093_HB1657eng HB1657 Engrossed LRB093 07001 DRJ 07151 b 1 AN ACT in relation to aging. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Senior Citizens and Disabled Persons 5 Property Tax Relief and Pharmaceutical Assistance Act is 6 amended by changing Section 6 as follows: 7 (320 ILCS 25/6) (from Ch. 67 1/2, par. 406) 8 Sec. 6. Administration. 9 (a) In general. Upon receipt of a timely filed claim, 10 the Department shall determine whether the claimant is a 11 person entitled to a grant under this Act and the amount of 12 grant to which he or she is entitled under this Act. The 13 Department may require the claimant to furnish reasonable 14 proof of the statements of domicile, household income, rent 15 paid, property taxes accrued and other matters on which 16 entitlement is based, and may withhold payment of a grant 17 until such additional proof is furnished. 18 (b) Rental determination. If the Department finds that 19 the gross rent used in the computation by a claimant of rent 20 constituting property taxes accrued exceeds the fair rental 21 value for the right to occupy that residence, the Department 22 may determine the fair rental value for that residence and 23 recompute rent constituting property taxes accrued 24 accordingly. 25 (c) Fraudulent claims. The Department shall deny claims 26 which have been fraudulently prepared or when it finds that 27 the claimant has acquired title to his residence or has paid 28 rent for his residence primarily for the purpose of receiving 29 a grant under this Act. 30 (d) Pharmaceutical Assistance. The Department shall 31 allow all pharmacies licensed under the Pharmacy Practice Act HB1657 Engrossed -2- LRB093 07001 DRJ 07151 b 1 of 1987 to participate as authorized pharmacies unless they 2 have been removed from that status for cause pursuant to the 3 terms of this Section. The Director of the Department may 4 enter into a written contract with any State agency, 5 instrumentality or political subdivision, or a fiscal 6 intermediary for the purpose of making payments to authorized 7 pharmacies for covered prescription drugs and coordinating 8 the program of pharmaceutical assistance established by this 9 Act with other programs that provide payment for covered 10 prescription drugs. Such agreement shall establish 11 procedures for properly contracting for pharmacy services, 12 validating reimbursement claims, validating compliance of 13 dispensing pharmacists with the contracts for participation 14 required under this Section, validating the reasonable costs 15 of covered prescription drugs, and otherwise providing for 16 the effective administration of this Act. 17 The Department shall promulgate rules and regulations to 18 implement and administer the program of pharmaceutical 19 assistance required by this Act, which shall include the 20 following: 21 (1) Execution of contracts with pharmacies to 22 dispense covered prescription drugs. Such contracts shall 23 stipulate terms and conditions for authorized pharmacies 24 participation and the rights of the State to terminate 25 such participation for breach of such contract or for 26 violation of this Act or related rules and regulations of 27 the Department; 28 (2) Establishment of maximum limits on the size of 29 prescriptions, new or refilled, which shall be in amounts 30 sufficient for 34 days, except as otherwise specified by 31 rule for medical or utilization control reasons; 32 (3) Establishment of liens upon any and all causes 33 of action which accrue to a beneficiary as a result of 34 injuries for which covered prescription drugs are HB1657 Engrossed -3- LRB093 07001 DRJ 07151 b 1 directly or indirectly required and for which the 2 Director made payment or became liable for under this 3 Act; 4 (4) Charge or collection of payments from third 5 parties or private plans of assistance, or from other 6 programs of public assistance for any claim that is 7 properly chargeable under the assignment of benefits 8 executed by beneficiaries as a requirement of eligibility 9 for the pharmaceutical assistance identification card 10 under this Act; 11 (5) Inspection of appropriate records and audit of 12 participating authorized pharmacies to ensure contract 13 compliance, and to determine any fraudulent transactions 14 or practices under this Act; 15 (6) Annual determination of the reasonable costs of 16 covered prescription drugs for which payments are made 17 under this Act, as provided in Section 3.16; 18 (7) Payment to pharmacies under this Act in 19 accordance with the State Prompt Payment Act. 20 The Department shall annually report to the Governor and 21 the General Assembly by March 1st of each year on the 22 administration of pharmaceutical assistance under this Act. 23 By the effective date of this Act the Department shall 24 determine the reasonable costs of covered prescription drugs 25 in accordance with Section 3.16 of this Act. 26 (Source: P.A. 91-357, eff. 7-29-99; 92-651, eff. 7-11-02.)