Bill Text: IL SB1513 | 2013-2014 | 98th General Assembly | Introduced

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Bill Title: Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the total amount in co-payments a recipient shall be required to pay per month for his or her prescription medications shall not exceed $5. Effective immediately.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Failed) 2015-01-13 - Session Sine Die [SB1513 Detail]

Download: Illinois-2013-SB1513-Introduced.html

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98TH GENERAL ASSEMBLY State of Illinois 2013 and 2014 SB1513 Introduced 2/7/2013, by Sen. Kimberly A. Lightford 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 the total amount in co-payments a recipient shall be required to pay per month for his or her prescription medications shall not exceed $5. Effective immediately.
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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 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 total amount in co-payments a
recipient shall be required to pay per month for his or her
prescription medications shall not exceed $5. The Department

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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. 96-1501, eff. 1-25-11; 97-74, eff. 6-30-11;
97-689, eff. 6-14-12.)
Section 99. Effective date. This Act takes effect upon
becoming law.