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| | 103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024
HB4178 Introduced 10/25/2023, by Rep. Jed Davis SYNOPSIS AS INTRODUCED:
| | | Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to apply for a Home and Community-Based Services State Plan amendment and any federal waiver necessary to reimburse legally responsible family caregivers as providers of personal care or home health aide services under the Illinois Title XIX State Plan Home and Community-Based Services benefit and the home and community-based services waiver program authorized under the Social Security Act for persons who are medically fragile and technology dependent. Provides that to be eligible for reimbursement, a legally responsible family caregiver must be a certified nursing assistant or certified nurse aide and must provide services to a medically fragile relative who is receiving in-home shift nursing services coordinated by the University of Illinois at Chicago, Division of Specialized Care for Children. Provides that upon federal approval of the State Plan amendment and waiver, the Department shall adopt rules that define who qualifies for reimbursement as a legally responsible family caregiver, specify which personal care and home health aide services are eligible for reimbursement if the provider is a legally responsible family caregiver, establish oversight policies to ensure legally responsible family caregivers meet and comply with licensing and program requirements, and adopt any other policies or procedures necessary to implement the amendatory Act. |
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| | A BILL FOR |
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| | HB4178 | | LRB103 34037 KTG 63854 b |
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| 1 | | AN ACT concerning public aid.
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| 2 | | Be it enacted by the People of the State of Illinois, |
| 3 | | represented in the General Assembly:
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| 4 | | Section 5. The Illinois Public Aid Code is amended by |
| 5 | | adding Section 5-2.06a as follows:
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| 6 | | (305 ILCS 5/5-2.06a new) |
| 7 | | Sec. 5-2.06a. Medically fragile children; reimbursement |
| 8 | | for legally responsible family caregivers. The Department of |
| 9 | | Healthcare and Family Services shall apply for a Home and |
| 10 | | Community-Based Services State Plan amendment and any federal |
| 11 | | waiver necessary to reimburse legally responsible family |
| 12 | | caregivers as providers of personal care or home health aide |
| 13 | | services under the Illinois Title XIX State Plan Home and |
| 14 | | Community-Based Services benefit and the home and |
| 15 | | community-based services waiver program authorized under |
| 16 | | Section 1915(c) of the Social Security Act for persons who are |
| 17 | | medically fragile and technology dependent. To be eligible for |
| 18 | | reimbursement under this Section, a legally responsible family |
| 19 | | caregiver must be a certified nursing assistant or certified |
| 20 | | nurse aide and must provide services to a medically fragile |
| 21 | | relative who is receiving in-home shift nursing services |
| 22 | | coordinated by the University of Illinois at Chicago, Division |
| 23 | | of Specialized Care for Children. Upon federal approval of the |