HB3549 | Illinois 2015-2016 | MANAGED CARE ACT-STEP THERAPY

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On August 12, 2016 in the House:

Public Act . . . . . . . . . 99-0761
Governor Approved
Effective Date January 1, 2018

On June 27, 2016 in the House:

Sent to the Governor

On May 31, 2016 in the House:

Passed Both Houses
House Concurs
Senate Committee Amendment No. 3 House Concurs 117-000-000
Senate Committee Amendment No. 1 House Concurs 117-000-000

On May 29, 2016 in the House:

Senate Committee Amendment No. 3 Motion to Concur Referred to Rules Committee
Senate Committee Amendment No. 3 Motion Filed Concur Rep. Laura Fine
Senate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee
Senate Committee Amendment No. 1 Motion Filed Concur Rep. Laura Fine
Senate Committee Amendment No. 1 Motion to Concur Rules Referred to Human Services Committee
Senate Committee Amendment No. 3 Motion to Concur Rules Referred to Human Services Committee
Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Human Services Committee; 013-000-000
Senate Committee Amendment No. 3 Motion to Concur Recommends Be Adopted Human Services Committee; 013-000-000

On May 26, 2016 in the House:

Placed on Calendar Order of Concurrence Senate Amendment(s) 1, 3
Arrived in House

On May 26, 2016 in the Senate:

Senate Committee Amendment No. 2 Tabled Pursuant to Rule 5-4(a)
Third Reading - Passed; 054-000-000

On May 18, 2016 in the Senate:

Second Reading
Placed on Calendar Order of 3rd Reading May 19, 2016

On May 12, 2016 in the Senate:

Placed on Calendar Order of 2nd Reading May 17, 2016
Do Pass as Amended Insurance; 010-000-000

On May 11, 2016 in the Senate:

Senate Committee Amendment No. 3 Adopted

On May 10, 2016 in the Senate:

Senate Committee Amendment No. 2 Pursuant to Senate Rule 3-8(b-1), this amendment will remain in the Committee on Assignments.
Senate Committee Amendment No. 3 Assignments Refers to Insurance

On May 6, 2016 in the Senate:

Senate Committee Amendment No. 3 Referred to Assignments
Senate Committee Amendment No. 3 Filed with Secretary by Sen. Julie A. Morrison

On May 4, 2016 in the Senate:

Re-assigned to Insurance
Senate Committee Amendment No. 2 Filed with Secretary by Sen. Julie A. Morrison
Senate Committee Amendment No. 2 Referred to Assignments

On October 10, 2015 in the Senate:

Pursuant to Senate Rule 3-9(b) / Referred to Assignments

On May 22, 2015 in the Senate:

Rule 2-10 Third Reading Deadline Established As May 31, 2015

On May 15, 2015 in the Senate:

Rule 2-10 Committee Deadline Established As May 31, 2015

On May 14, 2015 in the Senate:

Postponed - Insurance

On May 13, 2015 in the Senate:

Senate Committee Amendment No. 1 Adopted

On May 12, 2015 in the Senate:

Senate Committee Amendment No. 1 Assignments Refers to Insurance

On May 7, 2015 in the Senate:

Senate Committee Amendment No. 1 Referred to Assignments
Senate Committee Amendment No. 1 Filed with Secretary by Sen. Julie A. Morrison

On April 29, 2015 in the Senate:

Assigned to Insurance

On April 28, 2015 in the Senate:

Referred to Assignments
First Reading

On April 23, 2015 in the House:

Third Reading - Short Debate - Passed 092-018-000

On April 23, 2015 in the Senate:

Arrive in Senate
Placed on Calendar Order of First Reading

On April 22, 2015 in the House:

Placed on Calendar Order of 3rd Reading - Short Debate
House Floor Amendment No. 1 Adopted
Recalled to Second Reading - Short Debate

On April 21, 2015 in the House:

House Floor Amendment No. 1 Recommends Be Adopted Rules Committee; 004-000-000

On April 20, 2015 in the House:

House Floor Amendment No. 1 Referred to Rules Committee
House Floor Amendment No. 1 Filed with Clerk by Rep. Laura Fine

On March 26, 2015 in the House:

Placed on Calendar Order of 3rd Reading - Short Debate
Second Reading - Short Debate

On March 18, 2015 in the House:

Placed on Calendar 2nd Reading - Short Debate
Do Pass / Short Debate Human Services Committee; 012-000-000

On March 10, 2015 in the House:

Assigned to Human Services Committee

On February 26, 2015 in the House:

Referred to Rules Committee
First Reading
Filed with the Clerk by Rep. Laura Fine

Senate Amendment 003

Replaces everything after the enacting clause. Amends the Managed Care Reform and Patient Rights Act. Applies the medical exemptions process to all insurers licensed in the State to sell policy of group or individual accident and health insurance or health benefits plan. Provides certain provisions upon which a step therapy requirement exception request shall be approved, including if: (1) the required prescription drug is contraindicated; (2) the patient has tried the required prescription drug while under the patient's current or previous health insurance or health benefit plan and the prescribing provider submits evidence of failure or intolerance; or (3) the patient is stable on a prescription drug selected by his or her health care provider for the medical condition under consideration while on a current or previous health insurance or health benefit plan. Provides that the insurer, health plan, utilization review organization, or other entity shall authorize coverage for the drug prescribed by the enrollee's treating health care provider to the extent the prescribed drug is a covered drug under the policy or contract up to the quantity covered. Provides that the exceptions approved shall be honored for 12 months after the approval date or until renewal of the plan. Provides limitations of prescription drug coverage pursuant to the established provisions. Excludes application of the provisions from prescription drug coverage under the medical assistance program under the Illinois Public Aid Code. Amends the Health Maintenance Organization Act to provide that health maintenance organizations are subject to provisions of the Illinois Insurance Code regarding discrimination in the issuance of policies. Effective January 1, 2018.