Synopsis As Introduced Amends the Illinois Act on the Aging. Provides that beginning January 1, 2007, the Department shall pay an additional $1.33 per hour of chore/housekeeping and homemaker service performed by a chore/housekeeping and homemaker service provider vendor to all vendors who certify that they will offer health insurance to all qualifying employees, and their dependents. Requires the amount of funding, for years after 2007, to be adjusted by the amount of which the medical component of the Consumer Price Index exceeds such component for the previous calendar year. Defines a qualifying employee as an employee that provides over 100 hours of chore/housekeeping and homemaker services per month for 3 consecutive months. Requires that chore/housekeeping and homemaker service provider vendors must certify that 50% of their workforce is eligible for coverage as a qualifying employee. Provides that the Department must set minimum standards for a qualifying health plan by rule. Sets forth that provider vendors who fail to offer coverage to all qualifying employees shall be subject to penalties up to and including the requirement to return all moneys paid under this paragraph by the State as prescribed by Department rule.
Fiscal Note (Dept. on Aging)
The FY07 estimated cost of this increase is $13.7 million gross, or approximately $10.3 million net of Medicaid federal financial participation assuming the waiver could be amended to allow for multiple rates for identical service. The minimum full year cost would be $27.4 million gross. This amount would increase annually due to growth in program service utilization and the legislation's requirement that the $1.33 per hour be adjusted annually to reflect the medical component of the Consumer Price Index. The average annual increase has been 4.35% between 1999 and 2004. Administrative costs for the Department would also increase due to the need for approximately eight full time staff and travel costs for field monitoring of the entire state. Two additional fiscal staff would also be necessary for auditing, billing, and collection purposes.
Fiscal Note (Dept. of Human Services)
Annualized coast of $4.6M and FY07 partial year cost of $2M.