93RD GENERAL ASSEMBLY
State of Illinois
2003 and 2004
HB5993

 

Introduced 2/6/2004, by Tom Cross

 

SYNOPSIS AS INTRODUCED:
 
305 ILCS 5/5-4.1   from Ch. 23, par. 5-4.1

    Amends the Illinois Public Aid Code. Makes technical changes in a Section regarding Medicaid co-payments.


LRB093 19677 DRJ 45418 b

 

 

A BILL FOR

 

HB5993 LRB093 19677 DRJ 45418 b

1     AN ACT in relation to public aid.
 
2     Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
 
4     Section 5. The Illinois Public Aid Code is amended by
5 changing Section 5-4.1 as follows:
 
6     (305 ILCS 5/5-4.1)  (from Ch. 23, par. 5-4.1)
7     Sec. 5-4.1. Co-payments. The Department may by rule
8 provide that recipients under any Article of this Code must
9 shall pay a fee as a co-payment for services. Co-payments may
10 not exceed $3 for brand name drugs, $1 for other pharmacy
11 services other than for generic drugs, and $2 for physicians
12 services, dental services, optical services and supplies,
13 chiropractic services, podiatry services, and encounter rate
14 clinic services. There shall be no co-payment for generic
15 drugs. Co-payments may not exceed $3 for hospital outpatient
16 and clinic services. Provided, however, that any such rule must
17 provide that no co-payment requirement can exist for renal
18 dialysis, radiation therapy, cancer chemotherapy, or insulin,
19 and other products necessary on a recurring basis, the absence
20 of which would be life threatening, or where co-payment
21 expenditures for required services and/or medications for
22 chronic diseases that the Illinois Department shall by rule
23 designate shall cause an extensive financial burden on the
24 recipient, and provided no co-payment shall exist for emergency
25 room encounters which are for medical emergencies.
26 (Source: P.A. 92-597, eff. 6-28-02; 93-593, eff. 8-25-03.)