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<title>Illinois General Assembly - Bill Status for HB 4504         </title>
<shortdesc>INS CD-INHALER COVERAGE</shortdesc>
<sponsor>
<sponsorhead1>House Sponsors</sponsorhead1><sponsors>Rep. Laura Faver Dias-Jawaharial Williams-Camille Y. Lilly-Harry Benton-Marcus C. Evans, Jr., Abdelnasser Rashid, La Shawn K. Ford, Rita Mayfield, Eva-Dina Delgado, Yolonda Morris, Martin J. Moylan, Joyce Mason, Terra Costa Howard, Emanuel "Chris" Welch, Dave Vella, Diane Blair-Sherlock, Jenn Ladisch Douglass, Katie Stuart, Robert "Bob" Rita, Stephanie A. Kifowit, Sue Scherer, Maurice A. West, II, Robyn Gabel and Kevin John Olickal</sponsors>
</sponsor>
<lastaction>
<statusdate>1/7/2025</statusdate><chamber>House</chamber><action>Session Sine Die</action>
</lastaction>
<synopsis>
<synopsistitle></synopsistitle>
<reference>215 ILCS 5/356z.71 new</reference><aliasreference></aliasreference><SynopsisText>     Amends the Illinois Insurance Code. Provides that a health plan shall limit the total amount that a covered person is required to pay for a covered prescription inhaler at an amount not to exceed $25 per 30-day supply and shall limit the total amount that a covered person is required to pay for all covered prescription inhalers at an amount not to exceed $50 in total per 30 days. Provides that coverage for prescription inhalers shall not be subject to any deductible. Provides that nothing in the provisions prevents a health plan from reducing a covered person's cost sharing to an amount less than the cap. Authorizes rulemaking and enforcement by the Department of Insurance. Effective January 1, 2025.</SynopsisText><synopsistitle>House Committee Amendment No. 1</synopsistitle>
<reftype>Deletes reference to:</reftype><reference>215 ILCS 5/356z.71 new</reference><aliasreference></aliasreference><reftype>Adds reference to:</reftype><reference>5 ILCS 375/6.11</reference><aliasreference></aliasreference><reference>215 ILCS 5/356z.5</reference><aliasreference></aliasreference><SynopsisText>Replaces everything after the enacting clause. Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or managed care plan amended, delivered, issued, or renewed on or before December 31, 2025 that provides coverage for prescription drugs may not deny or limit coverage for prescription inhalers (instead of prescription inhalants) based upon any restriction on the number of days before an inhaler refill may be obtained if, contrary to those restrictions, the inhalants have been ordered or prescribed by the treating physician and are medically appropriate. Provides that a group or individual policy of accident and health insurance or managed care plan amended, delivered, issued, or renewed on or after January 1, 2026 that provides coverage for prescription drugs shall limit the total amount that a covered person is required to pay for a covered prescription inhaler to an amount not to exceed $25 per 30-day supply, and provides that nothing in the provisions prevents a group or individual policy of accident and health insurance or managed care plan from reducing a covered person's cost sharing to an amount less than the cap. Makes a conforming change. Provides that coverage for prescription inhalers shall not be subject to any deductible, except to the extent that the coverage would disqualify a high-deductible health plan from eligibility for a health savings account. Authorizes rulemaking and enforcement by the Department of Insurance. Amends the State Employees Group Insurance Act of 1971. Provides that the program of health benefits shall provide coverage for prescription inhalers under the Illinois Insurance Code.</SynopsisText></synopsis>
<actions>
<statusdate>1/18/2024</statusdate><chamber>House</chamber><action>Filed with the Clerk by Rep. Laura Faver Dias</action>
<statusdate>1/31/2024</statusdate><chamber>House</chamber><action>First Reading</action>
<statusdate>1/31/2024</statusdate><chamber>House</chamber><action>Referred to Rules Committee</action>
<statusdate>2/22/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Camille Y. Lilly</action>
<statusdate>2/22/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Abdelnasser Rashid</action>
<statusdate>2/22/2024</statusdate><chamber>House</chamber><action>Removed Co-Sponsor Rep. Camille Y. Lilly</action>
<statusdate>2/28/2024</statusdate><chamber>House</chamber><action>Assigned to Insurance Committee</action>
<statusdate>3/1/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. La Shawn K. Ford</action>
<statusdate>3/1/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Rita Mayfield</action>
<statusdate>3/1/2024</statusdate><chamber>House</chamber><action>House Committee Amendment No. 1 Filed with Clerk by Rep. Laura Faver Dias</action>
<statusdate>3/1/2024</statusdate><chamber>House</chamber><action>House Committee Amendment No. 1 Referred to Rules Committee</action>
<statusdate>3/1/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Eva-Dina Delgado</action>
<statusdate>3/6/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Yolonda Morris</action>
<statusdate>3/11/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Martin J. Moylan</action>
<statusdate>3/12/2024</statusdate><chamber>House</chamber><action>House Committee Amendment No. 1 Rules Refers to Insurance Committee</action>
<statusdate>3/12/2024</statusdate><chamber>House</chamber><action>House Committee Amendment No. 1 Adopted in Insurance Committee;  by Voice Vote</action>
<statusdate>3/12/2024</statusdate><chamber>House</chamber><action>Do Pass as Amended / Short Debate Insurance Committee;  010-002-000</action>
<statusdate>3/12/2024</statusdate><chamber>House</chamber><action>Added Chief Co-Sponsor Rep. Jawaharial Williams</action>
<statusdate>3/12/2024</statusdate><chamber>House</chamber><action>Added Chief Co-Sponsor Rep. Camille Y. Lilly</action>
<statusdate>3/13/2024</statusdate><chamber>House</chamber><action>Placed on Calendar 2nd Reading - Short Debate</action>
<statusdate>3/21/2024</statusdate><chamber>House</chamber><action>Added Chief Co-Sponsor Rep. Harry Benton</action>
<statusdate>3/21/2024</statusdate><chamber>House</chamber><action>Added Chief Co-Sponsor Rep. Marcus C. Evans, Jr.</action>
<statusdate>3/21/2024</statusdate><chamber>House</chamber><action>Chief Co-Sponsor Changed to Rep. Marcus C. Evans, Jr.</action>
<statusdate>3/21/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Joyce Mason</action>
<statusdate>3/22/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Terra Costa Howard</action>
<statusdate>4/1/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Emanuel "Chris" Welch</action>
<statusdate>4/9/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Dave Vella</action>
<statusdate>4/10/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Diane Blair-Sherlock</action>
<statusdate>4/10/2024</statusdate><chamber>House</chamber><action>Second Reading - Short Debate</action>
<statusdate>4/10/2024</statusdate><chamber>House</chamber><action>Placed on Calendar Order of 3rd Reading - Short Debate</action>
<statusdate>4/12/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Jenn Ladisch Douglass</action>
<statusdate>4/12/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Katie Stuart</action>
<statusdate>4/15/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Robert "Bob" Rita</action>
<statusdate>4/15/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Stephanie A. Kifowit</action>
<statusdate>4/15/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Sue Scherer</action>
<statusdate>4/15/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Maurice A. West, II</action>
<statusdate>4/17/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Robyn Gabel</action>
<statusdate>4/18/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Kevin John Olickal</action>
<statusdate>4/19/2024</statusdate><chamber>House</chamber><action>Rule 19(a) / Re-referred to Rules Committee</action>
<statusdate>1/7/2025</statusdate><chamber>House</chamber><action>Session Sine Die</action>
</actions>
</xml>

