(305 ILCS 5/5-4.1) (from Ch. 23, par. 5-4.1)
Sec. 5-4.1. Co-payments. The Department may by rule provide that recipients under any Article of this Code shall pay a federally approved fee as a co-payment for services. No
co-payment requirement can exist
for renal dialysis, radiation therapy, cancer chemotherapy, or insulin, and
other products necessary on a recurring basis, the absence of which would
be life threatening, or where co-payment expenditures for required services
and/or medications for chronic diseases that the Illinois Department shall
by rule designate shall cause an extensive financial burden on the
recipient, and provided no co-payment shall exist for emergency room
encounters which are for medical emergencies. The Department shall seek approval of a State plan amendment that allows pharmacies to refuse to dispense drugs in circumstances where the recipient does not pay the required co-payment. Co-payments may not exceed $10 for emergency room use for a non-emergency situation as defined by the Department by rule and subject to federal approval.
(Source: P.A. 101-209, eff. 8-5-19.)
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