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| [ Introduced ] | [ Engrossed ] | [ Senate Amendment 004 ] |
92_HB3495sam002
SRS92HB3495DLspam02
1 AMENDMENT TO HOUSE BILL 3495
2 AMENDMENT NO. . Amend House Bill 3495 by replacing
3 everything after the enacting clause with the following:
4 "Section 5. The Illinois Public Aid Code is amended by
5 changing Sections 5-4.1, 5-5.4, and 5-5b as follows:
6 (305 ILCS 5/5-4.1) (from Ch. 23, par. 5-4.1)
7 Sec. 5-4.1. Co-payments. The Department may by rule
8 provide that recipients under any Article of this Code (other
9 than group care recipients) shall pay a fee as a co-payment
10 for services to the extent permitted by the Secretary of the
11 United States Department of Health and Human Services.
12 Co-payments may not exceed one dollar for pharmacy services,
13 physicians services, dental services, optical services and
14 supplies, chiropractic services, podiatry services, and
15 encounter rate clinic services. Co-payments may not exceed
16 three dollars for hospital outpatient and clinic services.
17 Provided, however, that any such rule must provide that no
18 co-payment requirement can exist for renal dialysis,
19 radiation therapy, cancer chemotherapy, or insulin, and other
20 products necessary on a recurring basis, the absence of which
21 would be life threatening, or where co-payment expenditures
22 for required services and/or medications for chronic diseases
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1 that the Illinois Department shall by rule designate shall
2 cause an extensive financial burden on the recipient, and
3 provided no co-payment shall exist for emergency room
4 encounters which are for medical emergencies.
5 (Source: P.A. 82-664.)
6 (305 ILCS 5/5-5b) (from Ch. 23, par. 5-5b)
7 Sec. 5-5b. Payment Reductions.
8 (a) Notwithstanding any other Section in this Code
9 establishing a methodology for determining payment rates or
10 dispensing fees for non-institutional services provided under
11 this Code, the Illinois Department is authorized to reduce
12 those payment rates or dispensing fees with due regard for
13 and subject to budgetary limitations to the extent permitted
14 by federal law.
15 (a-5) Notwithstanding any other Section in this Code
16 establishing a methodology for determining payment rates or
17 dispensing fees for services specified in subsection (1) of
18 Section 5-5.4 and subsection (a) of Section 14-8 of this
19 Code, the Illinois Department may, by emergency rule filed
20 before April 1, 2002, adjust those payment rates or
21 dispensing fees to a level not more than 5% below the rates
22 and fees in effect on July 1, 2001, with due regard for and
23 subject to budgeting limitations to the extent permitted by
24 federal law.
25 (b) The Illinois Department may implement this Section
26 as added by this amendatory Act of 1991 through the use of
27 emergency rules in accordance with the provisions of Section
28 5.02 of the Illinois Administrative Procedure Act. For
29 purposes of the Illinois Administrative Procedure Act, the
30 adoption of rules to implement this Section as added by this
31 amendatory Act of 1991 shall be deemed an emergency and
32 necessary for the public interest, safety and welfare.
33 (Source: P.A. 87-14.)
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1 Section 99. Effective date. This Act takes effect upon
2 becoming law.".