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| | 102ND GENERAL ASSEMBLY
State of Illinois
2021 and 2022
SB1043 Introduced 2/25/2021, by Sen. Don Harmon SYNOPSIS AS INTRODUCED:
| | 305 ILCS 5/5-4.1 | from Ch. 23, par. 5-4.1 |
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Amends the Illinois Public Aid Code. Makes
a technical change in a Section regarding Medicaid co-payments.
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| | A BILL FOR |
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| | SB1043 | | LRB102 04855 KTG 14874 b |
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| 1 | | AN ACT concerning public aid.
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| 2 | | Be it enacted by the People of the State of Illinois, |
| 3 | | represented in the General Assembly:
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| 4 | | Section 5. The Illinois Public Aid Code is amended by |
| 5 | | changing Section 5-4.1 as follows:
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| 6 | | (305 ILCS 5/5-4.1) (from Ch. 23, par. 5-4.1)
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| 7 | | Sec. 5-4.1. Co-payments. The
The Department may by rule |
| 8 | | provide that recipients under any Article of this Code shall |
| 9 | | pay a federally approved fee as a co-payment for services. No
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| 10 | | co-payment requirement can exist
for renal dialysis, radiation |
| 11 | | therapy, cancer chemotherapy, or insulin, and
other products |
| 12 | | necessary on a recurring basis, the absence of which would
be |
| 13 | | life threatening, or where co-payment expenditures for |
| 14 | | required services
and/or medications for chronic diseases that |
| 15 | | the Illinois Department shall
by rule designate shall cause an |
| 16 | | extensive financial burden on the
recipient, and provided no |
| 17 | | co-payment shall exist for emergency room
encounters which are |
| 18 | | for medical emergencies. The Department shall seek approval of |
| 19 | | a State plan amendment that allows pharmacies to refuse to |
| 20 | | dispense drugs in circumstances where the recipient does not |
| 21 | | pay the required co-payment. Co-payments may not exceed $10 |
| 22 | | for emergency room use for a non-emergency situation as |
| 23 | | defined by the Department by rule and subject to federal |