HB 2174

Abstract

Amends the Managed Care Reform and Patient Rights Act. Provides that every health insurance carrier that provides coverage for prescription drugs shall ensure that no fewer than 25% of certain individual and group plans offered shall apply a pre-deductible, flat-dollar copayment structure to the entire drug benefit. Provides that the flat-dollar copayment structure for prescription drugs must be reasonably graduated and proportionately related in all tier levels such that the copayment structure as a whole does not discriminate against or discourage the enrollment of individuals with significant health care needs. Requires the health insurance carriers to clearly and appropriately name the plans to aid in consumer or plan-sponsor plan selection. Requires the health insurance carriers to market the plans in the same manner as their other plans. Provides that if a health insurance carrier offers fewer than 4 plans, the health insurance carrier shall ensure that one plan shall use the drug benefit structure, including cost-sharing requirements. Requires the Department of Insurance to adopt rules necessary to implement and enforce the provisions. Effective January 1, 2020. Senate Floor Amendment No. 2 Deletes reference to: 215 ILCS 134/45.3 new Adds reference to: 5 ILCS 80/4.32 5 ILCS 80/4.31 rep. 20 ILCS 687/6-7 20 ILCS 3855/1-130 50 ILCS 750/3 from Ch. 134, par. 33 50 ILCS 750/15.3 from Ch. 134, par. 45.3 50 ILCS 750/15.3a 50 ILCS 750/15.6b 50 ILCS 750/30 50 ILCS 750/99 220 ILCS 5/13-1200 220 ILCS 5/21-401 220 ILCS 5/21-1601 415 ILCS 98/55 625 ILCS 57/34 770 ILCS 60/6 from Ch. 82, par. 6 P.A. 101-221, Sec. 99-99 Replaces everything after the enacting clause. Extends the repeal of the following by one year: the Crematory Regulation Act; the Cemetery Oversight Act; the Illinois Health Information Exchange and Technology Act; the Radiation Protection Act of 1990; the Renewable Energy, Energy Efficiency, and Coal Resources Development Law of 1997; a provision of the Illinois Power Agency Act concerning home rule preemption; the Emergency Telephone System Act; the Telecommunications Article of the Public Utilities Act; provisions of the Cable and Video Competition Article of the Public Utilities Act; the Mercury Thermostat Collection Act; and the Transportation Network Providers Act. Further amends the Emergency Telephone System Act to delay the required implementation of Next Generation 9-1-1 service until December 31, 2021 (rather than July 1, 2020) and to make conforming changes throughout the Act. Further amends the Cable and Video Competition Article of the Public Utilities Act to extend State-issued authorizations to provide cable or video service by one year. Amends the Mechanics Lien Act. In provisions concerning fixing or stipulating time for the completion of a contract or a time for payment in a contract in order to obtain a lien, extends the date that certain provisions are operative for one year. Amends Public Act 101-221. Delays, from July 1, 2020 until March 1, 2021, the effective date of the Hotel and Casino Employee Safety Act. Effective immediately.