Full Text of SB0808 097th General Assembly
SB0808 97TH GENERAL ASSEMBLY |
| | 97TH GENERAL ASSEMBLY
State of Illinois
2011 and 2012 SB0808 Introduced 2/8/2011, by Sen. John J. Cullerton SYNOPSIS AS INTRODUCED: | | 320 ILCS 25/6 | from Ch. 67 1/2, par. 406 |
|
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 Act.
|
| |
| | A BILL FOR |
|
| | | SB0808 | | LRB097 04551 KTG 44590 b |
|
| 1 | | AN ACT concerning aging.
| 2 | | Be it enacted by the People of the State of Illinois, | 3 | | represented in the General Assembly:
| 4 | | 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:
| 7 | | (320 ILCS 25/6) (from Ch. 67 1/2, par. 406)
| 8 | | Sec. 6. Administration.
| 9 | | (a) In general. Upon receipt of a timely filed claim, the
| 10 | | 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
| 15 | | 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 |
| | | SB0808 | - 2 - | LRB097 04551 KTG 44590 b |
|
| 1 | | accordingly.
| 2 | | (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.
| 7 | | (d) Pharmaceutical Assistance.
The Department shall allow | 8 | | all pharmacies licensed under the Pharmacy
Practice Act to | 9 | | 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
| 17 | | 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.
| 25 | | The Department shall promulgate rules and regulations to | 26 | | implement and
administer the program of pharmaceutical |
| | | SB0808 | - 3 - | LRB097 04551 KTG 44590 b |
|
| 1 | | assistance required by this Act,
which shall include the | 2 | | following:
| 3 | | (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
| 8 | | of this Act or related rules and regulations of the | 9 | | Department;
| 10 | | (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;
| 14 | | (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;
| 19 | | (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
| 24 | | assistance identification card under this Act; | 25 | | (4.5) Provision for automatic enrollment of | 26 | | beneficiaries into a Medicare Discount Card program |
| | | SB0808 | - 4 - | LRB097 04551 KTG 44590 b |
|
| 1 | | authorized under the federal Medicare Modernization Act of | 2 | | 2003 (P.L. 108-391) to coordinate coverage including | 3 | | Medicare Transitional Assistance;
| 4 | | (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;
| 8 | | (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 (now repealed) ;
| 11 | | (7) Payment to pharmacies under this Act in accordance | 12 | | with the State
Prompt Payment Act.
| 13 | | 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 (now repealed) .
| 19 | | (Source: P.A. 96-328, eff. 8-11-09; revised 9-16-10.)
|
|