Illinois SB1258 prohibits health insurance issuers from requiring prior authorization for certain prescription drugs.
Illinois SB1258 amends the Prior Authorization Reform Act to prohibit health insurance issuers from requiring prior authorization for specific prescription drugs. This includes insulin, HIV prevention and treatment medications, viral hepatitis medication, estrogen, progesterone, and HIV pre-exposure and post-exposure prophylaxis drugs. The prohibition applies to drugs prescribed for six or more consecutive months by a healthcare professional, regardless of their status as a non-preferred medication under the patient's health insurance coverage.
Included in complete analysis
- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
See what it does, who it affects, and the critical issues in plain language. Free, 30 seconds.