101ST GENERAL ASSEMBLY
State of Illinois
2019 and 2020
HB5283

 

Introduced , by Rep. Chris Miller

 

SYNOPSIS AS INTRODUCED:
 
See Index

    Creates the No Taxpayer Funding for Abortion Act. Provides that neither the State nor any of its subdivisions may authorize the use of, appropriate, or expend funds to pay for an abortion or to cover any part of the costs of a health plan that includes coverage of abortion or to provide or refer for an abortion, unless a woman who suffers from a physical disorder, physical injury, or physical illness that would, as certified by a physician, place the woman in danger of death if an abortion is not performed. Amends the State Employees Group Insurance Act of 1971 and the Illinois Public Aid Code. Excludes from the programs of health benefits and services authorized under those Acts coverage for elective abortions as provided in the No Taxpayer Funding for Abortion Act. Prohibits a physician who has been found guilty of performing an abortion procedure in a willful and wanton manner upon a woman who was not pregnant when the abortion procedure was performed from participating in the State's Medical Assistance Program. Provides that the Department of Healthcare and Family Services shall require a written statement, including the required opinion of a physician, to accompany a claim for reimbursement for abortions or induced miscarriages or premature births. Makes other changes. Amends the Problem Pregnancy Health Services and Care Act. Permits the Department of Human Services to make grants to nonprofit agencies and organizations that do not use those grants to refer or counsel for, or perform, abortions. Contains provisions regarding applicability and preempts home rule. Effective June 1, 2020.


LRB101 17907 KTG 67343 b

FISCAL NOTE ACT MAY APPLY
HOME RULE NOTE ACT MAY APPLY

 

 

A BILL FOR

 

HB5283LRB101 17907 KTG 67343 b

1    AN ACT concerning abortion.
 
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 No
5Taxpayer Funding for Abortion Act.
 
6    Section 5. Public policy. It is the public policy of this
7State that the General Assembly of the State of Illinois does
8solemnly declare and find in reaffirmation of the longstanding
9policy of this State that the unborn child is a human being
10from the time of conception and has a right to life and, to the
11extent consistent with the United States Constitution,
12Illinois law should be interpreted to recognize that right to
13life and to protect unborn life.
14    The General Assembly further declares and finds that, while
15the people of Illinois hold a variety of positions on the issue
16of abortion, they generally oppose the use of tax dollars to
17pay for elective abortions and support the federal Hyde
18Amendment, named after the late Henry J. Hyde, whose memory is
19revered and service celebrated as a Congressman from the great
20State of Illinois. This Act honors the strong beliefs of the
21people of Illinois by prohibiting the taxpayer funding of
22abortion in this State.
 

 

 

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1    Section 10. Use of funds to pay for abortions prohibited;
2exceptions. Notwithstanding any other provision of law,
3neither the State nor any of its subdivisions may authorize the
4use of, appropriate, or expend any funds to pay for any
5abortion or to cover any part of the costs of any health plan
6that includes coverage of abortion or to provide or refer for
7any abortion, except in the case where a woman suffers from a
8physical disorder, physical injury, or physical illness that
9would, as certified by a physician, place the woman in danger
10of death unless an abortion is performed, including a
11life-endangering physical condition caused by or arising from
12the pregnancy itself, or in such other circumstances as
13required by federal law.
 
14    Section 900. The State Employees Group Insurance Act of
151971 is amended by changing Sections 6 and 6.1 as follows:
 
16    (5 ILCS 375/6)  (from Ch. 127, par. 526)
17    Sec. 6. Program of health benefits.
18    (a) The program of health benefits shall provide for
19protection against the financial costs of health care expenses
20incurred in and out of hospital including basic
21hospital-surgical-medical coverages. The program may include,
22but shall not be limited to, such supplemental coverages as
23out-patient diagnostic X-ray and laboratory expenses,
24prescription drugs, dental services, hearing evaluations,

 

 

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1hearing aids, the dispensing and fitting of hearing aids, and
2similar group benefits as are now or may become available,
3except as provided in the No Taxpayer Funding for Abortion Act.
4The program may also include coverage for those who rely on
5treatment by prayer or spiritual means alone for healing in
6accordance with the tenets and practice of a recognized
7religious denomination.
8    The program of health benefits shall be designed by the
9Director (1) to provide a reasonable relationship between the
10benefits to be included and the expected distribution of
11expenses of each such type to be incurred by the covered
12members and dependents, (2) to specify, as covered benefits and
13as optional benefits, the medical services of practitioners in
14all categories licensed under the Medical Practice Act of 1987,
15(3) to include reasonable controls, which may include
16deductible and co-insurance provisions, applicable to some or
17all of the benefits, or a coordination of benefits provision,
18to prevent or minimize unnecessary utilization of the various
19hospital, surgical and medical expenses to be provided and to
20provide reasonable assurance of stability of the program, and
21(4) to provide benefits to the extent possible to members
22throughout the State, wherever located, on an equitable basis.
23Notwithstanding any other provision of this Section or Act, for
24all members or dependents who are eligible for benefits under
25Social Security or the Railroad Retirement system or who had
26sufficient Medicare-covered government employment, the

 

 

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1Department shall reduce benefits which would otherwise be paid
2by Medicare, by the amount of benefits for which the member or
3dependents are eligible under Medicare, except that such
4reduction in benefits shall apply only to those members or
5dependents who (1) first become eligible for such medicare
6coverage on or after the effective date of this amendatory Act
7of 1992; or (2) are Medicare-eligible members or dependents of
8a local government unit which began participation in the
9program on or after July 1, 1992; or (3) remain eligible for
10but no longer receive Medicare coverage which they had been
11receiving on or after the effective date of this amendatory Act
12of 1992.
13    Notwithstanding any other provisions of this Act, where a
14covered member or dependents are eligible for benefits under
15the federal Medicare health insurance program (Title XVIII of
16the Social Security Act as added by Public Law 89-97, 89th
17Congress), benefits paid under the State of Illinois program or
18plan will be reduced by the amount of benefits paid by
19Medicare. For members or dependents who are eligible for
20benefits under Social Security or the Railroad Retirement
21system or who had sufficient Medicare-covered government
22employment, benefits shall be reduced by the amount for which
23the member or dependent is eligible under Medicare, except that
24such reduction in benefits shall apply only to those members or
25dependents who (1) first become eligible for such Medicare
26coverage on or after the effective date of this amendatory Act

 

 

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1of 1992; or (2) are Medicare-eligible members or dependents of
2a local government unit which began participation in the
3program on or after July 1, 1992; or (3) remain eligible for,
4but no longer receive Medicare coverage which they had been
5receiving on or after the effective date of this amendatory Act
6of 1992. Premiums may be adjusted, where applicable, to an
7amount deemed by the Director to be reasonably consistent with
8any reduction of benefits.
9    (b) A member, not otherwise covered by this Act, who has
10retired as a participating member under Article 2 of the
11Illinois Pension Code but is ineligible for the retirement
12annuity under Section 2-119 of the Illinois Pension Code, shall
13pay the premiums for coverage, not exceeding the amount paid by
14the State for the non-contributory coverage for other members,
15under the group health benefits program under this Act. The
16Director shall determine the premiums to be paid by a member
17under this subsection (b).
18(Source: P.A. 100-538, eff. 1-1-18.)
 
19    (5 ILCS 375/6.1)  (from Ch. 127, par. 526.1)
20    Sec. 6.1. The program of health benefits may offer as an
21alternative, available on an optional basis, coverage through
22health maintenance organizations. That part of the premium for
23such coverage which is in excess of the amount which would
24otherwise be paid by the State for the program of health
25benefits shall be paid by the member who elects such

 

 

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1alternative coverage and shall be collected as provided for
2premiums for other optional coverages, except as provided in
3the No Taxpayer Funding for Abortion Act.
4(Source: P.A. 100-538, eff. 1-1-18.)
 
5    Section 905. The Illinois Public Aid Code is amended by
6changing Sections 5-5, 5-8, 5-9, and 6-1 as follows:
 
7    (305 ILCS 5/5-5)  (from Ch. 23, par. 5-5)
8    Sec. 5-5. Medical services. The Illinois Department, by
9rule, shall determine the quantity and quality of and the rate
10of reimbursement for the medical assistance for which payment
11will be authorized, and the medical services to be provided,
12which may include all or part of the following: (1) inpatient
13hospital services; (2) outpatient hospital services; (3) other
14laboratory and X-ray services; (4) skilled nursing home
15services; (5) physicians' services whether furnished in the
16office, the patient's home, a hospital, a skilled nursing home,
17or elsewhere; (6) medical care, or any other type of remedial
18care furnished by licensed practitioners; (7) home health care
19services; (8) private duty nursing service; (9) clinic
20services; (10) dental services, including prevention and
21treatment of periodontal disease and dental caries disease for
22pregnant women, provided by an individual licensed to practice
23dentistry or dental surgery; for purposes of this item (10),
24"dental services" means diagnostic, preventive, or corrective

 

 

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1procedures provided by or under the supervision of a dentist in
2the practice of his or her profession; (11) physical therapy
3and related services; (12) prescribed drugs, dentures, and
4prosthetic devices; and eyeglasses prescribed by a physician
5skilled in the diseases of the eye, or by an optometrist,
6whichever the person may select; (13) other diagnostic,
7screening, preventive, and rehabilitative services, including
8to ensure that the individual's need for intervention or
9treatment of mental disorders or substance use disorders or
10co-occurring mental health and substance use disorders is
11determined using a uniform screening, assessment, and
12evaluation process inclusive of criteria, for children and
13adults; for purposes of this item (13), a uniform screening,
14assessment, and evaluation process refers to a process that
15includes an appropriate evaluation and, as warranted, a
16referral; "uniform" does not mean the use of a singular
17instrument, tool, or process that all must utilize; (14)
18transportation and such other expenses as may be necessary;
19(15) medical treatment of sexual assault survivors, as defined
20in Section 1a of the Sexual Assault Survivors Emergency
21Treatment Act, for injuries sustained as a result of the sexual
22assault, including examinations and laboratory tests to
23discover evidence which may be used in criminal proceedings
24arising from the sexual assault; (16) the diagnosis and
25treatment of sickle cell anemia; and (17) any other medical
26care, and any other type of remedial care recognized under the

 

 

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1laws of this State, except as provided in the No Taxpayer
2Funding for Abortion Act. The Illinois Department, by rule,
3shall prohibit any physician from providing medical assistance
4to anyone eligible therefor under this Code where such
5physician has been found guilty of performing an abortion
6procedure in a willful and wanton manner upon a woman who was
7not pregnant at the time such abortion procedure was performed.
8The term "any other type of remedial care" shall include
9nursing care and nursing home service for persons who rely on
10treatment by spiritual means alone through prayer for healing.
11    Notwithstanding any other provision of this Section, a
12comprehensive tobacco use cessation program that includes
13purchasing prescription drugs or prescription medical devices
14approved by the Food and Drug Administration shall be covered
15under the medical assistance program under this Article for
16persons who are otherwise eligible for assistance under this
17Article.
18    Notwithstanding any other provision of this Code,
19reproductive health care that is otherwise legal in Illinois
20shall be covered under the medical assistance program for
21persons who are otherwise eligible for medical assistance under
22this Article , except as provided in the No Taxpayer Funding
23for Abortion Act.
24    Notwithstanding any other provision of this Code, the
25Illinois Department may not require, as a condition of payment
26for any laboratory test authorized under this Article, that a

 

 

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1physician's handwritten signature appear on the laboratory
2test order form. The Illinois Department may, however, impose
3other appropriate requirements regarding laboratory test order
4documentation.
5    Upon receipt of federal approval of an amendment to the
6Illinois Title XIX State Plan for this purpose, the Department
7shall authorize the Chicago Public Schools (CPS) to procure a
8vendor or vendors to manufacture eyeglasses for individuals
9enrolled in a school within the CPS system. CPS shall ensure
10that its vendor or vendors are enrolled as providers in the
11medical assistance program and in any capitated Medicaid
12managed care entity (MCE) serving individuals enrolled in a
13school within the CPS system. Under any contract procured under
14this provision, the vendor or vendors must serve only
15individuals enrolled in a school within the CPS system. Claims
16for services provided by CPS's vendor or vendors to recipients
17of benefits in the medical assistance program under this Code,
18the Children's Health Insurance Program, or the Covering ALL
19KIDS Health Insurance Program shall be submitted to the
20Department or the MCE in which the individual is enrolled for
21payment and shall be reimbursed at the Department's or the
22MCE's established rates or rate methodologies for eyeglasses.
23    On and after July 1, 2012, the Department of Healthcare and
24Family Services may provide the following services to persons
25eligible for assistance under this Article who are
26participating in education, training or employment programs

 

 

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1operated by the Department of Human Services as successor to
2the Department of Public Aid:
3        (1) dental services provided by or under the
4    supervision of a dentist; and
5        (2) eyeglasses prescribed by a physician skilled in the
6    diseases of the eye, or by an optometrist, whichever the
7    person may select.
8    On and after July 1, 2018, the Department of Healthcare and
9Family Services shall provide dental services to any adult who
10is otherwise eligible for assistance under the medical
11assistance program. As used in this paragraph, "dental
12services" means diagnostic, preventative, restorative, or
13corrective procedures, including procedures and services for
14the prevention and treatment of periodontal disease and dental
15caries disease, provided by an individual who is licensed to
16practice dentistry or dental surgery or who is under the
17supervision of a dentist in the practice of his or her
18profession.
19    On and after July 1, 2018, targeted dental services, as set
20forth in Exhibit D of the Consent Decree entered by the United
21States District Court for the Northern District of Illinois,
22Eastern Division, in the matter of Memisovski v. Maram, Case
23No. 92 C 1982, that are provided to adults under the medical
24assistance program shall be established at no less than the
25rates set forth in the "New Rate" column in Exhibit D of the
26Consent Decree for targeted dental services that are provided

 

 

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1to persons under the age of 18 under the medical assistance
2program.
3    Notwithstanding any other provision of this Code and
4subject to federal approval, the Department may adopt rules to
5allow a dentist who is volunteering his or her service at no
6cost to render dental services through an enrolled
7not-for-profit health clinic without the dentist personally
8enrolling as a participating provider in the medical assistance
9program. A not-for-profit health clinic shall include a public
10health clinic or Federally Qualified Health Center or other
11enrolled provider, as determined by the Department, through
12which dental services covered under this Section are performed.
13The Department shall establish a process for payment of claims
14for reimbursement for covered dental services rendered under
15this provision.
16    The Illinois Department, by rule, may distinguish and
17classify the medical services to be provided only in accordance
18with the classes of persons designated in Section 5-2.
19    The Department of Healthcare and Family Services must
20provide coverage and reimbursement for amino acid-based
21elemental formulas, regardless of delivery method, for the
22diagnosis and treatment of (i) eosinophilic disorders and (ii)
23short bowel syndrome when the prescribing physician has issued
24a written order stating that the amino acid-based elemental
25formula is medically necessary.
26    The Illinois Department shall authorize the provision of,

 

 

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1and shall authorize payment for, screening by low-dose
2mammography for the presence of occult breast cancer for women
335 years of age or older who are eligible for medical
4assistance under this Article, as follows:
5        (A) A baseline mammogram for women 35 to 39 years of
6    age.
7        (B) An annual mammogram for women 40 years of age or
8    older.
9        (C) A mammogram at the age and intervals considered
10    medically necessary by the woman's health care provider for
11    women under 40 years of age and having a family history of
12    breast cancer, prior personal history of breast cancer,
13    positive genetic testing, or other risk factors.
14        (D) A comprehensive ultrasound screening and MRI of an
15    entire breast or breasts if a mammogram demonstrates
16    heterogeneous or dense breast tissue or when medically
17    necessary as determined by a physician licensed to practice
18    medicine in all of its branches.
19        (E) A screening MRI when medically necessary, as
20    determined by a physician licensed to practice medicine in
21    all of its branches.
22        (F) A diagnostic mammogram when medically necessary,
23    as determined by a physician licensed to practice medicine
24    in all its branches, advanced practice registered nurse, or
25    physician assistant.
26    The Department shall not impose a deductible, coinsurance,

 

 

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1copayment, or any other cost-sharing requirement on the
2coverage provided under this paragraph; except that this
3sentence does not apply to coverage of diagnostic mammograms to
4the extent such coverage would disqualify a high-deductible
5health plan from eligibility for a health savings account
6pursuant to Section 223 of the Internal Revenue Code (26 U.S.C.
7223).
8    All screenings shall include a physical breast exam,
9instruction on self-examination and information regarding the
10frequency of self-examination and its value as a preventative
11tool.
12     For purposes of this Section:
13    "Diagnostic mammogram" means a mammogram obtained using
14diagnostic mammography.
15    "Diagnostic mammography" means a method of screening that
16is designed to evaluate an abnormality in a breast, including
17an abnormality seen or suspected on a screening mammogram or a
18subjective or objective abnormality otherwise detected in the
19breast.
20    "Low-dose mammography" means the x-ray examination of the
21breast using equipment dedicated specifically for mammography,
22including the x-ray tube, filter, compression device, and image
23receptor, with an average radiation exposure delivery of less
24than one rad per breast for 2 views of an average size breast.
25The term also includes digital mammography and includes breast
26tomosynthesis.

 

 

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1    "Breast tomosynthesis" means a radiologic procedure that
2involves the acquisition of projection images over the
3stationary breast to produce cross-sectional digital
4three-dimensional images of the breast.
5    If, at any time, the Secretary of the United States
6Department of Health and Human Services, or its successor
7agency, promulgates rules or regulations to be published in the
8Federal Register or publishes a comment in the Federal Register
9or issues an opinion, guidance, or other action that would
10require the State, pursuant to any provision of the Patient
11Protection and Affordable Care Act (Public Law 111-148),
12including, but not limited to, 42 U.S.C. 18031(d)(3)(B) or any
13successor provision, to defray the cost of any coverage for
14breast tomosynthesis outlined in this paragraph, then the
15requirement that an insurer cover breast tomosynthesis is
16inoperative other than any such coverage authorized under
17Section 1902 of the Social Security Act, 42 U.S.C. 1396a, and
18the State shall not assume any obligation for the cost of
19coverage for breast tomosynthesis set forth in this paragraph.
20    On and after January 1, 2016, the Department shall ensure
21that all networks of care for adult clients of the Department
22include access to at least one breast imaging Center of Imaging
23Excellence as certified by the American College of Radiology.
24    On and after January 1, 2012, providers participating in a
25quality improvement program approved by the Department shall be
26reimbursed for screening and diagnostic mammography at the same

 

 

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1rate as the Medicare program's rates, including the increased
2reimbursement for digital mammography.
3    The Department shall convene an expert panel including
4representatives of hospitals, free-standing mammography
5facilities, and doctors, including radiologists, to establish
6quality standards for mammography.
7    On and after January 1, 2017, providers participating in a
8breast cancer treatment quality improvement program approved
9by the Department shall be reimbursed for breast cancer
10treatment at a rate that is no lower than 95% of the Medicare
11program's rates for the data elements included in the breast
12cancer treatment quality program.
13    The Department shall convene an expert panel, including
14representatives of hospitals, free-standing breast cancer
15treatment centers, breast cancer quality organizations, and
16doctors, including breast surgeons, reconstructive breast
17surgeons, oncologists, and primary care providers to establish
18quality standards for breast cancer treatment.
19    Subject to federal approval, the Department shall
20establish a rate methodology for mammography at federally
21qualified health centers and other encounter-rate clinics.
22These clinics or centers may also collaborate with other
23hospital-based mammography facilities. By January 1, 2016, the
24Department shall report to the General Assembly on the status
25of the provision set forth in this paragraph.
26    The Department shall establish a methodology to remind

 

 

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1women who are age-appropriate for screening mammography, but
2who have not received a mammogram within the previous 18
3months, of the importance and benefit of screening mammography.
4The Department shall work with experts in breast cancer
5outreach and patient navigation to optimize these reminders and
6shall establish a methodology for evaluating their
7effectiveness and modifying the methodology based on the
8evaluation.
9    The Department shall establish a performance goal for
10primary care providers with respect to their female patients
11over age 40 receiving an annual mammogram. This performance
12goal shall be used to provide additional reimbursement in the
13form of a quality performance bonus to primary care providers
14who meet that goal.
15    The Department shall devise a means of case-managing or
16patient navigation for beneficiaries diagnosed with breast
17cancer. This program shall initially operate as a pilot program
18in areas of the State with the highest incidence of mortality
19related to breast cancer. At least one pilot program site shall
20be in the metropolitan Chicago area and at least one site shall
21be outside the metropolitan Chicago area. On or after July 1,
222016, the pilot program shall be expanded to include one site
23in western Illinois, one site in southern Illinois, one site in
24central Illinois, and 4 sites within metropolitan Chicago. An
25evaluation of the pilot program shall be carried out measuring
26health outcomes and cost of care for those served by the pilot

 

 

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1program compared to similarly situated patients who are not
2served by the pilot program.
3    The Department shall require all networks of care to
4develop a means either internally or by contract with experts
5in navigation and community outreach to navigate cancer
6patients to comprehensive care in a timely fashion. The
7Department shall require all networks of care to include access
8for patients diagnosed with cancer to at least one academic
9commission on cancer-accredited cancer program as an
10in-network covered benefit.
11    Any medical or health care provider shall immediately
12recommend, to any pregnant woman who is being provided prenatal
13services and is suspected of having a substance use disorder as
14defined in the Substance Use Disorder Act, referral to a local
15substance use disorder treatment program licensed by the
16Department of Human Services or to a licensed hospital which
17provides substance abuse treatment services. The Department of
18Healthcare and Family Services shall assure coverage for the
19cost of treatment of the drug abuse or addiction for pregnant
20recipients in accordance with the Illinois Medicaid Program in
21conjunction with the Department of Human Services.
22    All medical providers providing medical assistance to
23pregnant women under this Code shall receive information from
24the Department on the availability of services under any
25program providing case management services for addicted women,
26including information on appropriate referrals for other

 

 

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1social services that may be needed by addicted women in
2addition to treatment for addiction.
3    The Illinois Department, in cooperation with the
4Departments of Human Services (as successor to the Department
5of Alcoholism and Substance Abuse) and Public Health, through a
6public awareness campaign, may provide information concerning
7treatment for alcoholism and drug abuse and addiction, prenatal
8health care, and other pertinent programs directed at reducing
9the number of drug-affected infants born to recipients of
10medical assistance.
11    Neither the Department of Healthcare and Family Services
12nor the Department of Human Services shall sanction the
13recipient solely on the basis of her substance abuse.
14    The Illinois Department shall establish such regulations
15governing the dispensing of health services under this Article
16as it shall deem appropriate. The Department should seek the
17advice of formal professional advisory committees appointed by
18the Director of the Illinois Department for the purpose of
19providing regular advice on policy and administrative matters,
20information dissemination and educational activities for
21medical and health care providers, and consistency in
22procedures to the Illinois Department.
23    The Illinois Department may develop and contract with
24Partnerships of medical providers to arrange medical services
25for persons eligible under Section 5-2 of this Code.
26Implementation of this Section may be by demonstration projects

 

 

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1in certain geographic areas. The Partnership shall be
2represented by a sponsor organization. The Department, by rule,
3shall develop qualifications for sponsors of Partnerships.
4Nothing in this Section shall be construed to require that the
5sponsor organization be a medical organization.
6    The sponsor must negotiate formal written contracts with
7medical providers for physician services, inpatient and
8outpatient hospital care, home health services, treatment for
9alcoholism and substance abuse, and other services determined
10necessary by the Illinois Department by rule for delivery by
11Partnerships. Physician services must include prenatal and
12obstetrical care. The Illinois Department shall reimburse
13medical services delivered by Partnership providers to clients
14in target areas according to provisions of this Article and the
15Illinois Health Finance Reform Act, except that:
16        (1) Physicians participating in a Partnership and
17    providing certain services, which shall be determined by
18    the Illinois Department, to persons in areas covered by the
19    Partnership may receive an additional surcharge for such
20    services.
21        (2) The Department may elect to consider and negotiate
22    financial incentives to encourage the development of
23    Partnerships and the efficient delivery of medical care.
24        (3) Persons receiving medical services through
25    Partnerships may receive medical and case management
26    services above the level usually offered through the

 

 

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1    medical assistance program.
2    Medical providers shall be required to meet certain
3qualifications to participate in Partnerships to ensure the
4delivery of high quality medical services. These
5qualifications shall be determined by rule of the Illinois
6Department and may be higher than qualifications for
7participation in the medical assistance program. Partnership
8sponsors may prescribe reasonable additional qualifications
9for participation by medical providers, only with the prior
10written approval of the Illinois Department.
11    Nothing in this Section shall limit the free choice of
12practitioners, hospitals, and other providers of medical
13services by clients. In order to ensure patient freedom of
14choice, the Illinois Department shall immediately promulgate
15all rules and take all other necessary actions so that provided
16services may be accessed from therapeutically certified
17optometrists to the full extent of the Illinois Optometric
18Practice Act of 1987 without discriminating between service
19providers.
20    The Department shall apply for a waiver from the United
21States Health Care Financing Administration to allow for the
22implementation of Partnerships under this Section.
23    The Illinois Department shall require health care
24providers to maintain records that document the medical care
25and services provided to recipients of Medical Assistance under
26this Article. Such records must be retained for a period of not

 

 

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1less than 6 years from the date of service or as provided by
2applicable State law, whichever period is longer, except that
3if an audit is initiated within the required retention period
4then the records must be retained until the audit is completed
5and every exception is resolved. The Illinois Department shall
6require health care providers to make available, when
7authorized by the patient, in writing, the medical records in a
8timely fashion to other health care providers who are treating
9or serving persons eligible for Medical Assistance under this
10Article. All dispensers of medical services shall be required
11to maintain and retain business and professional records
12sufficient to fully and accurately document the nature, scope,
13details and receipt of the health care provided to persons
14eligible for medical assistance under this Code, in accordance
15with regulations promulgated by the Illinois Department. The
16rules and regulations shall require that proof of the receipt
17of prescription drugs, dentures, prosthetic devices and
18eyeglasses by eligible persons under this Section accompany
19each claim for reimbursement submitted by the dispenser of such
20medical services. No such claims for reimbursement shall be
21approved for payment by the Illinois Department without such
22proof of receipt, unless the Illinois Department shall have put
23into effect and shall be operating a system of post-payment
24audit and review which shall, on a sampling basis, be deemed
25adequate by the Illinois Department to assure that such drugs,
26dentures, prosthetic devices and eyeglasses for which payment

 

 

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1is being made are actually being received by eligible
2recipients. Within 90 days after September 16, 1984 (the
3effective date of Public Act 83-1439), the Illinois Department
4shall establish a current list of acquisition costs for all
5prosthetic devices and any other items recognized as medical
6equipment and supplies reimbursable under this Article and
7shall update such list on a quarterly basis, except that the
8acquisition costs of all prescription drugs shall be updated no
9less frequently than every 30 days as required by Section
105-5.12.
11    The rules and regulations of the Illinois Department shall
12require that a written statement including the required opinion
13of a physician shall accompany any claim for reimbursement for
14abortions or induced miscarriages or premature births. This
15statement shall indicate what procedures were used in providing
16such medical services.
17    Notwithstanding any other law to the contrary, the Illinois
18Department shall, within 365 days after July 22, 2013 (the
19effective date of Public Act 98-104), establish procedures to
20permit skilled care facilities licensed under the Nursing Home
21Care Act to submit monthly billing claims for reimbursement
22purposes. Following development of these procedures, the
23Department shall, by July 1, 2016, test the viability of the
24new system and implement any necessary operational or
25structural changes to its information technology platforms in
26order to allow for the direct acceptance and payment of nursing

 

 

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1home claims.
2    Notwithstanding any other law to the contrary, the Illinois
3Department shall, within 365 days after August 15, 2014 (the
4effective date of Public Act 98-963), establish procedures to
5permit ID/DD facilities licensed under the ID/DD Community Care
6Act and MC/DD facilities licensed under the MC/DD Act to submit
7monthly billing claims for reimbursement purposes. Following
8development of these procedures, the Department shall have an
9additional 365 days to test the viability of the new system and
10to ensure that any necessary operational or structural changes
11to its information technology platforms are implemented.
12    The Illinois Department shall require all dispensers of
13medical services, other than an individual practitioner or
14group of practitioners, desiring to participate in the Medical
15Assistance program established under this Article to disclose
16all financial, beneficial, ownership, equity, surety or other
17interests in any and all firms, corporations, partnerships,
18associations, business enterprises, joint ventures, agencies,
19institutions or other legal entities providing any form of
20health care services in this State under this Article.
21    The Illinois Department may require that all dispensers of
22medical services desiring to participate in the medical
23assistance program established under this Article disclose,
24under such terms and conditions as the Illinois Department may
25by rule establish, all inquiries from clients and attorneys
26regarding medical bills paid by the Illinois Department, which

 

 

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1inquiries could indicate potential existence of claims or liens
2for the Illinois Department.
3    Enrollment of a vendor shall be subject to a provisional
4period and shall be conditional for one year. During the period
5of conditional enrollment, the Department may terminate the
6vendor's eligibility to participate in, or may disenroll the
7vendor from, the medical assistance program without cause.
8Unless otherwise specified, such termination of eligibility or
9disenrollment is not subject to the Department's hearing
10process. However, a disenrolled vendor may reapply without
11penalty.
12    The Department has the discretion to limit the conditional
13enrollment period for vendors based upon category of risk of
14the vendor.
15    Prior to enrollment and during the conditional enrollment
16period in the medical assistance program, all vendors shall be
17subject to enhanced oversight, screening, and review based on
18the risk of fraud, waste, and abuse that is posed by the
19category of risk of the vendor. The Illinois Department shall
20establish the procedures for oversight, screening, and review,
21which may include, but need not be limited to: criminal and
22financial background checks; fingerprinting; license,
23certification, and authorization verifications; unscheduled or
24unannounced site visits; database checks; prepayment audit
25reviews; audits; payment caps; payment suspensions; and other
26screening as required by federal or State law.

 

 

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1    The Department shall define or specify the following: (i)
2by provider notice, the "category of risk of the vendor" for
3each type of vendor, which shall take into account the level of
4screening applicable to a particular category of vendor under
5federal law and regulations; (ii) by rule or provider notice,
6the maximum length of the conditional enrollment period for
7each category of risk of the vendor; and (iii) by rule, the
8hearing rights, if any, afforded to a vendor in each category
9of risk of the vendor that is terminated or disenrolled during
10the conditional enrollment period.
11    To be eligible for payment consideration, a vendor's
12payment claim or bill, either as an initial claim or as a
13resubmitted claim following prior rejection, must be received
14by the Illinois Department, or its fiscal intermediary, no
15later than 180 days after the latest date on the claim on which
16medical goods or services were provided, with the following
17exceptions:
18        (1) In the case of a provider whose enrollment is in
19    process by the Illinois Department, the 180-day period
20    shall not begin until the date on the written notice from
21    the Illinois Department that the provider enrollment is
22    complete.
23        (2) In the case of errors attributable to the Illinois
24    Department or any of its claims processing intermediaries
25    which result in an inability to receive, process, or
26    adjudicate a claim, the 180-day period shall not begin

 

 

HB5283- 26 -LRB101 17907 KTG 67343 b

1    until the provider has been notified of the error.
2        (3) In the case of a provider for whom the Illinois
3    Department initiates the monthly billing process.
4        (4) In the case of a provider operated by a unit of
5    local government with a population exceeding 3,000,000
6    when local government funds finance federal participation
7    for claims payments.
8    For claims for services rendered during a period for which
9a recipient received retroactive eligibility, claims must be
10filed within 180 days after the Department determines the
11applicant is eligible. For claims for which the Illinois
12Department is not the primary payer, claims must be submitted
13to the Illinois Department within 180 days after the final
14adjudication by the primary payer.
15    In the case of long term care facilities, within 45
16calendar days of receipt by the facility of required
17prescreening information, new admissions with associated
18admission documents shall be submitted through the Medical
19Electronic Data Interchange (MEDI) or the Recipient
20Eligibility Verification (REV) System or shall be submitted
21directly to the Department of Human Services using required
22admission forms. Effective September 1, 2014, admission
23documents, including all prescreening information, must be
24submitted through MEDI or REV. Confirmation numbers assigned to
25an accepted transaction shall be retained by a facility to
26verify timely submittal. Once an admission transaction has been

 

 

HB5283- 27 -LRB101 17907 KTG 67343 b

1completed, all resubmitted claims following prior rejection
2are subject to receipt no later than 180 days after the
3admission transaction has been completed.
4    Claims that are not submitted and received in compliance
5with the foregoing requirements shall not be eligible for
6payment under the medical assistance program, and the State
7shall have no liability for payment of those claims.
8    To the extent consistent with applicable information and
9privacy, security, and disclosure laws, State and federal
10agencies and departments shall provide the Illinois Department
11access to confidential and other information and data necessary
12to perform eligibility and payment verifications and other
13Illinois Department functions. This includes, but is not
14limited to: information pertaining to licensure;
15certification; earnings; immigration status; citizenship; wage
16reporting; unearned and earned income; pension income;
17employment; supplemental security income; social security
18numbers; National Provider Identifier (NPI) numbers; the
19National Practitioner Data Bank (NPDB); program and agency
20exclusions; taxpayer identification numbers; tax delinquency;
21corporate information; and death records.
22    The Illinois Department shall enter into agreements with
23State agencies and departments, and is authorized to enter into
24agreements with federal agencies and departments, under which
25such agencies and departments shall share data necessary for
26medical assistance program integrity functions and oversight.

 

 

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1The Illinois Department shall develop, in cooperation with
2other State departments and agencies, and in compliance with
3applicable federal laws and regulations, appropriate and
4effective methods to share such data. At a minimum, and to the
5extent necessary to provide data sharing, the Illinois
6Department shall enter into agreements with State agencies and
7departments, and is authorized to enter into agreements with
8federal agencies and departments, including, but not limited
9to: the Secretary of State; the Department of Revenue; the
10Department of Public Health; the Department of Human Services;
11and the Department of Financial and Professional Regulation.
12    Beginning in fiscal year 2013, the Illinois Department
13shall set forth a request for information to identify the
14benefits of a pre-payment, post-adjudication, and post-edit
15claims system with the goals of streamlining claims processing
16and provider reimbursement, reducing the number of pending or
17rejected claims, and helping to ensure a more transparent
18adjudication process through the utilization of: (i) provider
19data verification and provider screening technology; and (ii)
20clinical code editing; and (iii) pre-pay, pre- or
21post-adjudicated predictive modeling with an integrated case
22management system with link analysis. Such a request for
23information shall not be considered as a request for proposal
24or as an obligation on the part of the Illinois Department to
25take any action or acquire any products or services.
26    The Illinois Department shall establish policies,

 

 

HB5283- 29 -LRB101 17907 KTG 67343 b

1procedures, standards and criteria by rule for the acquisition,
2repair and replacement of orthotic and prosthetic devices and
3durable medical equipment. Such rules shall provide, but not be
4limited to, the following services: (1) immediate repair or
5replacement of such devices by recipients; and (2) rental,
6lease, purchase or lease-purchase of durable medical equipment
7in a cost-effective manner, taking into consideration the
8recipient's medical prognosis, the extent of the recipient's
9needs, and the requirements and costs for maintaining such
10equipment. Subject to prior approval, such rules shall enable a
11recipient to temporarily acquire and use alternative or
12substitute devices or equipment pending repairs or
13replacements of any device or equipment previously authorized
14for such recipient by the Department. Notwithstanding any
15provision of Section 5-5f to the contrary, the Department may,
16by rule, exempt certain replacement wheelchair parts from prior
17approval and, for wheelchairs, wheelchair parts, wheelchair
18accessories, and related seating and positioning items,
19determine the wholesale price by methods other than actual
20acquisition costs.
21    The Department shall require, by rule, all providers of
22durable medical equipment to be accredited by an accreditation
23organization approved by the federal Centers for Medicare and
24Medicaid Services and recognized by the Department in order to
25bill the Department for providing durable medical equipment to
26recipients. No later than 15 months after the effective date of

 

 

HB5283- 30 -LRB101 17907 KTG 67343 b

1the rule adopted pursuant to this paragraph, all providers must
2meet the accreditation requirement.
3    In order to promote environmental responsibility, meet the
4needs of recipients and enrollees, and achieve significant cost
5savings, the Department, or a managed care organization under
6contract with the Department, may provide recipients or managed
7care enrollees who have a prescription or Certificate of
8Medical Necessity access to refurbished durable medical
9equipment under this Section (excluding prosthetic and
10orthotic devices as defined in the Orthotics, Prosthetics, and
11Pedorthics Practice Act and complex rehabilitation technology
12products and associated services) through the State's
13assistive technology program's reutilization program, using
14staff with the Assistive Technology Professional (ATP)
15Certification if the refurbished durable medical equipment:
16(i) is available; (ii) is less expensive, including shipping
17costs, than new durable medical equipment of the same type;
18(iii) is able to withstand at least 3 years of use; (iv) is
19cleaned, disinfected, sterilized, and safe in accordance with
20federal Food and Drug Administration regulations and guidance
21governing the reprocessing of medical devices in health care
22settings; and (v) equally meets the needs of the recipient or
23enrollee. The reutilization program shall confirm that the
24recipient or enrollee is not already in receipt of same or
25similar equipment from another service provider, and that the
26refurbished durable medical equipment equally meets the needs

 

 

HB5283- 31 -LRB101 17907 KTG 67343 b

1of the recipient or enrollee. Nothing in this paragraph shall
2be construed to limit recipient or enrollee choice to obtain
3new durable medical equipment or place any additional prior
4authorization conditions on enrollees of managed care
5organizations.
6    The Department shall execute, relative to the nursing home
7prescreening project, written inter-agency agreements with the
8Department of Human Services and the Department on Aging, to
9effect the following: (i) intake procedures and common
10eligibility criteria for those persons who are receiving
11non-institutional services; and (ii) the establishment and
12development of non-institutional services in areas of the State
13where they are not currently available or are undeveloped; and
14(iii) notwithstanding any other provision of law, subject to
15federal approval, on and after July 1, 2012, an increase in the
16determination of need (DON) scores from 29 to 37 for applicants
17for institutional and home and community-based long term care;
18if and only if federal approval is not granted, the Department
19may, in conjunction with other affected agencies, implement
20utilization controls or changes in benefit packages to
21effectuate a similar savings amount for this population; and
22(iv) no later than July 1, 2013, minimum level of care
23eligibility criteria for institutional and home and
24community-based long term care; and (v) no later than October
251, 2013, establish procedures to permit long term care
26providers access to eligibility scores for individuals with an

 

 

HB5283- 32 -LRB101 17907 KTG 67343 b

1admission date who are seeking or receiving services from the
2long term care provider. In order to select the minimum level
3of care eligibility criteria, the Governor shall establish a
4workgroup that includes affected agency representatives and
5stakeholders representing the institutional and home and
6community-based long term care interests. This Section shall
7not restrict the Department from implementing lower level of
8care eligibility criteria for community-based services in
9circumstances where federal approval has been granted.
10    The Illinois Department shall develop and operate, in
11cooperation with other State Departments and agencies and in
12compliance with applicable federal laws and regulations,
13appropriate and effective systems of health care evaluation and
14programs for monitoring of utilization of health care services
15and facilities, as it affects persons eligible for medical
16assistance under this Code.
17    The Illinois Department shall report annually to the
18General Assembly, no later than the second Friday in April of
191979 and each year thereafter, in regard to:
20        (a) actual statistics and trends in utilization of
21    medical services by public aid recipients;
22        (b) actual statistics and trends in the provision of
23    the various medical services by medical vendors;
24        (c) current rate structures and proposed changes in
25    those rate structures for the various medical vendors; and
26        (d) efforts at utilization review and control by the

 

 

HB5283- 33 -LRB101 17907 KTG 67343 b

1    Illinois Department.
2    The period covered by each report shall be the 3 years
3ending on the June 30 prior to the report. The report shall
4include suggested legislation for consideration by the General
5Assembly. The requirement for reporting to the General Assembly
6shall be satisfied by filing copies of the report as required
7by Section 3.1 of the General Assembly Organization Act, and
8filing such additional copies with the State Government Report
9Distribution Center for the General Assembly as is required
10under paragraph (t) of Section 7 of the State Library Act.
11    Rulemaking authority to implement Public Act 95-1045, if
12any, is conditioned on the rules being adopted in accordance
13with all provisions of the Illinois Administrative Procedure
14Act and all rules and procedures of the Joint Committee on
15Administrative Rules; any purported rule not so adopted, for
16whatever reason, is unauthorized.
17    On and after July 1, 2012, the Department shall reduce any
18rate of reimbursement for services or other payments or alter
19any methodologies authorized by this Code to reduce any rate of
20reimbursement for services or other payments in accordance with
21Section 5-5e.
22    Because kidney transplantation can be an appropriate,
23cost-effective alternative to renal dialysis when medically
24necessary and notwithstanding the provisions of Section 1-11 of
25this Code, beginning October 1, 2014, the Department shall
26cover kidney transplantation for noncitizens with end-stage

 

 

HB5283- 34 -LRB101 17907 KTG 67343 b

1renal disease who are not eligible for comprehensive medical
2benefits, who meet the residency requirements of Section 5-3 of
3this Code, and who would otherwise meet the financial
4requirements of the appropriate class of eligible persons under
5Section 5-2 of this Code. To qualify for coverage of kidney
6transplantation, such person must be receiving emergency renal
7dialysis services covered by the Department. Providers under
8this Section shall be prior approved and certified by the
9Department to perform kidney transplantation and the services
10under this Section shall be limited to services associated with
11kidney transplantation.
12    Notwithstanding any other provision of this Code to the
13contrary, on or after July 1, 2015, all FDA approved forms of
14medication assisted treatment prescribed for the treatment of
15alcohol dependence or treatment of opioid dependence shall be
16covered under both fee for service and managed care medical
17assistance programs for persons who are otherwise eligible for
18medical assistance under this Article and shall not be subject
19to any (1) utilization control, other than those established
20under the American Society of Addiction Medicine patient
21placement criteria, (2) prior authorization mandate, or (3)
22lifetime restriction limit mandate.
23    On or after July 1, 2015, opioid antagonists prescribed for
24the treatment of an opioid overdose, including the medication
25product, administration devices, and any pharmacy fees related
26to the dispensing and administration of the opioid antagonist,

 

 

HB5283- 35 -LRB101 17907 KTG 67343 b

1shall be covered under the medical assistance program for
2persons who are otherwise eligible for medical assistance under
3this Article. As used in this Section, "opioid antagonist"
4means a drug that binds to opioid receptors and blocks or
5inhibits the effect of opioids acting on those receptors,
6including, but not limited to, naloxone hydrochloride or any
7other similarly acting drug approved by the U.S. Food and Drug
8Administration.
9    Upon federal approval, the Department shall provide
10coverage and reimbursement for all drugs that are approved for
11marketing by the federal Food and Drug Administration and that
12are recommended by the federal Public Health Service or the
13United States Centers for Disease Control and Prevention for
14pre-exposure prophylaxis and related pre-exposure prophylaxis
15services, including, but not limited to, HIV and sexually
16transmitted infection screening, treatment for sexually
17transmitted infections, medical monitoring, assorted labs, and
18counseling to reduce the likelihood of HIV infection among
19individuals who are not infected with HIV but who are at high
20risk of HIV infection.
21    A federally qualified health center, as defined in Section
221905(l)(2)(B) of the federal Social Security Act, shall be
23reimbursed by the Department in accordance with the federally
24qualified health center's encounter rate for services provided
25to medical assistance recipients that are performed by a dental
26hygienist, as defined under the Illinois Dental Practice Act,

 

 

HB5283- 36 -LRB101 17907 KTG 67343 b

1working under the general supervision of a dentist and employed
2by a federally qualified health center.
3(Source: P.A. 100-201, eff. 8-18-17; 100-395, eff. 1-1-18;
4100-449, eff. 1-1-18; 100-538, eff. 1-1-18; 100-587, eff.
56-4-18; 100-759, eff. 1-1-19; 100-863, eff. 8-14-18; 100-974,
6eff. 8-19-18; 100-1009, eff. 1-1-19; 100-1018, eff. 1-1-19;
7100-1148, eff. 12-10-18; 101-209, eff. 8-5-19; 101-580, eff.
81-1-20; revised 9-18-19.)
 
9    (305 ILCS 5/5-8)  (from Ch. 23, par. 5-8)
10    Sec. 5-8. Practitioners. In supplying medical assistance,
11the Illinois Department may provide for the legally authorized
12services of (i) persons licensed under the Medical Practice Act
13of 1987, as amended, except as hereafter in this Section
14stated, whether under a general or limited license, (ii)
15persons licensed under the Nurse Practice Act as advanced
16practice registered nurses, regardless of whether or not the
17persons have written collaborative agreements, (iii) persons
18licensed or registered under other laws of this State to
19provide dental, medical, pharmaceutical, optometric,
20podiatric, or nursing services, or other remedial care
21recognized under State law, (iv) persons licensed under other
22laws of this State as a clinical social worker, and (v) persons
23licensed under other laws of this State as physician
24assistants. The Department shall adopt rules, no later than 90
25days after January 1, 2017 (the effective date of Public Act

 

 

HB5283- 37 -LRB101 17907 KTG 67343 b

199-621), for the legally authorized services of persons
2licensed under other laws of this State as a clinical social
3worker. The Department may not provide for legally authorized
4services of any physician who has been convicted of having
5performed an abortion procedure in a willful and wanton manner
6on a woman who was not pregnant at the time such abortion
7procedure was performed. The utilization of the services of
8persons engaged in the treatment or care of the sick, which
9persons are not required to be licensed or registered under the
10laws of this State, is not prohibited by this Section.
11(Source: P.A. 99-173, eff. 7-29-15; 99-621, eff. 1-1-17;
12100-453, eff. 8-25-17; 100-513, eff. 1-1-18; 100-538, eff.
131-1-18; 100-863, eff. 8-14-18.)
 
14    (305 ILCS 5/5-9)  (from Ch. 23, par. 5-9)
15    Sec. 5-9. Choice of medical dispensers. Applicants and
16recipients shall be entitled to free choice of those qualified
17practitioners, hospitals, nursing homes, and other dispensers
18of medical services meeting the requirements and complying with
19the rules and regulations of the Illinois Department. However,
20the Director of Healthcare and Family Services may, after
21providing reasonable notice and opportunity for hearing, deny,
22suspend or terminate any otherwise qualified person, firm,
23corporation, association, agency, institution, or other legal
24entity, from participation as a vendor of goods or services
25under the medical assistance program authorized by this Article

 

 

HB5283- 38 -LRB101 17907 KTG 67343 b

1if the Director finds such vendor of medical services in
2violation of this Act or the policy or rules and regulations
3issued pursuant to this Act. Any physician who has been
4convicted of performing an abortion procedure in a willful and
5wanton manner upon a woman who was not pregnant at the time
6such abortion procedure was performed shall be automatically
7removed from the list of physicians qualified to participate as
8a vendor of medical services under the medical assistance
9program authorized by this Article.
10(Source: P.A. 100-538, eff. 1-1-18.)
 
11    (305 ILCS 5/6-1)  (from Ch. 23, par. 6-1)
12    Sec. 6-1. Eligibility requirements. Financial aid in
13meeting basic maintenance requirements shall be given under
14this Article to or in behalf of persons who meet the
15eligibility conditions of Sections 6-1.1 through 6-1.10,
16except as provided in the No Taxpayer Funding for Abortion Act.
17In addition, each unit of local government subject to this
18Article shall provide persons receiving financial aid in
19meeting basic maintenance requirements with financial aid for
20either (a) necessary treatment, care, and supplies required
21because of illness or disability, or (b) acute medical
22treatment, care, and supplies only. If a local governmental
23unit elects to provide financial aid for acute medical
24treatment, care, and supplies only, the general types of acute
25medical treatment, care, and supplies for which financial aid

 

 

HB5283- 39 -LRB101 17907 KTG 67343 b

1is provided shall be specified in the general assistance rules
2of the local governmental unit, which rules shall provide that
3financial aid is provided, at a minimum, for acute medical
4treatment, care, or supplies necessitated by a medical
5condition for which prior approval or authorization of medical
6treatment, care, or supplies is not required by the general
7assistance rules of the Illinois Department.
8(Source: P.A. 100-538, eff. 1-1-18.)
 
9    Section 910. The Problem Pregnancy Health Services and Care
10Act is amended by changing Section 4-100 as follows:
 
11    (410 ILCS 230/4-100)  (from Ch. 111 1/2, par. 4604-100)
12    Sec. 4-100. The Department may make grants to nonprofit
13agencies and organizations which do not use such grants to
14refer or counsel for, or perform, abortions and which
15coordinate and establish linkages among services that will
16further the purposes of this Act and, where appropriate, will
17provide, supplement, or improve the quality of such services.
18(Source: P.A. 100-538, eff. 1-1-18.)
 
19    Section 990. Application of Act; home rule powers.
20    (a) This Act applies to all State and local (including home
21rule unit) laws, ordinances, policies, procedures, practices,
22and governmental actions and their implementation, whether
23statutory or otherwise and whether adopted before or after the

 

 

HB5283- 40 -LRB101 17907 KTG 67343 b

1effective date of this Act.
2    (b) A home rule unit may not adopt any rule in a manner
3inconsistent with this Act. This Act is a limitation under
4subsection (i) of Section 6 of Article VII of the Illinois
5Constitution on the concurrent exercise by home rule units of
6powers and functions exercised by the State.
 
7    Section 999. Effective date. This Act takes effect June 1,
82020.

 

 

HB5283- 41 -LRB101 17907 KTG 67343 b

1 INDEX
2 Statutes amended in order of appearance
3    New Act
4    5 ILCS 375/6from Ch. 127, par. 526
5    5 ILCS 375/6.1from Ch. 127, par. 526.1
6    305 ILCS 5/5-5from Ch. 23, par. 5-5
7    305 ILCS 5/5-8from Ch. 23, par. 5-8
8    305 ILCS 5/5-9from Ch. 23, par. 5-9
9    305 ILCS 5/6-1from Ch. 23, par. 6-1
10    410 ILCS 230/4-100from Ch. 111 1/2, par. 4604-100