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HB 3752

INS CD-PRESCRIP DRUG ACCESS

104th Regular Session Introduced by Camille Lilly and 1 co-sponsor

The bill requires insurers to cover any prescription drug a patient has used for 6+ months, regardless of plan, and adds rules for dialysis center staffing and delegated tasks.

House Floor Amendment No. 1 Rule 19(c) / Re-referred to Rules Committee
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Bill Summary · HB 3752

HB 3752 — INS CD-PRESCRIP DRUG ACCESS (with House Amendment 001)

Status: House Floor Amendment No. 1 (filed 3/21/2025) adopted into bill text; Re‑referred to Rules Committee (last action 4/11/2025). Primary sponsor: Rep. Robert "Bob" Rita. Co‑sponsor: Rep. Camille Y. Lilly.

Main purpose

HB 3752 has two principal components after House Amendment 001:
1. A statewide insurance consumer protection that prohibits many health plans from dropping or excluding prescription drugs that enrollees have been continuously using for at least six months; and
2. A Nurse Practice Act amendment that clarifies delegation and supervision rules for personnel working in kidney disease treatment centers (dialysis centers), including who may perform central venous catheter–related dialysis tasks.

Key insurance provisions (effective dates)

  • For group or individual accident & health insurance policies and managed care plans that are amended, delivered, issued, or renewed on or after January 1, 2027:
    • Insurers shall be prohibited from limiting or excluding coverage for any prescription drug that an enrollee has been continuously using for 6 months or more, provided that the drug was selected by the enrollee’s prescribing provider while the enrollee was covered by the enrollee’s current or previous health plan.
  • The bill amends multiple state laws to require this coverage across many public and governmental plans, including:
    • State Employees Group Insurance Act
    • Counties Code
    • Illinois Municipal Code
    • School Code
    • Health Maintenance Organization Act and related statutes
    • Illinois Public Aid Code
  • The change applies broadly to private and public plans referenced in those statutes; enforcement responsibilities are allocated to the Department of Insurance (and other agencies for certain public programs) consistent with the amended statutes.

Key Nurse Practice Act provisions (House Amendment 001)

  • Adds new Section 50‑80 to the Nurse Practice Act to govern delegation in kidney disease treatment centers (as defined in the Illinois Health Facilities Planning Act).
  • Individuals working in such centers are treated as “licensed individuals” for purposes of delegation under existing delegation rules.
  • Limited provisional practice: a person acquiring required experience may practice under this Section for up to 18 months if they meet the experience standards set by specified entities.
  • Delegation to perform central venous catheter–related dialysis procedures (e.g., providing dialysis via venous catheters, connecting/disconnecting lines, dressing changes, line maintenance) is permitted only if the recipient of delegation:
    • Is a Licensed Practical Nurse (LPN), or
    • Holds, or is in the process of acquiring experience necessary to apply for, one of these certifications:
    • Certified Clinical Hemodialysis Technician (Nephrology Nursing Certification Commission), or
    • Certified Hemodialysis Technologist/Technician (Board of Nephrology Examiners Nursing and Technology).
  • Medication administration is explicitly limited: delegation does not include medication administration except for heparin and saline used for dialysis/line flushing and application of topical anesthetics.
  • The amendment requires that patient care by certified dialysis technicians occur under immediate on‑site supervision of licensed clinical staff (the amendment text lists registered nurse, physician assistant, advanced practice registered nurse and a supervising physician) and directs compliance with Health Facilities Planning Act rules.
  • The Section applies only to kidney disease treatment centers and does not create a license or permit use of regulated nursing titles.

Who is affected

  • Insurers and managed care plans operating in Illinois; employers/self‑insured public entities (state, counties, municipalities, school districts); enrollees using long‑term prescription drugs (≥6 months); Medicaid/Public Aid programs as amended.
  • Kidney disease treatment centers (dialysis centers), LPNs, certified hemodialysis technicians/technologists, registered nurses, physician assistants, advanced practice nurses, and supervising physicians operating in those centers.

Implementation & procedural notes

  • Insurance coverage prohibition applies to policies amended/issued/renewed on/after January 1, 2027.
  • The Nurse Practice Act additions take effect upon becoming law.
  • House Amendment 001 was filed 3/21/2025 and added technical and regulatory requirements for dialysis staffing and delegation; some amendment text is dense and includes cross‑references to licensing and facility rules that may be clarified in committee or implementing rules.
  • Current legislative posture: re‑referred to Rules Committee (House) as of 4/11/2025.

If you want, I can prepare a one‑page comparison showing current law vs. the bill’s changes for insurers and for dialysis facility operations.

Compiled from official sources — confirm details with the bill’s official record.

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