Full Text of SB0806 096th General Assembly
SB0806 96TH GENERAL ASSEMBLY
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96TH GENERAL ASSEMBLY
State of Illinois
2009 and 2010 SB0806
Introduced 2/6/2009, by Sen. John J. Cullerton SYNOPSIS AS INTRODUCED: |
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320 ILCS 25/6 |
from Ch. 67 1/2, par. 406 |
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Amends the Senior Citizens and Disabled Persons Property Tax Relief and
Pharmaceutical Assistance Act. Makes a technical change in a Section
concerning administration of the pharmaceutical assistance program.
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A BILL FOR
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SB0806 |
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LRB096 06876 DRJ 16962 b |
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| AN ACT concerning aging.
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| Be it enacted by the People of the State of Illinois, | 3 |
| represented in the General Assembly:
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| Section 5. The Senior Citizens and Disabled Persons | 5 |
| Property Tax Relief and
Pharmaceutical Assistance Act is | 6 |
| amended by changing Section 6 as follows:
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| (320 ILCS 25/6) (from Ch. 67 1/2, par. 406)
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| Sec. 6. Administration.
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| (a) In general. Upon receipt of a timely filed claim, the
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| the Department
shall determine whether the claimant is a person | 11 |
| entitled to a grant under
this Act and the amount of grant to | 12 |
| which he is entitled under this Act.
The Department may require | 13 |
| the claimant to furnish reasonable proof of the
statements of | 14 |
| domicile, household income, rent paid, property taxes accrued
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| and other matters on which entitlement is based, and may | 16 |
| withhold payment
of a grant until such additional proof is | 17 |
| furnished. | 18 |
| (b) Rental determination. If the Department finds that the | 19 |
| gross rent
used in the computation by a claimant of rent | 20 |
| constituting property taxes
accrued exceeds the fair rental | 21 |
| value for the right to occupy that
residence, the Department | 22 |
| may determine the fair rental value for that
residence and | 23 |
| recompute rent constituting property taxes accrued |
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SB0806 |
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LRB096 06876 DRJ 16962 b |
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| accordingly.
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| (c) Fraudulent claims. The Department shall deny claims | 3 |
| which have been
fraudulently prepared or when it finds that the | 4 |
| claimant has acquired title
to his residence or has paid rent | 5 |
| for his residence primarily for the
purpose of receiving a | 6 |
| grant under this Act.
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| (d) Pharmaceutical Assistance.
The Department shall allow | 8 |
| all pharmacies licensed under the Pharmacy
Practice Act of 1987 | 9 |
| to participate as authorized pharmacies unless they
have been | 10 |
| removed from that status for cause pursuant to the terms of | 11 |
| this
Section. The Director of the Department may enter
into a | 12 |
| written contract with any State agency, instrumentality or | 13 |
| political
subdivision, or a fiscal intermediary for the purpose | 14 |
| of making payments to
authorized pharmacies for covered | 15 |
| prescription drugs and coordinating the
program of | 16 |
| pharmaceutical assistance established by this Act with other
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| programs that provide payment for covered prescription drugs. | 18 |
| Such
agreement shall establish procedures for properly | 19 |
| contracting for pharmacy
services, validating reimbursement | 20 |
| claims, validating compliance of
dispensing pharmacists with | 21 |
| the contracts for participation required under
this Section, | 22 |
| validating the reasonable costs of covered prescription
drugs, | 23 |
| and otherwise providing for the effective administration of | 24 |
| this Act.
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| The Department shall promulgate rules and regulations to | 26 |
| implement and
administer the program of pharmaceutical |
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SB0806 |
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LRB096 06876 DRJ 16962 b |
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| assistance required by this Act,
which shall include the | 2 |
| following:
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| (1) Execution of contracts with pharmacies to dispense | 4 |
| covered
prescription drugs. Such contracts shall stipulate | 5 |
| terms and conditions for
authorized pharmacies | 6 |
| participation and the rights of the State to
terminate such | 7 |
| participation for breach of such contract or for violation
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| of this Act or related rules and regulations of the | 9 |
| Department;
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| (2) Establishment of maximum limits on the size of | 11 |
| prescriptions,
new or refilled, which shall be in amounts | 12 |
| sufficient for 34 days, except as
otherwise specified by | 13 |
| rule for medical or utilization control reasons;
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| (3) Establishment of liens upon any and all causes of | 15 |
| action which accrue
to
a beneficiary as a result of | 16 |
| injuries for which covered prescription drugs are
directly | 17 |
| or indirectly required and for which the Director made | 18 |
| payment
or became liable for under this Act;
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| (4) Charge or collection of payments from third parties | 20 |
| or private plans
of assistance, or from other programs of | 21 |
| public assistance for any claim
that is properly chargeable | 22 |
| under the assignment of benefits executed by
beneficiaries | 23 |
| as a requirement of eligibility for the pharmaceutical
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| assistance identification card under this Act; | 25 |
| (4.5) Provision for automatic enrollment of | 26 |
| beneficiaries into a Medicare Discount Card program |
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LRB096 06876 DRJ 16962 b |
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| authorized under the federal Medicare Modernization Act of | 2 |
| 2003 (P.L. 108-391) to coordinate coverage including | 3 |
| Medicare Transitional Assistance;
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| (5) Inspection of appropriate records and audit of | 5 |
| participating
authorized pharmacies to ensure contract | 6 |
| compliance, and to determine any
fraudulent transactions | 7 |
| or practices under this Act;
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| (6) Annual determination of the reasonable costs of | 9 |
| covered prescription
drugs for which payments are made | 10 |
| under this Act, as provided in Section 3.16;
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| (7) Payment to pharmacies under this Act in accordance | 12 |
| with the State
Prompt Payment Act.
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| The Department shall annually report to the Governor and | 14 |
| the General
Assembly by March 1st of each year on the | 15 |
| administration of pharmaceutical
assistance under this Act. By | 16 |
| the effective date of this Act the
Department shall determine | 17 |
| the reasonable costs of covered prescription
drugs in | 18 |
| accordance with Section 3.16 of this Act.
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| (Source: P.A. 92-651, eff. 7-11-02; 93-841, eff. 7-30-04; | 20 |
| revised 1-22-08.)
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