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Full Text of SB3680  97th General Assembly


Sen. Pamela J. Althoff

Filed: 3/26/2012





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2    AMENDMENT NO. ______. Amend Senate Bill 3680 by replacing
3everything after the enacting clause with the following:
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



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1in the bill. The bill shall be held on second reading until the
2note has been received.
3    Section 10. Request for and delivery of note.     The
4statement prepared by the Director of Healthcare and Family
5Services shall be designated a Medicaid Budget and Impact Note.
6A copy of the Medicaid Budget and Impact Note shall be
7furnished to the Clerk of the House of Representatives or the
8Secretary of the Senate, as appropriate, within 7 business days
9after the bill is approved by the committee to which it is
10assigned. The Clerk or the Secretary shall procedurally review
11the note to ensure each of the items in Section 15 is contained
12in the note; however, neither the Clerk nor the Secretary shall
13review the note for the accuracy of its contents. If the Clerk
14or the Secretary determines that the note does not contain the
15information required in Section 15, the note shall not be
16accepted and shall be promptly returned the Director of
17Healthcare and Family Services, who shall revise and resubmit
18the note as soon as is possible, but no later than 2 days after
19its return. If the Clerk or the Secretary determines the note
20contains the information required in Section 15, the Director
21of Healthcare and Family Services shall furnish a copy to the
22presiding officer of each house, the minority leader of each
23house, the Clerk of the House of Representatives, the Secretary
24of the Senate, the sponsor of the bill that is the subject of
25the note. If the Director determines that additional time is



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1required for the preparation of the note because of the
2complexity of the bill, the Department may so notify the
3sponsor of the bill and ask for an extension of time not to
4exceed 5 additional days within which the note is to be
5furnished. No extension of time shall extend beyond May 15
6following the date of the request.
7    Section 15. Contents of note. The note shall be factual in
8nature, as brief and concise as may be, and shall provide as
9reliable an estimate in terms of dollar and programmatic
10impact, as is possible under the circumstances, and signed by
11the Director of Healthcare and Family Services or such person
12as the Director may designate. The note shall include, but not
13be limited to, the following information:
14    (1) the immediate fiscal effect of the measure, the fully
15annualized fiscal effect of the measure once implemented, and,
16if determinable or reasonably foreseeable, the long-range
17fiscal effect of the measure;
18    (2) a brief explanation of the purpose and anticipated
19result of the measure;
20    (3) a list of the methodologies and data sources relied
21upon by the Director to respond to the note request, including
22without limitation, all assumptions and formulas;
23    (4) the projected increase or decrease in program
24enrollment by category, including, but not limited to,
25projections for each of the following categories of persons:



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1children, seniors, adults with disabilities, and other adults;
2    (5) the projected increase or decrease in liability by
3category, including, but not limited to, projections for each
4of the following categories: long term care, hospitals,
5prescription drugs, and practitioners; and
6    (6) the projected aggregate federal match percentage
7resulting from the proposed measure.
8    If, after careful investigation, it is determined that no
9dollar estimate is possible, the note shall contain a statement
10to that effect, setting forth in detail the reasons why an
11estimate cannot be given.
12    No comment or opinion shall be included in the note with
13regard to the merits of the measure for which the note is
14prepared; however, technical or mechanical defects in the
15measure may be noted.
16    If the Director of Healthcare and Family Services requires
17the assistance of the Department of Human Services or any other
18State executive branch agency under the jurisdiction of the
19Governor, it shall request assistance from that agency as soon
20as is possible. If an agency receives such a request, it shall
21assist the Department of Healthcare and Family Services in a
22manner that allows the Director to meet the statutory deadlines
23set forth in Section 10 of this Act.
24    Section 20. Appearance before legislative committee. The
25fact that a Medicaid Budget and Impact Note is prepared for any



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1bill shall not preclude or restrict the appearance before any
2committee of the General Assembly, of any official or
3authorized employee of any State board, commission,
4department, agency, or other entity who desires to be heard in
5support of, or in opposition to, the measure.
6    Section 25. Applicability to amendments. Whenever any
7measure is amended on the floor of either house in such manner
8as to bring it within the description of bills set forth in
9Section 5 above, a majority of such house may propose that no
10action shall be taken upon the amendment until the Director of
11Healthcare and Family Services presents a note that complies
12with the requirements of this Act.
13    Section 99. Effective date. This Act takes effect January
141, 2013.".