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| | 104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
SB2813 Introduced 1/13/2026, by Sen. Mike Simmons SYNOPSIS AS INTRODUCED:
| | 305 ILCS 5/5-4.1 | from Ch. 23, par. 5-4.1 |
| Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall not require any medical assistance recipient to pay a co-payment for services or prescription medications. Requires the Department to apply for any State Plan amendment or federal approval necessary to implement the amendatory Act, if required. |
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| | A BILL FOR |
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| | SB2813 | | LRB104 16865 KTG 30275 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) |
| 7 | | Sec. 5-4.1. Co-payments prohibited. The Department shall |
| 8 | | not require any recipient of medical assistance under any |
| 9 | | Article of this Code to pay a co-payment for services or |
| 10 | | prescription medications. The Department shall apply for any |
| 11 | | State Plan amendment or federal approval necessary to |
| 12 | | implement this Section, if required. The Department may by |
| 13 | | rule provide that recipients under any Article of this Code |
| 14 | | shall pay a federally approved fee as a co-payment for |
| 15 | | services. No co-payment requirement can exist for renal |
| 16 | | dialysis, radiation therapy, cancer chemotherapy, or insulin, |
| 17 | | and other products necessary on a recurring basis, the absence |
| 18 | | of which would be life threatening, or where co-payment |
| 19 | | expenditures for required services and/or medications for |
| 20 | | chronic diseases that the Illinois Department shall by rule |
| 21 | | designate shall cause an extensive financial burden on the |
| 22 | | recipient, and provided no co-payment shall exist for |
| 23 | | emergency room encounters which are for medical emergencies. |