Illinois General Assembly - Full Text of HB1085
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Full Text of HB1085  93rd General Assembly

HB1085eng 93rd General Assembly


HB1085 Engrossed                     LRB093 05463 LRD 05554 b

 1        AN ACT concerning insurance.

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

 4        Section 5.  The Health Maintenance  Organization  Act  is
 5    amended by changing Section 2-3.1 as follows:

 6        (215 ILCS 125/2-3.1) (from Ch. 111 1/2, par. 1405.1)
 7        Sec. 2-3.1.  Dispensing of drug products.
 8        (a)  No health maintenance organization shall cause to be
 9    dispensed any drug other than that prescribed by a physician.
10    Nothing  herein  shall  prohibit drug product selection under
11    Section 3.14 of the "Illinois Food, Drug and  Cosmetic  Act",
12    approved  June  29,  1967, as amended, and in accordance with
13    the requirements of Section 25 of the "Pharmacy Practice  Act
14    of 1987", approved September 24, 1987, as amended.
15        (b)  No  health maintenance organization shall include in
16    any contract with any physician  providing  for  health  care
17    services  any provision requiring such physician to prescribe
18    any particular  drug  product  to  any  enrollee  unless  the
19    enrollee is a hospital in-patient where such drug product may
20    be  permitted  pursuant  to  written guidelines or procedures
21    previously established by a  pharmaceutical  or  therapeutics
22    committee  of  a  hospital,  approved by the medical staff of
23    such hospital and specifically approved, in writing,  by  the
24    prescribing  physician  for  his  or  her  patients  in  such
25    hospital, and unless it is compounded, dispensed or sold by a
26    pharmacy  located  in  a hospital, as defined in Section 3 of
27    the Hospital Licensing Act or a hospital organized under  "An
28    Act  in  relation  to  the  founding  and  operation  of  the
29    University of Illinois Hospital and the conduct of University
30    of  Illinois health care programs", approved July 3, 1931, as
31    amended.
HB1085 Engrossed            -2-      LRB093 05463 LRD 05554 b
 1    (Source: P.A. 85-1246.)