State of Illinois
92nd General Assembly
Legislation

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92_SB2098sam001

 










                                           LRB9215761SMdvam02

 1                    AMENDMENT TO SENATE BILL 2098

 2        AMENDMENT NO.     .  Amend Senate Bill 2098  on  page  1,
 3    below line 5, by inserting the following:

 4        "Section 5.  Findings. The General Assembly finds:
 5        (1)  Senior  citizens  identify pharmaceutical assistance
 6    as  the  single  most  critical  factor  to   their   health,
 7    well-being, and continued independence.
 8        (2)  The   State   of   Illinois   currently  operates  2
 9    pharmaceutical assistance programs that benefit seniors:  (i)
10    the  program  of  pharmaceutical  assistance under the Senior
11    Citizens  and  Disabled  Persons  Property  Tax  Relief   and
12    Pharmaceutical  Assistance  Act and (ii) the Aid to the Aged,
13    Blind, or Disabled program  under  the  Illinois  Public  Aid
14    Code. The State has been given authority to establish a third
15    program, SeniorRx Care, through a federal Medicaid waiver.
16        (3)  Each  year, numerous pieces of legislation are filed
17    seeking to  establish  additional  pharmaceutical  assistance
18    benefits  for  seniors  or  to  make  changes to the existing
19    programs.
20        (4)  Establishment of a pharmaceutical assistance  review
21    committee   will  ensure  proper  coordination  of  benefits,
22    diminish the likelihood of duplicative benefits,  and  ensure
23    that the best interests of seniors are served.
 
                            -2-            LRB9215761SMdvam02
 1        (5)  In  addition  to the State pharmaceutical assistance
 2    programs, several private entities, such a drug manufacturers
 3    and pharmacies, also  offer  prescription  drug  discount  or
 4    coverage programs.
 5        (6)  Many seniors are unaware of the myriad of public and
 6    private programs available to them.
 7        (7)  Establishing  a  pharmaceutical clearinghouse with a
 8    toll-free hot-line and local outreach  workers  will  educate
 9    seniors about the vast array of options available to them and
10    enable  seniors  to make an educated and informed choice that
11    is best for them.
12        (8)  Estimates indicate that almost one-third  of  senior
13    citizens   lack   prescription  drug  coverage.  The  federal
14    government, states, and the pharmaceutical industry each have
15    a role in helping these  uninsured  seniors  gain  access  to
16    life-saving medications.
17        (9)  The  State of Illinois has recognized its obligation
18    to  assist   Illinois'   neediest   seniors   in   purchasing
19    prescription   medications,   and   it   is   now   time  for
20    pharmaceutical manufacturers to recognize their obligation to
21    make their medications affordable to seniors.

22        Section 10.  Definitions. In this Act:
23        "Manufacturer" includes:
24        (1)  An entity that is engaged  in  (a)  the  production,
25    preparation,   propagation,   compounding,   conversion,   or
26    processing  of  prescription  drug  products  (i) directly or
27    indirectly by extraction from substances of  natural  origin,
28    (ii)  independently  by means of chemical synthesis, or (iii)
29    by combination of extraction and chemical synthesis;  or  (b)
30    the  packaging,  repackaging,  labeling  or  re-labeling,  or
31    distribution of prescription drug products.
32        (2)  The  entity  holding legal title to or possession of
33    the national drug code number for  the  covered  prescription
 
                            -3-            LRB9215761SMdvam02
 1    drug.
 2        The  term  does  not  include  a wholesale distributor of
 3    drugs,  drugstore  chain  organization,  or  retail  pharmacy
 4    licensed by the State.
 5        "Prescription drug" means a drug that  may  be  dispensed
 6    only  upon  prescription by an authorized prescriber and that
 7    is approved for safety and effectiveness  as  a  prescription
 8    drug  under  Section 505 or 507 of the Federal Food, Drug and
 9    Cosmetic Act.
10        "Senior citizen" or "senior" means a person 65  years  of
11    age or older.

12        Section   15.  Senior  Pharmaceutical  Assistance  Review
13    Committee.
14        (a)  The   Senior   Pharmaceutical   Assistance    Review
15    Committee  is  created.  The  Committee  shall  consist of 17
16    members as follows:
17             (1)  Twelve members appointed as follows: 2  members
18        of  the  General  Assembly  and  1  member of the general
19        public, appointed by  the  President  of  the  Senate;  2
20        members  of  the  General  Assembly  and  1 member of the
21        general public, appointed by the Minority Leader  of  the
22        Senate; 2 members of the General Assembly and 1 member of
23        the general public, appointed by the Speaker of the House
24        of Representatives; and 2 members of the General Assembly
25        and  1  member  of  the  general public, appointed by the
26        Minority Leader of the House  of  Representatives.  These
27        members  shall  serve  at  the pleasure of the appointing
28        authority.
29             (2)  The Director of Aging or his or her designee.
30             (3)  The Director of Revenue or his or her designee.
31             (4)  The Director  of  Public  Aid  or  his  or  her
32        designee.
33             (5)  The  Secretary  of Human Services or his or her
 
                            -4-            LRB9215761SMdvam02
 1        designee.
 2             (6)  The Director of Public Health  or  his  or  her
 3        designee.
 4        (b)  Members  appointed  from  the  general  public shall
 5    represent  the  following  associations,  organizations,  and
 6    interests:   statewide   membership-based   senior   advocacy
 7    organizations,  pharmaceutical  manufacturers,   pharmacists,
 8    dispensing  pharmacies, physicians, and providers of services
 9    to senior citizens.  No single  organization  may  have  more
10    than  one  representative  appointed  as  a  member  from the
11    general public.
12        (c)  The President of the Senate and Speaker of the House
13    of Representatives shall each designate  one  member  of  the
14    Committee to serve as co-chairs.
15        (d)  Committee  members  shall serve without compensation
16    or reimbursement for expenses.
17        (e)  The  Committee  shall  meet  at  the  call  of   the
18    co-chairs, but at least quarterly.
19        (f)  The  Committee may conduct public hearings to gather
20    testimony from interested  parties  regarding  pharmaceutical
21    assistance   for   Illinois  seniors,  including  changes  to
22    existing and proposed programs.
23        (g)  The Committee may advise appropriate State  agencies
24    regarding  the  establishment of proposed programs or changes
25    to existing programs. The  State  agencies  shall  take  into
26    consideration any recommendations made by the Committee.
27        (h)  The  Committee  shall report to the General Assembly
28    and the Governor annually or as it deems necessary  regarding
29    proposed  or recommended changes to pharmaceutical assistance
30    programs that benefit Illinois  seniors  and  any  associated
31    costs of those changes.

32        Section 20.  Senior Health Assistance Program.
33        (a)  The  Senior  Health  Assistance  Program  is created
 
                            -5-            LRB9215761SMdvam02
 1    within the Department on Aging, to become operational  within
 2    90  days  after  the  effective  date of this Act. The Senior
 3    Health  Assistance  Program  shall   provide   outreach   and
 4    education  to  senior citizens on available prescription drug
 5    coverage and discount programs.
 6        (b)  The Senior Health Assistance Program shall operate a
 7    Clearinghouse for all information regarding prescription drug
 8    coverage programs available to senior citizens  in  Illinois.
 9    The  Clearinghouse  shall  operate  in  conjunction  with the
10    Department's toll free senior information program.
11        (c)  The purposes of the Clearinghouse include,  but  are
12    not limited to:
13             (1)  Maintaining  information  on public and private
14        prescription assistance programs for Illinois seniors.
15             (2)  Educating  citizens  on  available  public  and
16        private prescription assistance programs.
17             (3)  Educating seniors on how to  make  an  informed
18        decision   about   participation   in  prescription  drug
19        assistance programs.
20        (d)  The Clearinghouse has the following duties:
21             (1)  Provide a one-stop resource for all information
22        for seniors regarding  public  and  private  prescription
23        drug discount and coverage programs.
24             (2)  Perform  outreach  and  education activities on
25        public  and  private  prescription  drug   discount   and
26        coverage programs.
27             (3)  Maintain  a  toll free telephone number staffed
28        by trained customer service representatives.
29             (4)  Maintain  measurable  data  to   identify   the
30        progress  and  success of the program, including, but not
31        limited to, the number of individuals served, the type of
32        assistance received, and overall program evaluation.
33        (e)  The Department shall work cooperatively  with  other
34    Departments  that  fund  senior  health assistance, including
 
                            -6-            LRB9215761SMdvam02
 1    assistance  with  prescription  drugs,  to   ensure   maximum
 2    coordination.

 3        Section   25.  Study   of   catastrophic   pharmaceutical
 4    assistance coverage.
 5        (a)  The  Illinois  Comprehensive  Health Insurance Board
 6    shall study a catastrophic pharmaceutical assistance coverage
 7    option. The Board may contract with a private entity for  the
 8    completion  of  all  or  part of the study. Specifically, the
 9    study shall:
10             (1)  Assess   the   need    for    a    catastrophic
11        pharmaceutical   assistance  coverage  option,  including
12        information on the number of individuals in need of  such
13        a benefit.
14             (2)  Estimate  the  cost of providing a catastrophic
15        pharmaceutical assistance  coverage  option  through  the
16        Illinois  Comprehensive  Health Insurance Plan or another
17        public or private entity.
18             (3)  Recommend  ways  to   create   a   catastrophic
19        pharmaceutical assistance coverage option.
20        (b)  The  Board  may accept donations, in trust, from any
21    legal source, public or private, for deposit into a specially
22    created  trust  account  and  for  expenditure,  without  the
23    necessity of being appropriated, solely for  the  purpose  of
24    conducting all or part of the study.
25        (c)  The   Board   may   enter   into   intergovernmental
26    agreements  with  other  State  agencies  for  the purpose of
27    conducting all or part of the study.
28        (d)  The Board shall issue a report with  recommendations
29    to the Governor and the General Assembly by January 1, 2003.

30        Section  99.  Effective  Date. This Act takes effect upon
31    becoming law.".

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