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| | 98TH GENERAL ASSEMBLY
State of Illinois
2013 and 2014
HB2537 Introduced , by Rep. Elgie R. Sims, Jr. 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 the total amount in co-payments a recipient shall be required to pay per month for his or her prescription medications shall not exceed $5. Effective immediately.
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| | | FISCAL NOTE ACT MAY APPLY | |
| | A BILL FOR |
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| | HB2537 | | LRB098 04245 KTG 34270 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,
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| 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)
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| 7 | | Sec. 5-4.1. Co-payments. The Department may by rule provide |
| 8 | | that recipients
under any Article of this Code shall pay a fee |
| 9 | | as a co-payment for services.
Co-payments shall be maximized to |
| 10 | | the extent permitted by federal law, except that the Department |
| 11 | | shall impose a co-pay of $2 on generic drugs. Provided, |
| 12 | | however, that any such rule must provide that no
co-payment |
| 13 | | requirement can exist
for renal dialysis, radiation therapy, |
| 14 | | cancer chemotherapy, or insulin, and
other products necessary |
| 15 | | on a recurring basis, the absence of which would
be life |
| 16 | | threatening, or where co-payment expenditures for required |
| 17 | | services
and/or medications for chronic diseases that the |
| 18 | | Illinois Department shall
by rule designate shall cause an |
| 19 | | extensive financial burden on the
recipient, and provided no |
| 20 | | co-payment shall exist for emergency room
encounters which are |
| 21 | | for medical emergencies. The total amount in co-payments a |
| 22 | | recipient shall be required to pay per month for his or her |
| 23 | | prescription medications shall not exceed $5. The Department |