Illinois HB 2680: INS CD-DRUG COST-SHARING

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
HB2680

Introduced 2/6/2025, by Rep. Camille Y. Lilly 

SYNOPSIS AS INTRODUCED:

215 ILCS 5/356z.80 new

 Amends the Illinois Insurance Code. Provides that any plan of health or accident insurance that provides coverage for prescription drugs and that is issued amended, renewed, or delivered on or after January 1, 2027 must include any amount paid by the insured or paid on behalf of the insured by another person when calculating the insured's overall contribution to any out-of-pocket maximum or other cost-sharing requirement. Provides an exception for a high-deductible health plan to the extent that providing coverage would disqualify that plan from eligibility for a health savings account.

LRB104 08538 BAB 18590 b

A BILL FOR

HB2680LRB104 08538 BAB 18590 b

1 AN ACT concerning regulation.

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

3represented in the General Assembly:

4 Section 5. The Illinois Insurance Code is amended by 

5adding Section 356z.80 as follows:

6 (215 ILCS 5/356z.80 new)

7 Sec. 356z.80. Prescription drug cost-sharing. Any plan of 

8health or accident insurance that provides coverage for 

9prescription drugs and that is issued amended, renewed, or 

10delivered on or after January 1, 2027 must include any amount 

11paid by the insured or paid on behalf of the insured by another 

12person when calculating the insured's overall contribution to 

13any out-of-pocket maximum or other cost-sharing requirement. 

14This requirement does not apply to any high-deductible health 

15plan to the extent that providing coverage would disqualify 

16that plan from eligibility for a health savings account under 

17Section 223 of the Internal Revenue