Bill Text: IL HB2371 | 2013-2014 | 98th General Assembly | Introduced
Bill Title: Amends the Illinois Public Aid Code. Makes a technical change in a Section regarding Medicaid co-payments.
Sponsorship: Partisan Bill (Democrat 1)
Status: (Failed) 2014-12-03 - Session Sine Die [HB2371 Detail]
Download: Illinois-2013-HB2371-Introduced.html
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| 1 | AN ACT concerning public aid.
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| 2 | Be it enacted by the People of the State of Illinois, | |||||||||||||||||||
| 3 | represented in the General Assembly:
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| 4 | Section 5. The Illinois Public Aid Code is amended by | |||||||||||||||||||
| 5 | changing Section 5-4.1 as follows:
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| 6 | (305 ILCS 5/5-4.1) (from Ch. 23, par. 5-4.1)
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| 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 shall be | |||||||||||||||||||
| 10 | maximized to the extent permitted by federal law, except that | |||||||||||||||||||
| 11 | the Department shall impose a co-pay of $2 on generic drugs. | |||||||||||||||||||
| 12 | Provided, however, that any such rule must provide that no
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| 13 | co-payment requirement can exist
for renal dialysis, radiation | |||||||||||||||||||
| 14 | therapy, cancer chemotherapy, or insulin, and
other products | |||||||||||||||||||
| 15 | necessary on a recurring basis, the absence of which would
be | |||||||||||||||||||
| 16 | life threatening, or where co-payment expenditures for | |||||||||||||||||||
| 17 | required services
and/or medications for chronic diseases that | |||||||||||||||||||
| 18 | the Illinois Department shall
by rule designate shall cause an | |||||||||||||||||||
| 19 | extensive financial burden on the
recipient, and provided no | |||||||||||||||||||
| 20 | co-payment shall exist for emergency room
encounters which are | |||||||||||||||||||
| 21 | for medical emergencies. The Department shall seek approval of | |||||||||||||||||||
| 22 | a State plan amendment that allows pharmacies to refuse to | |||||||||||||||||||
| 23 | dispense drugs in circumstances where the recipient does not | |||||||||||||||||||
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| 1 | pay the required co-payment. Co-payments may not exceed $10 for | ||||||
| 2 | emergency room use for a non-emergency situation as defined by | ||||||
| 3 | the Department by rule and subject to federal approval. | ||||||
| 4 | (Source: P.A. 96-1501, eff. 1-25-11; 97-74, eff. 6-30-11; | ||||||
| 5 | 97-689, eff. 6-14-12.)
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