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92nd General Assembly

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Public Act 92-0594

SB2098 Enrolled                                LRB9215761REdv

    AN ACT concerning citizen assistance.

    Be it  enacted  by  the  People  of  the  State  of  Illinois,
represented in the General Assembly:

    Section 1.  Short title.  This Act may be  cited  as  the
Senior Pharmaceutical Assistance Act.

    Section 5.  Findings. The General Assembly finds:
    (1)  Senior  citizens  identify pharmaceutical assistance
as  the  single  most  critical  factor  to   their   health,
well-being, and continued independence.
    (2)  The   State   of   Illinois   currently  operates  2
pharmaceutical assistance programs that benefit seniors:  (i)
the  program  of  pharmaceutical  assistance under the Senior
Citizens  and  Disabled  Persons  Property  Tax  Relief   and
Pharmaceutical  Assistance  Act and (ii) the Aid to the Aged,
Blind, or Disabled program  under  the  Illinois  Public  Aid
Code. The State has been given authority to establish a third
program, SeniorRx Care, through a federal Medicaid waiver.
    (3)  Each  year, numerous pieces of legislation are filed
seeking to  establish  additional  pharmaceutical  assistance
benefits  for  seniors  or  to  make  changes to the existing
programs.
    (4)  Establishment of a pharmaceutical assistance  review
committee   will  ensure  proper  coordination  of  benefits,
diminish the likelihood of duplicative benefits,  and  ensure
that the best interests of seniors are served.
    (5)  In  addition  to the State pharmaceutical assistance
programs,   several   private   entities,   such   as    drug
manufacturers  and  pharmacies,  also offer prescription drug
discount or coverage programs.
    (6)  Many seniors are unaware of the myriad of public and
private programs available to them.
    (7)  Establishing a pharmaceutical clearinghouse  with  a
toll-free  hot-line  and  local outreach workers will educate
seniors about the vast array of options available to them and
enable seniors to make an educated and informed  choice  that
is best for them.
    (8)  Estimates  indicate  that almost one-third of senior
citizens  lack  prescription  drug  coverage.   The   federal
government, states, and the pharmaceutical industry each have
a  role  in  helping  these  uninsured seniors gain access to
life-saving medications.
    (9)  The State of Illinois has recognized its  obligation
to   assist   Illinois'   neediest   seniors   in  purchasing
prescription  medications,   and   it   is   now   time   for
pharmaceutical manufacturers to recognize their obligation to
make their medications affordable to seniors.

    Section 10.  Definitions. In this Act:
    "Manufacturer" includes:
    (1)  An  entity  that  is  engaged in (a) the production,
preparation,   propagation,   compounding,   conversion,   or
processing of prescription  drug  products  (i)  directly  or
indirectly  by  extraction from substances of natural origin,
(ii) independently by means of chemical synthesis,  or  (iii)
by  combination  of extraction and chemical synthesis; or (b)
the  packaging,  repackaging,  labeling  or  re-labeling,  or
distribution of prescription drug products.
    (2)  The entity holding legal title to or  possession  of
the  national  drug  code number for the covered prescription
drug.
    The term does not  include  a  wholesale  distributor  of
drugs,  drugstore  chain  organization,  or  retail  pharmacy
licensed by the State.
    "Prescription  drug"  means  a drug that may be dispensed
only upon prescription by an authorized prescriber  and  that
is  approved  for  safety and effectiveness as a prescription
drug under Section 505 or 507 of the Federal Food,  Drug  and
Cosmetic Act.
    "Senior  citizen"  or "senior" means a person 65 years of
age or older.

    Section  15.  Senior  Pharmaceutical  Assistance   Review
Committee.
    (a)  The    Senior   Pharmaceutical   Assistance   Review
Committee is created.  The  Committee  shall  consist  of  17
members as follows:
         (1)  Twelve  members appointed as follows: 2 members
    of the General Assembly  and  1  member  of  the  general
    public,  appointed  by  the  President  of  the Senate; 2
    members of the General  Assembly  and  1  member  of  the
    general  public,  appointed by the Minority Leader of the
    Senate; 2 members of the General Assembly and 1 member of
    the general public, appointed by the Speaker of the House
    of Representatives; and 2 members of the General Assembly
    and 1 member of the  general  public,  appointed  by  the
    Minority  Leader  of  the House of Representatives. These
    members shall serve at the  pleasure  of  the  appointing
    authority.
         (2)  The Director of Aging or his or her designee.
         (3)  The Director of Revenue or his or her designee.
         (4)  The  Director  of  Public  Aid  or  his  or her
    designee.
         (5)  The Secretary of Human Services or his  or  her
    designee.
         (6)  The  Director  of  Public  Health or his or her
    designee.
    (b)  Members appointed  from  the  general  public  shall
represent  the  following  associations,  organizations,  and
interests:   statewide   membership-based   senior   advocacy
organizations,   pharmaceutical  manufacturers,  pharmacists,
dispensing pharmacies, physicians, and providers of  services
to  senior  citizens.    No single organization may have more
than one  representative  appointed  as  a  member  from  the
general public.
    (c)  The President of the Senate and Speaker of the House
of  Representatives  shall  each  designate one member of the
Committee to serve as co-chairs.
    (d)  Committee members shall serve  without  compensation
or reimbursement for expenses.
    (e)  The   Committee  shall  meet  at  the  call  of  the
co-chairs, but at least quarterly.
    (f)  The Committee may conduct public hearings to  gather
testimony  from  interested  parties regarding pharmaceutical
assistance  for  Illinois  seniors,  including   changes   to
existing and proposed programs.
    (g)  The  Committee may advise appropriate State agencies
regarding the establishment of proposed programs  or  changes
to  existing  programs.  The  State  agencies shall take into
consideration any recommendations made by the Committee.
    (h)  The Committee shall report to the  General  Assembly
and  the Governor annually or as it deems necessary regarding
proposed or recommended changes to pharmaceutical  assistance
programs  that  benefit  Illinois  seniors and any associated
costs of those changes.

    Section 20.  Senior Health Assistance Program.
    (a)  The Senior  Health  Assistance  Program  is  created
within  the Department on Aging, to become operational within
90 days after the effective date  of  this  Act.  The  Senior
Health   Assistance   Program   shall  provide  outreach  and
education to senior citizens on available  prescription  drug
coverage and discount programs.
    (b)  The Senior Health Assistance Program shall operate a
Clearinghouse for all information regarding prescription drug
coverage  programs  available to senior citizens in Illinois.
The Clearinghouse  shall  operate  in  conjunction  with  the
Department's toll-free senior information program.
    (c)  The  purposes  of the Clearinghouse include, but are
not limited to:
         (1)  Maintaining information on public  and  private
    prescription assistance programs for Illinois seniors.
         (2)  Educating  citizens  on  available  public  and
    private prescription assistance programs.
         (3)  Educating  seniors  on  how to make an informed
    decision  about  participation   in   prescription   drug
    assistance programs.
    (d)  The Clearinghouse has the following duties:
         (1)  Provide a one-stop resource for all information
    for  seniors  regarding  public  and private prescription
    drug discount and coverage programs.
         (2)  Perform outreach and  education  activities  on
    public   and   private  prescription  drug  discount  and
    coverage programs.
         (3)  Maintain a toll-free telephone  number  staffed
    by trained customer service representatives.
         (4)  Maintain   measurable   data  to  identify  the
    progress and success of the program, including,  but  not
    limited to, the number of individuals served, the type of
    assistance received, and overall program evaluation.
    (e)  The  Department  shall work cooperatively with other
Departments that fund  senior  health  assistance,  including
assistance   with   prescription  drugs,  to  ensure  maximum
coordination.

    Section   25.  Study   of   catastrophic   pharmaceutical
assistance coverage.
    (a)  The Illinois Comprehensive  Health  Insurance  Board
shall study a catastrophic pharmaceutical assistance coverage
option.  The Board may contract with a private entity for the
completion of all or part of  the  study.  Specifically,  the
study shall:
         (1)  Assess    the    need    for   a   catastrophic
    pharmaceutical  assistance  coverage  option,   including
    information  on the number of individuals in need of such
    a benefit.
         (2)  Estimate the cost of providing  a  catastrophic
    pharmaceutical  assistance  coverage  option  through the
    Illinois Comprehensive Health Insurance Plan  or  another
    public or private entity.
         (3)  Recommend   ways   to   create  a  catastrophic
    pharmaceutical assistance coverage option.
    (b)  The Board may accept donations, in trust,  from  any
legal source, public or private, for deposit into a specially
created  trust  account  and  for  expenditure,  without  the
necessity  of  being  appropriated, solely for the purpose of
conducting all or part of the study.
    (c)  The   Board   may   enter   into   intergovernmental
agreements with other  State  agencies  for  the  purpose  of
conducting all or part of the study.
    (d)  The  Board shall issue a report with recommendations
to the Governor and the General Assembly by January 1, 2003.

    Section 99.  Effective Date. This Act takes  effect  upon
becoming law.
    Passed in the General Assembly June 02, 2002.
    Approved June 27, 2002.
    Effective June 27, 2002.

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