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| | 103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024 SB3203 Introduced 2/6/2024, by Sen. Mattie Hunter SYNOPSIS AS INTRODUCED: | | | Amends the Illinois Insurance Code. Provides that a health plan shall limit the total amount that a covered person is required to pay for a covered prescription inhaler at an amount not to exceed $25 per 30-day supply and shall limit the total amount that a covered person is required to pay for all covered prescription inhalers at an amount not to exceed $50 in total per 30 days. Provides that coverage for prescription inhalers shall not be subject to any deductible. Provides that nothing in the provisions prevents a health plan from reducing a covered person's cost sharing to an amount less than the cap. Authorizes rulemaking and enforcement by the Department of Insurance. Effective January 1, 2025. |
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| | A BILL FOR |
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| | SB3203 | | LRB103 37942 CES 68074 b |
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1 | | AN ACT concerning regulation. |
2 | | Be it enacted by the People of the State of Illinois, |
3 | | represented in the General Assembly: |
4 | | Section 5. The Illinois Insurance Code is amended by |
5 | | adding Section 356z.71 as follows: |
6 | | (215 ILCS 5/356z.71 new) |
7 | | Sec. 356z.71. Prescription inhalers. |
8 | | (a) In this Section: |
9 | | "Health plan" means a policy of accident and health |
10 | | insurance or managed care plan that is amended, delivered, |
11 | | issued, or renewed on or after the effective date of this |
12 | | amendatory Act of the 103rd General Assembly that provides |
13 | | coverage for prescription inhalers. |
14 | | "Prescription inhaler" means a prescribed medical device |
15 | | that delivers inhaled medications used to treat respiratory |
16 | | conditions and the prescribed inhaled medication. |
17 | | "Prescription inhaler" includes metered-dose inhalers, |
18 | | nebulizers, and dry powder inhalers. "Prescription inhaler" |
19 | | does not include inhalers available over the counter without a |
20 | | prescription to provide temporary relief from respiratory |
21 | | symptoms. |
22 | | (b) A health plan shall limit the total amount that a |
23 | | covered person is required to pay for a covered prescription |