093_HB0685sam001

 










                                     LRB093 05503 MKM 15072 a

 1                     AMENDMENT TO HOUSE BILL 685

 2        AMENDMENT NO.     .  Amend House Bill  685  by  replacing
 3    the title with the following:
 4        "AN ACT concerning public aid."; and

 5    by  replacing  everything  after the enacting clause with the
 6    following:

 7        "Section 5. The Illinois Public Aid Code  is  amended  by
 8    adding Sections 5-2.05 and 5-2.4 as follows:

 9        (305 ILCS 5/5-2.05 new)
10        Sec.   5-2.05.  Use   of   Medicaid  spend-down.  Persons
11    described in item 2(a) of Section 5-2, who  fail  to  qualify
12    for  basic  maintenance under Article III of this Code on the
13    basis of need because of excess income or  assets,  or  both,
14    may   establish   prospective   eligibility  for  that  basic
15    maintenance by  prepaying  their  monthly  spend-down  amount
16    under  this  Article  (as described in 42 CFR 435.831) to the
17    Department of Public Aid or by having a third party pay  that
18    amount  to  the  Department.  The  Department shall establish
19    appropriate  procedures  to  permit  such  a  prepayment   of
20    spend-down amounts.
 
                            -2-      LRB093 05503 MKM 15072 a
 1        (305 ILCS 5/5-2.4 new)
 2        Sec.  5-2.4.  Determination of spend-down eligibility. In
 3    the  case  of  community-based   services,   long-term   care
 4    services,  and  services  received  in  a  supportive  living
 5    facility  described  in  Section  5-5.01a,  when  determining
 6    whether  a  person  has  met  a  spend-down  requirement  for
 7    eligibility  under paragraph 2 of Section 5-2, the Department
 8    of Public Aid shall allow bills for  those  services  at  the
 9    usual,  customary,  or  competitive  rate for community-based
10    services, as funded by the Department of Human  Services  and
11    as  established  by  the  community-based service provider as
12    part of the provider's policy and  procedure  concerning  the
13    establishment of fees for services.

14        Section  99.  Effective  date. This Act takes effect upon
15    becoming law.".