Provides that a health plan may not deny or limit coverage for prescription inhalers based upon any restriction on the number of days before inhaler refill may be obtained
Applies to group or individual policy of accident and health insurance or managed care plan issued on or before Dec. 31, 2025 that provides coverage for prescription drugs.
Health plan shall limit total amount that covered person is required to pay for inhaler.
Health plan may not charge over $25 per 30-day supply for inhaler after Jan. 1, 2026.
Limits total amount for all covered prescription inhalers not to exceed $50 per 30 days.
Provides that coverage for prescription inhalers shall not be subject to any deductible.
Health plan may reduce covered person's cost sharing to an amount less than the cap.
Legislative History
On Feb. 6, 2024, bill was introduced in Senate; on Apr. 11, 2024, bill passed Senate.
On Apr. 11, 2024, bill was introduced in House; on May 22, 2024, bill passed House.
Effectiveness
Illinois bills passed before Jun. 1 take effect Jan. 1 of the next year, on Jan. 1, 2025.
Aug. 2024 ILL LEG Bill Approval
On Aug. 9, 2024, ILL LEG approved Bill SB 3203, and became Public Act 103-0951.
Regulators
ILL LEG
Entity Types
Ins
Reference
Public Act 103-0951, 8/9/2024; Bill, SB3203, 5/22/2024; Citation: ILL LEG 5-375-6.11; ILL INS 215-5-356z.5;
