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92_SB2201ham001
LRB9212584DJpram
1 AMENDMENT TO SENATE BILL 2201
2 AMENDMENT NO. . Amend Senate Bill 2201 on page 1, by
3 replacing line 5 with the following:
4 "changing Sections 5-5.12 and 9A-11.5 as follows:
5 (305 ILCS 5/5-5.12) (from Ch. 23, par. 5-5.12)
6 Sec. 5-5.12. Pharmacy payments.
7 (a) Every request submitted by a pharmacy for
8 reimbursement under this Article for prescription drugs
9 provided to a recipient of aid under this Article shall
10 include the name of the prescriber or an acceptable
11 identification number as established by the Department.
12 (b) Pharmacies providing prescription drugs under this
13 Article shall be reimbursed at a rate which shall include a
14 professional dispensing fee as determined by the Illinois
15 Department, plus the current acquisition cost of the
16 prescription drug dispensed. The Illinois Department shall
17 update its information on the acquisition costs of all
18 prescription drugs no less frequently than every 30 days.
19 However, the Illinois Department may set the rate of
20 reimbursement for the acquisition cost, by rule, at a
21 percentage of the current average wholesale acquisition cost.
22 (c) The Department shall not impose requirements for
-2- LRB9212584DJpram
1 prior approval based on a preferred drug list for
2 anti-retroviral or any atypical antipsychotics, conventional
3 antipsychotics, or anticonvulsants used for the treatment of
4 serious mental illnesses until 30 days after it has conducted
5 a study of the impact of such requirements on patient care
6 and submitted a report to the Speaker of the House of
7 Representatives and the President of the Senate.
8 (Source: P.A. 88-554, eff. 7-26-94; 89-673, eff. 8-14-96.)".