ORGAN TRANSPLANT MEDICATION House SponsorsRep. Susana A. Mendoza-Greg Harris, Jack D. Franks, Maria Antonia Berrios, Elizabeth Coulson, Elizabeth Hernandez, Cynthia Soto, Lisa M. Dugan, Jack McGuire, Kevin A. McCarthy, Luis Arroyo, Edward J. Acevedo, Paul D. Froehlich, Jim Sacia, Sara Feigenholtz, Julie Hamos, Deborah L. Graham, Joseph M. Lyons, Esther Golar, Michael K. Smith, Deborah Mell, Mike Boland, Lou Lang, Keith Farnham, Mark L. Walker, Careen M. Gordon and Dan Brady Senate Sponsors(Sen. Michael W. Frerichs-Dan Kotowski, Kirk W. Dillard-James F. Clayborne, Jr.-Mattie Hunter-Jacqueline Y. Collins, Donne E. Trotter, Martin A. Sandoval and Emil Jones, III) 8/28/2009HousePublic Act . . . . . . . . . 96-0766 New Act Creates the Continuity of Patient Care for Immunosuppressant Drugs Act. Provides that a health insurance policy or health care service plan contract that covers immunosuppressant drugs may not limit, reduce, or deny coverage of immunosuppressant drugs if prior to the limitation, reduction, or denial of coverage the insured was using the drug and was covered under the policy or contract and the drug was covered under the policy or contract. Provides that nothing in the Act shall prohibit an insurer from making changes in its benefit design that applies to all covered drugs or from increasing cost-sharing obligations due to a percentage coinsurance payment that necessarily increases with an increase in the underlying drug prices.House Committee Amendment No. 1 Provides that the provisions concerning continuity of patient care shall not prohibit an insurer from using managed care pharmacy tools in cases where the insured's physician or healthcare provider gives written approval of the use of such management tools and the insurer gives written disclosure to the insured of the use of such management tools.House Committee Amendment No. 2 Deletes everything after the enacting clause. Creates the Organ Transplant Quality Assurance Act. Provides that when a prescribing physician has indicated on a prescription "may not substitute", a health insurance policy or health care service plan that covers immunosuppressant drugs may not require or cause a pharmacist to interchange another immunosuppressive drug or formulation without certain notification and documented consent. Provides that in accordance with the Pharmacy Practice Act, the prescribing person may place a controlling mark beside "may not substitute" on the prescription form to direct the pharmacist. Provides that co-payments, deductibles, or other charges for any prescription for which another immunosuppressive drug or formulation is not interchanged shall remain the same for the enrollment period. Provides that the Act does not apply to medication orders issued for immunosuppressive drugs for any in-patient care in a licensed hospital. Makes other changes.State Mandates Fiscal Note, House Committee Amendment No. 1 (Dept. of Commerce & Economic Opportunity) This bill does not create a State mandate under the State Mandates Act. State Mandates Fiscal Note, House Committee Amendment No. 2 (Dept. of Commerce & Economic Opportunity) This bill does not create a State mandate under the State Mandates Act. Fiscal Note, House Committee Amendment No. 1 (Financial & Professional Regulation) HB 152 (H-AM 1) has no projected fiscal impact to the Illinois Department of Financial and Professional Regulation.Fiscal Note, House Committee Amendment No. 2 (Financial & Professional Regulation) HB 152 (H-AM 2) has no projected fiscal impact to the Illinois Department of Financial and Professional Regulation.House Floor Amendment No. 3 Deletes a provision mandating that the prescribing person's marking of the prescription shall control the coverage under the health insurance policy or health care service plan. Provides that patient co-payments, deductibles, or other charges for the prescribed drug (rather than any prescription) for which another immunosuppressive drug or formulation is not interchanged shall remain the same.State Mandates Fiscal Note, House Floor Amendment No. 3 (Dept. of Commerce & Economic Opportunity) This legislation does not create a State mandate under the State Mandates Act.Fiscal Note, House Floor Amendment No. 3 (Financial & Professional Regulation) HB 152 (H-AM 3) has no projected fiscal impact to the Illinois Department of Financial and Professional Regulation. Pension Note, House Committee Amendment No. 1 (Government Forecasting & Accountability) This legislation will not impact any public pension fund or retirement system in Illinois. Pension Note, House Committee Amendment No. 2 (Government Forecasting & Accountability) This legislation will not impact any public pension fund or retirement system in Illinois. Pension Note, House Floor Amendment No. 3 (Government Forecasting & Accountability) This legislation will not impact any public pension fund or retirement system in Illinois. Correctional Note, House Committee Amendment No. 1 (Dept of Corrections) This legislation has no projected fiscal or population impact on the Department of Corrections. Correctional Note, House Committee Amendment No. 2 (Dept of Corrections) This legislation has no projected fiscal or population impact on the Department of Corrections. Correctional Note, House Floor Amendment No. 3 (Dept of Corrections) This legislation has no projected fiscal or population impact on the Department of Corrections. State Debt Impact Note, House Committee Amendment No. 1 (Government Forecasting & Accountability) HB 152 (H-AM 1) would not change the amount of authorization for any type of State-issued or State-supported bond, and, therefore, would not affect the level of State indebtedness. State Debt Impact Note, House Committee Amendment No. 2 (Government Forecasting & Accountability) HB 152 (H-AM 2) would not change the amount of authorization for any type of State-issued or State-supported bond, and, therefore, would not affect the level of State indebtedness. State Debt Impact Note, House Floor Amendment No. 3 (Government Forecasting & Accountability) HB 152 (H-AM 3) would not change the amount of authorization for any type of State-issued or State-supported bond, and, therefore, would not affect the level of State indebtedness. Judicial Note, House Committee Amendment No. 1 (Admin Office of the Illinois Courts) Based on a review of the bill it has been determined that there may be an increase in judicial workloads. However, it is not possible to determine what impact the bill will have on the need to increase the number of judges in the State.Judicial Note, House Committee Amendment No. 2 (Admin Office of the Illinois Courts) Based on a review of the bill it has been determined that there may be an increase in judicial workloads. However, it is not possible to determine what impact the bill will have on the need to increase the number of judges in the State.Judicial Note, House Floor Amendment No. 3 (Admin Office of the Illinois Courts) Based on a review of the bill it has been determined that there may be an increase in judicial workloads. However, it is not possible to determine what impact the bill will have on the need to increase the number of judges in the State.Land Conveyance Appraisal Note, House Committee Amendment No. 1 (Dept. of Transportation) No land conveyances are included in this bill, therefore, there are no appraisals to be filed. Land Conveyance Appraisal Note, House Committee Amendment No. 2 (Dept. of Transportation) No land conveyances are included in this bill, therefore, there are no appraisals to be filed. Land Conveyance Appraisal Note, House Floor Amendment No. 3 (Dept. of Transportation) No land conveyances are included in this bill, therefore, there are no appraisals to be filed. Home Rule Note, House Committee Amendment No. 1 (Dept. of Commerce & Economic Opportunity) Does not pre-empt home rule authority.Home Rule Note, House Committee Amendment No. 2 (Dept. of Commerce & Economic Opportunity) Does not pre-empt home rule authority.Home Rule Note (Dept. of Commerce & Economic Opportunity) Does not pre-empt home rule authority.Home Rule Note (Dept. of Commerce & Economic Opportunity) Does not pre-empt home rule authority.Senate Committee Amendment No. 2 Replaces everything after the enacting clause with the engrossed bill with the following changes. Provides that the Act may be cited as the Organ Transplant Medication Notification Act (instead of the Organ Transplant Quality Assurance Act). Provides that the Act shall apply solely to cases of immunosuppressive therapy when (i) an immunosuppressant drug has been prescribed to a patient to prevent the rejection of transplanted organs and tissues and (ii) a prescribing physician has indicated on a prescription "may not substitute". Provides that at least 60 days prior to making any formulary change that alters the terms of coverage for a patient receiving immunosuppressant drugs or discontinues coverage for a prescribed immunosuppressant drug that a patient is receiving, a policy or plan sponsor must, to the extent possible, notify the prescribing physician and the patient. Provides that as an alternative to providing written notice, a policy or plan sponsor may provide the notice electronically. Provides that at the time a patient requests a refill of the immunosuppressant drug, a policy or plan sponsor may provide the patient with the written notification along with a 60-day supply of the immunosuppressant drug. Makes other changes. 1/12/2009HousePrefiled with Clerk by Rep. Susana A. Mendoza 1/14/2009HouseFirst Reading 1/14/2009HouseReferred to Rules Committee 2/3/2009HouseAdded Co-Sponsor Rep. Jack D. Franks 2/4/2009HouseAssigned to Health Care Availability and Accessibility Committee 2/5/2009HouseMoved to Suspend Rule 25 Rep. Barbara Flynn Currie 2/5/2009HouseSuspend Rule 25 - Prevailed 2/18/2009HouseAdded Co-Sponsor Rep. Maria Antonia Berrios 2/24/2009HouseHouse Committee Amendment No. 1 Filed with Clerk by Health Care Availability and Accessibility Committee 2/24/2009HouseHouse Committee Amendment No. 1 Adopted in Health Care Availability and Accessibility Committee; by Voice Vote 2/24/2009HouseRemains in Health Care Availability and Accessibility Committee 2/25/2009HouseAdded Co-Sponsor Rep. Elizabeth Coulson 3/10/2009HouseHouse Committee Amendment No. 2 Filed with Clerk by Health Care Availability and Accessibility Committee 3/10/2009HouseHouse Committee Amendment No. 2 Adopted in Health Care Availability and Accessibility Committee; by Voice Vote 3/10/2009HouseDo Pass as Amended / Short Debate Health Care Availability and Accessibility Committee; 007-004-000 3/11/2009HousePlaced on Calendar 2nd Reading - Short Debate 3/17/2009HouseHouse Committee Amendment No. 1 Fiscal Note Requested as Amended by Rep. Timothy L. Schmitz 3/17/2009HouseHouse Committee Amendment No. 2 Fiscal Note Requested as Amended by Rep. Timothy L. Schmitz 3/17/2009HouseHouse Committee Amendment No. 1 State Mandates Fiscal Note Requested as Amended by Rep. Timothy L. Schmitz 3/17/2009HouseHouse Committee Amendment No. 2 State Mandates Fiscal Note Requested as Amended by Rep. Timothy L. Schmitz 3/17/2009HouseSecond Reading - Short Debate 3/17/2009HouseHeld on Calendar Order of Second Reading - Short Debate 3/18/2009HouseAdded Chief Co-Sponsor Rep. Greg Harris 3/18/2009HouseAdded Co-Sponsor Rep. Elizabeth Hernandez 3/18/2009HouseAdded Co-Sponsor Rep. Cynthia Soto 3/18/2009HouseAdded Co-Sponsor Rep. Lisa M. Dugan 3/18/2009HouseAdded Co-Sponsor Rep. Jack McGuire 3/18/2009HouseAdded Co-Sponsor Rep. Kevin A. McCarthy 3/18/2009HouseAdded Co-Sponsor Rep. Luis Arroyo 3/18/2009HouseAdded Co-Sponsor Rep. Edward J. Acevedo 3/18/2009HouseAdded Co-Sponsor Rep. Paul D. Froehlich 3/18/2009HouseAdded Co-Sponsor Rep. Jim Sacia 3/18/2009HouseAdded Co-Sponsor Rep. Sara Feigenholtz 3/18/2009HouseAdded Co-Sponsor Rep. Julie Hamos 3/18/2009HouseAdded Co-Sponsor Rep. Daniel V. Beiser 3/18/2009HouseAdded Co-Sponsor Rep. Deborah L. Graham 3/18/2009HouseAdded Co-Sponsor Rep. Joseph M. Lyons 3/18/2009HouseAdded Co-Sponsor Rep. Esther Golar 3/18/2009HouseAdded Co-Sponsor Rep. Michael K. Smith 3/19/2009HouseRemoved Co-Sponsor Rep. Daniel V. Beiser 3/24/2009HouseHouse Committee Amendment No. 1 State Mandates Fiscal Note Filed as Amended 3/24/2009HouseHouse Committee Amendment No. 2 State Mandates Fiscal Note Filed as Amended 3/24/2009HouseAdded Co-Sponsor Rep. Deborah Mell 3/24/2009HouseAdded Co-Sponsor Rep. Mike Boland 3/24/2009HouseAdded Co-Sponsor Rep. Lou Lang 3/24/2009HouseAdded Co-Sponsor Rep. Keith Farnham 3/24/2009HouseAdded Co-Sponsor Rep. Mark L. Walker 3/25/2009HouseHouse Committee Amendment No. 1 Fiscal Note Filed as Amended 3/25/2009HouseHouse Committee Amendment No. 2 Fiscal Note Filed as Amended 3/25/2009HouseHouse Floor Amendment No. 3 Filed with Clerk by Rep. Susana A. Mendoza 3/25/2009HouseHouse Floor Amendment No. 3 Referred to Rules Committee 3/27/2009HouseHouse Committee Amendment No. 1 Home Rule Note Requested as Amended by Rep. Timothy L. Schmitz 3/27/2009HouseHouse Committee Amendment No. 2 Home Rule Note Requested as Amended by Rep. Timothy L. Schmitz 3/27/2009HouseHouse Committee Amendment No. 1 Judicial Note Requested as Amended by Rep. Timothy L. Schmitz 3/27/2009HouseHouse Committee Amendment No. 2 Judicial Note Requested as Amended by Rep. Timothy L. Schmitz 3/27/2009HouseHouse Floor Amendment No. 3 State Mandates Fiscal Note Filed as Amended 3/30/2009HouseHouse Floor Amendment No. 3 Recommends Be Adopted Rules Committee; 003-000-000 3/30/2009HouseHouse Floor Amendment No. 3 Fiscal Note Filed as Amended 3/31/2009HouseHouse Committee Amendment No. 1 Pension Note Filed as Amended 3/31/2009HouseHouse Committee Amendment No. 2 Pension Note Filed as Amended 3/31/2009HouseHouse Floor Amendment No. 3 Pension Note Filed as Amended 3/31/2009HouseHouse Committee Amendment No. 1 Correctional Note Filed as Amended 3/31/2009HouseHouse Committee Amendment No. 2 Correctional Note Filed as Amended 3/31/2009HouseHouse Floor Amendment No. 3 Correctional Note Filed as Amended 3/31/2009HouseHouse Committee Amendment No. 1 State Debt Impact Note Filed as Amended 3/31/2009HouseHouse Committee Amendment No. 2 State Debt Impact Note Filed as Amended 3/31/2009HouseHouse Floor Amendment No. 3 State Debt Impact Note Filed as Amended 3/31/2009HouseHouse Committee Amendment No. 1 Judicial Note Filed as Amended 3/31/2009HouseHouse Committee Amendment No. 2 Judicial Note Filed as Amended 3/31/2009HouseHouse Floor Amendment No. 3 Judicial Note Filed as Amended 4/1/2009HouseHouse Committee Amendment No. 1 Land Conveyance Appraisal Note Filed as Amended 4/1/2009HouseHouse Committee Amendment No. 2 Land Conveyance Appraisal Note Filed as Amended 4/1/2009HouseHouse Floor Amendment No. 3 Land Conveyance Appraisal Note Filed as Amended 4/1/2009HouseHouse Committee Amendment No. 1 Fiscal Note Requested as Amended - Withdrawn by Rep. Timothy L. Schmitz 4/1/2009HouseHouse Committee Amendment No. 2 Fiscal Note Requested as Amended - Withdrawn by Rep. Timothy L. Schmitz 4/1/2009HouseHouse Floor Amendment No. 3 Fiscal Note Requested as Amended - Withdrawn by Rep. Timothy L. Schmitz 4/1/2009HouseHouse Committee Amendment No. 1 State Mandates Fiscal Note Requested as Amended - Withdrawn by Rep. Timothy L. Schmitz 4/1/2009HouseHouse Committee Amendment No. 2 State Mandates Fiscal Note Requested as Amended - Withdrawn by Rep. Timothy L. Schmitz 4/1/2009HouseHouse Floor Amendment No. 3 State Mandates Fiscal Note Requested as Amended - Withdrawn by Rep. Timothy L. Schmitz 4/1/2009HouseHouse Committee Amendment No. 1 Home Rule Note Requested as Amended - Withdrawn by Rep. Timothy L. Schmitz 4/1/2009HouseHouse Committee Amendment No. 2 Home Rule Note Requested as Amended - Withdrawn by Rep. Timothy L. Schmitz 4/1/2009HouseHouse Floor Amendment No. 3 Home Rule Note Requested as Amended - Withdrawn by Rep. Timothy L. Schmitz 4/1/2009HouseHouse Floor Amendment No. 3 Adopted by Voice Vote 4/1/2009HousePlaced on Calendar Order of 3rd Reading - Short Debate 4/1/2009HouseHouse Committee Amendment No. 1 Home Rule Note Filed as Amended 4/1/2009HouseHouse Committee Amendment No. 2 Home Rule Note Filed as Amended 4/2/2009HouseThird Reading - Short Debate - Passed 085-032-000 4/2/2009SenateArrive in Senate 4/2/2009SenatePlaced on Calendar Order of First Reading April 21, 2009 4/2/2009SenateChief Senate Sponsor Sen. Michael W. Frerichs 4/2/2009SenateAdded as Alternate Chief Co-Sponsor Sen. Dan Kotowski 4/2/2009SenateAdded as Alternate Co-Sponsor Sen. Kirk W. Dillard 4/3/2009SenateHome Rule Note Filed as amended by House Amendment No. 1, from the Illinois Department of Commerce and Economic Opportunity. 4/3/2009SenateHome Rule Note Filed as amended by House Amendment No. 2, from the Illinois Department of Commerce and Economic Opportunity. 4/15/2009SenateFirst Reading 4/15/2009SenateReferred to Assignments 4/21/2009SenateAdded as Alternate Chief Co-Sponsor Sen. James F. Clayborne, Jr. 4/22/2009SenateAssigned to Insurance 4/30/2009SenateRule 2-10 Committee Deadline Established As May 31, 2009 4/30/2009SenateRule 2-10 Third Reading Deadline Established As May 31, 2009 5/5/2009SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. Michael W. Frerichs 5/5/2009SenateSenate Committee Amendment No. 1 Referred to Assignments 5/6/2009SenateSenate Committee Amendment No. 1 Assignments Refers to Insurance 5/14/2009SenateSenate Committee Amendment No. 2 Filed with Secretary by Sen. Michael W. Frerichs 5/14/2009SenateSenate Committee Amendment No. 2 Referred to Assignments 5/17/2009SenateSenate Committee Amendment No. 2 Assignments Refers to Insurance 5/26/2009SenateSenate Committee Amendment No. 1 Held in Insurance 5/26/2009SenateSenate Committee Amendment No. 2 Adopted 5/26/2009SenateDo Pass as Amended Insurance; 009-000-000 5/26/2009SenatePlaced on Calendar Order of 2nd Reading May 27, 2009 5/29/2009SenateSecond Reading 5/29/2009SenatePlaced on Calendar Order of 3rd Reading May 30, 2009 5/30/2009SenateAdded as Alternate Chief Co-Sponsor Sen. Mattie Hunter 5/30/2009SenateAdded as Alternate Chief Co-Sponsor Sen. Jacqueline Y. Collins 5/30/2009SenateAdded as Alternate Co-Sponsor Sen. Donne E. Trotter 5/30/2009SenateAdded as Alternate Co-Sponsor Sen. Martin A. Sandoval 5/30/2009SenateAdded as Alternate Co-Sponsor Sen. Emil Jones, III 5/30/2009SenateThird Reading - Passed; 057-000-000 5/30/2009SenateSenate Committee Amendment No. 1 Tabled Pursuant to Rule 5-4(a) 5/30/2009HouseArrived in House 5/30/2009HousePlaced on Calendar Order of Concurrence Senate Amendment(s) 2 5/30/2009HouseSenate Committee Amendment No. 2 Motion Filed Concur Rep. Susana A. Mendoza 5/30/2009HouseSenate Committee Amendment No. 2 Motion to Concur Referred to Rules Committee 5/31/2009HouseSenate Committee Amendment No. 2 Motion to Concur Recommends Be Adopted Rules Committee; 004-000-000 5/31/2009HouseSenate Committee Amendment No. 2 House Concurs 117-000-000 5/31/2009HousePassed Both Houses 5/31/2009HouseAdded Co-Sponsor Rep. Careen M. Gordon 5/31/2009HouseAdded Co-Sponsor Rep. Dan Brady 6/29/2009HouseSent to the Governor 8/28/2009HouseGovernor Approved 8/28/2009HouseEffective Date January 1, 2010 8/28/2009HousePublic Act . . . . . . . . . 96-0766