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IL HB5833
Bill
Status
1/7/2025
Primary Sponsor
John Cabello
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AI Summary
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Prohibits pharmacy benefit managers (PBMs) and their affiliates from "steering" covered individuals to pharmacies in which the PBM has an ownership interest or control
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Defines "steering" to include: requiring use of PBM-owned pharmacies, offering plan designs that increase costs for individuals who choose non-PBM pharmacies, and reimbursing independent pharmacies less than the PBM reimburses itself for the same products or services
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Authorizes the Illinois Department of Insurance to define additional steering practices by administrative rule
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Violations constitute unfair or deceptive practices under the Illinois Insurance Code
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Effective date of July 1, 2024
Legislative Description
INS-PHARMACY BENEFIT MANAGERS
Last Action
Session Sine Die
1/7/2025