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93RD GENERAL ASSEMBLY
State of Illinois
2003 and 2004
HB5993
Introduced 2/6/2004, by Tom Cross 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 Illinois Public Aid Code. Makes
technical changes in a Section regarding Medicaid co-payments.
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A BILL FOR
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HB5993 |
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LRB093 19677 DRJ 45418 b |
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| AN ACT in relation to 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 |
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| provide that recipients
under any Article of this Code must
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| shall pay a fee as a co-payment for
services.
Co-payments may |
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| not exceed $3 for brand name drugs, $1 for other pharmacy
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| services other than for generic drugs, and $2 for physicians |
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| services, dental
services, optical services and supplies, |
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| chiropractic services, podiatry
services, and encounter rate |
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| clinic services. There shall be no co-payment for
generic |
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| drugs. Co-payments may not exceed $3 for hospital outpatient |
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| and 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 |
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| expenditures for required services
and/or medications for |
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| chronic diseases that the Illinois Department shall
by rule |
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| designate shall cause an extensive financial burden on the
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| recipient, and provided no co-payment shall exist for emergency |
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| room
encounters which are for medical emergencies.
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| (Source: P.A. 92-597, eff. 6-28-02; 93-593, eff. 8-25-03.)
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