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| | 103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024 SB1395 Introduced 2/6/2023, by Sen. Adriane Johnson SYNOPSIS AS INTRODUCED: |
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Amends the Administration Article of the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services may provide coverage for organ transplants for noncitizens who (i) are not eligible for medical assistance under Article V of the Code due to their not meeting the citizenship requirements under the Code and (ii) have income at or below 133% of the federal poverty level plus 5% for the applicable family size as determined under applicable federal law and regulations. Provides that persons eligible for medical services under the amendatory Act shall receive benefits identical to the benefits provided under the Health Benefits Service Package as that term is defined under the Code.
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| | A BILL FOR |
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| | SB1395 | | LRB103 26140 KTG 52497 b |
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1 | | AN ACT concerning public aid.
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2 | | Be it enacted by the People of the State of Illinois,
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3 | | represented in the General Assembly:
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4 | | Section 5. The Illinois Public Aid Code is amended by |
5 | | changing Section 12-4.35 as follows:
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6 | | (305 ILCS 5/12-4.35)
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7 | | Sec. 12-4.35. Medical services for certain noncitizens.
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8 | | (a) Notwithstanding
Section 1-11 of this Code or Section |
9 | | 20(a) of the Children's Health Insurance
Program Act, the |
10 | | Department of Healthcare and Family Services may provide |
11 | | medical services to
noncitizens who have not yet attained 19 |
12 | | years of age and who are not eligible
for medical assistance |
13 | | under Article V of this Code or under the Children's
Health |
14 | | Insurance Program created by the Children's Health Insurance |
15 | | Program Act
due to their not meeting the otherwise applicable |
16 | | provisions of Section 1-11
of this Code or Section 20(a) of the |
17 | | Children's Health Insurance Program Act.
The medical services |
18 | | available, standards for eligibility, and other conditions
of |
19 | | participation under this Section shall be established by rule |
20 | | by the
Department; however, any such rule shall be at least as |
21 | | restrictive as the
rules for medical assistance under Article |
22 | | V of this Code or the Children's
Health Insurance Program |
23 | | created by the Children's Health Insurance Program
Act.
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1 | | (a-5) Notwithstanding Section 1-11 of this Code, the |
2 | | Department of Healthcare and Family Services may provide |
3 | | medical assistance in accordance with Article V of this Code |
4 | | to noncitizens over the age of 65 years of age who are not |
5 | | eligible for medical assistance under Article V of this Code |
6 | | due to their not meeting the otherwise applicable provisions |
7 | | of Section 1-11 of this Code, whose income is at or below 100% |
8 | | of the federal poverty level after deducting the costs of |
9 | | medical or other remedial care, and who would otherwise meet |
10 | | the eligibility requirements in Section 5-2 of this Code. The |
11 | | medical services available, standards for eligibility, and |
12 | | other conditions of participation under this Section shall be |
13 | | established by rule by the Department; however, any such rule |
14 | | shall be at least as restrictive as the rules for medical |
15 | | assistance under Article V of this Code. |
16 | | (a-6) By May 30, 2022, notwithstanding Section 1-11 of |
17 | | this Code, the Department of Healthcare and Family Services |
18 | | may provide medical services to noncitizens 55 years of age |
19 | | through 64 years of age who (i) are not eligible for medical |
20 | | assistance under Article V of this Code due to their not |
21 | | meeting the otherwise applicable provisions of Section 1-11 of |
22 | | this Code and (ii) have income at or below 133% of the federal |
23 | | poverty level plus 5% for the applicable family size as |
24 | | determined under applicable federal law and regulations. |
25 | | Persons eligible for medical services under Public Act 102-16 |
26 | | shall receive benefits identical to the benefits provided |
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| | SB1395 | - 3 - | LRB103 26140 KTG 52497 b |
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1 | | under the Health Benefits Service Package as that term is |
2 | | defined in subsection (m) of Section 5-1.1 of this Code. |
3 | | (a-7) By July 1, 2022, notwithstanding Section 1-11 of |
4 | | this Code, the Department of Healthcare and Family Services |
5 | | may provide medical services to noncitizens 42 years of age |
6 | | through 54 years of age who (i) are not eligible for medical |
7 | | assistance under Article V of this Code due to their not |
8 | | meeting the otherwise applicable provisions of Section 1-11 of |
9 | | this Code and (ii) have income at or below 133% of the federal |
10 | | poverty level plus 5% for the applicable family size as |
11 | | determined under applicable federal law and regulations. The |
12 | | medical services available, standards for eligibility, and |
13 | | other conditions of participation under this Section shall be |
14 | | established by rule by the Department; however, any such rule |
15 | | shall be at least as restrictive as the rules for medical |
16 | | assistance under Article V of this Code. In order to provide |
17 | | for the timely and expeditious implementation of this |
18 | | subsection, the Department may adopt rules necessary to |
19 | | establish and implement this subsection through the use of |
20 | | emergency rulemaking in accordance with Section 5-45 of the |
21 | | Illinois Administrative Procedure Act. For purposes of the |
22 | | Illinois Administrative Procedure Act, the General Assembly |
23 | | finds that the adoption of rules to implement this subsection |
24 | | is deemed necessary for the public interest, safety, and |
25 | | welfare. |
26 | | (a-8) Notwithstanding Section 1-11 of this Code, the |
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| | SB1395 | - 4 - | LRB103 26140 KTG 52497 b |
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1 | | Department of Healthcare and Family Services may provide |
2 | | coverage for organ transplants for noncitizens who (i) are not |
3 | | eligible for medical assistance under Article V of this Code |
4 | | due to their not meeting the otherwise applicable provisions |
5 | | of Section 1-11 of this Code and (ii) have income at or below |
6 | | 133% of the federal poverty level plus 5% for the applicable |
7 | | family size as determined under applicable federal law and |
8 | | regulations. Persons eligible for medical services under this |
9 | | amendatory Act of the 103rd General Assembly shall receive |
10 | | benefits identical to the benefits provided under the Health |
11 | | Benefits Service Package as that term is defined in subsection |
12 | | (m) of Section 5-1.1 of this Code. |
13 | | (a-10) Notwithstanding the provisions of Section 1-11, the |
14 | | Department shall cover immunosuppressive drugs and related |
15 | | services associated with post-kidney transplant management, |
16 | | excluding long-term care costs, for noncitizens who: (i) are |
17 | | not eligible for comprehensive medical benefits; (ii) meet the |
18 | | residency requirements of Section 5-3; and (iii) would meet |
19 | | the financial eligibility requirements of Section 5-2. |
20 | | (b) The Department is authorized to take any action that |
21 | | would not otherwise be prohibited by applicable law, |
22 | | including, without
limitation, cessation or limitation of |
23 | | enrollment, reduction of available medical services,
and |
24 | | changing standards for eligibility, that is deemed necessary |
25 | | by the
Department during a State fiscal year to assure that |
26 | | payments under this
Section do not exceed available funds.
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