Illinois SB 229: CIV PRO-SUPPLEMENTAL PROCEED

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
SB0229

Introduced 1/22/2025, by Sen. Lakesia Collins 

SYNOPSIS AS INTRODUCED:

215 ILCS 5/356z.80 new

215 ILCS 5/513b8 new

 Amends the Illinois Insurance Code. Provides that no later than July 1, 2026, each health plan and pharmacy benefit manager operating in this State shall, upon request of a covered individual, his or her health care provider, or an authorized third party on his or her behalf, furnish specified cost, benefit, and coverage data to the covered individual, his or her health care provider, or the third party of his or her choosing and shall ensure that the data is: (1) current no later than one business day after any change is made; (2) provided in real time; and (3) in a format that is easily accessible to the covered individual or, in the case of his or her health care provider, through an electronic health records system. Provides that the format of the request shall use specified industry content and transport standards. Provides that a facsimile is not an acceptable electronic format. Provides that upon request, specified data shall be provided for any drug covered under the covered individual's health plan. Makes other changes. Defines terms.

LRB104 06414 BAB 16450 b

A BILL FOR

SB0229LRB104 06414 BAB 16450 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 Sections 356z.80 and 513b8 as follows:

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

7 Sec. 356z.80. Patient prescription pricing transparency.

8 (a) As used in this Section:

9 "Authorized third party" includes a third party legally 

10authorized under State or fed