103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB1034 Introduced , by Rep. Mary E. Flowers SYNOPSIS AS INTRODUCED: 410 ILCS 620/16.2 new Amends the Illinois Food, Drug and Cosmetic Act. Provides that the amendatory provisions apply to any manufacturer of a prescription drug that is purchased or reimbursed by specified parties. Provides that a manufacturer of a prescription drug with a wholesale acquisition cost of more than $40 for a course of therapy shall notify specified parties if the increase in the wholesale acquisition cost of the prescription drug is more than 10%, including the proposed increase and cumulative increase. Provides that the notice of price increase shall be provided in writing at least 60 days prior to the planned date of the increase. Provides that no later than 30 days after notification of a price increase or new prescription drug the manufacturer shall report specified additional information to specified parties. Provides that a manufacturer of a prescription drug shall provide written notice if the manufacturer is introducing a new prescription drug to market at a wholesale acquisition cost that exceeds a specified threshold. Provides that failure to provide notice under the amendatory provisions shall result in a civil penalty of $10,000 per day for every day after the notification period that the manufacturer fails to report the information. Requires the Department of Public Health to conduct an annual public hearing on the aggregate trends in prescription drug pricing. Requires the Department to publish on its website a report detailing findings from the public hearing and a summary of details from reports provided under the amendatory provisions, except for information identified as a trade secret or exempted under the Freedom of Information Act. Provides that the amendatory provisions shall not restrict the legal ability of a pharmaceutical manufacturer to change prices as permitted under federal law. LRB103 04886 CPF 49896 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB1034 Introduced , by Rep. Mary E. Flowers SYNOPSIS AS INTRODUCED: 410 ILCS 620/16.2 new 410 ILCS 620/16.2 new Amends the Illinois Food, Drug and Cosmetic Act. Provides that the amendatory provisions apply to any manufacturer of a prescription drug that is purchased or reimbursed by specified parties. Provides that a manufacturer of a prescription drug with a wholesale acquisition cost of more than $40 for a course of therapy shall notify specified parties if the increase in the wholesale acquisition cost of the prescription drug is more than 10%, including the proposed increase and cumulative increase. Provides that the notice of price increase shall be provided in writing at least 60 days prior to the planned date of the increase. Provides that no later than 30 days after notification of a price increase or new prescription drug the manufacturer shall report specified additional information to specified parties. Provides that a manufacturer of a prescription drug shall provide written notice if the manufacturer is introducing a new prescription drug to market at a wholesale acquisition cost that exceeds a specified threshold. Provides that failure to provide notice under the amendatory provisions shall result in a civil penalty of $10,000 per day for every day after the notification period that the manufacturer fails to report the information. Requires the Department of Public Health to conduct an annual public hearing on the aggregate trends in prescription drug pricing. Requires the Department to publish on its website a report detailing findings from the public hearing and a summary of details from reports provided under the amendatory provisions, except for information identified as a trade secret or exempted under the Freedom of Information Act. Provides that the amendatory provisions shall not restrict the legal ability of a pharmaceutical manufacturer to change prices as permitted under federal law. LRB103 04886 CPF 49896 b LRB103 04886 CPF 49896 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB1034 Introduced , by Rep. Mary E. Flowers SYNOPSIS AS INTRODUCED: 410 ILCS 620/16.2 new 410 ILCS 620/16.2 new 410 ILCS 620/16.2 new Amends the Illinois Food, Drug and Cosmetic Act. Provides that the amendatory provisions apply to any manufacturer of a prescription drug that is purchased or reimbursed by specified parties. Provides that a manufacturer of a prescription drug with a wholesale acquisition cost of more than $40 for a course of therapy shall notify specified parties if the increase in the wholesale acquisition cost of the prescription drug is more than 10%, including the proposed increase and cumulative increase. Provides that the notice of price increase shall be provided in writing at least 60 days prior to the planned date of the increase. Provides that no later than 30 days after notification of a price increase or new prescription drug the manufacturer shall report specified additional information to specified parties. Provides that a manufacturer of a prescription drug shall provide written notice if the manufacturer is introducing a new prescription drug to market at a wholesale acquisition cost that exceeds a specified threshold. Provides that failure to provide notice under the amendatory provisions shall result in a civil penalty of $10,000 per day for every day after the notification period that the manufacturer fails to report the information. Requires the Department of Public Health to conduct an annual public hearing on the aggregate trends in prescription drug pricing. Requires the Department to publish on its website a report detailing findings from the public hearing and a summary of details from reports provided under the amendatory provisions, except for information identified as a trade secret or exempted under the Freedom of Information Act. Provides that the amendatory provisions shall not restrict the legal ability of a pharmaceutical manufacturer to change prices as permitted under federal law. LRB103 04886 CPF 49896 b LRB103 04886 CPF 49896 b LRB103 04886 CPF 49896 b A BILL FOR HB1034LRB103 04886 CPF 49896 b HB1034 LRB103 04886 CPF 49896 b HB1034 LRB103 04886 CPF 49896 b 1 AN ACT concerning health. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Illinois Food, Drug and Cosmetic Act is 5 amended by adding Section 16.2 as follows: 6 (410 ILCS 620/16.2 new) 7 Sec. 16.2. Prescription drug price increases. 8 (a) This Section shall apply to any manufacturer of a 9 prescription drug that is purchased or reimbursed by any of 10 the following: 11 (1) A State purchaser, including, but not limited to, 12 State retirement systems, the Department of Corrections, 13 the Department of Healthcare and Family Services, the 14 Department of Public Health, or any entity acting on 15 behalf of a State purchaser. 16 (2) A health insurer. 17 (3) A health care service plan provider. 18 (4) A pharmacy benefit manager. 19 (b) A manufacturer of a prescription drug with a wholesale 20 acquisition cost of more than $40 for a course of therapy shall 21 notify each party described in subsection (a) if there is an 22 increase in the wholesale acquisition cost of the prescription 23 drug of more than 10%, including the proposed increase and 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB1034 Introduced , by Rep. Mary E. Flowers SYNOPSIS AS INTRODUCED: 410 ILCS 620/16.2 new 410 ILCS 620/16.2 new 410 ILCS 620/16.2 new Amends the Illinois Food, Drug and Cosmetic Act. Provides that the amendatory provisions apply to any manufacturer of a prescription drug that is purchased or reimbursed by specified parties. Provides that a manufacturer of a prescription drug with a wholesale acquisition cost of more than $40 for a course of therapy shall notify specified parties if the increase in the wholesale acquisition cost of the prescription drug is more than 10%, including the proposed increase and cumulative increase. Provides that the notice of price increase shall be provided in writing at least 60 days prior to the planned date of the increase. Provides that no later than 30 days after notification of a price increase or new prescription drug the manufacturer shall report specified additional information to specified parties. Provides that a manufacturer of a prescription drug shall provide written notice if the manufacturer is introducing a new prescription drug to market at a wholesale acquisition cost that exceeds a specified threshold. Provides that failure to provide notice under the amendatory provisions shall result in a civil penalty of $10,000 per day for every day after the notification period that the manufacturer fails to report the information. Requires the Department of Public Health to conduct an annual public hearing on the aggregate trends in prescription drug pricing. Requires the Department to publish on its website a report detailing findings from the public hearing and a summary of details from reports provided under the amendatory provisions, except for information identified as a trade secret or exempted under the Freedom of Information Act. Provides that the amendatory provisions shall not restrict the legal ability of a pharmaceutical manufacturer to change prices as permitted under federal law. LRB103 04886 CPF 49896 b LRB103 04886 CPF 49896 b LRB103 04886 CPF 49896 b A BILL FOR 410 ILCS 620/16.2 new LRB103 04886 CPF 49896 b HB1034 LRB103 04886 CPF 49896 b HB1034- 2 -LRB103 04886 CPF 49896 b HB1034 - 2 - LRB103 04886 CPF 49896 b HB1034 - 2 - LRB103 04886 CPF 49896 b 1 cumulative increase that has occurred within the previous 2 2 calendar years prior to the date of the proposed increase. 3 For purposes of this subsection, "course of therapy" means 4 either of the following: 5 (1) The recommended daily dosage units of a 6 prescription drug pursuant to its prescribing label as 7 approved by the federal Food and Drug Administration for a 8 normal course of treatment that is 30 days or more. 9 (2) The recommended daily dosage units of a 10 prescription drug pursuant to its prescribing label as 11 approved by the federal Food and Drug Administration for a 12 normal course of treatment that is less than 30 days. 13 (c) The notice required under subsection (b) shall be 14 provided in writing at least 60 days prior to the planned date 15 of the increase in the wholesale acquisition cost. 16 (d) No later than 30 days after providing notification of 17 a price increase under subsection (b), a manufacturer shall 18 report the following information to each party described in 19 subsection (a): 20 (1) The latest applicable wholesale acquisition cost. 21 (2) The date of the latest previous increase in 22 wholesale acquisition cost. 23 (3) The per-unit dollar amount of the scheduled 24 increase in wholesale acquisition cost. 25 (4) A schedule of wholesale acquisition cost increases 26 for the previous 5 years, where available, or for the HB1034 - 2 - LRB103 04886 CPF 49896 b HB1034- 3 -LRB103 04886 CPF 49896 b HB1034 - 3 - LRB103 04886 CPF 49896 b HB1034 - 3 - LRB103 04886 CPF 49896 b 1 years since the drug has been approved by the federal Food 2 and Drug Administration if that length of time is less 3 than 5 years. 4 (5) The date and price of acquisition, if the drug was 5 not developed by the manufacturer. 6 (6) A description of each financial and nonfinancial 7 factor that contributes to the wholesale acquisition cost, 8 including the following: 9 (A) A percentage of the price attributable to each 10 factor. 11 (B) An explanation of the role of each factor in 12 the price of the drug. 13 (e) A manufacturer of a prescription drug shall provide 14 written notice to each party described in subsection (a) if 15 the manufacturer is introducing a new prescription drug to 16 market at a wholesale acquisition cost that exceeds the 17 threshold set for a specialty drug under the Medicare Part D 18 program. This notice shall be provided no later than 30 days 19 prior to the release of the drug on the commercial market. 20 (f) No later than 30 days after providing the notification 21 of a new prescription drug under subsection (e), a 22 manufacturer shall report the following information to each 23 party described in subsection (a): 24 (1) The latest applicable wholesale acquisition cost. 25 (2) The date of the latest previous increase in 26 wholesale acquisition cost. HB1034 - 3 - LRB103 04886 CPF 49896 b HB1034- 4 -LRB103 04886 CPF 49896 b HB1034 - 4 - LRB103 04886 CPF 49896 b HB1034 - 4 - LRB103 04886 CPF 49896 b 1 (3) The per-unit dollar amount of the scheduled 2 increase in wholesale acquisition cost. 3 (4) A schedule of wholesale acquisition costs 4 increases for the previous 5 years, where available, or 5 for the years since the drug has been approved by the 6 federal Food and Drug Administration if that length of 7 time is less than 5 years. 8 (5) The date and price of acquisition, if the drug was 9 not developed by the manufacturer. 10 (6) A description of each financial and nonfinancial 11 factor that contributes to the wholesale acquisition cost, 12 including the following: 13 (A) A percentage of the price attributable to each 14 factor. 15 (B) An explanation of the role of each factor in 16 the price of the drug. 17 (g) Failure to provide the information required under 18 subsections (b), (d), (e), or (f) to each party described in 19 subsection (a) shall result in a civil penalty of $10,000 per 20 day for every day after the notification period that the 21 manufacturer fails to provide the information. 22 (h) The Department of Public Health shall conduct an 23 annual public hearing on the aggregate trends in prescription 24 drug pricing. The hearing shall provide for public discussion 25 of overall price increases, emerging trends, decreases in drug 26 spending, and the impact of prescription drug spending on HB1034 - 4 - LRB103 04886 CPF 49896 b HB1034- 5 -LRB103 04886 CPF 49896 b HB1034 - 5 - LRB103 04886 CPF 49896 b HB1034 - 5 - LRB103 04886 CPF 49896 b 1 health care affordability and premiums. 2 (i) The Department of Public Health shall publish on its 3 website a report detailing findings from the public hearing 4 held under subsection (h) and a summary of information 5 provided under subsections (b), (d), (e), and (f). 6 (j) The Department of Public Health may not post on its 7 website any information described in subsections (d) or (f) of 8 this Section that is identified as a trade secret under the 9 Illinois Trade Secrets Act. 10 (k) The Department of Public Health shall keep 11 confidential all information provided to the Department that 12 would qualify for an exemption under Section 7 of the Freedom 13 of Information Act. 14 (l) This Section shall not restrict the legal ability of a 15 pharmaceutical manufacturer to change prices as permitted 16 under federal law. HB1034 - 5 - LRB103 04886 CPF 49896 b