SB 3498 Illinois Senate · 100th Regular Session

MANAGED CARE-FORMULARY CHANGES

Summary
Amends the Managed Care Reform and Patient Rights Act. Requires a policy or plan sponsor to notify the prescribing physician and the patient in writing 60 days before making a formulary change that alters the terms of coverage or discontinues coverage for a prescribed drug that the patient is receiving. Contains provisions for receiving the notice electronically. Provides that a policy or plan sponsor may provide the patient with the written notification, along with a 60-day supply of the prescription drug, at the time the patient requests a refill. Provides that nothing in the provisions prohibits insurers or pharmacy benefit managers from using certain managed pharmacy care tools so long as an exception process is in place allowing the prescriber to petition for coverage a non-preferred drug if sufficient clinical reasons justify an exception to the normal protocol.
Bill status failed 1 of 4 stages cleared
Introduction
Feb 2018
Committee Review
Floor Vote
Governor
Introduced Feb 16, 2018 Last action Jan 9, 2019
Floor votes

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Full legislative history

Actions timeline

Total actions
7
Key actions
1
Committee
4
Apr 27, 2018
Committee
Rule 3-9(a) / Re-referred to Assignments
upper
Apr 13, 2018
Upper · Passed
Rule 2-10 Committee Deadline Established As April 27, 2018
upper
Feb 27, 2018
Committee
Assigned to Insurance
upper
Feb 16, 2018
Committee
Referred to Assignments
upper
0 primary · 1 co-sponsor

Sponsors

No sponsor information available.