Bill Text: IL SB1043 | 2021-2022 | 102nd General Assembly | Introduced
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: (Introduced - Dead) 2021-04-23 - Rule 3-9(a) / Re-referred to Assignments [SB1043 Detail]
Download: Illinois-2021-SB1043-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, | |||||||||||||||||||
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 federally approved fee as a co-payment for services. No
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10 | co-payment requirement can exist
for renal dialysis, radiation | |||||||||||||||||||
11 | therapy, cancer chemotherapy, or insulin, and
other products | |||||||||||||||||||
12 | necessary on a recurring basis, the absence of which would
be | |||||||||||||||||||
13 | life threatening, or where co-payment expenditures for | |||||||||||||||||||
14 | required services
and/or medications for chronic diseases that | |||||||||||||||||||
15 | the Illinois Department shall
by rule designate shall cause an | |||||||||||||||||||
16 | extensive financial burden on the
recipient, and provided no | |||||||||||||||||||
17 | co-payment shall exist for emergency room
encounters which are | |||||||||||||||||||
18 | for medical emergencies. The Department shall seek approval of | |||||||||||||||||||
19 | a State plan amendment that allows pharmacies to refuse to | |||||||||||||||||||
20 | dispense drugs in circumstances where the recipient does not | |||||||||||||||||||
21 | pay the required co-payment. Co-payments may not exceed $10 | |||||||||||||||||||
22 | for emergency room use for a non-emergency situation as | |||||||||||||||||||
23 | defined by the Department by rule and subject to federal |
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1 | approval. | ||||||
2 | (Source: P.A. 101-209, eff. 8-5-19.)
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