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IL SB3545

Bill

Status

Failed

1/13/2021

Primary Sponsor

Laura Fine

Click for details

Origin

Senate

101st General Assembly

AI Summary

  • Requires individual and group accident and health insurance policies amended, delivered, issued, or renewed after the effective date to provide coverage for anti-epileptic drugs with no waiting periods, deductibles, coinsurance, copayments, or cost-sharing limitations greater than other covered drugs.

  • Prohibits pharmacists from substituting or interchanging anti-epileptic drugs or formulations for epilepsy treatment; requires prescribing physicians to document that the specific anti-epileptic drug or formulation is clinically necessary for the patient's optimal care.

  • Amends the Managed Care Reform and Patient Rights Act to prohibit substitution of anti-seizure prescription drugs with generic drugs under pharmacy practice provisions allowing therapeutic equivalent substitutions.

  • Removes previous notification and consent requirements between pharmacists, physicians, and patients when generic anti-epileptic drugs were substituted for brand-name versions.

  • Defines key terms: "anti-epileptic drug" as drugs prescribed for epilepsy treatment or seizure prevention, "epilepsy" as a neurological condition with recurrent seizures, and "seizure" as brief electrical disturbances in brain activity.

Legislative Description

INS/ANTI-SEIZURE DRUG COVERAGE

Last Action

Session Sine Die

1/13/2021

Committee Referrals

Assignments2/14/2020

Full Bill Text

No bill text available