HB2957 Summary

• Adds Section 356z.25 to the Illinois Insurance Code requiring health insurance policies that cover prescription drugs to provide medication synchronization (coordinating refills for multiple chronic condition medications) at least once per year.

• Synchronization applies only to covered maintenance medications that meet specific criteria: are not Schedule II-IV controlled substances, pass utilization management requirements, can be safely split into short-fill periods, and do not require special handling or single-pharmacy sourcing.

• Insurers must apply prorated daily cost-sharing rates to medications dispensed for synchronization, with no prorated dispensing fees.

• Extends synchronization requirements to state employees, counties, municipalities, school districts, health maintenance organizations, limited health service organizations, voluntary health services plans, and Medicaid recipients by amending applicable insurance codes.

• Effective upon becoming law.