093_HB0788eng HB0788 Engrossed LRB093 05321 DRJ 05411 b 1 AN ACT concerning senior citizens and disabled persons. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Senior Citizens and Disabled Persons 5 Property Tax Relief and Pharmaceutical Assistance Act is 6 amended by changing Section 4 as follows: 7 (320 ILCS 25/4) (from Ch. 67 1/2, par. 404) 8 Sec. 4. Amount of Grant. 9 (a) In general. Any individual 65 years or older or any 10 individual who will become 65 years old during the calendar 11 year in which a claim is filed, and any surviving spouse of 12 such a claimant, who at the time of death received or was 13 entitled to receive a grant pursuant to this Section, which 14 surviving spouse will become 65 years of age within the 24 15 months immediately following the death of thesuchclaimant 16 and which surviving spouse but for his or her age is 17 otherwise qualified to receive a grant pursuant to this 18 Section, and any disabled person whose annual household 19 income is less than $14,000 for grant years before the 1998 20 grant year, less than $16,000 for the 1998 and 1999 grant 21 years, and less than (i) $21,218 for a household containing 22 one person, (ii) $28,480 for a household containing 2 23 persons, or (iii) $35,740 for a household containing 3 or 24 more persons for the 2000 grant year and thereafter and whose 25 household is liable for payment of property taxes accrued or 26 has paid rent constituting property taxes accrued and is 27 domiciled in this State at the time he or she files his or 28 her claim is entitled to claim a grant under this Act. With 29 respect to claims filed by individuals who will become 65 30 years old during the calendar year in which a claim is filed, 31 the amount of any grant to which that household is entitled HB0788 Engrossed -2- LRB093 05321 DRJ 05411 b 1 shall be an amount equal to 1/12 of the amount to which the 2 claimant would otherwise be entitled as provided in this 3 Section, multiplied by the number of months in which the 4 claimant was 65 in the calendar year in which the claim is 5 filed. 6 (b) Limitation. Except as otherwise provided in 7 subsections (a) and (f) of this Section, the maximum amount 8 of grant which a claimant is entitled to claim is the amount 9 by which the property taxes accrued which were paid or 10 payable during the last preceding tax year or rent 11 constituting property taxes accrued upon the claimant's 12 residence for the last preceding taxable year exceeds 3 1/2% 13 of the claimant's household income for that year but in no 14 event is the grant to exceed (i) $700 less 4.5% of household 15 income for that year for those with a household income of 16 $14,000 or less or (ii) $70 if household income for that year 17 is more than $14,000. 18 (c) Public aid recipients. If household income in one 19 or more months during a year includes cash assistance in 20 excess of $55 per month from the Department of Public Aid or 21 the Department of Human Services (acting as successor to the 22 Department of Public Aid under the Department of Human 23 Services Act) which was determined under regulations of that 24 Department on a measure of need that included an allowance 25 for actual rent or property taxes paid by the recipient of 26 that assistance, the amount of grant to which that household 27 is entitled, except as otherwise provided in subsection (a), 28 shall be the product of (1) the maximum amount computed as 29 specified in subsection (b) of this Section and (2) the ratio 30 of the number of months in which household income did not 31 include such cash assistance over $55 to the number twelve. 32 If household income did not include such cash assistance over 33 $55 for any months during the year, the amount of the grant 34 to which the household is entitled shall be the maximum HB0788 Engrossed -3- LRB093 05321 DRJ 05411 b 1 amount computed as specified in subsection (b) of this 2 Section. For purposes of this paragraph (c), "cash 3 assistance" does not include any amount received under the 4 federal Supplemental Security Income (SSI) program. 5 (d) Joint ownership. If title to the residence is held 6 jointly by the claimant with a person who is not a member of 7 his or her household, the amount of property taxes accrued 8 used in computing the amount of grant to which he or she is 9 entitled shall be the same percentage of property taxes 10 accrued as is the percentage of ownership held by the 11 claimant in the residence. 12 (e) More than one residence. If a claimant has occupied 13 more than one residence in the taxable year, he or she may 14 claim only one residence for any part of a month. In the 15 case of property taxes accrued, he or she shall prorate 1/12 16 of the total property taxes accrued on his or her residence 17 to each month that he or she owned and occupied that 18 residence; and, in the case of rent constituting property 19 taxes accrued, shall prorate each month's rent payments to 20 the residence actually occupied during that month. 21 (f) There is hereby established a program of 22 pharmaceutical assistance to the aged and disabled which 23 shall be administered by the Department in accordance with 24 this Act, to consist of payments to authorized pharmacies, on 25 behalf of beneficiaries of the program, for the reasonable 26 costs of covered prescription drugs. Each beneficiary who 27 pays $5 for an identification card shall pay no additional 28 prescription costs. Each beneficiary who pays $25 for an 29 identification card shall pay $3 per prescription. In 30 addition, after a beneficiary receives $2,000 in benefits 31 during a State fiscal year, that beneficiary shall also be 32 charged 20% of the cost of each prescription for which 33 payments are made by the program during the remainder of the 34 fiscal year. To become a beneficiary under this program a HB0788 Engrossed -4- LRB093 05321 DRJ 05411 b 1 person must: (1) be (i) 65 years of age or older, or (ii) the 2 surviving spouse of such a claimant, who at the time of death 3 received or was entitled to receive benefits pursuant to this 4 subsection, which surviving spouse will become 65 years of 5 age within the 24 months immediately following the death of 6 such claimant and which surviving spouse but for his or her 7 age is otherwise qualified to receive benefits pursuant to 8 this subsection, or (iii) disabled, and (2) be domiciled in 9 this State at the time he or she files his or her claim, and 10 (3) have a maximum household income of less than $14,000 for 11 grant years before the 1998 grant year, less than $16,000 for 12 the 1998 and 1999 grant years, and less than (i) $21,218 for 13 a household containing one person, (ii) $28,480 for a 14 household containing 2 persons, or (iii) $35,740 for a 15 household containing 3 more persons for the 2000 grant year 16 and thereafter. In addition, each eligible person must (1) 17 obtain an identification card from the Department, (2) at the 18 time the card is obtained, sign a statement assigning to the 19 State of Illinois benefits which may be otherwise claimed 20 under any private insurance plans, and (3) present the 21 identification card to the dispensing pharmacist. 22 Whenever a generic equivalent for a covered prescription 23 drug is available, the Department shall reimburse only for 24 the reasonable costs of the generic equivalent, less the 25 co-pay established in this Section, unless (i) the covered 26 prescription drug contains one or more ingredients defined as 27 a narrow therapeutic index drug at 21 CFR 320.33, (ii) the 28 prescriber indicates on the face of the prescription "brand 29 medically necessary", and (iii) the prescriber specifies that 30 a substitution is not permitted. When issuing an oral 31 prescription for covered prescription medication described in 32 item (i) of this paragraph, the prescriber shall stipulate 33 "brand medically necessary" and that a substitution is not 34 permitted. If the covered prescription drug and its HB0788 Engrossed -5- LRB093 05321 DRJ 05411 b 1 authorizing prescription do not meet the criteria listed 2 above, the beneficiary may purchase the non-generic 3 equivalent of the covered prescription drug by paying the 4 difference between the generic cost and the non-generic cost 5 plus the beneficiary co-pay. 6 Any person otherwise eligible for pharmaceutical 7 assistance under this Act whose covered drugs are covered by 8 any public program for assistance in purchasing any covered 9 prescription drugs shall be ineligible for assistance under 10 this Act to the extent such costs are covered by such other 11 plan. 12 The fee to be charged by the Department for the 13 identification card shall be equal to $5 per coverage year 14 for persons below the official poverty line as defined by the 15 United States Department of Health and Human Services and $25 16 per coverage year for all other persons. 17 In the event that 2 or more persons are eligible for any 18 benefit under this Act, and are members of the same 19 household, (1) each such person shall be entitled to 20 participate in the pharmaceutical assistance program, 21 provided that he or she meets all other requirements imposed 22 by this subsection and (2) each participating household 23 member contributes the fee required for that person by the 24 preceding paragraph for the purpose of obtaining an 25 identification card. 26 (Source: P.A. 91-357, eff. 7-29-99; 91-699, eff. 1-1-01; 27 92-131, eff. 7-23-01; 92-519, eff. 1-1-02; 92-651, eff. 28 7-11-02.)