103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024
SB3179
 
Introduced 2/6/2024, by Sen. Napoleon Harris, III
 
SYNOPSIS AS INTRODUCED:
 
215 ILCS 5/513b1.5 new
    Amends the Illinois Insurance Code. Provides that all compensation remitted by or on behalf of a pharmaceutical manufacturer, pharmaceutical developer, or pharmaceutical labeler, directly or indirectly, to a health insurer or to a pharmacy benefit manager under contract with a health insurer that is related to the health insurer's prescription drug benefits must be either remitted directly to the covered person at the point of sale to reduce the out-of-pocket cost to the covered person associated with a particular prescription drug or remitted to and retained by the health insurer. Requires a health insurer to file with the Department of Insurance a report demonstrating the health insurer's compliance with the provisions.


LRB103 37210 RPS 67329 b

 
 
A BILL FOR
 
SB3179LRB103 37210 RPS 67329 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 
5adding Section 513b1.5 as follows:
 
6    (215 ILCS 5/513b1.5 new)
7    Sec. 513b1.5. Compensation remitted to a health insurer or 
8pharmacy benefit manager.
9    (a) All compensation remitted by or on behalf of a 
10pharmaceutical manufacturer, pharmaceutical developer, or 
11pharmaceutical labeler, directly or indirectly, to a health 
12insurer or to a pharmacy benefit manager under contract with a 
13health insurer that is related to the health insurer's 
14prescription drug benefits must be:
15        (1) remitted directly to the covered person at the 
16    point of sale to reduce the out-of-pocket cost to the 
17    covered person associated with a particular prescription 
18    drug; or
19        (2) remitted to and retained by the health insurer.
20Compensation remitted to the health insurer must be applied by 
21the health insurer in the health insurer's plan design and in 
22future plan years to offset the premium for covered persons.
23    (b) Beginning January 1, 2026, and annually thereafter, a 
 
 
SB3179- 2 -LRB103 37210 RPS 67329 b

1health insurer shall file with the Department a report, in the 
2manner and form determined by the Department, demonstrating 
3the health insurer's compliance with this Section.