Illinois HB 3794: $LIS-TECH

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 Full Text of HB3794

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
HB3794

Introduced 2/18/2025, by Rep. Ryan Spain 

SYNOPSIS AS INTRODUCED:

5 ILCS 140/7.5

215 ILCS 5/513b1

225 ILCS 85/19.5

 Amends the Pharmacy Benefit Manager Article of the Illinois Insurance Code. Provides that a covered individual's defined cost sharing for each prescription drug shall be calculated at the point of sale based on a price that is reduced by an amount equal to at least 80% of all rebates received, or to be received, or to be received, in connection with the dispensing or administration of the prescription drug. Provides that a health insurer or its agents shall not publish or otherwise reveal information regarding the actual amount of rebates a health insurer receives on a product or therapeutic class of products, manufacturer-specific basis, or pharmacy-specific basis and that the information is confidential. Defines terms. Amends the Freedom of Information Act to make a conforming change. Amends the Pharmacy Practice Act. Provides that a pharmacist may substitute a biological product (instead of an interchangeable biological product) if, among other requirements, the product being considered for substitution is either the reference product or a product approved by the United States Food and Drug Administration as a biosimilar of the prescribed biological product (instead of if the substituted product has been determined by the United States Food and Drug Administration to be interchangeable with the prescribed biological product). Makes conforming changes. 

LRB104 10437 BAB 20512 b

A BILL FOR

HB3794LRB104 10437 BAB 20512 b

1 AN ACT concerning prescription drugs.

2 Be it enacted by the People of the State of Illinois, 

3represented in the General