Illinois SB 1258: HIGHER ED STUDENT ASSIST-GRANT

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
SB1258

Introduced 1/28/2025, by Sen. Graciela Guzmán 

SYNOPSIS AS INTRODUCED:

215 ILCS 200/52 new

 Amends the Prior Authorization Reform Act. Provides that a health insurance issuer may not require prior authorization for: a prescription drug prescribed to a patient by a health care professional for 6 or more consecutive months, regardless of whether the prescription drug is a non-preferred medication pursuant to the patient's health insurance coverage; the following prescription drugs or the therapeutic equivalent approved by the United States Food and Drug Administration: insulin; human immunodeficiency virus prevention medication; human immunodeficiency virus treatment medication; viral hepatitis medication; estrogen; and progesterone; or human immunodeficiency virus pre-exposure prophylaxis and post-exposure prophylaxis drugs approved by the United States Food and Drug Administration; Truvada; Harvoni; Descovy; and Apretude.

LRB104 08130 BAB 18176 b

A BILL FOR

SB1258LRB104 08130 BAB 18176 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 Prior Authorization Reform Act is amended 

5by adding Section 52 as follows:

6 (215 ILCS 200/52 new)

7 Sec. 52. Prior authorization prohibited. A health 

8insurance issuer may not require prior authorization for:

9 (1) a prescription drug prescribed to a patient by a 

10 health care professional for 6 or more consecutive months, 

11 regardless of whether the prescription drug is a 

12 non-preferred medication pursuant to the patient's health 

13 insurance coverage;

14 (2) the f