An insurer that provides coverage for prescription 
19insulin drugs pursuant to the terms of a health coverage plan 
20the insurer offers shall limit the total amount that an 
21insured is required to pay for a 30-day supply of covered 
22prescription insulin drugs at an amount not to exceed $35 
23$100, regardless of the quantity or type of covered 
 
 
HB2189 Engrossed- 2 -LRB103 24836 BMS 51168 b

1prescription insulin drug used to fill the insured's 
2prescription.
3    (d) Nothing in this Section prevents an insurer from 
4reducing an insured's cost sharing by an amount greater than 
5the amount specified in subsection (c).
6    (e) The Director may use any of the Director's enforcement 
7powers to obtain an insurer's compliance with this Section.
8    (f) The Department may adopt rules as necessary to 
9implement and administer this Section and to align it with 
10federal requirements.
11    (g) On January 1 of each year, the limit on the amount that 
12an insured is required to pay for a 30-day supply of a covered 
13prescription insulin drug shall increase by a percentage equal 
14to the percentage change from the preceding year in the 
15medical care component of the Consumer Price Index of the 
16Bureau of Labor Statistics of the United States Department of 
17Labor.

18(Source: P.A. 101-625, eff. 1-1-21.)
  
 
19    Section 99. Effective date. This Act takes effect January 
201, 2025.