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Full Text of SB3680  97th General Assembly




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1    AN ACT concerning State government.
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
4    Section 1. Short title. This Act may be cited as the
5Medicaid Budget and Impact Note Act.
6    Section 5. Medicaid budget and impact note required. Every
7bill that amends the Illinois Public Aid Code, affects
8eligibility for or enrollment in Medicaid, or has a financial
9impact on the operation of the Department of Healthcare and
10Family Services shall have prepared for it, upon approval by
11the committee to which it is assigned, a brief explanatory
12statement or note that includes a reliable estimate of the
13expected impact of the bill on the annual budget of the
14Department of Healthcare and Family Services and the State of
15Illinois, as well as an accurate projection of the costs and
16benefits associated with the implementation of each provision
17in the bill. The bill shall be held on second reading until the
18note has been received.
19    Section 10. Request for and delivery of note.     The
20statement prepared by the Director of Healthcare and Family
21Services shall be designated a Medicaid Budget and Impact Note.
22A copy of the Medicaid Budget and Impact Note shall be



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1furnished to the Clerk of the House of Representatives or the
2Secretary of the Senate, as appropriate, within 7 business days
3after the bill is approved by the committee to which it is
4assigned. The Clerk or the Secretary shall procedurally review
5the note to ensure each of the items in Section 15 is contained
6in the note; however, neither the Clerk nor the Secretary shall
7review the note for the accuracy of its contents. If the Clerk
8or the Secretary determines that the note does not contain the
9information required in Section 15, the note shall not be
10accepted and shall be promptly returned to the Director of
11Healthcare and Family Services, who shall revise and resubmit
12the note as soon as is possible, but no later than 2 days after
13its return. If the Clerk or the Secretary determines the note
14contains the information required in Section 15, the Director
15of Healthcare and Family Services shall furnish a copy to the
16presiding officer of each house, the minority leader of each
17house, the Clerk of the House of Representatives, the Secretary
18of the Senate, and the sponsor of the bill that is the subject
19of the note. If the Director determines that additional time is
20required for the preparation of the note because of the
21complexity of the bill, the Department may so notify the
22sponsor of the bill and ask for an extension of time not to
23exceed 5 additional days within which the note is to be
24furnished. No extension of time shall extend beyond May 15
25following the date of the request.



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1    Section 15. Contents of note. The note shall be factual in
2nature, as brief and concise as may be, and shall provide as
3reliable an estimate in terms of dollar and programmatic
4impact, as is possible under the circumstances, and signed by
5the Director of Healthcare and Family Services or such person
6as the Director may designate. The note shall include, but not
7be limited to, the following information:
8    (1) the immediate fiscal effect of the measure, the fully
9annualized fiscal effect of the measure once implemented, and,
10if determinable or reasonably foreseeable, the long-range
11fiscal effect of the measure;
12    (2) a brief explanation of the purpose and anticipated
13result of the measure;
14    (3) a list of the methodologies and data sources relied
15upon by the Director to respond to the note request, including
16without limitation, all assumptions and formulas;
17    (4) the projected increase or decrease in program
18enrollment by category, including, but not limited to,
19projections for each of the following categories of persons:
20children, seniors, adults with disabilities, and other adults;
21    (5) the projected increase or decrease in liability by
22category, including, but not limited to, projections for each
23of the following categories: long term care, hospitals,
24prescription drugs, and practitioners; and
25    (6) the projected aggregate federal match percentage
26resulting from the proposed measure.



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1    If, after careful investigation, it is determined that no
2dollar estimate is possible, the note shall contain a statement
3to that effect, setting forth in detail the reasons why an
4estimate cannot be given.
5    No comment or opinion shall be included in the note with
6regard to the merits of the measure for which the note is
7prepared; however, technical or mechanical defects in the
8measure may be noted.
9    If the Director of Healthcare and Family Services requires
10the assistance of the Department of Human Services or any other
11State executive branch agency under the jurisdiction of the
12Governor, it shall request assistance from that agency as soon
13as is possible. If an agency receives such a request, it shall
14assist the Department of Healthcare and Family Services in a
15manner that allows the Director to meet the statutory deadlines
16set forth in Section 10 of this Act.
17    Section 20. Appearance before legislative committee. The
18fact that a Medicaid Budget and Impact Note is prepared for any
19bill shall not preclude or restrict the appearance before any
20committee of the General Assembly, of any official or
21authorized employee of any State board, commission,
22department, agency, or other entity who desires to be heard in
23support of, or in opposition to, the measure.
24    Section 25. Applicability to amendments. Whenever any



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1measure is amended on the floor of either house in such manner
2as to bring it within the description of bills set forth in
3Section 5 above, a majority of such house may propose that no
4action shall be taken upon the amendment until the Director of
5Healthcare and Family Services presents a note that complies
6with the requirements of this Act.
7    Section 99. Effective date. This Act takes effect January
81, 2013.