Full Text of HR0516 102nd General Assembly
HR0516 102ND GENERAL ASSEMBLY |
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| 1 | | HOUSE RESOLUTION
| 2 | | WHEREAS, Forty-five percent of Americans have used a | 3 | | prescription drug in the past 30 days in the United States; and
| 4 | | WHEREAS, Millions of Americans rely on copay assistance | 5 | | programs to afford their prescription drugs; and
| 6 | | WHEREAS, On average, cost-sharing assistance helped | 7 | | patients taking HIV or oncology medicines with more than | 8 | | $1,600 toward their out-of-pocket cost in 2019 and helped | 9 | | patients taking multiple sclerosis medicines with more than | 10 | | $2,200; and
| 11 | | WHEREAS, When copay accumulator adjustment programs | 12 | | prevent any copayment assistance from counting toward a | 13 | | member's deductible or maximum out-of-pocket requirements, the | 14 | | result is that patients may be left with insurmountably high | 15 | | out-of-pocket expenses for their medications; and
| 16 | | WHEREAS, Patients with chronic and rare diseases are | 17 | | particularly impacted and struggle to afford their specialty | 18 | | medications; and
| 19 | | WHEREAS, Copay accumulator adjustment programs coupled | 20 | | with the rise of patient out-of-pocket expenses resulting from |
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| 1 | | increased deductibles and co-insurance, accounting for up to | 2 | | 95 percent of patients costs for brand medicines, leads to | 3 | | patient medication nonadherence; and
| 4 | | WHEREAS, Medication nonadherence has led to between $100 | 5 | | and $300 billion of avoidable health care costs in the United | 6 | | States annually, due to avoidable hospitalizations and medical | 7 | | visits; and
| 8 | | WHEREAS, The State of Illinois passed Public Act 101-0452 | 9 | | (215 ILCS 134/30(d)) to eliminate the burden patients face due | 10 | | to copay accumulator programs; and
| 11 | | WHEREAS, Public Act 101-0452 passed the Illinois General | 12 | | Assembly with unanimous support; and
| 13 | | WHEREAS, The law ensures that a health care plan shall | 14 | | apply any third-party payments, financial assistance, | 15 | | discount, product vouchers, or any other reduction in | 16 | | out-of-pocket expenses made by or on behalf of such insured | 17 | | for prescription drugs toward a covered individual's | 18 | | deductible, copay, or cost-sharing responsibility or | 19 | | out-of-pocket maximum associated with the individual's health | 20 | | insurance; and
| 21 | | WHEREAS, The lack of clarity between federal and state |
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| 1 | | laws and regulations has left consumers in a vulnerable | 2 | | position; therefore, be it
| 3 | | RESOLVED, BY THE HOUSE OF REPRESENTATIVES OF THE ONE | 4 | | HUNDRED SECOND GENERAL ASSEMBLY OF THE STATE OF ILLINOIS, that | 5 | | we declare our commitment to ensuring access to quality health | 6 | | care for patients and healthcare consumers in Illinois; and be | 7 | | it further
| 8 | | RESOLVED, That we urge the Illinois Congressional | 9 | | Delegation to support federal legislation to ensure all copays | 10 | | count and urge the federal regulators to specifically clarify | 11 | | that all copays count in the 2023 Notice of Benefit and Payment | 12 | | Parameters and tri-agency guidance; and be it further
| 13 | | RESOLVED, That suitable copies of this resolution be | 14 | | delivered to the Governor, the Director of the Illinois | 15 | | Department of Insurance, all Illinois constitutional officers, | 16 | | and all members of the Illinois Congressional Delegation in | 17 | | order to bring further awareness to the importance of access | 18 | | to healthcare for our residents of the State of Illinois and to | 19 | | be a model state for the rest of the country.
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