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| | 97TH GENERAL ASSEMBLY
State of Illinois
2011 and 2012
SB0770 Introduced 2/8/2011, by Sen. John J. Cullerton SYNOPSIS AS INTRODUCED:
| | 305 ILCS 5/5-4.1 | from Ch. 23, par. 5-4.1 |
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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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| | SB0770 | | LRB097 04501 KTG 44540 b |
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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 may not |
| 10 | | exceed $3 for brand name drugs, $1 for other pharmacy
services |
| 11 | | other than for generic drugs, and $2 for physicians services, |
| 12 | | dental
services, optical services and supplies, chiropractic |
| 13 | | services, podiatry
services, and encounter rate clinic |
| 14 | | services. There shall be no co-payment for
generic drugs. |
| 15 | | Co-payments may not exceed $3 for hospital outpatient and |
| 16 | | clinic
services. Provided, however, that any such rule must |
| 17 | | provide that no
co-payment requirement can exist
for renal |
| 18 | | dialysis, radiation therapy, cancer chemotherapy, or insulin, |
| 19 | | and
other products necessary on a recurring basis, the absence |
| 20 | | of which would
be life threatening, or where co-payment |
| 21 | | expenditures for required services
and/or medications for |
| 22 | | chronic diseases that the Illinois Department shall
by rule |
| 23 | | designate shall cause an extensive financial burden on the
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