Rep. Will Guzzardi
Filed: 3/1/2023
 
 

 

 

 
10300HB2189ham001LRB103 24836 BMS 57942 a



1
AMENDMENT TO HOUSE BILL 2189 




2    AMENDMENT NO. ______. Amend House Bill 2189 by replacing 
3everything after the enacting clause with the following:





 
 
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 
 
 
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1Act of the 101st General Assembly. 
2    (c) An insurer that provides coverage for prescription 
3insulin drugs pursuant to the terms of a health coverage plan 
4the insurer offers shall limit the total amount that an 
5insured is required to pay for a 30-day supply of covered 
6prescription insulin drugs at an amount not to exceed $35 
7$100, regardless of the quantity or type of covered 
8prescription insulin drug used to fill the insured's 
9prescription.
10    (d) Nothing in this Section prevents an insurer from 
11reducing an insured's cost sharing by an amount greater than 
12the amount specified in subsection (c).
13    (e) The Director may use any of the Director's enforcement 
14powers to obtain an insurer's compliance with this Section.
15    (f) The Department may adopt rules as necessary to 
16implement and administer this Section and to align it with 
17federal requirements.
18    (g) On January 1 of each year, the limit on the amount that 
19an insured is required to pay for a 30-day supply of a covered 
20prescription insulin drug shall increase by a percentage equal 
21to the percentage change from the preceding year in the 
22medical care component of the Consumer Price Index of the 
23Bureau of Labor Statistics of the United States Department of 
24Labor.

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