IL SB3411

Requires health insurance carriers providing prescription drug coverage to ensure at least 50% of individual and group plans in each service area and coverage level meet one or more specified criteria, effective January 1, 2021.

Plans must apply either: (1) pre-deductible flat-dollar copayments with graduated, proportionate tier structure; (2) monthly out-of-pocket limits of no more than $150 per prescription drug for 30-day supplies; or (3) annual out-of-pocket limits matching Internal Revenue Code Section 223(c)(2)(A)(i) minimums for self-only coverage.

Requires all qualifying plans to be clearly named to aid consumer selection, marketed the same as other carrier plans, and offered for purchase to any individual or group plan sponsor.

Directs the Department to adopt rules necessary to implement and enforce the requirements.

Amends the Managed Care Reform and Patient Rights Act by adding Section 45.3.