Illinois 2023-2024 Regular Session

Illinois House Bill HB1034 Latest Draft

Bill / Introduced Version Filed 01/11/2023

                            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