Bill Text: IL HB5893 | 2009-2010 | 96th General Assembly | Introduced

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Bill Title: Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that to the extent permitted under federal law, co-payments for every prescription drug for which the Department of Healthcare and Family Services provides a reimbursement shall be subject to a minimum amount of no less than $1.

Sponsorship: Partisan Bill (Republican 2)

Status: (Introduced - Dead) 2010-05-25 - Motion to Sustain the Chair - Prevailed 068-048-000 [HB5893 Detail]

Download: Illinois-2009-HB5893-Introduced.html

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96TH GENERAL ASSEMBLY State of Illinois 2009 and 2010 HB5893 Introduced 2/10/2010, by Rep. Bill Mitchell SYNOPSIS AS INTRODUCED:
305 ILCS 5/5-4.1 from Ch. 23, par. 5-4.1
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that to the extent permitted under federal law, co-payments for every prescription drug for which the Department of Healthcare and Family Services provides a reimbursement shall be subject to a minimum amount of no less than $1.
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FISCAL NOTE ACT MAY APPLY
A BILL FOR
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AN ACT concerning public aid.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Illinois Public Aid Code is amended by
changing Section 5-4.1 as follows:
(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 fee
as a co-payment for services. Co-payments may not exceed $3 for
brand name drugs, $1 for other pharmacy services other than for
generic drugs, and $2 for physicians services, dental services,
optical services and supplies, chiropractic services, podiatry
services, and encounter rate clinic services. To the extent
permitted under federal law, co-payments for every
prescription drug for which the Department provides a
reimbursement shall be subject to a minimum amount of no less
than $1. There shall be no co-payment for generic drugs.
Co-payments may not exceed $3 for hospital outpatient and
clinic services. Provided, however, that any such rule must
provide that 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

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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.
(Source: P.A. 92-597, eff. 6-28-02; 93-593, eff. 8-25-03.)