Illinois General Assembly - Bill Status for HB5865
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 Bill Status of HB5865  103rd General Assembly


Short Description:  INS-COST SHARING/DRUG REBATES

House Sponsors
Rep. Harry Benton

Last Action
DateChamber Action
  11/12/2024HouseReferred to Rules Committee

Statutes Amended In Order of Appearance
215 ILCS 5/356z.72 new


Synopsis As Introduced
Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance amended, delivered, issued, or renewed on or after January 1, 2025 that provides coverage for prescription drugs shall require that a covered individual's defined cost sharing for each prescription drug shall be calculated at the point of sale based on a price that is reduced by an amount equal to at least 100% of all rebates received in connection with the dispensation or administration of the prescription drug. Provides that an insurer shall apply any rebate amount in excess of the defined cost sharing amount to the health plan to reduce premiums. Provides that the provisions shall not preclude an insurer from decreasing a covered individual's defined cost sharing by an amount greater than the stated amount at the point of sale. Provides that the Department of Insurance may adopt rules to implement the provisions.

Actions 
DateChamber Action
  7/19/2024HouseFiled with the Clerk by Rep. Harry Benton
  11/12/2024HouseFirst Reading
  11/12/2024HouseReferred to Rules Committee

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