Sen. Dave Syverson

Filed: 3/25/2025

 

 


 

 


 
10400SB1076sam001LRB104 05414 BAB 23370 a

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AMENDMENT TO SENATE BILL 1076

2    AMENDMENT NO. ______. Amend Senate Bill 1076 by replacing
3everything after the enacting clause with the following:
 
4    "Section 5. The Department of Insurance Law of the Civil
5Administrative Code of Illinois is amended by adding Section
61405-16 as follows:
 
7    (20 ILCS 1405/1405-16 new)
8    Sec. 1405-16. Medicare consumer checklist.
9    (a) The Department of Insurance shall develop and
10administer a one-page consumer checklist comparing Medicare
11Advantage plans and Medicare Supplement plans. The checklist
12shall compare:
13        (1) plan networks, including differences in providers,
14    specialists, hospitals, urgent care centers, and
15    pharmacies;
16        (2) portability rules, including rules for travel,

 

 

10400SB1076sam001- 2 -LRB104 05414 BAB 23370 a

1    out-of-state coverage, and temporary out-of-area coverage;
2        (3) prescription drug coverage, including drug
3    formularies, cost-sharing, mail-order pharmacy coverage,
4    prior authorization requirements, and step therapy;
5        (4) maximum out-of-pocket exposure, including annual
6    limits, in-network and out-of-network expenses, and
7    cost-sharing for services; and
8        (5) additional benefits and services.
9    (b) The Department shall update the checklist under this
10Section on January 1 of each year, beginning on January 1 of
11the year after the effective date of this amendatory Act of the
12104th General Assembly.".