HB 5355

  • Illinois House Bill
  • 103rd Regular Session
  • Introduced in House Apr 19, 2024
  • Passed House Apr 18, 2024
  • Senate
  • Governor

Nonopioid Alternatives Act

Abstract

Creates the Nonopioid Alternatives for Pain Act. Requires the Department of Public Health to develop and publish an educational pamphlet regarding the use of nonopioid alternatives for pain treatment. Provides that a health care practitioner shall exercise professional judgment in selecting appropriate treatment modalities for pain in accordance with specified Centers for Disease Control and Prevention guidelines, including the use of nonopioid alternatives whenever nonopioid alternatives exist. Requires a health care practitioner who prescribes an opioid drug to provide certain information to the patient, discuss certain topics, and document the reasons for the prescription. Requires the Department to develop a nonopioid directive form for patients. Sets forth provisions concerning exceptions, execution of a nonopioid directive, opioid administration to a patient with a nonopioid directive, and limitations of liability. Amends the Illinois Insurance Code. Provides that when a licensed health care practitioner prescribes a nonopioid medication for the treatment of acute pain, it shall be unlawful for a health insurance issuer to deny coverage of the nonopioid prescription drug in favor of an opioid prescription drug or to require the patient to try an opioid prescription drug before providing coverage. Provides that in establishing and maintaining its drug formulary, a health insurance issuer shall ensure that no nonopioid drug approved by the Food and Drug Administration for the treatment or management of pain shall be disadvantaged or discouraged, with respect to coverage or cost sharing, relative to any opioid or narcotic drug for the treatment or management of pain. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that whenever a licensed health care practitioner prescribes a nonopioid medication for the treatment of acute pain, neither the Department of Healthcare and Family Services nor a managed care organization shall deny coverage of the nonopioid prescription drug in favor of an opioid prescription drug or require a patient to try an opioid prescription drug prior to providing coverage of the nonopioid prescription drug. Makes other changes. House Floor Amendment No. 1 Deletes reference to: New Act Adds reference to: 20 ILCS 2310/2310-730 new Removes all of the provisions of the Nonopioid Alternatives for Pain Act except for the provisions requiring the Department of Public Health to develop and publish on its website an educational pamphlet regarding the use of nonopioid alternatives for the treatment of acute nonoperative, acute perioperative, subacute, or chronic pain. Moves those provisions to the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois. In provisions amending the Illinois Insurance Code and the Illinois Public Aid Code, removes language providing that the provisions apply to a nonopioid drug immediately upon its approval by the U.S. Food and Drug Administration. Provides that the Department of Healthcare and Family Services shall ensure that nonopioid drugs preferred on the Department's preferred drug list, and approved by the U.S. Food and Drug Administration, for the treatment or management of pain shall not be disadvantaged or discouraged with respect to coverage relative to any opioid or narcotic drug for the treatment or management of pain (instead of with respect to coverage relative to any opioid or narcotic drug for the treatment or management of pain on the Illinois Medicaid Preferred Drug List, where impermissible disadvantaging or discouragement includes, without limitation: designating any such nonopioid drug as a nonpreferred drug if any opioid or narcotic drug is designated as a preferred drug; or establishing more restrictive or more extensive utilization). Removes language concerning the applicability of the provisions to drugs provided under a contract between the Department and a managed care organization. Provides that the changes to the Illinois Insurance Code and the Illinois Public Aid Code are effective January 1, 2026.

Bill Sponsors (7)

Votes


Actions


May 15, 2024

House

Added Co-Sponsor Rep. La Shawn K. Ford

Apr 19, 2024

Senate

Arrive in Senate

Senate

Referred to Assignments

Senate

First Reading

Senate

Chief Senate Sponsor Sen. Karina Villa

Senate

Placed on Calendar Order of First Reading

Apr 18, 2024

House

House Floor Amendment No. 1 Adopted

House

Third Reading - Short Debate - Passed 108-000-000

House

Placed on Calendar Order of 3rd Reading - Short Debate

House

Added Chief Co-Sponsor Rep. Kevin Schmidt

Apr 17, 2024

House

Second Reading - Short Debate

House

House Floor Amendment No. 1 Rules Refers to Health Care Availability & Accessibility Committee

House

Added Chief Co-Sponsor Rep. William E Hauter

House

Held on Calendar Order of Second Reading - Short Debate

House

House Floor Amendment No. 1 Recommends Be Adopted Health Care Availability & Accessibility Committee; 011-000-000

Apr 16, 2024

House

House Floor Amendment No. 1 Referred to Rules Committee

House

House Floor Amendment No. 1 Filed with Clerk by Rep. Janet Yang Rohr

Apr 12, 2024

House

Added Co-Sponsor Rep. Laura Faver Dias

Apr 03, 2024

House

Placed on Calendar 2nd Reading - Short Debate

Apr 02, 2024

House

Do Pass / Short Debate Health Care Availability & Accessibility Committee; 010-000-000

Mar 07, 2024

House

Chief Sponsor Changed to Rep. Janet Yang Rohr

House

Added Chief Co-Sponsor Rep. Lindsey LaPointe

Mar 05, 2024

House

Assigned to Health Care Availability & Accessibility Committee

Feb 09, 2024

House

Referred to Rules Committee

House

Filed with the Clerk by Rep. Lindsey LaPointe

House

First Reading

Bill Text

Bill Text Versions Format
Introduced HTML PDF
Engrossed HTML PDF
House Amendment 001 HTML PDF

Related Documents

Document Format
No related documents.

Sources

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