State of Illinois
92nd General Assembly
Legislation

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[ Introduced ][ Engrossed ][ Senate Amendment 001 ]


92_HB3491enr

 
HB3491 Enrolled                                LRB9208405LDpr

 1        AN ACT relating to budget implementation.

 2        Be  it  enacted  by  the People of the State of Illinois,
 3    represented in the General Assembly:

 4        Section 1.  Short title.  This Act may be  cited  as  the
 5    FY2002 Budget Implementation (Human Services) Act.

 6        Section  5.  Purpose.   It  is the purpose and subject of
 7    this Act to make the changes in State  programs  relating  to
 8    human  services  that  are necessary to implement the State's
 9    FY2002 budget.

10        Section 10.  The Illinois Administrative Procedure Act is
11    amended by changing Section 5-45 as follows:

12        (5 ILCS 100/5-45) (from Ch. 127, par. 1005-45)
13        Sec. 5-45.  Emergency rulemaking.
14        (a)  "Emergency" means the  existence  of  any  situation
15    that  any agency finds reasonably constitutes a threat to the
16    public interest, safety, or welfare.
17        (b)  If any agency finds that an  emergency  exists  that
18    requires  adoption of a rule upon fewer days than is required
19    by Section 5-40 and states in writing its  reasons  for  that
20    finding, the agency may adopt an emergency rule without prior
21    notice   or   hearing  upon  filing  a  notice  of  emergency
22    rulemaking with the Secretary of State  under  Section  5-70.
23    The  notice  shall include the text of the emergency rule and
24    shall be published in the Illinois Register.  Consent  orders
25    or  other  court orders adopting settlements negotiated by an
26    agency  may  be  adopted  under  this  Section.   Subject  to
27    applicable  constitutional  or   statutory   provisions,   an
28    emergency  rule  becomes  effective  immediately  upon filing
29    under Section 5-65 or at a stated date  less  than  10   days
 
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 1    thereafter.   The  agency's  finding  and  a statement of the
 2    specific reasons for the finding  shall  be  filed  with  the
 3    rule.   The  agency  shall  take  reasonable  and appropriate
 4    measures to make emergency rules known to the persons who may
 5    be affected by them.
 6        (c)  An emergency rule may be effective for a  period  of
 7    not longer than 150 days, but the agency's authority to adopt
 8    an  identical  rule  under Section 5-40 is not precluded.  No
 9    emergency rule may be adopted more than once in any 24  month
10    period,   except  that  this  limitation  on  the  number  of
11    emergency rules that may be adopted in a 24 month period does
12    not apply to (i) emergency rules that make additions  to  and
13    deletions  from  the  Drug Manual under Section 5-5.16 of the
14    Illinois Public Aid Code or the generic drug formulary  under
15    Section  3.14  of the Illinois Food, Drug and Cosmetic Act or
16    (ii) emergency rules adopted by the Pollution  Control  Board
17    before  July  1,  1997 to implement portions of the Livestock
18    Management Facilities  Act.   Two  or  more  emergency  rules
19    having  substantially  the  same  purpose and effect shall be
20    deemed to be a single rule for purposes of this Section.
21        (d)  In order to provide for the expeditious  and  timely
22    implementation  of  the  State's  fiscal  year  1999  budget,
23    emergency  rules  to  implement  any  provision of Public Act
24    90-587 or 90-588 or any other budget  initiative  for  fiscal
25    year  1999  may be adopted in accordance with this Section by
26    the agency  charged  with  administering  that  provision  or
27    initiative,  except  that  the  24-month  limitation  on  the
28    adoption  of  emergency  rules and the provisions of Sections
29    5-115 and 5-125 do not apply  to  rules  adopted  under  this
30    subsection  (d).   The adoption of emergency rules authorized
31    by this subsection (d) shall be deemed to  be  necessary  for
32    the public interest, safety, and welfare.
33        (e)  In  order  to provide for the expeditious and timely
34    implementation  of  the  State's  fiscal  year  2000  budget,
 
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 1    emergency rules to implement any provision of this amendatory
 2    Act  of  the  91st  General  Assembly  or  any  other  budget
 3    initiative for fiscal year 2000 may be adopted in  accordance
 4    with  this  Section  by the agency charged with administering
 5    that  provision  or  initiative,  except  that  the  24-month
 6    limitation  on  the  adoption  of  emergency  rules  and  the
 7    provisions of Sections 5-115 and 5-125 do not apply to  rules
 8    adopted under this subsection (e).  The adoption of emergency
 9    rules authorized by this subsection (e) shall be deemed to be
10    necessary for the public interest, safety, and welfare.
11        (f)  In  order  to provide for the expeditious and timely
12    implementation  of  the  State's  fiscal  year  2001  budget,
13    emergency rules to implement any provision of this amendatory
14    Act  of  the  91st  General  Assembly  or  any  other  budget
15    initiative for fiscal year 2001 may be adopted in  accordance
16    with  this  Section  by the agency charged with administering
17    that  provision  or  initiative,  except  that  the  24-month
18    limitation  on  the  adoption  of  emergency  rules  and  the
19    provisions of Sections 5-115 and 5-125 do not apply to  rules
20    adopted under this subsection (f).  The adoption of emergency
21    rules authorized by this subsection (f) shall be deemed to be
22    necessary for the public interest, safety, and welfare.
23        (g)  In  order  to provide for the expeditious and timely
24    implementation  of  the  State's  fiscal  year  2002  budget,
25    emergency rules to implement any provision of this amendatory
26    Act  of  the  92nd  General  Assembly  or  any  other  budget
27    initiative for fiscal year 2002 may be adopted in  accordance
28    with  this  Section  by the agency charged with administering
29    that  provision  or  initiative,  except  that  the  24-month
30    limitation  on  the  adoption  of  emergency  rules  and  the
31    provisions of Sections 5-115 and 5-125 do not apply to  rules
32    adopted under this subsection (g).  The adoption of emergency
33    rules authorized by this subsection (g) shall be deemed to be
34    necessary for the public interest, safety, and welfare.
 
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 1    (Source: P.A. 90-9, eff. 7-1-97; 90-587, eff. 7-1-98; 90-588,
 2    eff.  7-1-98;  91-24,  eff.  7-1-99;  91-357,  eff.  7-29-99;
 3    91-712, eff. 7-1-00.)

 4        Section 20.  The State Finance Act is amended by changing
 5    Section 6z-24 and adding Sections 5.549, 5.550, 5.551, 6z-52,
 6    and 6z-53 as follows:

 7        (30 ILCS 105/5.549 new)
 8        Sec. 5.549. The Independent Academic Medical Center Fund.

 9        (30 ILCS 105/5.550 new)
10        Sec. 5.550. The Drug Rebate Fund.

11        (30 ILCS 105/5.551 new)
12        Sec. 5.551. The Downstate Emergency Response Fund.

13        (30 ILCS 105/6z-24) (from Ch. 127, par. 142z-24)
14        Sec.  6z-24.  There  is created in the State Treasury the
15    Special  Education  Medicaid  Matching  Fund.    All   monies
16    received  from  the federal government due to expenditures by
17    local education agencies for  educationally-related  services
18    authorized  under Section 1903 of the Social Security Act, as
19    amended, and for the  administrative  costs  related  thereto
20    shall be deposited in the Special Education Medicaid Matching
21    Fund.  All monies received from the federal government due to
22    expenditures     by     local    education    agencies    for
23    educationally-related services authorized under Section  2105
24    of the Social Security Act, as amended, shall be deposited in
25    the Special Education Medicaid Matching Fund.
26        The  monies  in  the  Special Education Medicaid Matching
27    Fund shall be held subject to appropriation  by  the  General
28    Assembly  to  the  State  Board  of Education or the Illinois
29    Department  of  Public  Aid  for   distribution   to   school
 
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 1    districts,  pursuant  to an interagency agreement between the
 2    Illinois Department of Public Aid  and  the  State  Board  of
 3    Education   or   intergovernmental   agreements  between  the
 4    Illinois  Department  of  Public  Aid  and  individual  local
 5    education agencies, for eligible special  education  children
 6    claims under Titles XIX and XXI of the Social Security Act.
 7    (Source: P.A. 91-24, eff. 7-1-99; 91-266, eff. 7-23-99.)

 8        (30 ILCS 105/6z-52 new)
 9        Sec. 6z-52. Drug Rebate Fund.
10        (a)  There  is  created  in  the State Treasury a special
11    fund to be known as the Drug Rebate Fund.
12        (b)  The Fund is created for the purpose of receiving and
13    disbursing  moneys   in   accordance   with   this   Section.
14    Disbursements  from  the  Fund  shall  be  made,  subject  to
15    appropriation, only as follows:
16             (1)  For  payments  to  pharmacies for reimbursement
17        for prescription drugs provided to  a  recipient  of  aid
18        under  Article  V  of the Illinois Public Aid Code or the
19        Children's Health Insurance Program Act.
20             (2)  For reimbursement of moneys  collected  by  the
21        Illinois  Department  of  Public  Aid  through  error  or
22        mistake.
23             (3)  For   payments   of   any   amounts   that  are
24        reimbursable to the federal government resulting  from  a
25        payment into this Fund.
26        (c)  The Fund shall consist of the following:
27             (1)  Upon  notification  from the Director of Public
28        Aid, the Comptroller shall direct and the Treasurer shall
29        transfer the net State share of all  moneys  received  by
30        the  Illinois  Department  of Public Aid from drug rebate
31        agreements with pharmaceutical manufacturers pursuant  to
32        Title  XIX  of the federal Social Security Act, including
33        any portion of the balance in the Public  Aid  Recoveries
 
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 1        Trust  Fund  on July 1, 2001 that is attributable to such
 2        receipts.
 3             (2)  All federal  matching  funds  received  by  the
 4        Illinois  Department  as a result of expenditures made by
 5        the Department that are attributable to moneys  deposited
 6        in the Fund.
 7             (3)  Any   premium   collected   by   the   Illinois
 8        Department  from  participants under a waiver approved by
 9        the  federal  government   relating   to   provision   of
10        pharmaceutical services.
11             (4)  All other moneys received for the Fund from any
12        other source, including interest earned thereon.

13        (30 ILCS 105/6z-53 new)
14        Sec. 6z-53. Downstate Emergency Response Fund.
15        (a)  In this Section:
16        "Downstate  county" means any county with a population of
17    less than 250,000 with a level I trauma center.
18        "Trauma center" has the same meaning as in the  Emergency
19    Medical Services (EMS) Systems Act.
20        (b)  The  Downstate Emergency Response Fund is created as
21    a special fund in the State Treasury.
22        (c)  The following moneys shall  be  deposited  into  the
23    Fund:
24             (1)  Moneys appropriated by the General Assembly.
25             (2)  Fees or other amounts paid to the Department of
26        Transportation for the use of an emergency helicopter for
27        the  transportation  of  an individual to a trauma center
28        located in a downstate county or for  any  other  medical
29        emergency  response.   The  Department  may  adopt  rules
30        establishing reasonable fees and other amounts to be paid
31        for  the  use  of  such helicopters and may collect those
32        fees and other amounts.
33             (3)  Gifts, grants,  other  appropriations,  or  any
 
HB3491 Enrolled            -7-                 LRB9208405LDpr
 1        other moneys designated for deposit into the Fund.
 2        (d)  Subject  to  appropriation, moneys in the Fund shall
 3    be used for the following purposes:
 4             (1)  By  the   Department   of   Transportation   to
 5        purchase,   lease,  maintain,  and  operate  helicopters,
 6        including payment of any costs associated with  personnel
 7        or  other  expenses  necessary  for  the  maintenance  or
 8        operation of such helicopters, (A) for emergency response
 9        transportation  of  individuals to trauma centers located
10        in downstate counties and (B) to support law enforcement,
11        disaster response, and other medical emergency  response.
12        Moneys  appropriated  from  the  Fund  for these purposes
13        shall be in addition to any other moneys used  for  these
14        purposes.
15             (2)  By  the  Department  of  Public Aid for medical
16        assistance under Article V of  the  Illinois  Public  Aid
17        Code.

18        Section  25.   The Excellence in Academic Medicine Act is
19    amended by changing Sections 15, 20, 60, and  65  and  adding
20    Section 35 as follows:

21        (30 ILCS 775/15)
22        Sec. 15.  Definitions.  As used in this Act:
23        "Academic  medical  center  hospital"  means  a  hospital
24    located   in  Illinois  which  is  either  (i)  under  common
25    ownership with the  college  of  medicine  of  a  college  or
26    university  or  (ii)  a  free-standing  hospital in which the
27    majority of the clinical chiefs  of  service  are  department
28    chairmen in an affiliated medical school.
29        "Academic  medical  center  children's  hospital" means a
30    children's hospital  which  is  separately  incorporated  and
31    non-integrated  into the academic medical center hospital but
32    which is the pediatric partner for an academic medical center
 
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 1    hospital and which serves as the  primary  teaching  hospital
 2    for  pediatrics for its affiliated medical school; children's
 3    hospitals which are separately  incorporated  but  integrated
 4    into the academic medical center hospital are considered part
 5    of the academic medical center hospital.
 6        "Chicago  Medicare Metropolitan Statistical Area academic
 7    medical center hospital" means  an  academic  medical  center
 8    hospital   located   in  the  Chicago  Medicare  Metropolitan
 9    Statistical Area.
10        "Independent academic medical center hospital" means  the
11    primary  teaching  hospital for the University of Illinois at
12    Urbana.
13        "Non-Chicago  Medicare  Metropolitan   Statistical   Area
14    academic  medical  center hospital" means an academic medical
15    center  hospital  located  outside   the   Chicago   Medicare
16    Metropolitan Statistical Area.
17        "Qualified Chicago Medicare Metropolitan Statistical Area
18    academic  medical center hospital" means any Chicago Medicare
19    Metropolitan  Statistical  Area   academic   medical   center
20    hospital  that  either  directly  or  in  connection with its
21    affiliated medical school receives in excess of $8,000,000 in
22    grants or contracts from the National  Institutes  of  Health
23    during the calendar year preceding the beginning of the State
24    fiscal  year; except that for the purposes of Section 25, the
25    term also includes the entity specified in subsection (e)  of
26    that Section.
27        "Qualified  Non-Chicago Medicare Metropolitan Statistical
28    Area academic medical  center  hospital"  means  the  primary
29    teaching  hospital  for  the University of Illinois School of
30    Medicine at Peoria and the primary teaching hospital for  the
31    University of Illinois School of Medicine at Rockford and the
32    primary  teaching  hospitals for Southern Illinois University
33    School of Medicine in Springfield.
34        "Qualified academic medical center hospital" means (i)  a
 
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 1    qualified  Chicago  Medicare  Metropolitan  Statistical  Area
 2    academic   medical   center   hospital,   (ii)   a  qualified
 3    Non-Chicago Medicare Metropolitan Statistical  Area  academic
 4    medical  center hospital, or (iii) an academic medical center
 5    children's hospital.
 6        "Qualified programs" include:
 7             (i)  Thoracic Transplantation: heart  and  lung,  in
 8        particular;
 9             (ii)  Cancer:  particularly  biologic  modifiers  of
10        tumor  response,  and  mechanisms  of  drug resistance in
11        cancer therapy;
12             (iii)  Shock/Burn:   development    of    biological
13        alternatives  to  skin  for  grafting in burn injury, and
14        research in mechanisms of  shock  and  tissue  injury  in
15        severe injury;
16             (iv)  Abdominal   transplantation:   kidney,  liver,
17        pancreas, and development of islet cell and  small  bowel
18        transplantation technologies;
19             (v)  Minimally    invasive   surgery:   particularly
20        laparoscopic surgery;
21             (vi)  High    performance     medical     computing:
22        telemedicine and teleradiology;
23             (vii)  Transmyocardial  laser  revascularization:  a
24        laser  creates  holes in heart muscles to allow new blood
25        flow;
26             (viii)  Pet scanning: viewing  how  organs  function
27        (CT  and  MRI  only  allow viewing of the structure of an
28        organ);
29             (ix)  Strokes  in  the  African-American  community:
30        particularly risk factors for cerebral vascular  accident
31        (strokes)  in  the  African-American  community  at  much
32        higher risk than the general population;
33             (x)  Neurosurgery:    particularly    focusing    on
34        interventional neuroradiology;
 
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 1             (xi)  Comprehensive  eye  center:  including further
 2        development in pediatric eye trauma;
 3             (xii)  Cancers:  particularly  melanoma,  head   and
 4        neck;
 5             (xiii)  Pediatric cancer;
 6             (xiv)  Invasive pediatric cardiology;
 7             (xv)  Pediatric        organ        transplantation:
 8        transplantation  of  solid organs, marrow, and other stem
 9        cells; and
10             (xvi)  Such other programs as may be identified.
11    (Source: P.A. 89-506, eff. 7-3-96.)

12        (30 ILCS 775/20)
13        Sec. 20. Establishment of Funds.
14        (a)  The Medical Research and Development Fund is created
15    in the State Treasury to which the General Assembly may  from
16    time to time appropriate funds and from which the Comptroller
17    shall pay amounts as authorized by law.
18             (i)  The  following  accounts  are  created  in  the
19        Medical  Research  and  Development  Fund:  The  National
20        Institutes  of  Health Account; the Philanthropic Medical
21        Research  Account;  and  the  Market   Medical   Research
22        Account.
23             (ii)  Funds appropriated to the Medical Research and
24        Development  Fund  shall  be assigned in equal amounts to
25        each account within the Fund, subject to  transferability
26        of funds under subsection (c) of Section 25.
27        (b)  The  Post-Tertiary Clinical Services Fund is created
28    in the State Treasury to which the General Assembly may  from
29    time to time appropriate funds and from which the Comptroller
30    shall pay amounts as authorized by law.
31        (c)  The  Independent  Academic  Medical  Center  Fund is
32    created as a special fund in the State Treasury, to which the
33    General Assembly shall from time to  time  appropriate  funds
 
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 1    for  the  purposes of the Independent Academic Medical Center
 2    Program.  The amount appropriated for any fiscal  year  after
 3    2002  shall  not  be  less  than  the amount appropriated for
 4    fiscal year 2002.  The State Comptroller  shall  pay  amounts
 5    from the Fund as authorized by law.
 6    (Source: P.A. 89-506, eff. 7-3-96.)

 7        (30 ILCS 775/35 new)
 8        Sec.  35.   Independent  Academic Medical Center Program.
 9    There is  created  an  Independent  Academic  Medical  Center
10    Program  to  provide  incentives  to  develop and enhance the
11    independent academic medical center hospital.  In each  State
12    fiscal  year,  beginning in fiscal year 2002, the independent
13    academic medical center hospital shall receive funding  under
14    the  Program,  equal to the full amount appropriated for that
15    purpose for that fiscal  year.   In  each  fiscal  year,  one
16    quarter  of  the  amount  payable to the independent academic
17    medical center  hospital  shall  be  paid  on  the  fifteenth
18    working day after July 1, October 1, January 1, and March 1.

19        (30 ILCS 775/60)
20        Sec.  60.  Restriction  on  funds.   No  academic medical
21    center hospital shall  be  eligible  for  payments  from  the
22    Medical  Research  and  Development  Fund unless the academic
23    medical center hospital  qualifies  under  Section  15  as  a
24    qualified  Chicago  Medicare  Metropolitan  Statistical  Area
25    academic medical center hospital which in connection with its
26    affiliated medical school received at least $8,000,000 in the
27    preceding  calendar  year  in  grants  or  contracts from the
28    National Institutes of Health; except that  this  restriction
29    does  not  apply to the entity specified in subsection (e) of
30    Section 25.
31        If a hospital is eligible for funds from the  Independent
32    Academic Medical Center Fund, that hospital shall not receive
 
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 1    funds  from  the Medical Research and Development Fund or the
 2    Post-Tertiary Clinical Services Fund.  If a hospital receives
 3    funds from the Medical Research and Development Fund  or  the
 4    Post-Tertiary   Clinical  Services  Fund,  that  hospital  is
 5    ineligible to receive funds  from  the  Independent  Academic
 6    Medical Center Fund.
 7    (Source: P.A. 89-506, eff. 7-3-96.)

 8        (30 ILCS 775/65)
 9        Sec.  65.  Reporting requirements.  On or before May 1 of
10    each year, the chief  executive  officer  of  each  Qualified
11    Academic Medical Center Hospital shall submit a report to the
12    Comptroller  regarding the effects of the programs authorized
13    by this Act.  The report shall also report the  total  amount
14    of  grants from and contracts with the National Institutes of
15    Health in the  preceding  calendar  year.   It  shall  assess
16    whether  the  programs  funded  are  likely to be successful,
17    require further study, or no longer appear  to  be  promising
18    avenues  of  research.   It shall discuss the probable use of
19    the developmental program in  mainstream  medicine  including
20    both  cost  impact  and  medical  effect.   The  report shall
21    address the effects the programs may have on containing Title
22    XIX and Title XXI costs in Illinois.  The  Comptroller  shall
23    immediately  forward the report to the Director of Public Aid
24    and the Director of Public  Health  who  shall  evaluate  the
25    contents in a letter submitted to the President of the Senate
26    and the Speaker of the House of Representatives.
27    (Source: P.A. 89-506, eff. 7-3-96.)

28        Section  30.   The Illinois Public Aid Code is amended by
29    changing Sections 5-5.4, 12-4.34, and 12-9 and adding Section
30    5-5.12a as follows:

31        (305 ILCS 5/5-5.4) (from Ch. 23, par. 5-5.4)
 
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 1        Sec. 5-5.4.  Standards of Payment - Department of  Public
 2    Aid.  The Department of Public Aid shall develop standards of
 3    payment  of skilled nursing and intermediate care services in
 4    facilities providing such services under this Article which:
 5        (1)  Provides  for  the  determination  of  a  facility's
 6    payment for skilled nursing and intermediate care services on
 7    a prospective basis.  The amount of the payment rate for  all
 8    nursing  facilities  certified  under  the medical assistance
 9    program shall be prospectively established  annually  on  the
10    basis   of   historical,   financial,  and  statistical  data
11    reflecting actual costs from  prior  years,  which  shall  be
12    applied  to  the current rate year and updated for inflation,
13    except that the capital cost element  for  newly  constructed
14    facilities  shall  be  based  upon  projected  budgets.   The
15    annually established payment rate shall take effect on July 1
16    in  1984  and  subsequent  years.   Rate  increases  shall be
17    provided annually thereafter on July 1 in 1984  and  on  each
18    subsequent July 1 in the following years, except that no rate
19    increase  and no update for inflation shall be provided on or
20    after  July  1,  1994  and  before  July  1,   2001,   unless
21    specifically provided for in this Section.
22        For  facilities  licensed  by  the  Department  of Public
23    Health under the Nursing Home Care Act as  Intermediate  Care
24    for the Developmentally Disabled facilities or Long Term Care
25    for  Under Age 22 facilities, the rates taking effect on July
26    1, 1998 shall include an  increase  of  3%.   For  facilities
27    licensed by the Department of Public Health under the Nursing
28    Home  Care  Act as Skilled Nursing facilities or Intermediate
29    Care facilities, the rates taking  effect  on  July  1,  1998
30    shall  include an increase of 3% plus $1.10 per resident-day,
31    as defined by the Department.
32        For facilities  licensed  by  the  Department  of  Public
33    Health  under  the Nursing Home Care Act as Intermediate Care
34    for the Developmentally Disabled facilities or Long Term Care
 
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 1    for Under Age 22 facilities, the rates taking effect on  July
 2    1,  1999  shall  include  an  increase of 1.6% plus $3.00 per
 3    resident-day, as defined by the Department.   For  facilities
 4    licensed by the Department of Public Health under the Nursing
 5    Home  Care  Act as Skilled Nursing facilities or Intermediate
 6    Care facilities, the rates taking  effect  on  July  1,  1999
 7    shall  include an increase of 1.6% and, for services provided
 8    on or after October 1, 1999, shall be increased by $4.00  per
 9    resident-day, as defined by the Department.
10        For  facilities  licensed  by  the  Department  of Public
11    Health under the Nursing Home Care Act as  Intermediate  Care
12    for the Developmentally Disabled facilities or Long Term Care
13    for  Under Age 22 facilities, the rates taking effect on July
14    1, 2000 shall include an increase of 2.5%  per  resident-day,
15    as defined by the Department.  For facilities licensed by the
16    Department  of  Public Health under the Nursing Home Care Act
17    as  Skilled   Nursing   facilities   or   Intermediate   Care
18    facilities,  the  rates  taking  effect on July 1, 2000 shall
19    include an increase of 2.5% per resident-day, as  defined  by
20    the Department.
21        For  facilities  licensed  by  the  Department  of Public
22    Health under the Nursing Home Care Act as  Intermediate  Care
23    for the Developmentally Disabled facilities or Long Term Care
24    for Under Age 22 facilities, the rates taking effect on March
25    1,  2001  shall  include  a  statewide  increase of 7.85%, as
26    defined by the Department.
27        For facilities  licensed  by  the  Department  of  Public
28    Health  under  the Nursing Home Care Act as Intermediate Care
29    for the Developmentally Disabled facilities or Long Term Care
30    for Under Age 22 facilities, the rates taking effect on April
31    1, 2002 shall  include  a  statewide  increase  of  2.0%,  as
32    defined by the Department.
33        Rates  established  effective  each  July  1 shall govern
34    payment for services rendered throughout  that  fiscal  year,
 
HB3491 Enrolled            -15-                LRB9208405LDpr
 1    except  that  rates  established  on  July  1,  1996 shall be
 2    increased by 6.8% for services provided on or  after  January
 3    1,  1997.  Such rates will be based upon the rates calculated
 4    for the year beginning July 1, 1990, and for subsequent years
 5    thereafter shall be based on the facility  cost  reports  for
 6    the  facility  fiscal year ending at any point in time during
 7    the previous calendar year, updated to the  midpoint  of  the
 8    rate  year.   The  cost  report  shall  be  on  file with the
 9    Department no later than April 1 of the  current  rate  year.
10    Should  the  cost  report  not  be  on  file  by April 1, the
11    Department shall base the rate  on  the  latest  cost  report
12    filed  by  each  skilled  care facility and intermediate care
13    facility, updated to the midpoint of the current  rate  year.
14    In  determining rates for services rendered on and after July
15    1, 1985, fixed time shall not be computed at less than  zero.
16    The  Department shall not make any alterations of regulations
17    which would reduce any component of the Medicaid  rate  to  a
18    level  below what that component would have been utilizing in
19    the rate effective on July 1, 1984.
20        (2)  Shall take into account the actual costs incurred by
21    facilities in providing services for  recipients  of  skilled
22    nursing  and  intermediate  care  services  under the medical
23    assistance program.
24        (3)  Shall   take   into   account   the   medical    and
25    psycho-social characteristics and needs of the patients.
26        (4)  Shall take into account the actual costs incurred by
27    facilities  in  meeting licensing and certification standards
28    imposed and prescribed by the State of Illinois, any  of  its
29    political  subdivisions  or  municipalities  and  by the U.S.
30    Department of Health and Human Services pursuant to Title XIX
31    of the Social Security Act.
32        The  Department  of  Public  Aid  shall  develop  precise
33    standards for payments to reimburse  nursing  facilities  for
34    any  utilization  of appropriate rehabilitative personnel for
 
HB3491 Enrolled            -16-                LRB9208405LDpr
 1    the provision of rehabilitative services which is  authorized
 2    by  federal regulations, including reimbursement for services
 3    provided by qualified therapists or qualified assistants, and
 4    which is in accordance with accepted professional  practices.
 5    Reimbursement  also  may  be  made  for  utilization of other
 6    supportive personnel under appropriate supervision.
 7    (Source: P.A. 90-9, eff. 7-1-97; 90-588, eff. 7-1-98;  91-24,
 8    eff. 7-1-99; 91-712, eff. 7-1-00.)

 9        (305 ILCS 5/5-5.12a new)
10        Sec.  5-5.12a.   Title  XIX  waiver;  pharmacy assistance
11    program.  The  Illinois  Department  may  seek  a  waiver  of
12    otherwise applicable requirements of Title XIX of the federal
13    Social  Security  Act  in  order  to  claim federal financial
14    participation for a pharmacy assistance program  for  persons
15    aged  65  and over with income levels at or less than 250% of
16    the federal  poverty  level.   The  Illinois  Department  may
17    provide  by  rule  for all other requirements of the program,
18    including cost sharing, as permitted by  an  approved  waiver
19    and  without  regard  to  any  provision  of this Code to the
20    contrary.  The benefits may be no more restrictive  than  the
21    Pharmacy  Assistance  Program  in  effect  on  May  31, 2001.
22    Benefits  provided  under   the   waiver   are   subject   to
23    appropriation.
24        The  Illinois  Department  may  not  implement the waiver
25    until cost neutrality is demonstrated for the State  relative
26    to  the  final  Pharmacy Assistance Program appropriation for
27    the fiscal year beginning July 1,  2001.   Implementation  of
28    the waiver shall terminate on June 30, 2007.

29        (305 ILCS 5/12-4.34)
30        (Section scheduled to be repealed on August 31, 2001)
31        Sec. 12-4.34.  Services to noncitizens.
32        (a)  Subject  to  specific appropriation for this purpose
 
HB3491 Enrolled            -17-                LRB9208405LDpr
 1    and notwithstanding Sections 1-11 and 3-1 of this  Code,  the
 2    Department   of  Human  Services  is  authorized  to  provide
 3    services to legal immigrants, including but  not  limited  to
 4    naturalization   and   nutrition   services   and   financial
 5    assistance.   The  nature  of these services, payment levels,
 6    and eligibility conditions shall be determined by rule.
 7        (b)  The Illinois Department is authorized to  lower  the
 8    payment levels established under this subsection or take such
 9    other  actions  during  the  fiscal  year as are necessary to
10    ensure that payments under this subsection do not exceed  the
11    amounts  appropriated for this purpose.  These changes may be
12    accomplished by emergency rule  under  Section  5-45  of  the
13    Illinois   Administrative  Procedure  Act,  except  that  the
14    limitation on the number  of  emergency  rules  that  may  be
15    adopted in a 24-month period shall not apply.
16        (c)  This Section is repealed on August 31, 2002 2001.
17    (Source:  P.A.  90-564,  eff.  12-22-97; 90-588, eff. 7-1-98;
18    91-24, eff. 7-1-99; 91-712, eff. 7-1-00.)

19        (305 ILCS 5/12-9) (from Ch. 23, par. 12-9)
20        Sec. 12-9.  Public Aid Recoveries Trust Fund; uses.   The
21    Public  Aid  Recoveries  Trust  Fund  shall  consist  of  (1)
22    recoveries   by   the   Illinois  Department  of  Public  Aid
23    authorized  by  this  Code  in  respect  to   applicants   or
24    recipients  under  Articles  III,  IV,  V,  and VI, including
25    recoveries made by the Illinois Department of Public Aid from
26    the estates of deceased recipients, (2)  recoveries  made  by
27    the   Illinois   Department  of  Public  Aid  in  respect  to
28    applicants  and  recipients  under  the   Children's   Health
29    Insurance  Program,  and (3) federal funds received on behalf
30    of and earned by local  governmental  entities  for  services
31    provided to applicants or recipients covered under this Code.
32    to  the  State  Disbursement  Unit  established under Section
33    10-26 of this Code or The Fund shall be  held  as  a  special
 
HB3491 Enrolled            -18-                LRB9208405LDpr
 1    fund in the State Treasury.
 2        Disbursements  from  this  Fund shall be only (1) for the
 3    reimbursement of claims collected by the Illinois  Department
 4    of  Public  Aid  through error or mistake, (2) for payment to
 5    persons or agencies designated as payees or co-payees on  any
 6    instrument,  whether  or  not  negotiable,  delivered  to the
 7    Illinois Department of Public Aid as a  recovery  under  this
 8    Section,  such  payment to be in proportion to the respective
 9    interests of the payees in the amount so collected,  (3)  for
10    payments  to the Department of Human Services for collections
11    made by the Illinois Department of Public Aid  on  behalf  of
12    the  Department  of  Human Services under this Code, (4) from
13    the State Disbursement  Unit  Revolving  Fund  under  Section
14    12-8.1 of this Code or for payment of administrative expenses
15    incurred  in  performing the activities authorized under this
16    Code, (5) for payment of fees to persons or agencies  in  the
17    performance  of  activities  pursuant  to  the  collection of
18    monies owed the State that are collected under this Code, (6)
19    for payments of any amounts which  are  reimbursable  to  the
20    federal  government  which  are  required to be paid by State
21    warrant by either the State or federal  government,  and  (7)
22    for  payments to local governmental entities of federal funds
23    for services provided to  applicants  or  recipients  covered
24    under  this  Code.  Disbursements from this Fund for purposes
25    of items (4) and (5) of this paragraph shall  be  subject  to
26    appropriations  from  the  Fund to the Illinois Department of
27    Public Aid.
28        The balance in  this  Fund  on  the  first  day  of  each
29    calendar  quarter,  after  payment  therefrom of  any amounts
30    reimbursable to the federal government, and minus the  amount
31    reasonably anticipated to be needed to make the disbursements
32    during  that  quarter  authorized  by  this Section, shall be
33    certified by the  Director  of  the  Illinois  Department  of
34    Public  Aid  and  transferred by the State Comptroller to the
 
HB3491 Enrolled            -19-                LRB9208405LDpr
 1    Drug Rebate Fund or the General Revenue  Fund  in  the  State
 2    Treasury,  as appropriate, within 30 days of the first day of
 3    each calendar quarter.
 4        On July 1, 1999, the State Comptroller shall transfer the
 5    sum of $5,000,000 from the Public Aid Recoveries  Trust  Fund
 6    (formerly  the  Public Assistance Recoveries Trust Fund) into
 7    the DHS Recoveries Trust Fund.
 8    (Source:  P.A.  90-255,  eff.  1-1-98;  91-24,  eff.  7-1-99;
 9    91-212, eff. 7-20-99; revised 9-28-99.)

10        Section 35.  The Senior  Citizens  and  Disabled  Persons
11    Property  Tax  Relief  and  Pharmaceutical  Assistance Act is
12    amended by changing Section 3.15 as follows:

13        (320 ILCS 25/3.15) (from Ch. 67 1/2, par. 403.15)
14        Sec. 3.15.  "Covered prescription  drug"  means  (1)  any
15    cardiovascular  agent  or  drug;  (2)  any  insulin  or other
16    prescription  drug  used  in  the  treatment   of   diabetes,
17    including syringe and needles used to administer the insulin;
18    (3) any prescription drug used in the treatment of arthritis,
19    (4)  beginning on January 1, 2001, any prescription drug used
20    in the treatment of cancer, (5) beginning on January 1, 2001,
21    any prescription drug used in the  treatment  of  Alzheimer's
22    disease,  (6)  beginning on January 1, 2001, any prescription
23    drug used  in  the  treatment  of  Parkinson's  disease,  (7)
24    beginning  on  January 1, 2001, any prescription drug used in
25    the treatment of glaucoma, and (8) beginning  on  January  1,
26    2001,  any  prescription  drug  used in the treatment of lung
27    disease and smoking related illnesses, and (9)  beginning  on
28    July  1, 2001, any prescription drug used in the treatment of
29    osteoporosis.  The specific agents or products to be included
30    under such categories shall be listed in  a  handbook  to  be
31    prepared  and  distributed  by  the  Department.  The general
32    types of covered prescription drugs  shall  be  indicated  by
 
HB3491 Enrolled            -20-                LRB9208405LDpr
 1    rule.   The  Department  of  Public Health shall promulgate a
 2    list of covered prescription drugs under  this  program  that
 3    meet  the  definition  of  a narrow therapeutic index drug as
 4    described in subsection (f) of Section 4.
 5    (Source: P.A. 91-699, eff. 1-1-01.)

 6        Section 40.  The Early Intervention Services  System  Act
 7    is amended by changing Sections 11 and 13 as follows:

 8        (325 ILCS 20/11) (from Ch. 23, par. 4161)
 9        Sec.  11.  Individualized  Family  Service  Plans.   Each
10    eligible  infant  or  toddler  and that infant's or toddler's
11    family shall receive:
12             (a)  timely,    comprehensive,     multidisciplinary
13        assessment  of  the  unique needs of each eligible infant
14        and  toddler,  and  assessment  of   the   concerns   and
15        priorities  of  the families to appropriately assist them
16        in meeting their needs  and  identify  services  to  meet
17        those needs; and
18             (b)  a  written  Individualized  Family Service Plan
19        developed by a multidisciplinary team which includes  the
20        parent or guardian.
21        The Individualized Family Service Plan shall be evaluated
22    once  a year and the family shall be provided a review of the
23    Plan at 6 month intervals or  more  often  where  appropriate
24    based on infant or toddler and family needs.  The lead agency
25    shall    create    a   quality   review   process   regarding
26    Individualized Family Service Plan  development  and  changes
27    thereto,  to monitor and help assure that resources are being
28    used to provide appropriate early intervention services.
29        The evaluation and initial assessment  and  initial  Plan
30    meeting must be held within 45 days after the initial contact
31    with  the  early  intervention services system. With parental
32    consent, early intervention services may commence before  the
 
HB3491 Enrolled            -21-                LRB9208405LDpr
 1    completion of the comprehensive assessment and development of
 2    the Plan.
 3        Parents must be informed that, at their discretion, early
 4    intervention  services  shall  be  provided  to each eligible
 5    infant and toddler in  the  natural  environment,  which  may
 6    include  the home or other community settings.  Parents shall
 7    make  the  final  decision  to  accept   or   decline   early
 8    intervention  services.  A  decision to decline such services
 9    shall not be a  basis  for  administrative  determination  of
10    parental  fitness, or other findings or sanctions against the
11    parents. Parameters of the Plan shall be set forth in rules.
12    (Source: P.A. 91-538, eff. 8-13-99.)

13        (325 ILCS 20/13) (from Ch. 23, par. 4163)
14        Sec. 13. Funding and  Fiscal  Responsibility.   The  lead
15    agency and every other participating State agency may receive
16    and  expend  funds  appropriated  by  the General Assembly to
17    implement the early intervention services system as  required
18    by this Act.
19        The lead agency and each participating State agency shall
20    identify  and  report  on  an annual basis to the Council the
21    State agency  funds  utilized  for  the  provision  of  early
22    intervention services to eligible infants and toddlers.
23        Funds  provided under Section 633 of the Individuals with
24    Disabilities Education Act (20 United States Code  1433)  may
25    not  be  used  to satisfy a financial commitment for services
26    which would have been paid for from another public or private
27    source but for the enactment of  this  Act,  except  whenever
28    considered   necessary   to   prevent   delay   in  receiving
29    appropriate  early  intervention  services  by  the  eligible
30    infant or toddler or family in a timely manner.   "Public  or
31    private   source"   includes  public  and  private  insurance
32    coverage.
33        Funds provided under Section 633 of the Individuals  with
 
HB3491 Enrolled            -22-                LRB9208405LDpr
 1    Disabilities  Education Act may be used by the lead agency to
 2    pay the provider of services pending reimbursement  from  the
 3    appropriate state agency.
 4        Nothing  in  this  Act  shall  be construed to permit the
 5    State to reduce medical or other assistance available  or  to
 6    alter  eligibility  under Title V and Title XIX of the Social
 7    Security Act relating to the Maternal  Child  Health  Program
 8    and Medicaid for eligible infants and toddlers in this State.
 9        The  lead agency shall create a central billing office to
10    receive  and  dispense  all  relevant   State   and   federal
11    resources,   as  well  as  local  government  or  independent
12    resources available, for early  intervention  services.  This
13    office  shall  assure  that  maximum  federal  resources  are
14    utilized  and  that  providers  receive  funds  with  minimal
15    duplications  or  interagency reporting and with consolidated
16    audit procedures.
17        The lead  agency  shall  may  also  create  a  system  of
18    payments by families, including a schedule of fees.  No fees,
19    however,   may  be  charged  for:  implementing  child  find,
20    evaluation    and    assessment,    service     coordination,
21    administrative  and  coordination  activities  related to the
22    development, review, and evaluation of Individualized  Family
23    Service Plans, or the implementation of procedural safeguards
24    and  other  administrative  components of the statewide early
25    intervention system.
26    (Source: P.A. 91-538, eff. 8-13-99.)

27        Section 99. Effective date.  This Act takes  effect  upon
28    becoming law.

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