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92_HB5499eng HB5499 Engrossed LRB9212312JSpc 1 AN ACT concerning insurance. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Health Maintenance Organization Act is 5 amended by changing Section 2-3.1 as follows: 6 (215 ILCS 125/2-3.1) (from Ch. 111 1/2, par. 1405.1) 7 Sec. 2-3.1. Dispensing of drug products. 8 (a) No health maintenance organization shall cause to be 9 dispensed any drug other than that prescribed by a physician. 10 Nothing herein shall prohibit drug product selection under 11 Section 3.14 of the "Illinois Food, Drug and Cosmetic Act", 12 approved June 29, 1967, as amended, and in accordance with 13 the requirements of Section 25 of the "Pharmacy Practice Act 14 of 1987", approved September 24, 1987, as amended. 15 (b) No health maintenance organization shall include in 16 any contract with any physician providing for health care 17 services any provision requiring such physician to prescribe 18 any particular drug product to any enrollee unless the 19 enrollee is a hospital in-patient where such drug product may 20 be permitted pursuant to written guidelines or procedures 21 previously established by a pharmaceutical or therapeutics 22 committee of a hospital, approved by the medical staff of 23 such hospital and specifically approved, in writing, by the 24 prescribing physician for his or her patients in such 25 hospital, and unless it is compounded, dispensed or sold by a 26 pharmacy located in a hospital, as defined in Section 3 of 27 the Hospital Licensing Act or a hospital organized under "An 28 Act in relation to the founding and operation of the 29 University of Illinois Hospital and the conduct of University 30 of Illinois health care programs", approved July 3, 1931, as 31 amended. HB5499 Engrossed -2- LRB9212312JSpc 1 (Source: P.A. 85-1246.)