Public Act 096-1269
 
HB5871 EnrolledLRB096 18826 KTG 34212 b


  
    AN ACT concerning public aid.
  
 
    Be it enacted by the People of the State of Illinois,
 
represented in the General Assembly:
  
 
 
    Section 5. The Illinois Public Aid Code is amended  by 
changing Section 5-5.12 as follows:
 



    (305 ILCS 5/5-5.12)  (from Ch. 23, par. 5-5.12)



    Sec. 5-5.12. Pharmacy payments. 

    (a) Every request submitted by a pharmacy for reimbursement 
under this
Article for prescription drugs provided to a 
recipient of aid under this
Article shall include the name of 
the prescriber or an acceptable
identification number as 
established by the Department.

    (b) Pharmacies providing prescription drugs under
this 
Article shall be reimbursed at a rate which shall include
a 
professional dispensing fee as determined by the Illinois

Department, plus the current acquisition cost of the 
prescription
drug dispensed. The Illinois Department shall 
update its
information on the acquisition costs of all 
prescription drugs
no less frequently than every 30 days. 
However, the Illinois
Department may set the rate of 
reimbursement for the acquisition
cost, by rule, at a 
percentage of the current average wholesale
acquisition cost.

    (c) (Blank).

    (d) The Department shall not impose requirements for prior 
approval
based on a preferred drug list for anti-retroviral, 
anti-hemophilic factor
concentrates,
or
any atypical 
antipsychotics, conventional antipsychotics,
or 
anticonvulsants used for the treatment of serious mental

illnesses
until 30 days after it has conducted a study of the 
impact of such
requirements on patient care and submitted a 
report to the Speaker of the
House of Representatives and the 
President of the Senate.

    (e) When making determinations as to which drugs shall be  
on a prior approval list, the Department shall include as part 
of the analysis for this determination, the degree to which a 
drug may affect individuals in different ways based on factors 
including the gender of the person taking the medication. 
(Source: P.A. 93-106, eff. 7-8-03; 94-48, eff. 7-1-05.)

 
 
    Section 99. Effective date. This Act takes effect upon 
becoming law.