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96TH GENERAL ASSEMBLY
State of Illinois
2009 and 2010
HB5893
Introduced 2/10/2010, by Rep. Bill Mitchell 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 to the extent permitted under federal law, co-payments for every prescription drug for which the Department of Healthcare and Family Services provides a reimbursement shall be subject to a minimum amount of no less than $1.
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| FISCAL NOTE ACT MAY APPLY | |
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A BILL FOR
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HB5893 |
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LRB096 18835 KTG 34221 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 5-4.1 as follows:
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| (305 ILCS 5/5-4.1) (from Ch. 23, par. 5-4.1)
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| Sec. 5-4.1. Co-payments. The Department may by rule provide |
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| that recipients
under any Article of this Code shall pay a fee |
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| as a co-payment for services.
Co-payments may not exceed $3 for |
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| brand name drugs, $1 for other pharmacy
services other than for |
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| generic drugs, and $2 for physicians services, dental
services, |
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| optical services and supplies, chiropractic services, podiatry
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| services, and encounter rate clinic services. To the extent |
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| permitted under federal law, co-payments for every |
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| prescription drug for which the Department provides a |
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| reimbursement shall be subject to a minimum amount of no less |
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| than $1. There shall be no co-payment for
generic drugs. |
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| Co-payments may not exceed $3 for hospital outpatient and |
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| clinic
services. Provided, however, that any such rule must |
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| provide that no
co-payment requirement can exist
for renal |
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| dialysis, radiation therapy, cancer chemotherapy, or insulin, |
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| and
other products necessary on a recurring basis, the absence |
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| of which would
be life threatening, or where co-payment |