Bill Text: IL HB3933 | 2009-2010 | 96th General Assembly | Introduced
Bill Title: Amends the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall permit a pharmacy participating in the medical assistance program to fill a single prescription or multiple prescriptions so that the pharmacy may dispense a 3-month supply of a prescription drug to a medical assistance recipient in a single purchase, provided that the amount dispensed must be sufficient to last the patient until the date that occurs 3 months from the date of purchase. Provides that the Department shall permit a pharmacy to refill such a 3-month supply of a prescription drug at least 3 times per year as medically indicated, provided that the total of the amount dispensed at the time of the initial purchase plus the amounts dispensed at the times of the 3 subsequent purchases must be sufficient to last the patient until the date that occurs one year from the date of the initial purchase.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2009-03-13 - Rule 19(a) / Re-referred to Rules Committee [HB3933 Detail]
Download: Illinois-2009-HB3933-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,
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3 | represented in the General Assembly:
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4 | Section 5. The Illinois Public Aid Code is amended by | ||||||||||||||||||||||||
5 | changing Section 5-5.12 as follows:
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6 | (305 ILCS 5/5-5.12) (from Ch. 23, par. 5-5.12)
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7 | Sec. 5-5.12. Pharmacy payments.
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8 | (a) Every request submitted by a pharmacy for reimbursement | ||||||||||||||||||||||||
9 | under this
Article for prescription drugs provided to a | ||||||||||||||||||||||||
10 | recipient of aid under this
Article shall include the name of | ||||||||||||||||||||||||
11 | the prescriber or an acceptable
identification number as | ||||||||||||||||||||||||
12 | established by the Department.
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13 | (b) Pharmacies providing prescription drugs under
this | ||||||||||||||||||||||||
14 | Article shall be reimbursed at a rate which shall include
a | ||||||||||||||||||||||||
15 | professional dispensing fee as determined by the Illinois
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16 | Department, plus the current acquisition cost of the | ||||||||||||||||||||||||
17 | prescription
drug dispensed. The Illinois Department shall | ||||||||||||||||||||||||
18 | update its
information on the acquisition costs of all | ||||||||||||||||||||||||
19 | prescription drugs
no less frequently than every 30 days. | ||||||||||||||||||||||||
20 | However, the Illinois
Department may set the rate of | ||||||||||||||||||||||||
21 | reimbursement for the acquisition
cost, by rule, at a | ||||||||||||||||||||||||
22 | percentage of the current average wholesale
acquisition cost.
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23 | (c) (Blank).
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1 | (d) The Department shall not impose requirements for prior | ||||||
2 | approval
based on a preferred drug list for anti-retroviral, | ||||||
3 | anti-hemophilic factor
concentrates,
or
any atypical | ||||||
4 | antipsychotics, conventional antipsychotics,
or | ||||||
5 | anticonvulsants used for the treatment of serious mental
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6 | illnesses
until 30 days after it has conducted a study of the | ||||||
7 | impact of such
requirements on patient care and submitted a | ||||||
8 | report to the Speaker of the
House of Representatives and the | ||||||
9 | President of the Senate. | ||||||
10 | (e) The Department shall permit a pharmacy participating in | ||||||
11 | the medical assistance program to fill a single prescription or | ||||||
12 | multiple prescriptions so that the pharmacy may dispense a | ||||||
13 | 3-month supply of a prescription drug to a medical assistance | ||||||
14 | recipient in a single purchase, provided that the amount | ||||||
15 | dispensed must be sufficient to last the patient until the date | ||||||
16 | that occurs 3 months from the date of purchase. The Department | ||||||
17 | shall permit a pharmacy to refill such a 3-month supply of a | ||||||
18 | prescription drug at least 3 times per year as medically | ||||||
19 | indicated, provided that the total of the amount dispensed at | ||||||
20 | the time of the initial purchase plus the amounts dispensed at | ||||||
21 | the times of the 3 subsequent purchases must be sufficient to | ||||||
22 | last the patient until the date that occurs one year from the | ||||||
23 | date of the initial purchase.
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24 | (Source: P.A. 93-106, eff. 7-8-03; 94-48, eff. 7-1-05.)
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