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| | 102ND GENERAL ASSEMBLY
State of Illinois
2021 and 2022
SB2148 Introduced 2/26/2021, by Sen. Chapin Rose SYNOPSIS AS INTRODUCED:
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305 ILCS 5/5-4.1 | from Ch. 23, par. 5-4.1 |
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Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall (rather than may) provide by rule that any recipient of medical assistance, with the exception of those classes of recipients identified in a specified provision of the Illinois Administrative Code, shall pay a fee as a co-payment for services. Provides that co-payments shall be maximized to the extent permitted by federal law, except that the Department shall impose a co-pay of $2 on generic drugs and a nominal co-pay of at least $3.90 for each physician or clinic visit, each emergency room visit in a non-emergency, each day of an inpatient hospital visit, and for each brand name prescription.
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| | | FISCAL NOTE ACT MAY APPLY | |
| | A BILL FOR |
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| | SB2148 | | LRB102 04392 KTG 15138 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,
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| 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 Department shall may by rule |
| 8 | | provide that recipients under any Article of this Code, with |
| 9 | | the exception of those classes of recipients identified in 89 |
| 10 | | Ill. Adm. Code 140.402(d), shall pay a federally approved fee |
| 11 | | as a co-payment for services. Co-payments shall be maximized |
| 12 | | to
the extent permitted by federal law, except that the |
| 13 | | Department
shall impose a co-pay of $2 on generic drugs and a |
| 14 | | nominal co-pay of at least $3.90 for each physician or clinic |
| 15 | | visit, each emergency room visit in a non-emergency, each day |
| 16 | | of an inpatient hospital visit, and for each brand name |
| 17 | | prescription. However, any such rule must provide that no No
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| 18 | | co-payment requirement can exist
for renal dialysis, radiation |
| 19 | | therapy, cancer chemotherapy, or insulin, and
other products |
| 20 | | necessary on a recurring basis, the absence of which would
be |
| 21 | | life threatening, or where co-payment expenditures for |
| 22 | | required services
and/or medications for chronic diseases that |
| 23 | | the Illinois Department shall
by rule designate shall cause an |