93RD GENERAL ASSEMBLY
State of Illinois
2003 and 2004
HB5993


 
Introduced 2/6/2004, by Tom Cross
 
SYNOPSIS AS INTRODUCED:
 		












305 ILCS 5/5-4.1
  from Ch. 23, par. 5-4.1









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
















LRB093 19677 DRJ 45418 b

















 


 


A BILL FOR









 











HB5993

LRB093 19677 DRJ 45418 b






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    AN ACT in relation to public aid. 

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


 
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    Section 5. The Illinois Public Aid Code is amended by 
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changing Section 5-4.1
as follows:


 
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    (305 ILCS 5/5-4.1)  (from Ch. 23, par. 5-4.1)

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    Sec. 5-4.1. Co-payments.   The Department may by rule 
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provide that recipients
under any Article of this Code must

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shall pay a fee as a co-payment for
services.
Co-payments may 
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not exceed $3 for brand name drugs, $1 for other pharmacy

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services other than for generic drugs, and $2 for physicians 
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services, dental
services, optical services and supplies, 
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chiropractic services, podiatry
services, and encounter rate 
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clinic services. There shall be no co-payment for
generic 
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drugs. Co-payments may not exceed $3 for hospital outpatient 
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and clinic
services.  Provided, however, that any such rule must 
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provide that no
co-payment requirement can exist
for renal 
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dialysis, radiation therapy, cancer chemotherapy, or insulin, 
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and
other products necessary on a recurring basis, the absence 
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of which would
be life threatening, or where co-payment 
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expenditures for required services
and/or medications for 
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chronic diseases that the Illinois Department shall
by rule 
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designate shall cause an extensive financial burden on the

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recipient, and provided no co-payment shall exist for emergency 
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room
encounters which are for medical emergencies.


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(Source: P.A. 92-597, eff. 6-28-02; 93-593, eff. 8-25-03.)