State of Illinois
91st General Assembly
Legislation

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91_HB1574

 
                                               LRB9103902JSpc

 1        AN  ACT  to amend the Health Maintenance Organization Act
 2    by changing Section 2-3.1.

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

 5        Section  5.   The  Health Maintenance Organization Act is
 6    amended by changing Section 2-3.1 as follows:

 7        (215 ILCS 125/2-3.1) (from Ch. 111 1/2, par. 1405.1)
 8        Sec. 2-3.1.  Drugs and drug products.
 9        (a)  No health maintenance organization shall cause to be
10    dispensed any drug other than that prescribed by a physician.
11    Nothing herein shall prohibit drug  product  selection  under
12    Section  3.14  of the "Illinois Food, Drug and Cosmetic Act",
13    approved June 29, 1967, as amended, and  in  accordance  with
14    the  requirements of Section 25 of the "Pharmacy Practice Act
15    of 1987", approved September 24, 1987, as amended.
16        (b)  No health maintenance organization shall include  in
17    any  contract  with  any  physician providing for health care
18    services any provision requiring such physician to  prescribe
19    any  particular  drug  product  to  any  enrollee  unless the
20    enrollee is a hospital in-patient where such drug product may
21    be permitted pursuant to  written  guidelines  or  procedures
22    previously  established  by  a pharmaceutical or therapeutics
23    committee of a hospital, approved by  the  medical  staff  of
24    such  hospital  and specifically approved, in writing, by the
25    prescribing  physician  for  his  or  her  patients  in  such
26    hospital, and unless it is compounded, dispensed or sold by a
27    pharmacy located in a hospital, as defined in  Section  3  of
28    the  Hospital Licensing Act or a hospital organized under "An
29    Act  in  relation  to  the  founding  and  operation  of  the
30    University of Illinois Hospital and the conduct of University
31    of Illinois health care programs", approved July 3, 1931,  as
 
                            -2-                LRB9103902JSpc
 1    amended.
 2    (Source: P.A. 85-1246.)

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