Bill Status of HB 5591   99th General Assembly

Short Description:  INS CD-PHARM BENEFITS MANAGER

House Sponsors
Rep. Lou Lang and Reginald Phillips

Last Action  View All Actions

DateChamber Action
  1/10/2017HouseSession Sine Die

Statutes Amended In Order of Appearance
215 ILCS 5/512-3from Ch. 73, par. 1065.59-3
215 ILCS 5/512-4from Ch. 73, par. 1065.59-4
215 ILCS 5/512-5from Ch. 73, par. 1065.59-5
215 ILCS 5/512-6from Ch. 73, par. 1065.59-6
215 ILCS 5/512-7from Ch. 73, par. 1065.59-7
215 ILCS 5/512-8from Ch. 73, par. 1065.59-8
215 ILCS 5/512-9from Ch. 73, par. 1065.59-9
215 ILCS 5/512-10from Ch. 73, par. 1065.59-10
215 ILCS 5/512-11 new
215 ILCS 5/512-12 new
215 ILCS 5/512-13 new
215 ILCS 5/512-14 new
215 ILCS 5/512-15 new
215 ILCS 5/512-16 new
215 ILCS 5/512-17 new
215 ILCS 5/512-18 new

Synopsis As Introduced
Amends the Illinois Insurance Code. Provides a process to register with the Department of Insurance as a pharmacy benefits manager and what information must be included. Provides that the Director of Insurance may revoke, suspend, deny, or restrict a certificate of registration for violation of the Code or on other grounds as determined necessary or appropriate by the Director. Provides that the Department shall regulate the drug pricing process used by pharmacy benefits managers, and specifies the appeals process for such pricing. Provides that pharmacy benefits managers shall not mandate that a covered individual use a specific pharmacy or provide incentives to encourage the use of a specific pharmacy under specified circumstances. Provides criteria for entities to use in performing on-site audits of pharmacy records. Provides that health plans must permit their enrollees to receive benefits, which may include a 90-day supply of covered prescription drugs, at any of its network community pharmacies. Contains provisions concerning medication synchronization. Provides that dispensing fees shall be determined exclusively on the total number of prescriptions dispensed. Regulates how pharmacy benefits managers may utilize personally identifiable data. Provides that the Department can regulate other specified activities of pharmacy benefits managers. Makes other changes. Effective January 1, 2017.

Actions 
DateChamber Action
  2/9/2016HouseFiled with the Clerk by Rep. Lou Lang
  2/10/2016HouseFirst Reading
  2/10/2016HouseReferred to Rules Committee
  2/23/2016HouseAssigned to Insurance Committee
  4/5/2016HouseAdded Co-Sponsor Rep. Reginald Phillips
  4/8/2016HouseRule 19(a) / Re-referred to Rules Committee
  1/10/2017HouseSession Sine Die

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