State of Illinois
2007 and 2008


Introduced 2/26/2007, by Rep. Tom Cross


305 ILCS 5/5-4.1   from Ch. 23, par. 5-4.1

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

LRB095 07572 DRJ 27722 b





HB3008 LRB095 07572 DRJ 27722 b

1     AN ACT concerning 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 The Department may by rule
8 provide that recipients under any Article of this Code shall
9 pay a fee as a co-payment for services. Co-payments may not
10 exceed $3 for brand name drugs, $1 for other pharmacy services
11 other than for generic drugs, and $2 for physicians services,
12 dental services, optical services and supplies, chiropractic
13 services, podiatry services, and encounter rate clinic
14 services. There shall be no co-payment for generic drugs.
15 Co-payments may not exceed $3 for hospital outpatient and
16 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



HB3008 - 2 - LRB095 07572 DRJ 27722 b

1 recipient, and provided no co-payment shall exist for emergency
2 room encounters which are for medical emergencies.
3 (Source: P.A. 92-597, eff. 6-28-02; 93-593, eff. 8-25-03.)