Illinois HB1159 regulates pharmacy benefit managers by prohibiting spread pricing, steering, and retaliation against pharmacists.
Illinois HB1159 amends the Illinois Insurance Code to regulate pharmacy benefit managers. It prohibits these managers from engaging in spread pricing, where the contracted price for prescription drugs differs from the amount paid to pharmacists. It also prohibits steering, which includes requiring or encouraging the use of specific pharmacies. Additionally, it prohibits retaliation against pharmacists for disclosing information related to violations of law. The bill requires annual reports from pharmacy benefit managers and mandates audits of rebate contracts. It takes effect July 1, 2025.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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