[ Search ] [ Legislation ]
[ Home ] [ Back ] [ Bottom ]
91_SB1711
LRB9112793DJcs
1 AN ACT to amend the Illinois Public Aid Code by adding
2 Section 5-5.12a.
3 Be it enacted by the People of the State of Illinois,
4 represented in the General Assembly:
5 Section 5. The Illinois Public Aid Code is amended by
6 adding Section 5-5.12a as follows:
7 (305 ILCS 5/5-5.12a new)
8 Sec. 5-5.12a. Pharmacies; prescription rates for Medicare
9 beneficiaries.
10 (a) A pharmacy must comply with this Section as a
11 condition of the pharmacy's participation in the medical
12 assistance program under this Article.
13 (b) When a Medicare beneficiary or someone on a Medicare
14 beneficiary's behalf presents a valid prescription for
15 medication for the Medicare beneficiary to a pharmacy and
16 also presents the Medicare beneficiary's Medicare card, the
17 pharmacy must charge for the prescribed medication as
18 follows:
19 (1) The pharmacy may not charge a price for the
20 medication that exceeds the reimbursement rate for the
21 medication that is otherwise paid to the pharmacy by the
22 Illinois Department under this Article.
23 (2) The pharmacy may charge an additional amount,
24 as set by the Illinois Department by rule, as a
25 dispensing fee. This fee may not exceed the dispensing
26 fee charged to recipients of medical assistance under
27 this Article for the same medication.
28 The prescription medication price limitations set forth
29 in this subsection do not apply to over-the-counter
30 medications or to compounded prescriptions.
31 (c) The Illinois Department shall monitor pharmacies'
-2- LRB9112793DJcs
1 compliance with this Section and report its findings each
2 year to the General Assembly. The report must include, but
3 need not be limited to, information concerning pharmacies
4 that discontinue participation in the medical assistance
5 program under this Article and the reasons given by those
6 pharmacies for discontinuing their participation.
7 (d) This Section is repealed on January 1, 2003.
8 Section 99. Effective date. This Act takes effect upon
9 becoming law.