Bill Text: IL SB0646 | 2019-2020 | 101st General Assembly | Introduced

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Bill Title: Amends the Illinois Public Aid Code. Makes a technical change in a Section regarding Medicaid co-payments.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Failed) 2021-01-13 - Session Sine Die [SB0646 Detail]

Download: Illinois-2019-SB0646-Introduced.html

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101ST GENERAL ASSEMBLY State of Illinois 2019 and 2020 SB0646 Introduced 1/31/2019, by Sen. John J. Cullerton SYNOPSIS AS INTRODUCED:
305 ILCS 5/5-4.1 from Ch. 23, par. 5-4.1
Amends the Illinois Public Aid Code. Makes a technical change in a Section regarding Medicaid co-payments.
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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 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 shall be
maximized to the extent permitted by federal law, except that
the Department shall impose a co-pay of $2 on generic drugs.
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 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

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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. 96-1501, eff. 1-25-11; 97-74, eff. 6-30-11;
97-689, eff. 6-14-12.)