HB5871 Engrossed

LRB096 18826 KTG 34212 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).

 


 






HB5871 Engrossed
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LRB096 18826 KTG 34212 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) When making determinations as to which drugs shall be  
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on a prior approval list, the Department shall include as part 
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of the analysis for this determination, the degree to which a 
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drug may affect individuals in different ways based on factors 
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including the gender of the person taking the medication. 
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(Source: P.A. 93-106, eff. 7-8-03; 94-48, eff. 7-1-05.)

 
 
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    Section 99. Effective date. This Act takes effect upon 
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becoming law.