96TH GENERAL ASSEMBLY
State of Illinois
2009 and 2010
HB3933


 
Introduced 2/26/2009, by Rep. Karen May
 
SYNOPSIS AS INTRODUCED:
 		














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







    Amends the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall permit a pharmacy participating in the medical assistance program to fill a single prescription or multiple prescriptions so that the pharmacy may dispense a 3-month supply of a prescription drug to a medical assistance recipient in a single purchase, provided that the amount dispensed must be sufficient to last the patient until the date that occurs 3 months from the date of purchase. Provides that the Department shall permit a pharmacy to refill such a 3-month supply of a prescription drug at least 3 times per year as medically indicated, provided that the total of the amount dispensed at the time of the initial purchase plus the amounts dispensed at the times of the 3 subsequent purchases must be sufficient to last the patient until the date that occurs one year from the date of the initial purchase.
















LRB096 09812 DRJ 22356 b

















FISCAL NOTE ACT MAY APPLY
















 


 


A BILL FOR









 











HB3933

LRB096 09812 DRJ 22356 b






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    AN ACT concerning public aid.

 
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    Be it enacted by the People of the State of Illinois,
 
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represented in the General Assembly:


 
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    Section 5. The Illinois Public Aid Code is amended  by 
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changing Section 5-5.12 as follows:
 



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



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    Sec. 5-5.12. Pharmacy payments. 

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

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

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

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    (c) (Blank).

 


 






HB3933
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LRB096 09812 DRJ 22356 b




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

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illnesses
until 30 days after it has conducted a study of the 
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impact of such
requirements on patient care and submitted a 
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report to the Speaker of the
House of Representatives and the 
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President of the Senate.
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    (e) The Department shall permit a pharmacy participating in 
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the medical assistance program to fill a single prescription or 
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multiple prescriptions so that the pharmacy may dispense a 
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3-month supply of a prescription drug to a medical assistance 
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recipient in a single purchase, provided that the amount 
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dispensed must be sufficient to last the patient until the date 
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that occurs 3 months from the date of purchase. The Department 
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shall permit a pharmacy to refill such a 3-month supply of a 
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prescription drug at least 3 times per year as medically 
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indicated, provided that the total of the amount dispensed at 
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the time of the initial purchase plus the amounts dispensed at 
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the times of the 3 subsequent purchases must be sufficient to 
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last the patient until the date that occurs one year from the 
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date of the initial purchase. 

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(Source: P.A. 93-106, eff. 7-8-03; 94-48, eff. 7-1-05.)