State of Illinois
91st General Assembly
Legislation

   [ Search ]   [ Legislation ]
[ Home ]   [ Back ]   [ Bottom ]


[ Engrossed ][ Enrolled ][ House Amendment 001 ]
[ Senate Amendment 001 ][ Senate Amendment 002 ]

91_HB4176

 
                                               LRB9109951JSpc

 1        AN ACT concerning prescription drug information cards.

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

 4        Section 1.  Short title.  This Act may be  cited  as  the
 5    Uniform Prescription Drug Information Card Act.

 6        Section  5.  Legislative intent.  It is the intent of the
 7    legislature  to  lessen  patients'  waiting  times,  decrease
 8    administrative burdens for pharmacies, and  improve  care  to
 9    patients  by  minimizing  confusion,  eliminating unnecessary
10    paperwork, and streamlining the  dispensing  of  prescription
11    products  paid  for  by third-party payors. This Act shall be
12    broadly applied and interpreted to effectuate this purpose.

13        Section 10.   Definitions.  As  used  in  this  Act,  the
14    following terms have the meanings given in this Section.
15        "Department" means the Department of Insurance.
16        "Director" means the Director of Insurance.
17        "Health  benefit  plan"  means  an  accident  and  health
18    insurance  policy  or  certificate  subject  to  the Illinois
19    Insurance Code, a voluntary health services plan  subject  to
20    the Voluntary Health Services Plans Act, a health maintenance
21    organization   subscriber  contract  subject  to  the  Health
22    Maintenance Organization Act, a plan provided by  a  multiple
23    employer  welfare  arrangement, or a plan provided by another
24    benefit arrangement, to the extent permitted by  the  federal
25    Employee  Retirement  Income  Security Act of 1974, or by any
26    waiver of or other  exception  to  that  Act  provided  under
27    federal  law  or  regulation.   Without  limitation,  "health
28    benefit  plan"  does  not  mean any of the following types of
29    insurance:
30             (1)  accident;
 
                            -2-                LRB9109951JSpc
 1             (2)  credit;
 2             (3)  disability income;
 3             (4)  long-term or nursing home care;
 4             (5)  specified disease;
 5             (6)  dental or vision;
 6             (7)  coverage issued as a  supplement  to  liability
 7        insurance;
 8             (8)  medical    payments    under    automobile   or
 9        homeowners;
10             (9)  insurance under which benefits are payable with
11        or without regard to fault as statutorily required to  be
12        contained   in   any   liability   policy  or  equivalent
13        self-insurance;
14             (10)  hospital income or indemnity.

15        Section 15.  Uniform prescription drug information  cards
16    required.
17        (a)  A  health  benefit  plan  that provides coverage for
18    prescription drugs or devices and an administrator of such  a
19    plan    including,    but   not   limited   to,   third-party
20    administrators for self-insured plans and  state-administered
21    plans  shall issue to its insureds a card or other technology
22    containing uniform prescription drug information. The uniform
23    prescription drug information card or technology shall be  in
24    the  format approved by the National Council for Prescription
25    Drug Programs (NCPDP) and shall include all of  the  required
26    and conditional or situational fields and conform to the most
27    recent pharmacy information card or technology implementation
28    guide  produced  by the NCPDP or conform to a national format
29    acceptable to the Director of Insurance.
30        (b)  A new uniform prescription drug information card  or
31    technology  shall  be  issued  by  a health benefit plan upon
32    enrollment and reissued upon  any  change  in  the  insured's
33    coverage  that affects data contained on the card or upon any
 
                            -3-                LRB9109951JSpc
 1    change in the NCPDP implementation guide.  Newly issued cards
 2    or technology shall  be  updated  with  the  latest  coverage
 3    information  and shall conform to the NCPDP standards then in
 4    effect and to the implementation guide then in use.

 5        Section 20.  Applicability and enforcement.
 6        (a)  This Act applies to health benefit  plans  that  are
 7    amended,  delivered,  issued,  or  renewed  on  and after the
 8    effective date of this amendatory Act  of  the  91st  General
 9    Assembly.   For  purposes  of this Act, a renewal of a health
10    benefit plan is deemed to occur on each  anniversary  of  the
11    date  on  which  coverage  was first effective for the person
12    covered by the health benefit plan.
13        (b)  The  Department  shall   enforce   this   Act.   The
14    Department  shall  promulgate  rules  necessary to effectuate
15    this Act.
16        (c)  A health benefit plan that is in violation  of  this
17    Act may not conduct business in this State.

[ Top ]