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305 Ill. Comp. Stat. § 5/5-4.1. Co-payments: Medical Assistance – Illinois
Status: Enacted     Year Enacted: 1981
Co-payments are permissible for most health care services, but not for chronic illness treatment. There is a $2 co-pay for generic drugs.
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305 Ill. Comp. Stat. § 5/5-5.12. Pharmacy payments: Medical Assistance – Illinois
Status: Enacted     Year Enacted: 1984
Pharmacies providing prescription drugs under this Article shall be reimbursed at a rate which shall include a professional dispensing fee as determined by the Illinois Department, plus the current acquisition cost of the prescription drug …
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305 Ill. Comp. Stat. § 5/5-5.12a. Title XIX waiver; pharmacy assistance program: Medical Assistance – Illinois
Status: Enacted     Year Enacted: 2001
The Illinois Department may seek a waiver of otherwise applicable requirements of Title XIX of the federal Social Security Act1 in order to claim federal financial participation for a pharmacy assistance program for persons aged …
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A 02007 (see companion bill S 01507) – New York
Introduced: 2019    Status: Enacted     Year Enacted: 2019
Enacts into law major components of legislation necessary to implement the state health and mental hygiene budget for the 2019-2020 state fiscal year; extends and enhances the Medicaid drug cap and reduces unnecessary pharmacy benefit …

A 02783 – New York
Introduced: 2019    Status: Inactive / Dead    
Provides for increasing the applicability of brand name and generic prescription drugs and other medical services, except diagnostic services, co-payments for medicaid recipients.

A 02795 (see companion bill S 05923) – New York
Introduced: 2019    Status: Inactive / Dead    
Extends the preferred drug program to medicaid managed care providers and offers the program to other health plans.

A 02799 (see companion bill S 01794) – New York
Introduced: 2019    Status: Inactive / Dead    
Provides for coverage for certain medically necessary prescription drugs in Medicaid managed care programs.

A 02843 – New York
Introduced: 2019    Status: Inactive / Dead    
Requires Medicaid managed care, and Child Health Plus plans to adopt the procedural protections of the Preferred Drug Program, including “prescriber prevails,” for all drugs.

A 3007 (see companion bill S 2007) – New York
Introduced: 2017    Status: Enacted    
HEALTH AND MENTAL HEALTH BUDGET: Establishes a Medicaid drug cap. Providers for Medicaid DUR Board to follow a recommendation for a target supplemental Medicaid rebate to be paid by the manufacturer of the drug to …

A 4790 (replaced by S 887) – New Jersey
Introduced: 2020    Status: Inactive / Dead    
Requires DHS to contract with third party entity to apply risk reduction model to Medicaid prescription drug services.*

A 5733 (see companion bill S 2544) – New York
Introduced: 2017    Status: Inactive / Dead    
PRICE GOUGING: PRESCRIPTION DRUGS. If a drug manufacturer of a brand or generic drug, made available in New York, increases the wholesale acquisition cost (WAC) of a drug by a percent equal to or greater …

A 700 (see companion bill S 2919) – New York
Introduced: 2017    Status: Inactive / Dead    
Relates to prescription drugs in Medicaid managed care programs. The managed care provider shall develop its preferred drug list based initially on an evaluation of the clinical effectiveness, safety, and patient outcomes, followed by consideration …

AB 1050 – California
Introduced: 2021    Status: Inactive / Dead    
Medi-Cal: application for enrollment: prescription drugs. (1) Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The …

AB 1064 – California
Introduced: 2021    Status: Enacted    
Pharmacy practice: vaccines: independent initiation and administration. Existing law, the Pharmacy Law, establishes the California State Board of Pharmacy within the Department of Consumer Affairs and sets forth its powers and duties relating to the …

AB 113 – California
Introduced: 2017    Status: Inactive / Dead    
Health: Among other things, this bill would require the department, no earlier than July 1, 2017, to reimburse facility-related Medi-Cal delivery costs of eligible alternative birth centers based on a statewide all-inclusive rate per delivery …

AB 1178 – California
Introduced: 2021    Status: Inactive / Dead    
Medi-Cal: serious mental illness: drugs. Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services and under which health care services are provided to qualified low-income persons pursuant to a …

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