State of Illinois
92nd General Assembly
Legislation

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92_HB3112

 
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 1        AN ACT in relation to senior citizens.

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

 4        Section 1. Short title. This Act  may  be  cited  as  the
 5    Tobacco Settlement Proceeds for Seniors' Health Care Act.

 6        Section  5.  Use of proceeds for seniors' health. Because
 7    senior citizens age 60 and over comprise the population  most
 8    seriously harmed by the effects of smoking, not less than 25%
 9    of   the  amounts  distributed  by  the  State  from  tobacco
10    settlement proceeds  shall  be  dedicated  to  improving  the
11    health of senior citizens in Illinois.  These moneys shall be
12    used  to  expand  community-based services and other programs
13    for senior citizens throughout the State who suffer from  the
14    effects of smoking.  These services may include, but need not
15    be limited to, the following:
16             (1)  Home-delivered meals.
17             (2)  Transportation   to   and   from   health  care
18        services.
19             (3)  Home health services.
20             (4)  In-home respite care.
21             (5)  Pharmaceutical assistance.
22             (6)  Smoking  cessation  campaigns  through   senior
23        centers,     senior    nutrition   programs,   and   case
24        coordination units.

25        Section 85.  The State Finance Act is amended by changing
26    Section 6z-43 as follows:

27        (30 ILCS 105/6z-43)
28        Sec. 6z-43. Tobacco Settlement Recovery Fund.
29        (a)  There is created in the  State  Treasury  a  special
 
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 1    fund  to  be  known  as the Tobacco Settlement Recovery Fund,
 2    into which shall be deposited all monies paid  to  the  State
 3    pursuant  to  (1)  the Master Settlement Agreement entered in
 4    the case of People of the State of Illinois v. Philip Morris,
 5    et al. (Circuit Court of Cook County, No. 96-L13146) and  (2)
 6    any  settlement  with or judgment against any tobacco product
 7    manufacturer other  than  one  participating  in  the  Master
 8    Settlement Agreement in satisfaction of any released claim as
 9    defined  in  the  Master Settlement Agreement, as well as any
10    other monies as  provided  by  law.   All  earnings  on  Fund
11    investments  shall  be  deposited  into  the  Fund.  Upon the
12    creation of the Fund, the State Comptroller shall  order  the
13    State  Treasurer to transfer into the Fund any monies paid to
14    the State as described in item (1) or  (2)  of  this  Section
15    before  the  creation of the Fund plus any interest earned on
16    the investment of those monies.  The Treasurer may invest the
17    moneys in the Fund in the same manner, in the same  types  of
18    investments,  and subject to the same limitations provided in
19    the Illinois Pension Code for the investment of pension funds
20    other than those established under Article  3  or  4  of  the
21    Code.
22        (a-5)  In  addition  to  any other use authorized by law,
23    moneys  in  the  Tobacco  Settlement  Recovery  Fund  may  be
24    appropriated for use in funding services authorized under the
25    Tobacco Settlement Proceeds for Seniors' Health Care Act.
26        (b)  As soon as may be practical after June 30, 2001, the
27    State Comptroller shall direct and the State Treasurer  shall
28    transfer  the  unencumbered balance in the Tobacco Settlement
29    Recovery  Fund  as  of  June  30,  2001   into   the   Budget
30    Stabilization  Fund.   The Treasurer may invest the moneys in
31    the Budget Stabilization Fund in the same manner, in the same
32    types of investments, and subject  to  the  same  limitations
33    provided  in  the Illinois Pension Code for the investment of
34    pension funds other than those established under Article 3 or
 
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 1    4 of the Code.
 2    (Source: P.A. 91-646, eff.  11-19-99;  91-704,  eff.  7-1-00;
 3    91-797, eff. 6-9-00; revised 6-28-00.)

 4        Section  90.  The  Senior  Citizens  and Disabled Persons
 5    Property Tax Relief  and  Pharmaceutical  Assistance  Act  is
 6    amended by changing Sections 3.15 and 4 as follows:

 7        (320 ILCS 25/3.15) (from Ch. 67 1/2, par. 403.15)
 8        Sec.  3.15.   "Covered  prescription  drug" means (1) any
 9    cardiovascular agent  or  drug;  (2)  any  insulin  or  other
10    prescription   drug   used  in  the  treatment  of  diabetes,
11    including syringe and needles used to administer the insulin;
12    (3) any prescription drug used in the treatment of arthritis,
13    (4) beginning on January 1, 2001, any prescription drug  used
14    in the treatment of cancer, (5) beginning on January 1, 2001,
15    any  prescription  drug  used in the treatment of Alzheimer's
16    disease, (6) beginning on January 1, 2001,  any  prescription
17    drug  used  in  the  treatment  of  Parkinson's  disease, (7)
18    beginning on January 1, 2001, any prescription drug  used  in
19    the  treatment  of  glaucoma, and (8) beginning on January 1,
20    2001, any prescription drug used in  the  treatment  of  lung
21    disease   and   smoking   related   illnesses,  and  (9)  any
22    prescription drug used in the treatment of pulmonary  disease
23    or  respiratory  diseases,  or  both.  The specific agents or
24    products to be included under such categories shall be listed
25    in  a  handbook  to  be  prepared   and  distributed  by  the
26    Department.  The general types of covered prescription  drugs
27    shall  be  indicated by rule. The Department of Public Health
28    shall promulgate a list of covered prescription  drugs  under
29    this program that meet the definition of a narrow therapeutic
30    index drug as described in subsection (f) of Section 4.
31    (Source: P.A. 91-699, eff. 1-1-01.)
 
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 1        (320 ILCS 25/4) (from Ch. 67 1/2, par. 404)
 2        Sec. 4.  Amount of Grant.
 3        (a)  In  general. Any individual 65 years or older or any
 4    individual who will become 65 years old during  the  calendar
 5    year  in  which a claim is filed, and any surviving spouse of
 6    such a claimant, who at the time of  death  received  or  was
 7    entitled  to  receive a grant pursuant to this Section, which
 8    surviving spouse will become 65 years of age  within  the  24
 9    months  immediately  following the death of such claimant and
10    which surviving spouse but for his or her  age  is  otherwise
11    qualified  to  receive  a grant pursuant to this Section, and
12    any disabled person whose annual  household  income  is  less
13    than $14,000 for grant years before the 1998 grant year, less
14    than $16,000 for the 1998 and 1999 grant years, and less than
15    (i)  $21,218  for  a  household  containing  one person, (ii)
16    $28,480 for  a  household  containing  2  persons,  or  (iii)
17    $35,740  for a household containing 3 or more persons for the
18    2000 grant year and thereafter and whose household is  liable
19    for  payment  of  property  taxes  accrued  or  has paid rent
20    constituting property taxes accrued and is domiciled in  this
21    State  at  the time he files his claim is entitled to claim a
22    grant under  this  Act.  With  respect  to  claims  filed  by
23    individuals  who will become 65 years old during the calendar
24    year in which a claim is filed, the amount of  any  grant  to
25    which  that household is entitled shall be an amount equal to
26    1/12 of the amount to which the claimant would  otherwise  be
27    entitled  as  provided  in  this  Section,  multiplied by the
28    number of months in which the claimant was 65 in the calendar
29    year in which the claim is filed.
30        (b)  Limitation.   Except  as   otherwise   provided   in
31    subsections  (a)  and (f) of this Section, the maximum amount
32    of grant which a claimant is entitled to claim is the  amount
33    by  which  the  property  taxes  accrued  which  were paid or
34    payable  during  the  last  preceding  tax   year   or   rent
 
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 1    constituting  property  taxes  accrued  upon  the  claimant's
 2    residence  for the last preceding taxable year exceeds 3 1/2%
 3    of the claimant's household income for that year  but  in  no
 4    event  is the grant to exceed (i) $700 less 4.5% of household
 5    income for that year for those with  a  household  income  of
 6    $14,000 or less or (ii) $70 if household income for that year
 7    is more than $14,000.
 8        (c)  Public  aid  recipients.  If household income in one
 9    or more months during a  year  includes  cash  assistance  in
10    excess  of $55 per month from the Department of Public Aid or
11    the Department of Human Services (acting as successor to  the
12    Department  of  Public  Aid  under  the  Department  of Human
13    Services Act)  which was determined under regulations of that
14    Department on a measure of need that  included  an  allowance
15    for  actual  rent  or property taxes paid by the recipient of
16    that assistance, the amount of grant to which that  household
17    is  entitled, except as otherwise provided in subsection (a),
18    shall be the product of (1) the maximum  amount  computed  as
19    specified in subsection (b) of this Section and (2) the ratio
20    of  the  number  of  months in which household income did not
21    include such cash assistance over $55 to the  number  twelve.
22    If household income did not include such cash assistance over
23    $55  for  any months during the year, the amount of the grant
24    to which the household  is  entitled  shall  be  the  maximum
25    amount  computed  as  specified  in  subsection  (b)  of this
26    Section.   For  purposes  of  this   paragraph   (c),   "cash
27    assistance"  does  not  include any amount received under the
28    federal Supplemental Security Income (SSI) program.
29        (d)  Joint ownership.  If title to the residence is  held
30    jointly  by the claimant with a person who is not a member of
31    his household, the amount of property taxes accrued  used  in
32    computing  the  amount of grant to which he is entitled shall
33    be the same percentage of property taxes accrued  as  is  the
34    percentage   of   ownership  held  by  the  claimant  in  the
 
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 1    residence.
 2        (e)  More than one residence.  If a claimant has occupied
 3    more than one residence in the taxable  year,  he  may  claim
 4    only  one  residence for any part of a month.  In the case of
 5    property taxes accrued, he shall pro rate 1/12 of  the  total
 6    property taxes accrued on his residence to each month that he
 7    owned  and  occupied that residence; and, in the case of rent
 8    constituting property taxes  accrued,  shall  pro  rate  each
 9    month's  rent  payments  to  the  residence actually occupied
10    during that month.
11        (f)  There   is   hereby   established   a   program   of
12    pharmaceutical assistance to  the  aged  and  disabled  which
13    shall  be  administered  by the Department in accordance with
14    this Act, to consist of payments to authorized pharmacies, on
15    behalf of beneficiaries of the program,  for  the  reasonable
16    costs  of  covered  prescription drugs.  Each beneficiary who
17    pays $5 for an identification card shall  pay  no  additional
18    prescription  costs.    Each  beneficiary who pays $25 for an
19    identification  card  shall  pay  $3  per  prescription.   In
20    addition, after a beneficiary  receives  $2,000  in  benefits
21    during  a  State  fiscal year, that beneficiary shall also be
22    charged 20% of  the  cost  of  each  prescription  for  which
23    payments  are made by the program during the remainder of the
24    fiscal year.  To become a beneficiary under  this  program  a
25    person  must  be:  (1)  (i)  65  years  or older, or (ii) the
26    surviving spouse of such a claimant, who at the time of death
27    received or was entitled to receive benefits pursuant to this
28    subsection, which surviving spouse will become  65  years  of
29    age  within  the 24 months immediately following the death of
30    such claimant and which surviving spouse but for his  or  her
31    age  is  otherwise  qualified to receive benefits pursuant to
32    this subsection, or (iii) disabled, and (2) is  domiciled  in
33    this State at the time he files his or her claim, and (3) has
34    a  maximum  household  income  of less than $14,000 for grant
 
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 1    years before the 1998 grant year, less than $16,000  for  the
 2    1998  and  1999  grant years, and less than (i) $21,218 for a
 3    household containing one person, (ii) $28,480 for a household
 4    containing 2  persons,  or  (iii)  $35,740  for  a  household
 5    containing  3  more persons for the 2000 grant year, and less
 6    than $25,000 for the  2001  grant  year  and  thereafter.  In
 7    addition,   each   eligible   person   must   (1)  obtain  an
 8    identification card from the Department, (2) at the time  the
 9    card  is obtained, sign a statement assigning to the State of
10    Illinois benefits which may be otherwise  claimed  under  any
11    private  insurance plans, (3) present the identification card
12    to the dispensing pharmacist.
13        Whenever a generic equivalent for a covered  prescription
14    drug  is  available,  the Department shall reimburse only for
15    the reasonable costs of  the  generic  equivalent,  less  the
16    co-pay  established  in  this Section, unless (i) the covered
17    prescription drug contains one or more ingredients defined as
18    a narrow therapeutic index drug at 21 CFR  320.33,  (ii)  the
19    prescriber  indicates  on the face of the prescription "brand
20    medically necessary", and (iii) the prescriber specifies that
21    a substitution  is  not  permitted.   When  issuing  an  oral
22    prescription for covered prescription medication described in
23    item  (i)  of  this paragraph, the prescriber shall stipulate
24    "brand medically necessary" and that a  substitution  is  not
25    permitted.    If   the  covered  prescription  drug  and  its
26    authorizing prescription do  not  meet  the  criteria  listed
27    above,   the   beneficiary   may   purchase  the  non-generic
28    equivalent of the covered prescription  drug  by  paying  the
29    difference  between the generic cost and the non-generic cost
30    plus the beneficiary co-pay.
31        Any  person   otherwise   eligible   for   pharmaceutical
32    assistance  under this Act whose covered drugs are covered by
33    any public program for assistance in purchasing  any  covered
34    prescription  drugs  shall be ineligible for assistance under
 
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 1    this Act to the extent such costs are covered by  such  other
 2    plan.
 3        The   fee  to  be  charged  by  the  Department  for  the
 4    identification card shall be equal to $5  for  persons  below
 5    the  official  poverty  line  as defined by the United States
 6    Department of Health and Human Services and $25 for all other
 7    persons.
 8        In the event that 2 or more persons are eligible for  any
 9    benefit   under  this  Act,  and  are  members  of  the  same
10    household,  (1)  each  such  person  shall  be  entitled   to
11    participate   in   the   pharmaceutical  assistance  program,
12    provided that he or she meets all other requirements  imposed
13    by  this  subsection  and  (2)  each  participating household
14    member contributes the fee required for that  person  by  the
15    preceding   paragraph   for   the  purpose  of  obtaining  an
16    identification card.
17    (Source: P.A. 90-650, eff.  7-27-98;  91-357,  eff.  7-29-99;
18    91-699, eff. 1-1-01.)

19        Section  99.  Effective date.  This Act takes effect upon
20    becoming law.

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