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Legislation cracking down on prescription price hikes now Law

10/21/2019, 3:30 p.m.
State Rep. John Connor, D-Lockport, supported a crack down on health care cost increases, a new law lowering prescription drug ...

State Rep. John Connor, D-Lockport, supported a crack down on health care cost increases, a new law lowering prescription drug prices and reining in pharmacy benefit managers (PBMs).

"Everyone in our community deserves affordable health care, and too often, big pharmaceutical companies stand in the way of that," Connor said. "Whether it's by enforcing huge price hikes or concealing inexpensive generic prescription alternatives, they prioritize maximizing profits over keeping people healthy. This law is about combatting those unfair practices and ensuring Illinoisans have the care they need."

Connor helped pass House Bill 465, which will curb skyrocketing prescription drug prices by creating comprehensive regulations for PBMs including requirements that they inform customers of cheaper prescription alternatives, comply with oversight from the Department of Insurance and pay fines of up to $50,000 for violating the Illinois Administrative Code in their bookkeeping procedures. The bill also protects the rights of patients in the emergency room by prohibiting any insurer from denying coverage until the patient is considered stable. Combined, these measures should help substantially lower the cost of health care in Illinois. The legislation received bipartisan support and is now law.

As the middlemen between drug manufacturers and pharmacies, PBMs set drug prices on behalf of insurance companies. Until now, they have operated with virtually no oversight even though they manage public money through Medicaid, as well as managing prescription programs for private insurance and self-insured plans.