Illinois House Bill 3607 (Prior Session Legislation)

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Completed Legislative Action
Sponsorship: Partisan Bill (Democrat 1)
Status: Failed on January 8 2019 - 100% progression
Action: 2019-01-08 - Session Sine Die
Text: Latest bill text (Introduced) [HTML]

Amends the Illinois Insurance Code. Provides procedures for conducting pharmacy audits under the Third Party Prescription Programs Article. Prohibits an audit entity from using extrapolation to calculate penalties or amounts to be charged back, unless otherwise required by federal requirements. Defines terms. Contains provisions concerning notice of an audit, confidentiality, records, audit reporting, compensation, interest accrual, and appeal of a final audit report. Makes other changes. Provides that all entities providing prescription drug coverage shall permit and apply a prorated daily cost-sharing rate to prescriptions that are dispensed by a pharmacy for less than a 30-day supply if the prescriber or pharmacist indicates the fill or refill could be in the best interest of the patient or is for the purpose of synchronizing the patient's chronic medications. Provides that no entity providing prescription drug coverage shall deny coverage for the dispensing of any drug prescribed for the treatment of a chronic illness that is made in accordance with a plan among the insured, the prescriber, and a pharmacist to synchronize the refilling of multiple prescriptions for the insured. Provides that no entity providing prescription drug coverage shall use payment structures incorporating prorated dispensing fees determined by calculation of the days' supply of medication dispensed. Provides that dispensing fees shall be determined exclusively on the total number of prescriptions dispensed. Provides that the Department of Insurance and the Director shall have the authority to enforce the provisions of the Act and impose financial penalties. Effective immediately.

INS CD-DRUG SYNCHRONIZATION

Rep. Marcus Evans [D]

Date	Chamber	Action
2019-01-08	House	Session Sine Die
2017-03-31	House	Rule 19(a) / Re-referred to Rules Committee
2017-03-01	House	Assigned to Health Care Licenses Committee
2017-02-10	House	Referred to Rules Committee
2017-02-10	House	First Reading
2017-02-10	House	Filed with the Clerk by Rep. Marcus C. Evans, Jr.

Chapter	Article	Section	Citation Type	Statute Text
215	5	512-11	New Code	See Bill Text
215	5	512-12	New Code	See Bill Text
215	5	512-13	New Code	See Bill Text
215	5	512-3	Amended Code	Citation Text

Type	Source
Summary	https://www.ilga.gov/legislation/BillStatus.asp?DocNum=3607&GAID=14&DocTypeID=HB&SessionID=91&GA=100
Text	https://www.ilga.gov/legislation/100/HB/10000HB3607.htm