SB2069 Engrossed LRB096 11250 DRJ 21665 b

1     AN ACT concerning aging.
 
2     Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
 
4     Section 5. The Mobile Home Local Services Tax Act is
5 amended by changing Section 7 as follows:
 
6     (35 ILCS 515/7)  (from Ch. 120, par. 1207)
7     Sec. 7. The local services tax for owners of mobile homes
8 who (a) are actually residing in such mobile homes, (b) hold
9 title to such mobile home as provided in the "Illinois Vehicle
10 Code", approved September 29, 1969, as amended, and (c) are 65
11 years of age or older or are disabled persons within the
12 meaning of Section 3.14 of the "Senior Citizens and Disabled
13 Persons Property Tax Relief and Pharmaceutical Assistance Act"
14 on the annual billing date shall be reduced to 80 percent of
15 the tax provided for in Section 3 of this Act. Proof that a
16 claimant has been issued an Illinois Disabled Person
17 Identification Card stating that the claimant is under a Class
18 2 disability, as provided in Section 4A of the The Illinois
19 Identification Card Act, shall constitute proof that the person
20 thereon named is a disabled person within the meaning of this
21 Act. An application for reduction of the tax shall be filed
22 with the county clerk by the individuals who are entitled to
23 the reduction. If the application is filed after May 1, the

 

 

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1 reduction in tax shall begin with the next annual bill.
2 Application for the reduction in tax shall be done by
3 submitting proof that the applicant has been issued an Illinois
4 Disabled Person Identification Card designating the
5 applicant's disability as a Class 2 disability, or by affidavit
6 in substantially the following form:
7
APPLICATION FOR REDUCTION OF MOBILE HOME LOCAL SERVICES TAX
8     I hereby make application for a reduction to 80% of the
9 total tax imposed under "An Act to provide for a local services
10 tax on mobile homes".
11     (1) Senior Citizens
12     (a) I actually reside in the mobile home ....
13     (b) I hold title to the mobile home as provided in the
14 Illinois Vehicle Code ....
15     (c) I reached the age of 65 on or before either January 1
16 (or July 1) of the year in which this statement is filed. My
17 date of birth is: ...
18     (2) Disabled Persons
19     (a) I actually reside in the mobile home...
20     (b) I hold title to the mobile home as provided in the
21 Illinois Vehicle Code ....
22     (c) I was totally disabled on ... and have remained
23 disabled until the date of this application. My Social
24 Security, Veterans, Railroad or Civil Service Total Disability
25 Claim Number is ... The undersigned declares under the penalty
26 of perjury that the above statements are true and correct.

 

 

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1 Dated (insert date).
2
...........................
3
Signature of owner
4
...........................
5
(Address)
6
...........................
7
(City) (State) (Zip)
8 Approved by:
9 .............................
10 (Assessor)
 
11 This application shall be accompanied by a copy of the
12 applicant's most recent application filed with the Illinois
13 Department on Aging of Revenue under the "Senior Citizens and
14 Disabled Persons Property Tax Relief and Pharmaceutical
15 Assistance Act," approved July 17, 1972, as amended.
16 (Source: P.A. 91-357, eff. 7-29-99.)
 
17     Section 10. The Citizens Utility Board Act is amended by
18 changing Section 9 as follows:
 
19     (220 ILCS 10/9)  (from Ch. 111 2/3, par. 909)
20     Sec. 9. Mailing procedure.
21     (1) As used in this Section:
22         (a) "Enclosure" means a card, leaflet, envelope or
23     combination thereof furnished by the corporation under

 

 

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1     this Section.
2         (b) "Mailing" means any communication by a State
3     agency, other than a mailing made by the Department of
4     Revenue under the Senior Citizens and Disabled Persons
5     Property Tax Relief and Pharmaceutical Assistance Act,
6     that is sent through the United States Postal Service to
7     more than 50,000 persons within a 12-month period.
8         (c) "State agency" means any officer, department,
9     board, commission, institution or entity of the executive
10     or legislative branches of State government.
11     (2) To accomplish its powers and duties under Section 5
12 this Act, the corporation, subject to the following
13 limitations, may prepare and furnish to any State agency an
14 enclosure to be included with a mailing by that agency.
15         (a) A State agency furnished with an enclosure shall
16     include the enclosure within the mailing designated by the
17     corporation.
18         (b) An enclosure furnished by the corporation under
19     this Section shall be provided to the State agency a
20     reasonable period of time in advance of the mailing.
21         (c) An enclosure furnished by the corporation under
22     this Section shall be limited to informing the reader of
23     the purpose, nature and activities of the corporation as
24     set forth in this Act and informing the reader that it may
25     become a member in the corporation, maintain membership in
26     the corporation and contribute money to the corporation

 

 

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1     directly.
2         (d) Prior to furnishing an enclosure to the State
3     agency, the corporation shall seek and obtain approval of
4     the content of the enclosure from the Illinois Commerce
5     Commission. The Commission shall approve the enclosure if
6     it determines that the enclosure (i) is not false or
7     misleading and (ii) satisfies the requirements of this Act.
8     The Commission shall be deemed to have approved the
9     enclosure unless it disapproves the enclosure within 14
10     days from the date of receipt.
11     (3) The corporation shall reimburse each State agency for
12 all reasonable incremental costs incurred by the State agency
13 in complying with this Section above the agency's normal
14 mailing and handling costs, provided that:
15         (a) The State agency shall first furnish the
16     corporation with an itemized accounting of such additional
17     cost; and
18         (b) The corporation shall not be required to reimburse
19     the State agency for postage costs if the weight of the
20     corporation's enclosure does not exceed .35 ounce
21     avoirdupois. If the corporation's enclosure exceeds that
22     weight, then it shall only be required to reimburse the
23     State agency for postage cost over and above what the
24     agency's postage cost would have been had the enclosure
25     weighed only .35 ounce avoirdupois.
26 (Source: P.A. 87-205.)
 

 

 

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1     Section 15. The Senior Citizens and Disabled Persons
2 Property Tax Relief and Pharmaceutical Assistance Act is
3 amended by changing Sections 1, 2, 3.01, 3.04, 3.05, 3.06,
4 3.07, 3.08, 3.09, 3.10, 3.12, 4, 5, 7, 8, 8a, 9, 12, and 13 and
5 by adding Sections 1.5, 3.01a, 3.03a, 3.05a, and 4.05 as
6 follows:
 
7     (320 ILCS 25/1)  (from Ch. 67 1/2, par. 401)
8     Sec. 1. Short title; common name. This Article shall be
9 known and may be cited as the "Senior Citizens and Disabled
10 Persons Property Tax Relief and Pharmaceutical Assistance
11 Act". Common references to the "Circuit Breaker Act" mean this
12 Article. As used in this Article, "this Act" means this
13 Article.
14 (Source: P.A. 83-1531.)
 
15     (320 ILCS 25/1.5 new)
16     Sec. 1.5. Implementation of Executive Order No. 3 of 2004.
17 Executive Order No. 3 of 2004, in part, provided for the
18 transfer of the programs under this Act from the Department of
19 Revenue to the Department on Aging and the Department of
20 Healthcare and Family Services. It is the purpose of this
21 amendatory Act of the 96th General Assembly to conform this Act
22 and certain related provisions of other statutes to that
23 Executive Order. This amendatory Act of the 96th General

 

 

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1 Assembly also makes other substantive changes to this Act.
 
2     (320 ILCS 25/2)  (from Ch. 67 1/2, par. 402)
3     Sec. 2. Purpose. The purpose of this Act is to provide
4 incentives to the senior citizens and disabled persons of this
5 State to acquire and retain private housing of their choice and
6 at the same time to relieve those citizens from the burdens of
7 extraordinary property taxes and rising drug costs against
8 their increasingly restricted earning power, and thereby to
9 reduce the requirements for public housing in this State.
10 (Source: P.A. 77-2059.)
 
11     (320 ILCS 25/3.01)  (from Ch. 67 1/2, par. 403.01)
12     Sec. 3.01. Claimant. "Claimant" means an individual who has
13 filed a claim for a property tax relief grant under this Act.
14 In appropriate contexts, "claimant" may also include a person
15 who has applied for pharmaceutical assistance under this Act or
16 for other benefits that are based on eligibility for benefits
17 under this Act.
18 (Source: P.A. 77-2059.)
 
19     (320 ILCS 25/3.01a new)
20     Sec. 3.01a. Claim year. "Claim year" means the calendar
21 year prior to the period of time during which a claimant may
22 file an application for benefits under this Act.
 

 

 

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1     (320 ILCS 25/3.03a new)
2     Sec. 3.03a. Federal Poverty Level. "Federal Poverty Level"
3 means the federal poverty income guidelines as determined
4 annually by the United States Department of Health and Human
5 Services and updated periodically in the Federal Register by
6 that Department under the authority of 42 U.S.C. 9902(2).
 
7     (320 ILCS 25/3.04)  (from Ch. 67 1/2, par. 403.04)
8     Sec. 3.04. Gross rent. "Gross rent Rent" means the total
9 amount paid solely for the right to occupy a residence.
10     If the residence is a nursing or sheltered care home,
11 "gross rent" means the amount paid in a taxable year that is
12 attributable to the cost of housing, but not of meals or care,
13 for the claimant in that home, determined in accordance with
14 regulations of the Department on Aging.
15 (Source: P.A. 78-1249; 78-1297.)
 
16     (320 ILCS 25/3.05)  (from Ch. 67 1/2, par. 403.05)
17 Sec. 3.05. Household. "Household" means a claimant or a
18 claimant and his or her spouse, if any, living together in the
19 same residence. An additional resident may be counted in
20 determining household size.
21 (Source: P.A. 77-2059.)
 
22     (320 ILCS 25/3.05a new)
23     Sec. 3.05a. Additional resident. "Additional resident"

 

 

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1 means a person who (i) is living in the same residence with a
2 claimant for the claim year and at the time of filing the
3 claim, (ii) is not the spouse of the claimant, (iii) does not
4 file a separate claim under this Act for the same period, and
5 (iv) receives more than half of his or her total financial
6 support for that claim year from the household. An additional
7 resident who meets qualifications may receive pharmaceutical
8 assistance based on a claimant's application.
 
9     (320 ILCS 25/3.06)  (from Ch. 67 1/2, par. 403.06)
10     Sec. 3.06. Household income. "Household income" means the
11 combined income of the members of a household. The term does
12 not include the income of any qualified additional resident who
13 lives with the claimant.
14 (Source: P.A. 77-2059.)
 
15     (320 ILCS 25/3.07)  (from Ch. 67 1/2, par. 403.07)
16     Sec. 3.07. Income. "Income" means adjusted gross income,
17 properly reportable for federal income tax purposes under the
18 provisions of the Internal Revenue Code, modified by adding
19 thereto the sum of the following amounts to the extent deducted
20 or excluded from gross income in the computation of adjusted
21 gross income:
22         (A) An amount equal to all amounts paid or accrued as
23     interest or dividends during the taxable year;
24         (B) An amount equal to the amount of tax imposed by the

 

 

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1     Illinois Income Tax Act paid for the taxable year;
2         (C) An amount equal to all amounts received during the
3     taxable year as an annuity under an annuity, endowment or
4     life insurance contract or under any other contract or
5     agreement;
6         (D) An amount equal to the amount of benefits paid
7     under the Federal Social Security Act during the taxable
8     year;
9         (E) An amount equal to the amount of benefits paid
10     under the Railroad Retirement Act during the taxable year;
11         (F) An amount equal to the total amount of cash public
12     assistance payments received from any governmental agency
13     during the taxable year other than benefits received
14     pursuant to this Act;
15         (G) An amount equal to any net operating loss carryover
16     deduction or capital loss carryover deduction during the
17     taxable year; and
18         (H) An For claim years beginning on or after January 1,
19     2002, an amount equal to any benefits received under the
20     Workers' Compensation Act or the Workers' Occupational
21     Diseases Act during the taxable year.
22     "Income" does not include any grant assistance received
23 under the Nursing Home Grant Assistance Act or any
24 distributions or items of income described under subparagraph
25 (X) of paragraph (2) of subsection (a) of Section 203 of the
26 Illinois Income Tax Act or any payments under Section 2201 or

 

 

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1 Section 2202 of the American Recovery and Reinvestment Act of
2 2009.
3     This amendatory Act of 1987 shall be effective for purposes
4 of this Section for tax years ending on or after December 31,
5 1987.
6 (Source: P.A. 91-676, eff. 12-23-99; 92-131, eff. 7-23-01;
7 92-519, eff. 1-1-02.)
 
8     (320 ILCS 25/3.08)  (from Ch. 67 1/2, par. 403.08)
9     Sec. 3.08. Internal Revenue Code. "Internal Revenue Code"
10 means the United States Internal Revenue Code of 1986 1954 or
11 any successor law or laws relating to federal income taxes in
12 effect for the year.
13 (Source: P.A. 77-2059.)
 
14     (320 ILCS 25/3.09)  (from Ch. 67 1/2, par. 403.09)
15     Sec. 3.09. Property taxes accrued. "Property taxes
16 accrued" means the ad valorem property taxes extended against a
17 residence, but does not include special assessments, interest
18 or charges for service. In the case of real estate improved
19 with a multidwelling or multipurpose building, "property taxes
20 accrued" extended against a residence within such a building is
21 an amount equal to the same percentage of the total property
22 taxes extended against that real estate as improved as the
23 value of the residence is to the total value of the building.
24 If the multidwelling building is owned and operated as a

 

 

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1 cooperative, the value of an individual residence is the value
2 of the interest in the cooperative held by the owner of record
3 of the legal or equitable interest, other than a leasehold
4 interest, in the cooperative which confers the right to occupy
5 that residence. In determining the amount of grant under
6 Section 4 for 1976 and thereafter, the applicable "property
7 taxes accrued", as determined under this Section, are those
8 payable or paid in the last preceding taxable year.
9     In addition, if the residence is a mobile home as defined
10 in and subject to the tax imposed by the Mobile Home Local
11 Services Tax Act, "property taxes accrued" includes the amount
12 of privilege tax paid during the calendar year for which
13 benefits are claimed under that Act on that mobile home. If
14 Beginning in taxable year 1999, if (i) the residence is a
15 mobile home, (ii) the resident is the record owner of the
16 property upon which the mobile home is located, and (iii) the
17 resident is liable for the taxes imposed under the Property Tax
18 Code for both the mobile home and the property, then "property
19 taxes accrued" includes the amount of property taxes paid on
20 both the mobile home and the property upon which the mobile
21 home is located.
22 (Source: P.A. 91-357, eff. 7-29-99; 91-391, eff. 7-30-99.)
 
23     (320 ILCS 25/3.10)  (from Ch. 67 1/2, par. 403.10)
24     Sec. 3.10. Regulations. "Regulations" includes both rules
25 promulgated and forms prescribed by the applicable Department.

 

 

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1 In this Act, references to the rules of the Department on Aging
2 or the Department of Healthcare and Family Services shall be
3 deemed to include, in appropriate cases, the corresponding
4 rules adopted by the Department of Revenue, to the extent that
5 those rules continue in force under Executive Order No. 3 of
6 2004.
7 (Source: P.A. 77-2059.)
 
8     (320 ILCS 25/3.12)  (from Ch. 67 1/2, par. 403.12)
9     Sec. 3.12. Residence. "Residence" means the principal
10 dwelling place occupied in this State by a household and so
11 much of the surrounding land as is reasonably necessary for use
12 of the dwelling as a home, and includes rental property, mobile
13 homes, single family dwellings, and units in multifamily,
14 multidwelling or multipurpose buildings. If the assessor has
15 established a specific legal description for a portion of
16 property constituting the residence, then that portion of
17 property shall be deemed "residence" for the purposes of this
18 Act. "Residence" also includes that portion of a nursing or
19 sheltered care home occupied as a dwelling by a claimant,
20 determined as prescribed in regulations of the Department on
21 Aging.
22 (Source: P.A. 78-1249.)
 
23     (320 ILCS 25/4)  (from Ch. 67 1/2, par. 404)
24     Sec. 4. Amount of Grant.

 

 

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1     (a) In general. Any individual 65 years or older or any
2 individual who will become 65 years old during the calendar
3 year in which a claim is filed, and any surviving spouse of
4 such a claimant, who at the time of death received or was
5 entitled to receive a grant pursuant to this Section, which
6 surviving spouse will become 65 years of age within the 24
7 months immediately following the death of such claimant and
8 which surviving spouse but for his or her age is otherwise
9 qualified to receive a grant pursuant to this Section, and any
10 disabled person whose annual household income is less than the
11 income eligibility limitation, as defined in subsection (a-5)
12 and whose household is liable for payment of property taxes
13 accrued or has paid rent constituting property taxes accrued
14 and is domiciled in this State at the time he or she files his
15 or her claim is entitled to claim a grant under this Act. With
16 respect to claims filed by individuals who will become 65 years
17 old during the calendar year in which a claim is filed, the
18 amount of any grant to which that household is entitled shall
19 be an amount equal to 1/12 of the amount to which the claimant
20 would otherwise be entitled as provided in this Section,
21 multiplied by the number of months in which the claimant was 65
22 in the calendar year in which the claim is filed.
23     (a-5) Income eligibility limitation. For purposes of this
24 Section, "income eligibility limitation" means an amount for
25 grant years 2008 and thereafter:
26         (i) for grant years before the 1998 grant year, less

 

 

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1     than $14,000;
2         (ii) for the 1998 and 1999 grant year, less than
3     $16,000;
4         (iii) for grant years 2000 through 2007:
5             (A) less than $21,218 for a household containing
6         one person;
7             (B) less than $28,480 for a household containing 2
8         persons; or
9             (C) less than $35,740 for a household containing 3
10         or more persons; or
11         (iv) for grant years 2008 and thereafter:
12         (1) (A) less than $22,218 for a household containing
13     one person;
14         (2) (B) less than $29,480 for a household containing 2
15     persons; or
16         (3) (C) less than $36,740 for a household containing 3
17     or more persons.
18     For 2009 claim year applications submitted during calendar
19 year 2010, a household must have annual household income of
20 less than $27,610 for a household containing one person; less
21 than $36,635 for a household containing 2 persons; or less than
22 $45,657 for a household containing 3 or more persons.
23     On January 1, 2011, and thereafter, the foregoing household
24 income eligibility limits shall be changed to reflect the
25 annual cost of living adjustment in Social Security and
26 Supplemental Security Income benefits that is applicable to the

 

 

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1 year for which those benefits are being reported as income on
2 an application.
3     If a person files as a surviving spouse, then only his or
4 her income shall be counted in determining his or her household
5 income.
6     (b) Limitation. Except as otherwise provided in
7 subsections (a) and (f) of this Section, the maximum amount of
8 grant which a claimant is entitled to claim is the amount by
9 which the property taxes accrued which were paid or payable
10 during the last preceding tax year or rent constituting
11 property taxes accrued upon the claimant's residence for the
12 last preceding taxable year exceeds 3 1/2% of the claimant's
13 household income for that year but in no event is the grant to
14 exceed (i) $700 less 4.5% of household income for that year for
15 those with a household income of $14,000 or less or (ii) $70 if
16 household income for that year is more than $14,000.
17     (c) Public aid recipients. If household income in one or
18 more months during a year includes cash assistance in excess of
19 $55 per month from the Department of Healthcare and Family
20 Services or the Department of Human Services (acting as
21 successor to the Department of Public Aid under the Department
22 of Human Services Act) which was determined under regulations
23 of that Department on a measure of need that included an
24 allowance for actual rent or property taxes paid by the
25 recipient of that assistance, the amount of grant to which that
26 household is entitled, except as otherwise provided in

 

 

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1 subsection (a), shall be the product of (1) the maximum amount
2 computed as specified in subsection (b) of this Section and (2)
3 the ratio of the number of months in which household income did
4 not include such cash assistance over $55 to the number twelve.
5 If household income did not include such cash assistance over
6 $55 for any months during the year, the amount of the grant to
7 which the household is entitled shall be the maximum amount
8 computed as specified in subsection (b) of this Section. For
9 purposes of this paragraph (c), "cash assistance" does not
10 include any amount received under the federal Supplemental
11 Security Income (SSI) program.
12     (d) Joint ownership. If title to the residence is held
13 jointly by the claimant with a person who is not a member of
14 his or her household, the amount of property taxes accrued used
15 in computing the amount of grant to which he or she is entitled
16 shall be the same percentage of property taxes accrued as is
17 the percentage of ownership held by the claimant in the
18 residence.
19     (e) More than one residence. If a claimant has occupied
20 more than one residence in the taxable year, he or she may
21 claim only one residence for any part of a month. In the case
22 of property taxes accrued, he or she shall prorate 1/12 of the
23 total property taxes accrued on his or her residence to each
24 month that he or she owned and occupied that residence; and, in
25 the case of rent constituting property taxes accrued, shall
26 prorate each month's rent payments to the residence actually

 

 

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1 occupied during that month.
2     (f) (Blank). There is hereby established a program of
3 pharmaceutical assistance to the aged and disabled which shall
4 be administered by the Department in accordance with this Act,
5 to consist of payments to authorized pharmacies, on behalf of
6 beneficiaries of the program, for the reasonable costs of
7 covered prescription drugs. Each beneficiary who pays $5 for an
8 identification card shall pay no additional prescription
9 costs. Each beneficiary who pays $25 for an identification card
10 shall pay $3 per prescription. In addition, after a beneficiary
11 receives $2,000 in benefits during a State fiscal year, that
12 beneficiary shall also be charged 20% of the cost of each
13 prescription for which payments are made by the program during
14 the remainder of the fiscal year. To become a beneficiary under
15 this program a person must: (1) be (i) 65 years of age or
16 older, or (ii) the surviving spouse of such a claimant, who at
17 the time of death received or was entitled to receive benefits
18 pursuant to this subsection, which surviving spouse will become
19 65 years of age within the 24 months immediately following the
20 death of such claimant and which surviving spouse but for his
21 or her age is otherwise qualified to receive benefits pursuant
22 to this subsection, or (iii) disabled, and (2) be domiciled in
23 this State at the time he or she files his or her claim, and (3)
24 have a maximum household income of less than the income
25 eligibility limitation, as defined in subsection (a-5). In
26 addition, each eligible person must (1) obtain an

 

 

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1 identification card from the Department, (2) at the time the
2 card is obtained, sign a statement assigning to the State of
3 Illinois benefits which may be otherwise claimed under any
4 private insurance plans, and (3) present the identification
5 card to the dispensing pharmacist.
6     The Department may adopt rules specifying participation
7 requirements for the pharmaceutical assistance program,
8 including copayment amounts, identification card fees,
9 expenditure limits, and the benefit threshold after which a 20%
10 charge is imposed on the cost of each prescription, to be in
11 effect on and after July 1, 2004. Notwithstanding any other
12 provision of this paragraph, however, the Department may not
13 increase the identification card fee above the amount in effect
14 on May 1, 2003 without the express consent of the General
15 Assembly. To the extent practicable, those requirements shall
16 be commensurate with the requirements provided in rules adopted
17 by the Department of Healthcare and Family Services to
18 implement the pharmacy assistance program under Section
19 5-5.12a of the Illinois Public Aid Code.
20     Whenever a generic equivalent for a covered prescription
21 drug is available, the Department shall reimburse only for the
22 reasonable costs of the generic equivalent, less the co-pay
23 established in this Section, unless (i) the covered
24 prescription drug contains one or more ingredients defined as a
25 narrow therapeutic index drug at 21 CFR 320.33, (ii) the
26 prescriber indicates on the face of the prescription "brand

 

 

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1 medically necessary", and (iii) the prescriber specifies that a
2 substitution is not permitted. When issuing an oral
3 prescription for covered prescription medication described in
4 item (i) of this paragraph, the prescriber shall stipulate
5 "brand medically necessary" and that a substitution is not
6 permitted. If the covered prescription drug and its authorizing
7 prescription do not meet the criteria listed above, the
8 beneficiary may purchase the non-generic equivalent of the
9 covered prescription drug by paying the difference between the
10 generic cost and the non-generic cost plus the beneficiary
11 co-pay.
12     Any person otherwise eligible for pharmaceutical
13 assistance under this Act whose covered drugs are covered by
14 any public program for assistance in purchasing any covered
15 prescription drugs shall be ineligible for assistance under
16 this Act to the extent such costs are covered by such other
17 plan.
18     The fee to be charged by the Department for the
19 identification card shall be equal to $5 per coverage year for
20 persons below the official poverty line as defined by the
21 United States Department of Health and Human Services and $25
22 per coverage year for all other persons.
23     In the event that 2 or more persons are eligible for any
24 benefit under this Act, and are members of the same household,
25 (1) each such person shall be entitled to participate in the
26 pharmaceutical assistance program, provided that he or she

 

 

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1 meets all other requirements imposed by this subsection and (2)
2 each participating household member contributes the fee
3 required for that person by the preceding paragraph for the
4 purpose of obtaining an identification card.
5     The provisions of this subsection (f), other than this
6 paragraph, are inoperative after December 31, 2005.
7 Beneficiaries who received benefits under the program
8 established by this subsection (f) are not entitled, at the
9 termination of the program, to any refund of the identification
10 card fee paid under this subsection.
11     (g) Effective January 1, 2006, there is hereby established
12 a program of pharmaceutical assistance to the aged and
13 disabled, entitled the Illinois Seniors and Disabled Drug
14 Coverage Program, which shall be administered by the Department
15 of Healthcare and Family Services and the Department on Aging
16 in accordance with this subsection, to consist of coverage of
17 specified prescription drugs on behalf of beneficiaries of the
18 program as set forth in this subsection. The program under this
19 subsection replaces and supersedes the program established
20 under subsection (f), which shall end at midnight on December
21 31, 2005.
22     To become a beneficiary under the program established under
23 this subsection, a person must:
24         (1) be (i) 65 years of age or older or (ii) disabled;
25     and
26         (2) be domiciled in this State; and

 

 

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1         (3) enroll with a qualified Medicare Part D
2     Prescription Drug Plan if eligible and apply for all
3     available subsidies under Medicare Part D; and
4         (4) for the 2006 and 2007 claim years, have a maximum
5     household income of (i) less than $21,218 for a household
6     containing one person, (ii) less than $28,480 for a
7     household containing 2 persons, or (iii) less than $35,740
8     for a household containing 3 or more persons; and . If any
9     income eligibility limit set forth in items (i) through
10     (iii) is less than 200% of the Federal Poverty Level for
11     any year, the income eligibility limit for that year for
12     households of that size shall be income equal to or less
13     than 200% of the Federal Poverty Level.
14         (5) for the 2008 claim year, have a maximum household
15     income of (i) less than $22,218 for a household containing
16     one person, (ii) $29,480 for a household containing 2
17     persons, or (iii) $36,740 for a household containing 3 or
18     more persons; and
19         (6) for 2009 claim year applications submitted during
20     calendar year 2010, have annual household income of less
21     than (i) $27,610 for a household containing one person;
22     (ii) less than $36,635 for a household containing 2
23     persons; or (iii) less than $45,657 for a household
24     containing 3 or more persons.
25     On January 1, 2011, and thereafter, the foregoing household
26 income eligibility limits shall be changed to reflect the

 

 

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1 annual cost of living adjustment in Social Security and
2 Supplemental Security Income benefits that is applicable to the
3 year for which those benefits are being reported as income on
4 an application.
5     All individuals enrolled as of December 31, 2005, in the
6 pharmaceutical assistance program operated pursuant to
7 subsection (f) of this Section and all individuals enrolled as
8 of December 31, 2005, in the SeniorCare Medicaid waiver program
9 operated pursuant to Section 5-5.12a of the Illinois Public Aid
10 Code shall be automatically enrolled in the program established
11 by this subsection for the first year of operation without the
12 need for further application, except that they must apply for
13 Medicare Part D and the Low Income Subsidy under Medicare Part
14 D. A person enrolled in the pharmaceutical assistance program
15 operated pursuant to subsection (f) of this Section as of
16 December 31, 2005, shall not lose eligibility in future years
17 due only to the fact that they have not reached the age of 65.
18     To the extent permitted by federal law, the Department may
19 act as an authorized representative of a beneficiary in order
20 to enroll the beneficiary in a Medicare Part D Prescription
21 Drug Plan if the beneficiary has failed to choose a plan and,
22 where possible, to enroll beneficiaries in the low-income
23 subsidy program under Medicare Part D or assist them in
24 enrolling in that program.
25     Beneficiaries under the program established under this
26 subsection shall be divided into the following 5 eligibility

 

 

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1 groups:
2         (A) Eligibility Group 1 shall consist of beneficiaries
3     who are not eligible for Medicare Part D coverage and who
4     are:
5             (i) disabled and under age 65; or
6             (ii) age 65 or older, with incomes over 200% of the
7         Federal Poverty Level; or
8             (iii) age 65 or older, with incomes at or below
9         200% of the Federal Poverty Level and not eligible for
10         federally funded means-tested benefits due to
11         immigration status.
12         (B) Eligibility Group 2 shall consist of beneficiaries
13     otherwise described in Eligibility Group 1 but who are
14     eligible for Medicare Part D coverage.
15         (C) Eligibility Group 3 shall consist of beneficiaries
16     age 65 or older, with incomes at or below 200% of the
17     Federal Poverty Level, who are not barred from receiving
18     federally funded means-tested benefits due to immigration
19     status and are not eligible for Medicare Part D coverage.
20         (D) Eligibility Group 4 shall consist of beneficiaries
21     age 65 or older, with incomes at or below 200% of the
22     Federal Poverty Level, who are not barred from receiving
23     federally funded means-tested benefits due to immigration
24     status and are not eligible for Medicare Part D coverage.
25         If the State applies and receives federal approval for
26     a waiver under Title XIX of the Social Security Act,

 

 

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1     persons in Eligibility Group 3 4 shall continue to receive
2     benefits through the approved waiver, and Eligibility
3     Group 3 4 may be expanded to include disabled persons under
4     age 65 with incomes under 200% of the Federal Poverty Level
5     who are not eligible for Medicare and who are not barred
6     from receiving federally funded means-tested benefits due
7     to immigration status.
8         (D) (E) On and after January 1, 2007, Eligibility Group
9     4 5 shall consist of beneficiaries who are otherwise
10     described in Eligibility Group 2 Groups 2 and 3 who have a
11     diagnosis of HIV or AIDS.
12     The program established under this subsection shall cover
13 the cost of covered prescription drugs in excess of the
14 beneficiary cost-sharing amounts set forth in this paragraph
15 that are not covered by Medicare. In 2006, beneficiaries shall
16 pay a co-payment of $2 for each prescription of a generic drug
17 and $5 for each prescription of a brand-name drug. In future
18 years, beneficiaries shall pay co-payments equal to the
19 co-payments required under Medicare Part D for "other
20 low-income subsidy eligible individuals" pursuant to 42 CFR
21 423.782(b). For individuals in Eligibility Groups 1, 2, and 3,
22 and 4, once the program established under this subsection and
23 Medicare combined have paid $1,750 in a year for covered
24 prescription drugs, the beneficiary shall pay 20% of the cost
25 of each prescription in addition to the co-payments set forth
26 in this paragraph. For individuals in Eligibility Group 4 5,

 

 

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1 once the program established under this subsection and Medicare
2 combined have paid $1,750 in a year for covered prescription
3 drugs, the beneficiary shall pay 20% of the cost of each
4 prescription in addition to the co-payments set forth in this
5 paragraph unless the drug is included in the formulary of the
6 Illinois AIDS Drug Assistance Program operated by the Illinois
7 Department of Public Health and covered by the Medicare Part D
8 Prescription Drug Plan in which the beneficiary is enrolled. If
9 the drug is included in the formulary of the Illinois AIDS Drug
10 Assistance Program and covered by the Medicare Part D
11 Prescription Drug Plan in which the beneficiary is enrolled,
12 individuals in Eligibility Group 4 5 shall continue to pay the
13 co-payments set forth in this paragraph after the program
14 established under this subsection and Medicare combined have
15 paid $1,750 in a year for covered prescription drugs.
16     For beneficiaries eligible for Medicare Part D coverage,
17 the program established under this subsection shall pay 100% of
18 the premiums charged by a qualified Medicare Part D
19 Prescription Drug Plan for Medicare Part D basic prescription
20 drug coverage, not including any late enrollment penalties.
21 Qualified Medicare Part D Prescription Drug Plans may be
22 limited by the Department of Healthcare and Family Services to
23 those plans that sign a coordination agreement with the
24 Department.
25     Notwithstanding Section 3.15, for purposes of the program
26 established under this subsection, the term "covered

 

 

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1 prescription drug" has the following meanings:
2         For Eligibility Group 1, "covered prescription drug"
3     means: (1) any cardiovascular agent or drug; (2) any
4     insulin or other prescription drug used in the treatment of
5     diabetes, including syringe and needles used to administer
6     the insulin; (3) any prescription drug used in the
7     treatment of arthritis; (4) any prescription drug used in
8     the treatment of cancer; (5) any prescription drug used in
9     the treatment of Alzheimer's disease; (6) any prescription
10     drug used in the treatment of Parkinson's disease; (7) any
11     prescription drug used in the treatment of glaucoma; (8)
12     any prescription drug used in the treatment of lung disease
13     and smoking-related illnesses; (9) any prescription drug
14     used in the treatment of osteoporosis; and (10) any
15     prescription drug used in the treatment of multiple
16     sclerosis. The Department may add additional therapeutic
17     classes by rule. The Department may adopt a preferred drug
18     list within any of the classes of drugs described in items
19     (1) through (10) of this paragraph. The specific drugs or
20     therapeutic classes of covered prescription drugs shall be
21     indicated by rule.
22         For Eligibility Group 2, "covered prescription drug"
23     means those drugs covered for Eligibility Group 1 that are
24     also covered by the Medicare Part D Prescription Drug Plan
25     in which the beneficiary is enrolled.
26         For Eligibility Group 3, "covered prescription drug"

 

 

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1     means those drugs covered by the Medicare Part D
2     Prescription Drug Plan in which the beneficiary is
3     enrolled.
4         For Eligibility Group 3 4, "covered prescription drug"
5     means those drugs covered by the Medical Assistance Program
6     under Article V of the Illinois Public Aid Code.
7         For Eligibility Group 4 5, for individuals otherwise
8     described in Eligibility Group 2, "covered prescription
9     drug" means: (1) those drugs covered for Eligibility Group
10     2 that are also covered by the Medicare Part D Prescription
11     Drug Plan in which the beneficiary is enrolled; and (2)
12     those drugs included in the formulary of the Illinois AIDS
13     Drug Assistance Program operated by the Illinois
14     Department of Public Health that are also covered by the
15     Medicare Part D Prescription Drug Plan in which the
16     beneficiary is enrolled. For Eligibility Group 5, for
17     individuals otherwise described in Eligibility Group 3,
18     "covered prescription drug" means those drugs covered by
19     the Medicare Part D Prescription Drug Plan in which the
20     beneficiary is enrolled.
21     An individual in Eligibility Group 1, 2, 3, or 4, or 5 may
22 opt to receive a $25 monthly payment in lieu of the direct
23 coverage described in this subsection.
24     Any person otherwise eligible for pharmaceutical
25 assistance under this subsection whose covered drugs are
26 covered by any public program is ineligible for assistance

 

 

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1 under this subsection to the extent that the cost of those
2 drugs is covered by the other program.
3     The Department of Healthcare and Family Services shall
4 establish by rule the methods by which it will provide for the
5 coverage called for in this subsection. Those methods may
6 include direct reimbursement to pharmacies or the payment of a
7 capitated amount to Medicare Part D Prescription Drug Plans.
8     For a pharmacy to be reimbursed under the program
9 established under this subsection, it must comply with rules
10 adopted by the Department of Healthcare and Family Services
11 regarding coordination of benefits with Medicare Part D
12 Prescription Drug Plans. A pharmacy may not charge a
13 Medicare-enrolled beneficiary of the program established under
14 this subsection more for a covered prescription drug than the
15 appropriate Medicare cost-sharing less any payment from or on
16 behalf of the Department of Healthcare and Family Services.
17     The Department of Healthcare and Family Services or the
18 Department on Aging, as appropriate, may adopt rules regarding
19 applications, counting of income, proof of Medicare status,
20 mandatory generic policies, and pharmacy reimbursement rates
21 and any other rules necessary for the cost-efficient operation
22 of the program established under this subsection.
23     (h) A qualified individual is not entitled to duplicate
24 benefits in a coverage period as a result of the changes made
25 by this amendatory Act of the 96th General Assembly.
26 (Source: P.A. 94-86, eff. 1-1-06; 94-909, eff. 6-23-06; 95-208,

 

 

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1 eff. 8-16-07; 95-644, eff. 10-12-07; 95-876, eff. 8-21-08.)
 
2     (320 ILCS 25/4.05 new)
3     Sec. 4.05. Application.
4     (a) The Department on Aging shall establish the content,
5 required eligibility and identification information, use of
6 social security numbers, and manner of applying for benefits in
7 a simplified format under this Act, including claims filed for
8 new or renewed prescription drug benefits.
9     (b) An application may be filed on paper or over the
10 Internet to enable persons to apply separately or for both a
11 property tax relief grant and pharmaceutical assistance on the
12 same application. An application may also enable persons to
13 apply for other State or federal programs that provide medical
14 or pharmaceutical assistance or other benefits, as determined
15 by the Department on Aging in conjunction with the Department
16 of Healthcare and Family Services.
17     (c) Applications must be filed during the time period
18 prescribed by the Department.
 
19     (320 ILCS 25/5)  (from Ch. 67 1/2, par. 405)
20     Sec. 5. Procedure.
21     (a) In general. Claims must be filed after January 1, on
22 forms prescribed by the Department. No claim may be filed more
23 than one year after December 31 of the year for which the claim
24 is filed except that claims for 1976 may be filed until

 

 

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1 December 31, 1978. The pharmaceutical assistance
2 identification card provided for in subsection (f) of Section 4
3 shall be valid for a period determined by the Department of
4 Healthcare and Family Services not to exceed one year. On and
5 after January 1, 2002, however, to enable the Department to
6 convert coverage for a pharmaceutical assistance program
7 participant to a State fiscal year basis, a card shall be valid
8 for a longer or shorter period than 12 months, depending on the
9 date a timely claim is filed and as determined by the
10 Department. All applicants for benefits under this program
11 approved for benefits on or after July 1 but on or before
12 December 31 of any State fiscal year are eligible for benefits
13 through June 30 of that State fiscal year. All applicants for
14 benefits under this program approved for benefits on or after
15 January 1 but on or before June 30 of any State fiscal year are
16 eligible for benefits through June 30 of the following State
17 fiscal year.
18     (b) Claim is Personal. The right to file a claim under this
19 Act shall be personal to the claimant and shall not survive his
20 death, but such right may be exercised on behalf of a claimant
21 by his legal guardian or attorney-in-fact. If a claimant dies
22 after having filed a timely claim, the amount thereof shall be
23 disbursed to his surviving spouse or, if no spouse survives, to
24 his surviving dependent minor children in equal parts, provided
25 the spouse or child, as the case may be, resided with the
26 claimant at the time he filed his claim. If at the time of

 

 

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1 disbursement neither the claimant nor his spouse is surviving,
2 and no dependent minor children of the claimant are surviving
3 the amount of the claim shall escheat to the State.
4     (c) One claim per household. Only one member of a household
5 may file a claim under this Act in any calendar year; where
6 both members of a household are otherwise entitled to claim a
7 grant under this Act, they must agree as to which of them will
8 file a claim for that year.
9     (d) (Blank). Content of application form. The form
10 prescribed by the Department for purposes of paragraph (a)
11 shall include a table, appropriately keyed to the parts of the
12 form on which the claimant is required to furnish information,
13 which will enable the claimant to determine readily the
14 approximate amount of grant to which he is entitled by relating
15 levels of household income to property taxes accrued or rent
16 constituting property taxes accrued.
17     (e) Pharmaceutical Assistance Procedures. The Department
18 shall establish the form and manner for application, and
19 establish by January 1, 1986 a procedure to enable persons to
20 apply for the additional grant or for the pharmaceutical
21 assistance identification card on the same application form.
22 The Department of Healthcare and Family Services shall
23 determine eligibility for pharmaceutical assistance using the
24 applicant's current income. The Department shall determine a
25 person's current income in the manner provided by the
26 Department by rule.

 

 

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1 (Source: P.A. 91-533, eff. 8-13-99; 91-699, eff. 1-1-01;
2 92-131, eff. 7-23-01; 92-519, eff. 1-1-02.)
 
3     (320 ILCS 25/7)  (from Ch. 67 1/2, par. 407)
4     Sec. 7. Payment and denial of claims.
5     (a) In general. The Director shall order the payment from
6 appropriations made for that purpose of grants to claimants
7 under this Act in the amounts to which the Department has
8 determined they are entitled, respectively. If a claim is
9 denied, the Director shall cause written notice of that denial
10 and the reasons for that denial to be sent to the claimant.
11     (b) Payment of claims one dollar and under. Where the
12 amount of the grant computed under Section 4 is less than one
13 dollar, the Department shall pay to the claimant one dollar.
14     (c) Right to appeal. Any person aggrieved by an action or
15 determination of the Department on Aging arising under any of
16 its powers or duties under this Act may request in writing that
17 the Department on Aging reconsider its action or determination,
18 setting out the facts upon which the request is based. The
19 Department on Aging shall consider the request and either
20 modify or affirm its prior action or determination. The
21 Department on Aging may adopt, by rule, procedures for
22 conducting its review under this Section.
23     Any person aggrieved by an action or determination of the
24 Department of Healthcare and Family Services arising under any
25 of its powers or duties under this Act may request in writing

 

 

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1 that the Department of Healthcare and Family Services
2 reconsider its action or determination, setting out the facts
3 upon which the request is based. The Department of Healthcare
4 and Family Services shall consider the request and either
5 modify or affirm its prior action or determination. The
6 Department of Healthcare and Family Services may adopt, by
7 rule, procedures for conducting its review under this Section.
8 Any claimant aggrieved by the action of the Department under
9 this Act, whether in the reduction of the amount of the grant
10 claimed or in the denial of the claim, may request in writing
11 that the Department reconsider its prior determination,
12 setting out the facts on which his request is based. The
13 Department shall consider the request and either modify or
14 affirm its prior determination.
15     (d) (Blank). Administrative review. The decision of the
16 Department to affirm its prior determination, or the failure of
17 the Department to act on a request for reconsideration within
18 60 days, is a final administrative decision which is subject to
19 judicial review under the Administrative Review Law, and all
20 amendments and modifications thereof and the rules adopted
21 thereto. The term "administrative decision" is defined as in
22 Section 3-101 of the Code of Civil Procedure.
23 (Source: P.A. 82-783.)
 
24     (320 ILCS 25/8)  (from Ch. 67 1/2, par. 408)
25     Sec. 8. Records. Every claimant of a grant under this Act

 

 

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1 and every applicant for pharmaceutical assistance under this
2 Act shall keep such records, render such statements, file such
3 forms and comply with such rules and regulations as the
4 Department on Aging may from time to time prescribe. The
5 Department on Aging may by regulations require landlords to
6 furnish to tenants statements as to gross rent or rent
7 constituting property taxes accrued.
8 (Source: P.A. 77-2059.)
 
9     (320 ILCS 25/8a)  (from Ch. 67 1/2, par. 408.1)
10     Sec. 8a. Confidentiality.
11     (a) Except as otherwise provided in this Act, all
12 information received by the Department of Revenue or its
13 successors, the Department on Aging and the Department of
14 Healthcare and Family Services, from claims filed under this
15 Act, or from any investigation conducted under the provisions
16 of this Act, shall be confidential, except for official
17 purposes within those Departments the Department or pursuant to
18 official procedures for collection of any State tax or
19 enforcement of any civil or criminal penalty or sanction
20 imposed by this Act or by any statute imposing a State tax, and
21 any person who divulges any such information in any manner,
22 except for such purposes and pursuant to order of the Director
23 of one of those Departments or in accordance with a proper
24 judicial order, shall be guilty of a Class A misdemeanor.
25     (b) Nothing contained in this Act shall prevent the

 

 

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1 Director of Aging from publishing or making available
2 reasonable statistics concerning the operation of the grant
3 programs contained in this Act wherein the contents of claims
4 are grouped into aggregates in such a way that information
5 contained in any individual claim shall not be disclosed.
6     (c) The Department on Aging shall furnish to the Secretary
7 of State such information as is reasonably necessary for the
8 administration of reduced vehicle registration fees pursuant
9 to Section 3-806.3 of "The Illinois Vehicle Code".
10 (Source: P.A. 89-399, eff. 8-20-95.)
 
11     (320 ILCS 25/9)  (from Ch. 67 1/2, par. 409)
12     Sec. 9. Fraud; error.
13     (a) Any person who files a fraudulent claim for a grant
14 under this Act, or who for compensation prepares a claim for a
15 grant and knowingly enters false information on an application
16 a claim form for any claimant under this Act, or who
17 fraudulently files multiple applications claim forms, or who
18 fraudulently states that a nondisabled person is disabled, or
19 who fraudulently procures a pharmaceutical assistance benefits
20 identification card, or who fraudulently uses such assistance
21 card to procure covered prescription drugs, or who, on behalf
22 of an authorized pharmacy, files a fraudulent request claim for
23 payment, is guilty of a Class 4 felony for the first offense
24 and is guilty of a Class 3 felony for each subsequent offense.
25     (b) The Department on Aging and the Department of

 

 

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1 Healthcare and Family Services shall immediately suspend the
2 use of the pharmaceutical assistance benefits identification
3 card of any person suspected of fraudulent procurement or
4 fraudulent use of such assistance card, and shall revoke such
5 assistance card upon a conviction. A person convicted of such
6 fraud under subsection (a) shall be permanently barred from all
7 of the programs the program of pharmaceutical assistance
8 established under this Act.
9     (c) The Department on Aging may recover from a claimant,
10 including an authorized pharmacy, any amount paid to that
11 claimant under this Act on account of an erroneous or
12 fraudulent claim, together with 6% interest per year. Amounts
13 recoverable from a claimant by the Department on Aging under
14 this Act may, but need not, be recovered by offsetting the
15 amount owed against any future grant payable to the person
16 under this Act.
17     The Department of Healthcare and Family Services may
18 recover from an authorized pharmacy any amount paid to that
19 pharmacy under the pharmaceutical assistance program on
20 account of an erroneous or fraudulent request for payment under
21 that program, together with 6% interest per year. The
22 Department of Healthcare and Family Services may recover from a
23 person who erroneously or fraudulently obtains benefits under
24 the pharmaceutical assistance program the value of the benefits
25 so obtained, together with 6% interest per year.
26     (d) A prosecution for a violation of this Section may be

 

 

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1 commenced at any time within 3 years of the commission of that
2 violation.
3 (Source: P.A. 85-299.)
 
4     (320 ILCS 25/12)  (from Ch. 67 1/2, par. 412)
5     Sec. 12. Regulations - Department on Aging.
6     (a) Regulations. Notwithstanding any other provision to
7 the contrary, the Department on Aging may adopt rules regarding
8 applications, proof of eligibility, required identification
9 information, use of social security numbers, counting of
10 income, and a method of computing "gross rent" in the case of a
11 claimant living in a nursing or sheltered care home, and any
12 other rules necessary for the cost-efficient operation of the
13 program established under Section 4. The Director shall
14 promulgate such regulations as are necessary or desirable to
15 effectuate the purposes of this Act, including but not limited
16 to the method of computing "gross rent" in the case of a
17 claimant living in a nursing or sheltered care home.
18     (b) The Department on Aging shall, to the extent of
19 appropriations made for that purpose:
20         (1) attempt to secure the cooperation of appropriate
21     federal, State and local agencies in securing the names and
22     addresses of persons to whom this Act pertains;
23         (2) prepare a mailing list of persons eligible for
24     grants under this Act;
25         (3) secure the cooperation of the Department of

 

 

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1     Revenue, the Department of Healthcare and Family Services,
2     other State agencies, and of local business establishments
3     to facilitate distribution of applications application
4     forms under this Act to those eligible to file claims; and
5         (4) through use of direct mail, newspaper
6     advertisements and radio and television advertisements,
7     and all other appropriate means of communication, conduct
8     an on-going public relations program to increase awareness
9     of eligible citizens of the benefits grants under this Act
10     and the procedures for applying for them.
11 (Source: P.A. 78-1249.)
 
12     (320 ILCS 25/13)  (from Ch. 67 1/2, par. 413)
13     Sec. 13. List of persons who have qualified. The Department
14 on Aging of Revenue shall maintain a list of all persons who
15 have qualified under this Act and shall make the list available
16 to the Department of Healthcare and Family Services, the
17 Department of Public Health, the Secretary of State,
18 municipalities, and public transit authorities upon request.
19     All information received by a State agency, municipality,
20 or public transit authority under this Section shall be
21 confidential, except for official purposes, and any person who
22 divulges or uses that information in any manner, except in
23 accordance with a proper judicial order, shall be guilty of a
24 Class B misdemeanor.
25 (Source: P.A. 87-247.)
 

 

 

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1     (320 ILCS 25/3.02 rep.)
2     (320 ILCS 25/3.03 rep.)
3     (320 ILCS 25/3.15 rep.)
4     (320 ILCS 25/3.16 rep.)
5     (320 ILCS 25/3.17 rep.)
6     Section 20. The Senior Citizens and Disabled Persons
7 Property Tax Relief and Pharmaceutical Assistance Act is
8 amended by repealing Sections 3.02, 3.03, 3.15, 3.16, and 3.17.
 
9     Section 99. Effective date. This Act takes effect January
10 1, 2010.