102ND GENERAL ASSEMBLY
State of Illinois
2021 and 2022
SB1043

 

Introduced 2/25/2021, by Sen. Don Harmon

 

SYNOPSIS AS INTRODUCED:
 
305 ILCS 5/5-4.1  from Ch. 23, par. 5-4.1

    Amends the Illinois Public Aid Code. Makes a technical change in a Section regarding Medicaid co-payments.


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A BILL FOR

 

SB1043LRB102 04855 KTG 14874 b

1    AN ACT concerning public aid.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Illinois Public Aid Code is amended by
5changing Section 5-4.1 as follows:
 
6    (305 ILCS 5/5-4.1)  (from Ch. 23, par. 5-4.1)
7    Sec. 5-4.1. Co-payments. The The Department may by rule
8provide that recipients under any Article of this Code shall
9pay a federally approved fee as a co-payment for services. No
10co-payment requirement can exist for renal dialysis, radiation
11therapy, cancer chemotherapy, or insulin, and other products
12necessary on a recurring basis, the absence of which would be
13life threatening, or where co-payment expenditures for
14required services and/or medications for chronic diseases that
15the Illinois Department shall by rule designate shall cause an
16extensive financial burden on the recipient, and provided no
17co-payment shall exist for emergency room encounters which are
18for medical emergencies. The Department shall seek approval of
19a State plan amendment that allows pharmacies to refuse to
20dispense drugs in circumstances where the recipient does not
21pay the required co-payment. Co-payments may not exceed $10
22for emergency room use for a non-emergency situation as
23defined by the Department by rule and subject to federal

 

 

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1approval.
2(Source: P.A. 101-209, eff. 8-5-19.)