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92_HB3112 LRB906588DJmb 1 AN ACT in relation to senior citizens. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 1. Short title. This Act may be cited as the 5 Tobacco Settlement Proceeds for Seniors' Health Care Act. 6 Section 5. Use of proceeds for seniors' health. Because 7 senior citizens age 60 and over comprise the population most 8 seriously harmed by the effects of smoking, not less than 25% 9 of the amounts distributed by the State from tobacco 10 settlement proceeds shall be dedicated to improving the 11 health of senior citizens in Illinois. These moneys shall be 12 used to expand community-based services and other programs 13 for senior citizens throughout the State who suffer from the 14 effects of smoking. These services may include, but need not 15 be limited to, the following: 16 (1) Home-delivered meals. 17 (2) Transportation to and from health care 18 services. 19 (3) Home health services. 20 (4) In-home respite care. 21 (5) Pharmaceutical assistance. 22 (6) Smoking cessation campaigns through senior 23 centers, senior nutrition programs, and case 24 coordination units. 25 Section 85. The State Finance Act is amended by changing 26 Section 6z-43 as follows: 27 (30 ILCS 105/6z-43) 28 Sec. 6z-43. Tobacco Settlement Recovery Fund. 29 (a) There is created in the State Treasury a special -2- LRB906588DJmb 1 fund to be known as the Tobacco Settlement Recovery Fund, 2 into which shall be deposited all monies paid to the State 3 pursuant to (1) the Master Settlement Agreement entered in 4 the case of People of the State of Illinois v. Philip Morris, 5 et al. (Circuit Court of Cook County, No. 96-L13146) and (2) 6 any settlement with or judgment against any tobacco product 7 manufacturer other than one participating in the Master 8 Settlement Agreement in satisfaction of any released claim as 9 defined in the Master Settlement Agreement, as well as any 10 other monies as provided by law. All earnings on Fund 11 investments shall be deposited into the Fund. Upon the 12 creation of the Fund, the State Comptroller shall order the 13 State Treasurer to transfer into the Fund any monies paid to 14 the State as described in item (1) or (2) of this Section 15 before the creation of the Fund plus any interest earned on 16 the investment of those monies. The Treasurer may invest the 17 moneys in the Fund in the same manner, in the same types of 18 investments, and subject to the same limitations provided in 19 the Illinois Pension Code for the investment of pension funds 20 other than those established under Article 3 or 4 of the 21 Code. 22 (a-5) In addition to any other use authorized by law, 23 moneys in the Tobacco Settlement Recovery Fund may be 24 appropriated for use in funding services authorized under the 25 Tobacco Settlement Proceeds for Seniors' Health Care Act. 26 (b) As soon as may be practical after June 30, 2001, the 27 State Comptroller shall direct and the State Treasurer shall 28 transfer the unencumbered balance in the Tobacco Settlement 29 Recovery Fund as of June 30, 2001 into the Budget 30 Stabilization Fund. The Treasurer may invest the moneys in 31 the Budget Stabilization Fund in the same manner, in the same 32 types of investments, and subject to the same limitations 33 provided in the Illinois Pension Code for the investment of 34 pension funds other than those established under Article 3 or -3- LRB906588DJmb 1 4 of the Code. 2 (Source: P.A. 91-646, eff. 11-19-99; 91-704, eff. 7-1-00; 3 91-797, eff. 6-9-00; revised 6-28-00.) 4 Section 90. The Senior Citizens and Disabled Persons 5 Property Tax Relief and Pharmaceutical Assistance Act is 6 amended by changing Sections 3.15 and 4 as follows: 7 (320 ILCS 25/3.15) (from Ch. 67 1/2, par. 403.15) 8 Sec. 3.15. "Covered prescription drug" means (1) any 9 cardiovascular agent or drug; (2) any insulin or other 10 prescription drug used in the treatment of diabetes, 11 including syringe and needles used to administer the insulin; 12 (3) any prescription drug used in the treatment of arthritis, 13 (4) beginning on January 1, 2001, any prescription drug used 14 in the treatment of cancer, (5) beginning on January 1, 2001, 15 any prescription drug used in the treatment of Alzheimer's 16 disease, (6) beginning on January 1, 2001, any prescription 17 drug used in the treatment of Parkinson's disease, (7) 18 beginning on January 1, 2001, any prescription drug used in 19 the treatment of glaucoma,and(8) beginning on January 1, 20 2001, any prescription drug used in the treatment of lung 21 disease and smoking related illnesses, and (9) any 22 prescription drug used in the treatment of pulmonary disease 23 or respiratory diseases, or both. The specific agents or 24 products to be included under such categories shall be listed 25 in a handbook to be prepared and distributed by the 26 Department. The general types of covered prescription drugs 27 shall be indicated by rule. The Department of Public Health 28 shall promulgate a list of covered prescription drugs under 29 this program that meet the definition of a narrow therapeutic 30 index drug as described in subsection (f) of Section 4. 31 (Source: P.A. 91-699, eff. 1-1-01.) -4- LRB906588DJmb 1 (320 ILCS 25/4) (from Ch. 67 1/2, par. 404) 2 Sec. 4. Amount of Grant. 3 (a) In general. Any individual 65 years or older or any 4 individual who will become 65 years old during the calendar 5 year in which a claim is filed, and any surviving spouse of 6 such a claimant, who at the time of death received or was 7 entitled to receive a grant pursuant to this Section, which 8 surviving spouse will become 65 years of age within the 24 9 months immediately following the death of such claimant and 10 which surviving spouse but for his or her age is otherwise 11 qualified to receive a grant pursuant to this Section, and 12 any disabled person whose annual household income is less 13 than $14,000 for grant years before the 1998 grant year, less 14 than $16,000 for the 1998 and 1999 grant years, and less than 15 (i) $21,218 for a household containing one person, (ii) 16 $28,480 for a household containing 2 persons, or (iii) 17 $35,740 for a household containing 3 or more persons for the 18 2000 grant year and thereafter and whose household is liable 19 for payment of property taxes accrued or has paid rent 20 constituting property taxes accrued and is domiciled in this 21 State at the time he files his claim is entitled to claim a 22 grant under this Act. With respect to claims filed by 23 individuals who will become 65 years old during the calendar 24 year in which a claim is filed, the amount of any grant to 25 which that household is entitled shall be an amount equal to 26 1/12 of the amount to which the claimant would otherwise be 27 entitled as provided in this Section, multiplied by the 28 number of months in which the claimant was 65 in the calendar 29 year in which the claim is filed. 30 (b) Limitation. Except as otherwise provided in 31 subsections (a) and (f) of this Section, the maximum amount 32 of grant which a claimant is entitled to claim is the amount 33 by which the property taxes accrued which were paid or 34 payable during the last preceding tax year or rent -5- LRB906588DJmb 1 constituting property taxes accrued upon the claimant's 2 residence for the last preceding taxable year exceeds 3 1/2% 3 of the claimant's household income for that year but in no 4 event is the grant to exceed (i) $700 less 4.5% of household 5 income for that year for those with a household income of 6 $14,000 or less or (ii) $70 if household income for that year 7 is more than $14,000. 8 (c) Public aid recipients. If household income in one 9 or more months during a year includes cash assistance in 10 excess of $55 per month from the Department of Public Aid or 11 the Department of Human Services (acting as successor to the 12 Department of Public Aid under the Department of Human 13 Services Act) which was determined under regulations of that 14 Department on a measure of need that included an allowance 15 for actual rent or property taxes paid by the recipient of 16 that assistance, the amount of grant to which that household 17 is entitled, except as otherwise provided in subsection (a), 18 shall be the product of (1) the maximum amount computed as 19 specified in subsection (b) of this Section and (2) the ratio 20 of the number of months in which household income did not 21 include such cash assistance over $55 to the number twelve. 22 If household income did not include such cash assistance over 23 $55 for any months during the year, the amount of the grant 24 to which the household is entitled shall be the maximum 25 amount computed as specified in subsection (b) of this 26 Section. For purposes of this paragraph (c), "cash 27 assistance" does not include any amount received under the 28 federal Supplemental Security Income (SSI) program. 29 (d) Joint ownership. If title to the residence is held 30 jointly by the claimant with a person who is not a member of 31 his household, the amount of property taxes accrued used in 32 computing the amount of grant to which he is entitled shall 33 be the same percentage of property taxes accrued as is the 34 percentage of ownership held by the claimant in the -6- LRB906588DJmb 1 residence. 2 (e) More than one residence. If a claimant has occupied 3 more than one residence in the taxable year, he may claim 4 only one residence for any part of a month. In the case of 5 property taxes accrued, he shall pro rate 1/12 of the total 6 property taxes accrued on his residence to each month that he 7 owned and occupied that residence; and, in the case of rent 8 constituting property taxes accrued, shall pro rate each 9 month's rent payments to the residence actually occupied 10 during that month. 11 (f) There is hereby established a program of 12 pharmaceutical assistance to the aged and disabled which 13 shall be administered by the Department in accordance with 14 this Act, to consist of payments to authorized pharmacies, on 15 behalf of beneficiaries of the program, for the reasonable 16 costs of covered prescription drugs. Each beneficiary who 17 pays $5 for an identification card shall pay no additional 18 prescription costs. Each beneficiary who pays $25 for an 19 identification card shall pay $3 per prescription. In 20 addition, after a beneficiary receives $2,000 in benefits 21 during a State fiscal year, that beneficiary shall also be 22 charged 20% of the cost of each prescription for which 23 payments are made by the program during the remainder of the 24 fiscal year. To become a beneficiary under this program a 25 person must be: (1) (i) 65 years or older, or (ii) the 26 surviving spouse of such a claimant, who at the time of death 27 received or was entitled to receive benefits pursuant to this 28 subsection, which surviving spouse will become 65 years of 29 age within the 24 months immediately following the death of 30 such claimant and which surviving spouse but for his or her 31 age is otherwise qualified to receive benefits pursuant to 32 this subsection, or (iii) disabled, and (2) is domiciled in 33 this State at the time he files his or her claim, and (3) has 34 a maximum household income of less than $14,000 for grant -7- LRB906588DJmb 1 years before the 1998 grant year, less than $16,000 for the 2 1998 and 1999 grant years, and less than (i) $21,218 for a 3 household containing one person, (ii) $28,480 for a household 4 containing 2 persons, or (iii) $35,740 for a household 5 containing 3 more persons for the 2000 grant year, and less 6 than $25,000 for the 2001 grant year and thereafter. In 7 addition, each eligible person must (1) obtain an 8 identification card from the Department, (2) at the time the 9 card is obtained, sign a statement assigning to the State of 10 Illinois benefits which may be otherwise claimed under any 11 private insurance plans, (3) present the identification card 12 to the dispensing pharmacist. 13 Whenever a generic equivalent for a covered prescription 14 drug is available, the Department shall reimburse only for 15 the reasonable costs of the generic equivalent, less the 16 co-pay established in this Section, unless (i) the covered 17 prescription drug contains one or more ingredients defined as 18 a narrow therapeutic index drug at 21 CFR 320.33, (ii) the 19 prescriber indicates on the face of the prescription "brand 20 medically necessary", and (iii) the prescriber specifies that 21 a substitution is not permitted. When issuing an oral 22 prescription for covered prescription medication described in 23 item (i) of this paragraph, the prescriber shall stipulate 24 "brand medically necessary" and that a substitution is not 25 permitted. If the covered prescription drug and its 26 authorizing prescription do not meet the criteria listed 27 above, the beneficiary may purchase the non-generic 28 equivalent of the covered prescription drug by paying the 29 difference between the generic cost and the non-generic cost 30 plus the beneficiary co-pay. 31 Any person otherwise eligible for pharmaceutical 32 assistance under this Act whose covered drugs are covered by 33 any public program for assistance in purchasing any covered 34 prescription drugs shall be ineligible for assistance under -8- LRB906588DJmb 1 this Act to the extent such costs are covered by such other 2 plan. 3 The fee to be charged by the Department for the 4 identification card shall be equal to $5 for persons below 5 the official poverty line as defined by the United States 6 Department of Health and Human Services and $25 for all other 7 persons. 8 In the event that 2 or more persons are eligible for any 9 benefit under this Act, and are members of the same 10 household, (1) each such person shall be entitled to 11 participate in the pharmaceutical assistance program, 12 provided that he or she meets all other requirements imposed 13 by this subsection and (2) each participating household 14 member contributes the fee required for that person by the 15 preceding paragraph for the purpose of obtaining an 16 identification card. 17 (Source: P.A. 90-650, eff. 7-27-98; 91-357, eff. 7-29-99; 18 91-699, eff. 1-1-01.) 19 Section 99. Effective date. This Act takes effect upon 20 becoming law.