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| | 102ND GENERAL ASSEMBLY
State of Illinois
2021 and 2022 HB4433 Introduced 1/21/2022, by Rep. Bob Morgan SYNOPSIS AS INTRODUCED: |
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Amends the Managed Care Reform and Patient Rights Act. In provisions concerning a requirement that a health care plan shall apply any third-party payments, financial assistance, discount, product vouchers, or any other reduction in out-of-pocket expenses made by or on behalf of an insured for prescription drugs toward a covered individual's deductible, copay, cost-sharing responsibility, or out-of-pocket maximum associated with the individual's health insurance, provides that if application of that requirement would result in ineligibility of a health savings account under federal law, the requirement applies to health savings account-qualified high deductible health plans with respect to the deductible of a plan after the enrollee has satisfied a specified minimum deductible, except with respect to specified items or services, in which case the requirement applies regardless of whether the minimum deductible has been satisfied. Effective immediately.
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| | A BILL FOR |
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| | HB4433 | | LRB102 23892 BMS 33089 b |
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1 | | AN ACT concerning regulation.
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2 | | Be it enacted by the People of the State of Illinois,
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3 | | represented in the General Assembly:
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4 | | Section 5. The Managed Care Reform and Patient Rights Act |
5 | | is amended by changing Section 30 as follows:
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6 | | (215 ILCS 134/30)
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7 | | Sec. 30. Prohibitions.
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8 | | (a) No health care plan or its subcontractors may prohibit |
9 | | or discourage
health care providers
by contract or policy from
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10 | | discussing any health care services and health care providers, |
11 | | utilization
review and quality assurance policies, terms and |
12 | | conditions of plans and plan
policy with enrollees, |
13 | | prospective enrollees, providers, or the public.
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14 | | (b) No health care plan by contract, written policy, or |
15 | | procedure may
permit or allow an individual or entity to |
16 | | dispense a different
drug in place of the drug or brand of drug |
17 | | ordered or prescribed without the
express permission of the |
18 | | person ordering or prescribing the drug, except as
provided |
19 | | under Section 3.14 of the Illinois Food, Drug and Cosmetic |
20 | | Act.
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21 | | (c) No health care plan or its subcontractors may by |
22 | | contract, written
policy, procedure, or otherwise mandate or |
23 | | require an enrollee
to substitute his or her participating |