HB5420 EnrolledLRB096 18878 JDS 34265 b

1    AN ACT concerning State government.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The State Budget Law of the Civil Administrative
5Code of Illinois is amended by adding Section 50-30 as follows:
 
6    (15 ILCS 20/50-30 new)
7    Sec. 50-30. Long-term care rebalancing. In light of the
8increasing demands confronting the State in meeting the needs
9of individuals utilizing long-term care services under the
10medical assistance program and any other long-term care related
11benefit program administered by the State, it is the intent of
12the General Assembly to address the needs of both the State and
13the individuals eligible for such services by cost effective
14and efficient means through the advancement of a long-term care
15rebalancing initiative. Notwithstanding any State law to the
16contrary, and subject to federal laws, regulations, and court
17decrees, the following shall apply to the long-term care
18rebalancing initiative:
19        (1) "Long-term care rebalancing", as used in this
20    Section, means removing barriers to community living for
21    people of all ages with disabilities and long-term
22    illnesses by offering individuals utilizing long-term care
23    services a reasonable array of options, in particular

 

 

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1    adequate choices of community and institutional options,
2    to achieve a balance between the proportion of total
3    Medicaid long-term support expenditures used for
4    institutional services and those used for community-based
5    supports.
6        (2) Subject to the provisions of this Section, the
7    Governor shall create a unified budget report identifying
8    the budgets of all State agencies offering long-term care
9    services to persons in either institutional or community
10    settings, including the budgets of State-operated
11    facilities for persons with developmental disabilities
12    that shall include, but not be limited to, the following
13    service and financial data:
14            (A) A breakdown of long-term care services,
15        defined as institutional or community care, by the
16        State agency primarily responsible for administration
17        of the program.
18            (B) Actual and estimated enrollment, caseload,
19        service hours, or service days provided for long-term
20        care services described in a consistent format for
21        those services, for each of the following age groups:
22        older adults 65 years of age and older, younger adults
23        21 years of age through 64 years of age, and children
24        under 21 years of age.
25            (C) Funding sources for long-term care services.
26            (D) Comparison of service and expenditure data, by

 

 

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1        services, both in aggregate and per person enrolled.
2        (3) For each fiscal year, the unified budget report
3    described in subdivision (2) shall be prepared with
4    reference to the prioritized outcomes for that fiscal year
5    contemplated by Sections 50-5 and 50-25 of this Code.
6        (4) Each State agency responsible for the
7    administration of long-term care services shall provide an
8    analysis of the progress being made by the agency to
9    transition persons from institutional to community
10    settings, where appropriate, as part of the State's
11    long-term care rebalancing initiative.
12        (5) The Governor may designate amounts set aside for
13    institutional services appropriated from the General
14    Revenue Fund or any other State fund that receives monies
15    for long-term care services to be transferred to all State
16    agencies responsible for the administration of
17    community-based long-term care programs, including, but
18    not limited to, community-based long-term care programs
19    administered by the Department of Healthcare and Family
20    Services, the Department of Human Services, and the
21    Department on Aging, provided that the Director of
22    Healthcare and Family Services first certifies that the
23    amounts being transferred are necessary for the purpose of
24    assisting persons in or at risk of being in institutional
25    care to transition to community-based settings, including
26    the financial data needed to prove the need for the

 

 

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1    transfer of funds. The total amounts transferred shall not
2    exceed 4% in total of the amounts appropriated from the
3    General Revenue Fund or any other State fund that receives
4    monies for long-term care services for each fiscal year. A
5    notice of the fund transfer must be made to the General
6    Assembly and posted at a minimum on the Department of
7    Healthcare and Family Services website, the Governor's
8    Office of Management and Budget website, and any other
9    website the Governor sees fit. These postings shall serve
10    as notice to the General Assembly of the amounts to be
11    transferred. Notice shall be given at least 30 days prior
12    to transfer.
13        (6) This Section shall be liberally construed and
14    interpreted in a manner that allows the State to advance
15    its long-term care rebalancing initiatives.
 
16    Section 10. The State Finance Act is amended by changing
17Sections 13.2 and 25 as follows:
 
18    (30 ILCS 105/13.2)  (from Ch. 127, par. 149.2)
19    Sec. 13.2. Transfers among line item appropriations.
20    (a) Transfers among line item appropriations from the same
21treasury fund for the objects specified in this Section may be
22made in the manner provided in this Section when the balance
23remaining in one or more such line item appropriations is
24insufficient for the purpose for which the appropriation was

 

 

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1made.
2    (a-1) No transfers may be made from one agency to another
3agency, nor may transfers be made from one institution of
4higher education to another institution of higher education
5except as provided by subsection (a-4).
6    (a-2) Except as otherwise provided in this Section,
7transfers may be made only among the objects of expenditure
8enumerated in this Section, except that no funds may be
9transferred from any appropriation for personal services, from
10any appropriation for State contributions to the State
11Employees' Retirement System, from any separate appropriation
12for employee retirement contributions paid by the employer, nor
13from any appropriation for State contribution for employee
14group insurance. During State fiscal year 2005, an agency may
15transfer amounts among its appropriations within the same
16treasury fund for personal services, employee retirement
17contributions paid by employer, and State Contributions to
18retirement systems; notwithstanding and in addition to the
19transfers authorized in subsection (c) of this Section, the
20fiscal year 2005 transfers authorized in this sentence may be
21made in an amount not to exceed 2% of the aggregate amount
22appropriated to an agency within the same treasury fund. During
23State fiscal year 2007, the Departments of Children and Family
24Services, Corrections, Human Services, and Juvenile Justice
25may transfer amounts among their respective appropriations
26within the same treasury fund for personal services, employee

 

 

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1retirement contributions paid by employer, and State
2contributions to retirement systems. During State fiscal year
32010, the Department of Transportation may transfer amounts
4among their respective appropriations within the same treasury
5fund for personal services, employee retirement contributions
6paid by employer, and State contributions to retirement
7systems. During State fiscal year 2010 only, an agency may
8transfer amounts among its respective appropriations within
9the same treasury fund for personal services, employee
10retirement contributions paid by employer, and State
11contributions to retirement systems. Notwithstanding, and in
12addition to, the transfers authorized in subsection (c) of this
13Section, these transfers may be made in an amount not to exceed
142% of the aggregate amount appropriated to an agency within the
15same treasury fund.
16    (a-3) Further, if an agency receives a separate
17appropriation for employee retirement contributions paid by
18the employer, any transfer by that agency into an appropriation
19for personal services must be accompanied by a corresponding
20transfer into the appropriation for employee retirement
21contributions paid by the employer, in an amount sufficient to
22meet the employer share of the employee contributions required
23to be remitted to the retirement system.
24    (a-4) Long-Term Care Rebalancing. The Governor may
25designate amounts set aside for institutional services
26appropriated from the General Revenue Fund or any other State

 

 

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1fund that receives monies for long-term care services to be
2transferred to all State agencies responsible for the
3administration of community-based long-term care programs,
4including, but not limited to, community-based long-term care
5programs administered by the Department of Healthcare and
6Family Services, the Department of Human Services, and the
7Department on Aging, provided that the Director of Healthcare
8and Family Services first certifies that the amounts being
9transferred are necessary for the purpose of assisting persons
10in or at risk of being in institutional care to transition to
11community-based settings, including the financial data needed
12to prove the need for the transfer of funds. The total amounts
13transferred shall not exceed 4% in total of the amounts
14appropriated from the General Revenue Fund or any other State
15fund that receives monies for long-term care services for each
16fiscal year. A notice of the fund transfer must be made to the
17General Assembly and posted at a minimum on the Department of
18Healthcare and Family Services website, the Governor's Office
19of Management and Budget website, and any other website the
20Governor sees fit. These postings shall serve as notice to the
21General Assembly of the amounts to be transferred. Notice shall
22be given at least 30 days prior to transfer.
23    (b) In addition to the general transfer authority provided
24under subsection (c), the following agencies have the specific
25transfer authority granted in this subsection:
26    The Department of Healthcare and Family Services is

 

 

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1authorized to make transfers representing savings attributable
2to not increasing grants due to the births of additional
3children from line items for payments of cash grants to line
4items for payments for employment and social services for the
5purposes outlined in subsection (f) of Section 4-2 of the
6Illinois Public Aid Code.
7    The Department of Children and Family Services is
8authorized to make transfers not exceeding 2% of the aggregate
9amount appropriated to it within the same treasury fund for the
10following line items among these same line items: Foster Home
11and Specialized Foster Care and Prevention, Institutions and
12Group Homes and Prevention, and Purchase of Adoption and
13Guardianship Services.
14    The Department on Aging is authorized to make transfers not
15exceeding 2% of the aggregate amount appropriated to it within
16the same treasury fund for the following Community Care Program
17line items among these same line items: Homemaker and Senior
18Companion Services, Alternative Senior Services, Case
19Coordination Units, and Adult Day Care Services.
20    The State Treasurer is authorized to make transfers among
21line item appropriations from the Capital Litigation Trust
22Fund, with respect to costs incurred in fiscal years 2002 and
232003 only, when the balance remaining in one or more such line
24item appropriations is insufficient for the purpose for which
25the appropriation was made, provided that no such transfer may
26be made unless the amount transferred is no longer required for

 

 

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1the purpose for which that appropriation was made.
2    The State Board of Education is authorized to make
3transfers from line item appropriations within the same
4treasury fund for General State Aid and General State Aid -
5Hold Harmless, provided that no such transfer may be made
6unless the amount transferred is no longer required for the
7purpose for which that appropriation was made, to the line item
8appropriation for Transitional Assistance when the balance
9remaining in such line item appropriation is insufficient for
10the purpose for which the appropriation was made.
11    The State Board of Education is authorized to make
12transfers between the following line item appropriations
13within the same treasury fund: Disabled Student
14Services/Materials (Section 14-13.01 of the School Code),
15Disabled Student Transportation Reimbursement (Section
1614-13.01 of the School Code), Disabled Student Tuition -
17Private Tuition (Section 14-7.02 of the School Code),
18Extraordinary Special Education (Section 14-7.02b of the
19School Code), Reimbursement for Free Lunch/Breakfast Program,
20Summer School Payments (Section 18-4.3 of the School Code), and
21Transportation - Regular/Vocational Reimbursement (Section
2229-5 of the School Code). Such transfers shall be made only
23when the balance remaining in one or more such line item
24appropriations is insufficient for the purpose for which the
25appropriation was made and provided that no such transfer may
26be made unless the amount transferred is no longer required for

 

 

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1the purpose for which that appropriation was made.
2    During State fiscal years 2010 and 2011 only, the
3Department of Healthcare and Family Services is authorized to
4make transfers not exceeding 4% of the aggregate amount
5appropriated to it, within the same treasury fund, among the
6various line items appropriated for Medical Assistance.
7    (c) The sum of such transfers for an agency in a fiscal
8year shall not exceed 2% of the aggregate amount appropriated
9to it within the same treasury fund for the following objects:
10Personal Services; Extra Help; Student and Inmate
11Compensation; State Contributions to Retirement Systems; State
12Contributions to Social Security; State Contribution for
13Employee Group Insurance; Contractual Services; Travel;
14Commodities; Printing; Equipment; Electronic Data Processing;
15Operation of Automotive Equipment; Telecommunications
16Services; Travel and Allowance for Committed, Paroled and
17Discharged Prisoners; Library Books; Federal Matching Grants
18for Student Loans; Refunds; Workers' Compensation,
19Occupational Disease, and Tort Claims; and, in appropriations
20to institutions of higher education, Awards and Grants.
21Notwithstanding the above, any amounts appropriated for
22payment of workers' compensation claims to an agency to which
23the authority to evaluate, administer and pay such claims has
24been delegated by the Department of Central Management Services
25may be transferred to any other expenditure object where such
26amounts exceed the amount necessary for the payment of such

 

 

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1claims.
2    (c-1) Special provisions for State fiscal year 2003.
3Notwithstanding any other provision of this Section to the
4contrary, for State fiscal year 2003 only, transfers among line
5item appropriations to an agency from the same treasury fund
6may be made provided that the sum of such transfers for an
7agency in State fiscal year 2003 shall not exceed 3% of the
8aggregate amount appropriated to that State agency for State
9fiscal year 2003 for the following objects: personal services,
10except that no transfer may be approved which reduces the
11aggregate appropriations for personal services within an
12agency; extra help; student and inmate compensation; State
13contributions to retirement systems; State contributions to
14social security; State contributions for employee group
15insurance; contractual services; travel; commodities;
16printing; equipment; electronic data processing; operation of
17automotive equipment; telecommunications services; travel and
18allowance for committed, paroled, and discharged prisoners;
19library books; federal matching grants for student loans;
20refunds; workers' compensation, occupational disease, and tort
21claims; and, in appropriations to institutions of higher
22education, awards and grants.
23    (c-2) Special provisions for State fiscal year 2005.
24Notwithstanding subsections (a), (a-2), and (c), for State
25fiscal year 2005 only, transfers may be made among any line
26item appropriations from the same or any other treasury fund

 

 

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1for any objects or purposes, without limitation, when the
2balance remaining in one or more such line item appropriations
3is insufficient for the purpose for which the appropriation was
4made, provided that the sum of those transfers by a State
5agency shall not exceed 4% of the aggregate amount appropriated
6to that State agency for fiscal year 2005.
7    (d) Transfers among appropriations made to agencies of the
8Legislative and Judicial departments and to the
9constitutionally elected officers in the Executive branch
10require the approval of the officer authorized in Section 10 of
11this Act to approve and certify vouchers. Transfers among
12appropriations made to the University of Illinois, Southern
13Illinois University, Chicago State University, Eastern
14Illinois University, Governors State University, Illinois
15State University, Northeastern Illinois University, Northern
16Illinois University, Western Illinois University, the Illinois
17Mathematics and Science Academy and the Board of Higher
18Education require the approval of the Board of Higher Education
19and the Governor. Transfers among appropriations to all other
20agencies require the approval of the Governor.
21    The officer responsible for approval shall certify that the
22transfer is necessary to carry out the programs and purposes
23for which the appropriations were made by the General Assembly
24and shall transmit to the State Comptroller a certified copy of
25the approval which shall set forth the specific amounts
26transferred so that the Comptroller may change his records

 

 

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1accordingly. The Comptroller shall furnish the Governor with
2information copies of all transfers approved for agencies of
3the Legislative and Judicial departments and transfers
4approved by the constitutionally elected officials of the
5Executive branch other than the Governor, showing the amounts
6transferred and indicating the dates such changes were entered
7on the Comptroller's records.
8    (e) The State Board of Education, in consultation with the
9State Comptroller, may transfer line item appropriations for
10General State Aid between the Common School Fund and the
11Education Assistance Fund. With the advice and consent of the
12Governor's Office of Management and Budget, the State Board of
13Education, in consultation with the State Comptroller, may
14transfer line item appropriations between the General Revenue
15Fund and the Education Assistance Fund for the following
16programs:
17        (1) Disabled Student Personnel Reimbursement (Section
18    14-13.01 of the School Code);
19        (2) Disabled Student Transportation Reimbursement
20    (subsection (b) of Section 14-13.01 of the School Code);
21        (3) Disabled Student Tuition - Private Tuition
22    (Section 14-7.02 of the School Code);
23        (4) Extraordinary Special Education (Section 14-7.02b
24    of the School Code);
25        (5) Reimbursement for Free Lunch/Breakfast Programs;
26        (6) Summer School Payments (Section 18-4.3 of the

 

 

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1    School Code);
2        (7) Transportation - Regular/Vocational Reimbursement
3    (Section 29-5 of the School Code);
4        (8) Regular Education Reimbursement (Section 18-3 of
5    the School Code); and
6        (9) Special Education Reimbursement (Section 14-7.03
7    of the School Code).
8(Source: P.A. 95-707, eff. 1-11-08; 96-37, eff. 7-13-09;
996-820, eff. 11-18-09; 96-959, eff. 7-1-10; 96-1086, eff.
107-16-10.)
 
11    (30 ILCS 105/25)  (from Ch. 127, par. 161)
12    Sec. 25. Fiscal year limitations.
13    (a) All appropriations shall be available for expenditure
14for the fiscal year or for a lesser period if the Act making
15that appropriation so specifies. A deficiency or emergency
16appropriation shall be available for expenditure only through
17June 30 of the year when the Act making that appropriation is
18enacted unless that Act otherwise provides.
19    (b) Outstanding liabilities as of June 30, payable from
20appropriations which have otherwise expired, may be paid out of
21the expiring appropriations during the 2-month period ending at
22the close of business on August 31. Any service involving
23professional or artistic skills or any personal services by an
24employee whose compensation is subject to income tax
25withholding must be performed as of June 30 of the fiscal year

 

 

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1in order to be considered an "outstanding liability as of June
230" that is thereby eligible for payment out of the expiring
3appropriation.
4    (b-1) However, payment of tuition reimbursement claims
5under Section 14-7.03 or 18-3 of the School Code may be made by
6the State Board of Education from its appropriations for those
7respective purposes for any fiscal year, even though the claims
8reimbursed by the payment may be claims attributable to a prior
9fiscal year, and payments may be made at the direction of the
10State Superintendent of Education from the fund from which the
11appropriation is made without regard to any fiscal year
12limitations, except as required by subsection (j) of this
13Section. Beginning on June 30, 2021, payment of tuition
14reimbursement claims under Section 14-7.03 or 18-3 of the
15School Code as of June 30, payable from appropriations that
16have otherwise expired, may be paid out of the expiring
17appropriation during the 4-month period ending at the close of
18business on October 31.
19    (b-2) All outstanding liabilities as of June 30, 2010,
20payable from appropriations that would otherwise expire at the
21conclusion of the lapse period for fiscal year 2010, and
22interest penalties payable on those liabilities under the State
23Prompt Payment Act, may be paid out of the expiring
24appropriations until December 31, 2010, without regard to the
25fiscal year in which the payment is made, as long as vouchers
26for the liabilities are received by the Comptroller no later

 

 

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1than August 31, 2010.
2    (b-3) Medical payments may be made by the Department of
3Veterans' Affairs from its appropriations for those purposes
4for any fiscal year, without regard to the fact that the
5medical services being compensated for by such payment may have
6been rendered in a prior fiscal year, except as required by
7subsection (j) of this Section. Beginning on June 30, 2021,
8medical payments payable from appropriations that have
9otherwise expired may be paid out of the expiring appropriation
10during the 4-month period ending at the close of business on
11October 31.
12    (b-4) Medical payments may be made by the Department of
13Healthcare and Family Services and medical payments and child
14care payments may be made by the Department of Human Services
15(as successor to the Department of Public Aid) from
16appropriations for those purposes for any fiscal year, without
17regard to the fact that the medical or child care services
18being compensated for by such payment may have been rendered in
19a prior fiscal year; and payments may be made at the direction
20of the Department of Healthcare and Family Services Central
21Management Services from the Health Insurance Reserve Fund and
22the Local Government Health Insurance Reserve Fund without
23regard to any fiscal year limitations, except as required by
24subsection (j) of this Section. Beginning on June 30, 2021,
25medical payments made by the Department of Healthcare and
26Family Services, child care payments made by the Department of

 

 

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1Human Services, and payments made at the discretion of the
2Department of Healthcare and Family Services from the Health
3Insurance Reserve Fund and the Local Government Health
4Insurance Reserve Fund payable from appropriations that have
5otherwise expired may be paid out of the expiring appropriation
6during the 4-month period ending at the close of business on
7October 31.
8    (b-5) Medical payments may be made by the Department of
9Human Services from its appropriations relating to substance
10abuse treatment services for any fiscal year, without regard to
11the fact that the medical services being compensated for by
12such payment may have been rendered in a prior fiscal year,
13provided the payments are made on a fee-for-service basis
14consistent with requirements established for Medicaid
15reimbursement by the Department of Healthcare and Family
16Services, except as required by subsection (j) of this Section.
17Beginning on June 30, 2021, medical payments made by the
18Department of Human Services relating to substance abuse
19treatment services payable from appropriations that have
20otherwise expired may be paid out of the expiring appropriation
21during the 4-month period ending at the close of business on
22October 31.
23    (b-6) Additionally, payments may be made by the Department
24of Human Services from its appropriations, or any other State
25agency from its appropriations with the approval of the
26Department of Human Services, from the Immigration Reform and

 

 

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1Control Fund for purposes authorized pursuant to the
2Immigration Reform and Control Act of 1986, without regard to
3any fiscal year limitations, except as required by subsection
4(j) of this Section. Beginning on June 30, 2021, payments made
5by the Department of Human Services from the Immigration Reform
6and Control Fund for purposes authorized pursuant to the
7Immigration Reform and Control Act of 1986 payable from
8appropriations that have otherwise expired may be paid out of
9the expiring appropriation during the 4-month period ending at
10the close of business on October 31.
11    Further, with respect to costs incurred in fiscal years
122002 and 2003 only, payments may be made by the State Treasurer
13from its appropriations from the Capital Litigation Trust Fund
14without regard to any fiscal year limitations.
15    Lease payments may be made by the Department of Central
16Management Services under the sale and leaseback provisions of
17Section 7.4 of the State Property Control Act with respect to
18the James R. Thompson Center and the Elgin Mental Health Center
19and surrounding land from appropriations for that purpose
20without regard to any fiscal year limitations.
21    Lease payments may be made under the sale and leaseback
22provisions of Section 7.5 of the State Property Control Act
23with respect to the Illinois State Toll Highway Authority
24headquarters building and surrounding land without regard to
25any fiscal year limitations.
26    (b-7) Payments may be made in accordance with a plan

 

 

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1authorized by paragraph (11) or (12) of Section 405-105 of the
2Department of Central Management Services Law from
3appropriations for those payments without regard to fiscal year
4limitations.
5    (c) Further, payments may be made by the Department of
6Public Health, and the Department of Human Services (acting as
7successor to the Department of Public Health under the
8Department of Human Services Act), and the Department of
9Healthcare and Family Services from their respective
10appropriations for grants for medical care to or on behalf of
11persons suffering from chronic renal disease, persons
12suffering from hemophilia, rape victims, and premature and
13high-mortality risk infants and their mothers and for grants
14for supplemental food supplies provided under the United States
15Department of Agriculture Women, Infants and Children
16Nutrition Program, for any fiscal year without regard to the
17fact that the services being compensated for by such payment
18may have been rendered in a prior fiscal year, except as
19required by subsection (j) of this Section. Beginning on June
2030, 2021, payments made by the Department of Public Health, the
21Department of Human Services, and the Department of Healthcare
22and Family Services from their respective appropriations for
23grants for medical care to or on behalf of persons suffering
24from chronic renal disease, persons suffering from hemophilia,
25rape victims, and premature and high-mortality risk infants and
26their mothers and for grants for supplemental food supplies

 

 

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1provided under the United States Department of Agriculture
2Women, Infants and Children Nutrition Program payable from
3appropriations that have otherwise expired may be paid out of
4the expiring appropriations during the 4-month period ending at
5the close of business on October 31.
6    (d) The Department of Public Health and the Department of
7Human Services (acting as successor to the Department of Public
8Health under the Department of Human Services Act) shall each
9annually submit to the State Comptroller, Senate President,
10Senate Minority Leader, Speaker of the House, House Minority
11Leader, and the respective Chairmen and Minority Spokesmen of
12the Appropriations Committees of the Senate and the House, on
13or before December 31, a report of fiscal year funds used to
14pay for services provided in any prior fiscal year. This report
15shall document by program or service category those
16expenditures from the most recently completed fiscal year used
17to pay for services provided in prior fiscal years.
18    (e) The Department of Healthcare and Family Services, the
19Department of Human Services (acting as successor to the
20Department of Public Aid), and the Department of Human Services
21making fee-for-service payments relating to substance abuse
22treatment services provided during a previous fiscal year shall
23each annually submit to the State Comptroller, Senate
24President, Senate Minority Leader, Speaker of the House, House
25Minority Leader, the respective Chairmen and Minority
26Spokesmen of the Appropriations Committees of the Senate and

 

 

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1the House, on or before November 30, a report that shall
2document by program or service category those expenditures from
3the most recently completed fiscal year used to pay for (i)
4services provided in prior fiscal years and (ii) services for
5which claims were received in prior fiscal years.
6    (f) The Department of Human Services (as successor to the
7Department of Public Aid) shall annually submit to the State
8Comptroller, Senate President, Senate Minority Leader, Speaker
9of the House, House Minority Leader, and the respective
10Chairmen and Minority Spokesmen of the Appropriations
11Committees of the Senate and the House, on or before December
1231, a report of fiscal year funds used to pay for services
13(other than medical care) provided in any prior fiscal year.
14This report shall document by program or service category those
15expenditures from the most recently completed fiscal year used
16to pay for services provided in prior fiscal years.
17    (g) In addition, each annual report required to be
18submitted by the Department of Healthcare and Family Services
19under subsection (e) shall include the following information
20with respect to the State's Medicaid program:
21        (1) Explanations of the exact causes of the variance
22    between the previous year's estimated and actual
23    liabilities.
24        (2) Factors affecting the Department of Healthcare and
25    Family Services' liabilities, including but not limited to
26    numbers of aid recipients, levels of medical service

 

 

HB5420 Enrolled- 22 -LRB096 18878 JDS 34265 b

1    utilization by aid recipients, and inflation in the cost of
2    medical services.
3        (3) The results of the Department's efforts to combat
4    fraud and abuse.
5    (h) As provided in Section 4 of the General Assembly
6Compensation Act, any utility bill for service provided to a
7General Assembly member's district office for a period
8including portions of 2 consecutive fiscal years may be paid
9from funds appropriated for such expenditure in either fiscal
10year.
11    (i) An agency which administers a fund classified by the
12Comptroller as an internal service fund may issue rules for:
13        (1) billing user agencies in advance for payments or
14    authorized inter-fund transfers based on estimated charges
15    for goods or services;
16        (2) issuing credits, refunding through inter-fund
17    transfers, or reducing future inter-fund transfers during
18    the subsequent fiscal year for all user agency payments or
19    authorized inter-fund transfers received during the prior
20    fiscal year which were in excess of the final amounts owed
21    by the user agency for that period; and
22        (3) issuing catch-up billings to user agencies during
23    the subsequent fiscal year for amounts remaining due when
24    payments or authorized inter-fund transfers received from
25    the user agency during the prior fiscal year were less than
26    the total amount owed for that period.

 

 

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1User agencies are authorized to reimburse internal service
2funds for catch-up billings by vouchers drawn against their
3respective appropriations for the fiscal year in which the
4catch-up billing was issued or by increasing an authorized
5inter-fund transfer during the current fiscal year. For the
6purposes of this Act, "inter-fund transfers" means transfers
7without the use of the voucher-warrant process, as authorized
8by Section 9.01 of the State Comptroller Act.
9    (i-1) Beginning on July 1, 2021, all outstanding
10liabilities, not payable during the 4-month lapse period as
11described in subsections (b-1), (b-3), (b-4), (b-5), (b-6), and
12(c) of this Section, that are made from appropriations for that
13purpose for any fiscal year, without regard to the fact that
14the services being compensated for by those payments may have
15been rendered in a prior fiscal year, are limited to only those
16claims that have been incurred but for which a proper bill or
17invoice as defined by the State Prompt Payment Act has not been
18received by September 30th following the end of the fiscal year
19in which the service was rendered.
20    (j) Notwithstanding any other provision of this Act, the
21aggregate amount of payments to be made without regard for
22fiscal year limitations as contained in subsections (b-1),
23(b-3), (b-4), (b-5), (b-6), and (c) of this Section, and
24determined by using Generally Accepted Accounting Principles,
25shall not exceed the following amounts:
26        (1) $6,000,000,000 for outstanding liabilities related

 

 

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1    to fiscal year 2012;
2        (2) $5,300,000,000 for outstanding liabilities related
3    to fiscal year 2013;
4        (3) $4,600,000,000 for outstanding liabilities related
5    to fiscal year 2014;
6        (4) $4,000,000,000 for outstanding liabilities related
7    to fiscal year 2015;
8        (5) $3,300,000,000 for outstanding liabilities related
9    to fiscal year 2016;
10        (6) $2,600,000,000 for outstanding liabilities related
11    to fiscal year 2017;
12        (7) $2,000,000,000 for outstanding liabilities related
13    to fiscal year 2018;
14        (8) $1,300,000,000 for outstanding liabilities related
15    to fiscal year 2019;
16        (9) $600,000,000 for outstanding liabilities related
17    to fiscal year 2020; and
18        (10) $0 for outstanding liabilities related to fiscal
19    year 2021 and fiscal years thereafter.
20(Source: P.A. 95-331, eff. 8-21-07; 96-928, eff. 6-15-10;
2196-958, eff. 7-1-10; revised 7-22-10.)
 
22    Section 15. The State Prompt Payment Act is amended by
23changing Section 3-2 as follows:
 
24    (30 ILCS 540/3-2)

 

 

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1    Sec. 3-2. Beginning July 1, 1993, in any instance where a
2State official or agency is late in payment of a vendor's bill
3or invoice for goods or services furnished to the State, as
4defined in Section 1, properly approved in accordance with
5rules promulgated under Section 3-3, the State official or
6agency shall pay interest to the vendor in accordance with the
7following:
8        (1) Any bill, except a bill submitted under Article V
9    of the Illinois Public Aid Code, approved for payment under
10    this Section must be paid or the payment issued to the
11    payee within 60 days of receipt of a proper bill or
12    invoice. If payment is not issued to the payee within this
13    60 day period, an interest penalty of 1.0% of any amount
14    approved and unpaid shall be added for each month or
15    fraction thereof after the end of this 60 day period, until
16    final payment is made. Any bill, except a bill for pharmacy
17    services or goods, submitted under Article V of the
18    Illinois Public Aid Code approved for payment under this
19    Section must be paid or the payment issued to the payee
20    within 60 days after receipt of a proper bill or invoice,
21    and, if payment is not issued to the payee within this
22    60-day period, an interest penalty of 2.0% of any amount
23    approved and unpaid shall be added for each month or
24    fraction thereof after the end of this 60-day period, until
25    final payment is made. Any bill for pharmacy services or
26    goods submitted under Article V of the Illinois Public Aid

 

 

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1    Code, approved for payment under this Section must be paid
2    or the payment issued to the payee within 60 days of
3    receipt of a proper bill or invoice. If payment is not
4    issued to the payee within this 60 day period, an interest
5    penalty of 1.0% of any amount approved and unpaid shall be
6    added for each month or fraction thereof after the end of
7    this 60 day period, until final payment is made.
8        (1.1) A State agency shall review in a timely manner
9    each bill or invoice after its receipt. If the State agency
10    determines that the bill or invoice contains a defect
11    making it unable to process the payment request, the agency
12    shall notify the vendor requesting payment as soon as
13    possible after discovering the defect pursuant to rules
14    promulgated under Section 3-3; provided, however, that the
15    notice for construction related bills or invoices must be
16    given not later than 30 days after the bill or invoice was
17    first submitted. The notice shall identify the defect and
18    any additional information necessary to correct the
19    defect. If one or more items on a construction related bill
20    or invoice are disapproved, but not the entire bill or
21    invoice, then the portion that is not disapproved shall be
22    paid.
23        (2) Where a State official or agency is late in payment
24    of a vendor's bill or invoice properly approved in
25    accordance with this Act, and different late payment terms
26    are not reduced to writing as a contractual agreement, the

 

 

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1    State official or agency shall automatically pay interest
2    penalties required by this Section amounting to $50 or more
3    to the appropriate vendor. Each agency shall be responsible
4    for determining whether an interest penalty is owed and for
5    paying the interest to the vendor. Interest due to a vendor
6    that amounts to less than $50 shall not be paid but shall
7    be accrued until all interest due the vendor for all
8    similar warrants exceeds $50, at which time the accrued
9    interest shall be payable and interest will begin accruing
10    again, except that interest accrued as of the end of the
11    fiscal year that does not exceed $50 shall be payable at
12    that time. In the event an individual has paid a vendor for
13    services in advance, the provisions of this Section shall
14    apply until payment is made to that individual.
15        (3) The provisions of this amendatory Act of the 96th
16    General Assembly reducing the interest rate on pharmacy
17    claims under Article V of the Illinois Public Aid Code to
18    1.0% per month shall apply to any pharmacy bills for
19    services and goods under Article V of the Illinois Public
20    Aid Code received on or after the date 60 days before the
21    effective date of this amendatory Act of the 96th General
22    Assembly.
23(Source: P.A. 96-555, eff. 8-18-09; 96-802, eff. 1-1-10;
2496-959, eff. 7-1-10; 96-1000, eff. 7-2-10.)
 
25    Section 20. The Illinois Income Tax Act is amended by

 

 

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1changing Section 917 as follows:
 
2    (35 ILCS 5/917)  (from Ch. 120, par. 9-917)
3    Sec. 917. Confidentiality and information sharing.
4    (a) Confidentiality. Except as provided in this Section,
5all information received by the Department from returns filed
6under this Act, or from any investigation conducted under the
7provisions of this Act, shall be confidential, except for
8official purposes within the Department or pursuant to official
9procedures for collection of any State tax or pursuant to an
10investigation or audit by the Illinois State Scholarship
11Commission of a delinquent student loan or monetary award or
12enforcement of any civil or criminal penalty or sanction
13imposed by this Act or by another statute imposing a State tax,
14and any person who divulges any such information in any manner,
15except for such purposes and pursuant to order of the Director
16or in accordance with a proper judicial order, shall be guilty
17of a Class A misdemeanor. However, the provisions of this
18paragraph are not applicable to information furnished to (i)
19the Department of Healthcare and Family Services (formerly
20Department of Public Aid), State's Attorneys, and the Attorney
21General for child support enforcement purposes and (ii) a
22licensed attorney representing the taxpayer where an appeal or
23a protest has been filed on behalf of the taxpayer. If it is
24necessary to file information obtained pursuant to this Act in
25a child support enforcement proceeding, the information shall

 

 

HB5420 Enrolled- 29 -LRB096 18878 JDS 34265 b

1be filed under seal.
2    (b) Public information. Nothing contained in this Act shall
3prevent the Director from publishing or making available to the
4public the names and addresses of persons filing returns under
5this Act, or from publishing or making available reasonable
6statistics concerning the operation of the tax wherein the
7contents of returns are grouped into aggregates in such a way
8that the information contained in any individual return shall
9not be disclosed.
10    (c) Governmental agencies. The Director may make available
11to the Secretary of the Treasury of the United States or his
12delegate, or the proper officer or his delegate of any other
13state imposing a tax upon or measured by income, for
14exclusively official purposes, information received by the
15Department in the administration of this Act, but such
16permission shall be granted only if the United States or such
17other state, as the case may be, grants the Department
18substantially similar privileges. The Director may exchange
19information with the Department of Healthcare and Family
20Services and the Department of Human Services (acting as
21successor to the Department of Public Aid under the Department
22of Human Services Act) for the purpose of verifying sources and
23amounts of income and for other purposes directly connected
24with the administration of this Act, the Illinois Public Aid
25Code, and any other health benefit program administered by the
26State and the Illinois Public Aid Code. The Director may

 

 

HB5420 Enrolled- 30 -LRB096 18878 JDS 34265 b

1exchange information with the Director of the Department of
2Employment Security for the purpose of verifying sources and
3amounts of income and for other purposes directly connected
4with the administration of this Act and Acts administered by
5the Department of Employment Security. The Director may make
6available to the Illinois Workers' Compensation Commission
7information regarding employers for the purpose of verifying
8the insurance coverage required under the Workers'
9Compensation Act and Workers' Occupational Diseases Act. The
10Director may exchange information with the Illinois Department
11on Aging for the purpose of verifying sources and amounts of
12income for purposes directly related to confirming eligibility
13for participation in the programs of benefits authorized by the
14Senior Citizens and Disabled Persons Property Tax Relief and
15Pharmaceutical Assistance Act.
16    The Director may make available to any State agency,
17including the Illinois Supreme Court, which licenses persons to
18engage in any occupation, information that a person licensed by
19such agency has failed to file returns under this Act or pay
20the tax, penalty and interest shown therein, or has failed to
21pay any final assessment of tax, penalty or interest due under
22this Act. The Director may make available to any State agency,
23including the Illinois Supreme Court, information regarding
24whether a bidder, contractor, or an affiliate of a bidder or
25contractor has failed to file returns under this Act or pay the
26tax, penalty, and interest shown therein, or has failed to pay

 

 

HB5420 Enrolled- 31 -LRB096 18878 JDS 34265 b

1any final assessment of tax, penalty, or interest due under
2this Act, for the limited purpose of enforcing bidder and
3contractor certifications. For purposes of this Section, the
4term "affiliate" means any entity that (1) directly,
5indirectly, or constructively controls another entity, (2) is
6directly, indirectly, or constructively controlled by another
7entity, or (3) is subject to the control of a common entity.
8For purposes of this subsection (a), an entity controls another
9entity if it owns, directly or individually, more than 10% of
10the voting securities of that entity. As used in this
11subsection (a), the term "voting security" means a security
12that (1) confers upon the holder the right to vote for the
13election of members of the board of directors or similar
14governing body of the business or (2) is convertible into, or
15entitles the holder to receive upon its exercise, a security
16that confers such a right to vote. A general partnership
17interest is a voting security.
18    The Director may make available to any State agency,
19including the Illinois Supreme Court, units of local
20government, and school districts, information regarding
21whether a bidder or contractor is an affiliate of a person who
22is not collecting and remitting Illinois Use taxes, for the
23limited purpose of enforcing bidder and contractor
24certifications.
25    The Director may also make available to the Secretary of
26State information that a corporation which has been issued a

 

 

HB5420 Enrolled- 32 -LRB096 18878 JDS 34265 b

1certificate of incorporation by the Secretary of State has
2failed to file returns under this Act or pay the tax, penalty
3and interest shown therein, or has failed to pay any final
4assessment of tax, penalty or interest due under this Act. An
5assessment is final when all proceedings in court for review of
6such assessment have terminated or the time for the taking
7thereof has expired without such proceedings being instituted.
8For taxable years ending on or after December 31, 1987, the
9Director may make available to the Director or principal
10officer of any Department of the State of Illinois, information
11that a person employed by such Department has failed to file
12returns under this Act or pay the tax, penalty and interest
13shown therein. For purposes of this paragraph, the word
14"Department" shall have the same meaning as provided in Section
153 of the State Employees Group Insurance Act of 1971.
16    (d) The Director shall make available for public inspection
17in the Department's principal office and for publication, at
18cost, administrative decisions issued on or after January 1,
191995. These decisions are to be made available in a manner so
20that the following taxpayer information is not disclosed:
21        (1) The names, addresses, and identification numbers
22    of the taxpayer, related entities, and employees.
23        (2) At the sole discretion of the Director, trade
24    secrets or other confidential information identified as
25    such by the taxpayer, no later than 30 days after receipt
26    of an administrative decision, by such means as the

 

 

HB5420 Enrolled- 33 -LRB096 18878 JDS 34265 b

1    Department shall provide by rule.
2    The Director shall determine the appropriate extent of the
3deletions allowed in paragraph (2). In the event the taxpayer
4does not submit deletions, the Director shall make only the
5deletions specified in paragraph (1).
6    The Director shall make available for public inspection and
7publication an administrative decision within 180 days after
8the issuance of the administrative decision. The term
9"administrative decision" has the same meaning as defined in
10Section 3-101 of Article III of the Code of Civil Procedure.
11Costs collected under this Section shall be paid into the Tax
12Compliance and Administration Fund.
13    (e) Nothing contained in this Act shall prevent the
14Director from divulging information to any person pursuant to a
15request or authorization made by the taxpayer, by an authorized
16representative of the taxpayer, or, in the case of information
17related to a joint return, by the spouse filing the joint
18return with the taxpayer.
19(Source: P.A. 94-1074, eff. 12-26-06; 95-331, eff. 8-21-07.)
 
20    Section 25. The Illinois Insurance Code is amended by
21changing Section 5.5 as follows:
 
22    (215 ILCS 5/5.5)
23    Sec. 5.5. Compliance with the Department of Healthcare and
24Family Services. A company authorized to do business in this

 

 

HB5420 Enrolled- 34 -LRB096 18878 JDS 34265 b

1State or accredited by the State to issue policies of health
2insurance, including but not limited to, self-insured plans,
3group health plans (as defined in Section 607(1) of the
4Employee Retirement Income Security Act of 1974), service
5benefit plans, managed care organizations, pharmacy benefit
6managers, or other parties that are by statute, contract, or
7agreement legally responsible for payment of a claim for a
8health care item or service as a condition of doing business in
9the State must:
10        (1) provide to the Department of Healthcare and Family
11    Services, or any successor agency, on at least a quarterly
12    basis if so requested by the Department, information upon
13    request information to determine during what period any
14    individual may be, or may have been, covered by a health
15    insurer and the nature of the coverage that is or was
16    provided by the health insurer, including the name,
17    address, and identifying number of the plan;
18        (2) accept the State's right of recovery and the
19    assignment to the State of any right of an individual or
20    other entity to payment from the party for an item or
21    service for which payment has been made under the medical
22    programs of the Department of Healthcare and Family
23    Services, or any successor agency, under this Code or the
24    Illinois Public Aid Code;
25        (3) respond to any inquiry by the Department of
26    Healthcare and Family Services regarding a claim for

 

 

HB5420 Enrolled- 35 -LRB096 18878 JDS 34265 b

1    payment for any health care item or service that is
2    submitted not later than 3 years after the date of the
3    provision of such health care item or service; and
4        (4) agree not to deny a claim submitted by the
5    Department of Healthcare and Family Services solely on the
6    basis of the date of submission of the claim, the type or
7    format of the claim form, or a failure to present proper
8    documentation at the point-of-sale that is the basis of the
9    claim if (i) the claim is submitted by the Department of
10    Healthcare and Family Services within the 3-year period
11    beginning on the date on which the item or service was
12    furnished and (ii) any action by the Department of
13    Healthcare and Family Services to enforce its rights with
14    respect to such claim is commenced within 6 years of its
15    submission of such claim.
16    In cases in which the Department of Healthcare and Family
17Services has determined that an entity that provides health
18insurance coverage has established a pattern of failure to
19provide the information required under this Section, and has
20subsequently certified that determination, along with
21supporting documentation, to the Director of the Department of
22Insurance, the Director of the Department of Insurance, based
23upon the certification of determination made by the Department
24of Healthcare and Family Services, may commence regulatory
25proceedings in accordance with all applicable provisions of the
26Illinois Insurance Code.

 

 

HB5420 Enrolled- 36 -LRB096 18878 JDS 34265 b

1(Source: P.A. 95-632, eff. 9-25-07.)
 
2    Section 30. The Children's Health Insurance Program Act is
3amended by changing Section 15 and by adding Sections 7, 21,
423, and 26 as follows:
 
5    (215 ILCS 106/7 new)
6    Sec. 7. Eligibility verification. Notwithstanding any
7other provision of this Act, with respect to applications for
8benefits provided under the Program, eligibility shall be
9determined in a manner that ensures program integrity and that
10complies with federal law and regulations while minimizing
11unnecessary barriers to enrollment. To this end, as soon as
12practicable, and unless the Department receives written denial
13from the federal government, this Section shall be implemented:
14    (a) The Department of Healthcare and Family Services or its
15designees shall:
16        (1) By no later than July 1, 2011, require verification
17    of, at a minimum, one month's income from all sources
18    required for determining the eligibility of applicants to
19    the Program. Such verification shall take the form of pay
20    stubs, business or income and expense records for
21    self-employed persons, letters from employers, and any
22    other valid documentation of income including data
23    obtained electronically by the Department or its designees
24    from other sources as described in subsection (b) of this

 

 

HB5420 Enrolled- 37 -LRB096 18878 JDS 34265 b

1    Section.
2        (2) By no later than October 1, 2011, require
3    verification of, at a minimum, one month's income from all
4    sources required for determining the continued eligibility
5    of recipients at their annual review of eligibility under
6    the Program. Such verification shall take the form of pay
7    stubs, business or income and expense records for
8    self-employed persons, letters from employers, and any
9    other valid documentation of income including data
10    obtained electronically by the Department or its designees
11    from other sources as described in subsection (b) of this
12    Section. The Department shall send a notice to the
13    recipient at least 60 days prior to the end of the period
14    of eligibility that informs them of the requirements for
15    continued eligibility. If a recipient does not fulfill the
16    requirements for continued eligibility by the deadline
17    established in the notice, a notice of cancellation shall
18    be issued to the recipient and coverage shall end on the
19    last day of the eligibility period. A recipient's
20    eligibility may be reinstated without requiring a new
21    application if the recipient fulfills the requirements for
22    continued eligibility prior to the end of the month
23    following the last date of coverage. Nothing in this
24    Section shall prevent an individual whose coverage has been
25    cancelled from reapplying for health benefits at any time.
26        (3) By no later than July 1, 2011, require verification

 

 

HB5420 Enrolled- 38 -LRB096 18878 JDS 34265 b

1    of Illinois residency.
2    (b) The Department shall establish or continue cooperative
3arrangements with the Social Security Administration, the
4Illinois Secretary of State, the Department of Human Services,
5the Department of Revenue, the Department of Employment
6Security, and any other appropriate entity to gain electronic
7access, to the extent allowed by law, to information available
8to those entities that may be appropriate for electronically
9verifying any factor of eligibility for benefits under the
10Program. Data relevant to eligibility shall be provided for no
11other purpose than to verify the eligibility of new applicants
12or current recipients of health benefits under the Program.
13Data will be requested or provided for any new applicant or
14current recipient only insofar as that individual's
15circumstances are relevant to that individual's or another
16individual's eligibility.
17    (c) Within 90 days of the effective date of this amendatory
18Act of the 96th General Assembly, the Department of Healthcare
19and Family Services shall send notice to current recipients
20informing them of the changes regarding their eligibility
21verification.
 
22    (215 ILCS 106/15)
23    Sec. 15. Operation of the Program. There is hereby created
24a Children's Health Insurance Program. The Program shall
25operate subject to appropriation and shall be administered by

 

 

HB5420 Enrolled- 39 -LRB096 18878 JDS 34265 b

1the Department of Healthcare and Family Services. The
2Department shall have the powers and authority granted to the
3Department under the Illinois Public Aid Code, including, but
4not limited to, Section 11-5.1 of the Code. The Department may
5contract with a Third Party Administrator or other entities to
6administer and oversee any portion of this Program.
7(Source: P.A. 95-331, eff. 8-21-07.)
 
8    (215 ILCS 106/21 new)
9    Sec. 21. Presumptive eligibility. Beginning on the
10effective date of this amendatory Act of the 96th General
11Assembly and except where federal law requires presumptive
12eligibility, no adult may be presumed eligible for health care
13coverage under the Program, and the Department may not cover
14any service rendered to an adult unless the adult has completed
15an application for benefits, all required verifications have
16been received and the Department or its designee has found the
17adult eligible for the date on which that service was provided.
18Nothing in this Section shall apply to pregnant women.
 
19    (215 ILCS 106/23 new)
20    Sec. 23. Care coordination.
21    (a) At least 50% of recipients eligible for comprehensive
22medical benefits in all medical assistance programs or other
23health benefit programs administered by the Department,
24including the Children's Health Insurance Program Act and the

 

 

HB5420 Enrolled- 40 -LRB096 18878 JDS 34265 b

1Covering ALL KIDS Health Insurance Act, shall be enrolled in a
2care coordination program by no later than January 1, 2015. For
3purposes of this Section, "coordinated care" or "care
4coordination" means delivery systems where recipients will
5receive their care from providers who participate under
6contract in integrated delivery systems that are responsible
7for providing or arranging the majority of care, including
8primary care physician services, referrals from primary care
9physicians, diagnostic and treatment services, behavioral
10health services, in-patient and outpatient hospital services,
11dental services, and rehabilitation and long-term care
12services. The Department shall designate or contract for such
13integrated delivery systems (i) to ensure enrollees have a
14choice of systems and of primary care providers within such
15systems; (ii) to ensure that enrollees receive quality care in
16a culturally and linguistically appropriate manner; and (iii)
17to ensure that coordinated care programs meet the diverse needs
18of enrollees with developmental, mental health, physical, and
19age-related disabilities.
20    (b) Payment for such coordinated care shall be based on
21arrangements where the State pays for performance related to
22health care outcomes, the use of evidence-based practices, the
23use of primary care delivered through comprehensive medical
24homes, the use of electronic medical records, and the
25appropriate exchange of health information electronically made
26either on a capitated basis in which a fixed monthly premium

 

 

HB5420 Enrolled- 41 -LRB096 18878 JDS 34265 b

1per recipient is paid and full financial risk is assumed for
2the delivery of services, or through other risk-based payment
3arrangements.
4    (c) To qualify for compliance with this Section, the 50%
5goal shall be achieved by enrolling medical assistance
6enrollees from each medical assistance enrollment category,
7including parents, children, seniors, and people with
8disabilities to the extent that current State Medicaid payment
9laws would not limit federal matching funds for recipients in
10care coordination programs. In addition, services must be more
11comprehensively defined and more risk shall be assumed than in
12the Department's primary care case management program as of the
13effective date of this amendatory Act of the 96th General
14Assembly.
15    (d) The Department shall report to the General Assembly in
16a separate part of its annual medical assistance program
17report, beginning April, 2012 until April, 2016, on the
18progress and implementation of the care coordination program
19initiatives established by the provisions of this amendatory
20Act of the 96th General Assembly. The Department shall include
21in its April 2011 report a full analysis of federal laws or
22regulations regarding upper payment limitations to providers
23and the necessary revisions or adjustments in rate
24methodologies and payments to providers under this Code that
25would be necessary to implement coordinated care with full
26financial risk by a party other than the Department.
 

 

 

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1    (215 ILCS 106/26 new)
2    Sec. 26. Moratorium on eligibility expansions. Beginning
3on the effective date of this amendatory Act of the 96th
4General Assembly, there shall be a 2-year moratorium on the
5expansion of eligibility through increasing financial
6eligibility standards, or through increasing income
7disregards, or through the creation of new programs that would
8add new categories of eligible individuals under the medical
9assistance program under the Illinois Public Aid Code in
10addition to those categories covered on January 1, 2011. This
11moratorium shall not apply to expansions required as a federal
12condition of State participation in the medical assistance
13program.
 
14    Section 35. The Covering ALL KIDS Health Insurance Act is
15amended by changing Sections 15, 20, and 98 and by adding
16Sections 7, 21, 36, and 56 as follows:
 
17    (215 ILCS 170/7 new)
18    Sec. 7. Eligibility verification. Notwithstanding any
19other provision of this Act, with respect to applications for
20benefits provided under the Program, eligibility shall be
21determined in a manner that ensures program integrity and that
22complies with federal law and regulations while minimizing
23unnecessary barriers to enrollment. To this end, as soon as

 

 

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1practicable, and unless the Department receives written denial
2from the federal government, this Section shall be implemented:
3    (a) The Department of Healthcare and Family Services or its
4designees shall:
5        (1) By July 1, 2011, require verification of, at a
6    minimum, one month's income from all sources required for
7    determining the eligibility of applicants to the Program.
8    Such verification shall take the form of pay stubs,
9    business or income and expense records for self-employed
10    persons, letters from employers, and any other valid
11    documentation of income including data obtained
12    electronically by the Department or its designees from
13    other sources as described in subsection (b) of this
14    Section.
15        (2) By October 1, 2011, require verification of, at a
16    minimum, one month's income from all sources required for
17    determining the continued eligibility of recipients at
18    their annual review of eligibility under the Program. Such
19    verification shall take the form of pay stubs, business or
20    income and expense records for self-employed persons,
21    letters from employers, and any other valid documentation
22    of income including data obtained electronically by the
23    Department or its designees from other sources as described
24    in subsection (b) of this Section. The Department shall
25    send a notice to recipients at least 60 days prior to the
26    end of their period of eligibility that informs them of the

 

 

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1    requirements for continued eligibility. If a recipient
2    does not fulfill the requirements for continued
3    eligibility by the deadline established in the notice, a
4    notice of cancellation shall be issued to the recipient and
5    coverage shall end on the last day of the eligibility
6    period. A recipient's eligibility may be reinstated
7    without requiring a new application if the recipient
8    fulfills the requirements for continued eligibility prior
9    to the end of the month following the last date of
10    coverage. Nothing in this Section shall prevent an
11    individual whose coverage has been cancelled from
12    reapplying for health benefits at any time.
13        (3) By July 1, 2011, require verification of Illinois
14    residency.
15    (b) The Department shall establish or continue cooperative
16arrangements with the Social Security Administration, the
17Illinois Secretary of State, the Department of Human Services,
18the Department of Revenue, the Department of Employment
19Security, and any other appropriate entity to gain electronic
20access, to the extent allowed by law, to information available
21to those entities that may be appropriate for electronically
22verifying any factor of eligibility for benefits under the
23Program. Data relevant to eligibility shall be provided for no
24other purpose than to verify the eligibility of new applicants
25or current recipients of health benefits under the Program.
26Data will be requested or provided for any new applicant or

 

 

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1current recipient only insofar as that individual's
2circumstances are relevant to that individual's or another
3individual's eligibility.
4    (c) Within 90 days of the effective date of this amendatory
5Act of the 96th General Assembly, the Department of Healthcare
6and Family Services shall send notice to current recipients
7informing them of the changes regarding their eligibility
8verification.
 
9    (215 ILCS 170/15)
10    (Section scheduled to be repealed on July 1, 2011)
11    Sec. 15. Operation of Program. The Covering ALL KIDS Health
12Insurance Program is created. The Program shall be administered
13by the Department of Healthcare and Family Services. The
14Department shall have the same powers and authority to
15administer the Program as are provided to the Department in
16connection with the Department's administration of the
17Illinois Public Aid Code, including, but not limited to, the
18provisions under Section 11-5.1 of the Code, and the Children's
19Health Insurance Program Act. The Department shall coordinate
20the Program with the existing children's health programs
21operated by the Department and other State agencies.
22(Source: P.A. 94-693, eff. 7-1-06.)
 
23    (215 ILCS 170/20)
24    (Section scheduled to be repealed on July 1, 2011)

 

 

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1    Sec. 20. Eligibility.
2    (a) To be eligible for the Program, a person must be a
3child:
4        (1) who is a resident of the State of Illinois; and
5        (2) who is ineligible for medical assistance under the
6    Illinois Public Aid Code or benefits under the Children's
7    Health Insurance Program Act; and
8        (3) either (i) who has been without health insurance
9    coverage for a period set forth by the Department in rules,
10    but not less than 6 months during the first month of
11    operation of the Program, 7 months during the second month
12    of operation, 8 months during the third month of operation,
13    9 months during the fourth month of operation, 10 months
14    during the fifth month of operation, 11 months during the
15    sixth month of operation, and 12 months thereafter, (ii)
16    whose parent has lost employment that made available
17    affordable dependent health insurance coverage, until such
18    time as affordable employer-sponsored dependent health
19    insurance coverage is again available for the child as set
20    forth by the Department in rules, (iii) who is a newborn
21    whose responsible relative does not have available
22    affordable private or employer-sponsored health insurance,
23    or (iv) who, within one year of applying for coverage under
24    this Act, lost medical benefits under the Illinois Public
25    Aid Code or the Children's Health Insurance Program Act;
26    and .

 

 

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1        (3.5) whose household income, as determined by the
2    Department, is at or below 300% of the federal poverty
3    level. This item (3.5) is effective July 1, 2011.
4    An entity that provides health insurance coverage (as
5defined in Section 2 of the Comprehensive Health Insurance Plan
6Act) to Illinois residents shall provide health insurance data
7match to the Department of Healthcare and Family Services as
8provided by and subject to Section 5.5 of the Illinois
9Insurance Code for the purpose of determining eligibility for
10the Program under this Act.
11    The Department of Healthcare and Family Services, in
12collaboration with the Department of Financial and
13Professional Regulation, Division of Insurance, shall adopt
14rules governing the exchange of information under this Section.
15The rules shall be consistent with all laws relating to the
16confidentiality or privacy of personal information or medical
17records, including provisions under the Federal Health
18Insurance Portability and Accountability Act (HIPAA).
19    (b) The Department shall monitor the availability and
20retention of employer-sponsored dependent health insurance
21coverage and shall modify the period described in subdivision
22(a)(3) if necessary to promote retention of private or
23employer-sponsored health insurance and timely access to
24healthcare services, but at no time shall the period described
25in subdivision (a)(3) be less than 6 months.
26    (c) The Department, at its discretion, may take into

 

 

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1account the affordability of dependent health insurance when
2determining whether employer-sponsored dependent health
3insurance coverage is available upon reemployment of a child's
4parent as provided in subdivision (a)(3).
5    (d) A child who is determined to be eligible for the
6Program shall remain eligible for 12 months, provided that the
7child maintains his or her residence in this State, has not yet
8attained 19 years of age, and is not excluded under subsection
9(e).
10    (e) A child is not eligible for coverage under the Program
11if:
12        (1) the premium required under Section 40 has not been
13    timely paid; if the required premiums are not paid, the
14    liability of the Program shall be limited to benefits
15    incurred under the Program for the time period for which
16    premiums have been paid; re-enrollment shall be completed
17    before the next covered medical visit, and the first
18    month's required premium shall be paid in advance of the
19    next covered medical visit; or
20        (2) the child is an inmate of a public institution or
21    an institution for mental diseases.
22    (f) The Department may shall adopt eligibility rules,
23including, but not limited to: rules regarding annual renewals
24of eligibility for the Program in conformance with Section 7 of
25this Act; rules regarding annual renewals of eligibility for
26the Program; rules providing for re-enrollment, grace periods,

 

 

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1notice requirements, and hearing procedures under subdivision
2(e)(1) of this Section; and rules regarding what constitutes
3availability and affordability of private or
4employer-sponsored health insurance, with consideration of
5such factors as the percentage of income needed to purchase
6children or family health insurance, the availability of
7employer subsidies, and other relevant factors.
8    (g) Each child enrolled in the Program as of July 1, 2011
9whose family income, as established by the Department, exceeds
10300% of the federal poverty level may remain enrolled in the
11Program for 12 additional months commencing July 1, 2011.
12Continued enrollment pursuant to this subsection shall be
13available only if the child continues to meet all eligibility
14criteria established under the Program as of the effective date
15of this amendatory Act of the 96th General Assembly without a
16break in coverage. Nothing contained in this subsection shall
17prevent a child from qualifying for any other health benefits
18program operated by the Department.
19(Source: P.A. 96-1272, eff. 1-1-11.)
 
20    (215 ILCS 170/21 new)
21    Sec. 21. Presumptive eligibility. Beginning on the
22effective date of this amendatory Act of the 96th General
23Assembly and except where federal law or regulation requires
24presumptive eligibility, no adult may be presumed eligible for
25health care coverage under the Program and the Department may

 

 

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1not cover any service rendered to an adult unless the adult has
2completed an application for benefits, all required
3verifications have been received, and the Department or its
4designee has found the adult eligible for the date on which
5that service was provided. Nothing in this Section shall apply
6to pregnant women.
 
7    (215 ILCS 170/36 new)
8    Sec. 36. Moratorium on eligibility expansions. Beginning
9on the effective date of this amendatory Act of the 96th
10General Assembly, there shall be a 2-year moratorium on the
11expansion of eligibility through increasing financial
12eligibility standards, or through increasing income
13disregards, or through the creation of new programs that would
14add new categories of eligible individuals under the medical
15assistance program under the Illinois Public Aid Code in
16addition to those categories covered on January 1, 2011. This
17moratorium shall not apply to expansions required as a federal
18condition of State participation in the medical assistance
19program.
 
20    (215 ILCS 170/56 new)
21    Sec. 56. Care coordination.
22    (a) At least 50% of recipients eligible for comprehensive
23medical benefits in all medical assistance programs or other
24health benefit programs administered by the Department,

 

 

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1including the Children's Health Insurance Program Act and the
2Covering ALL KIDS Health Insurance Act, shall be enrolled in a
3care coordination program by no later than January 1, 2015. For
4purposes of this Section, "coordinated care" or "care
5coordination" means delivery systems where recipients will
6receive their care from providers who participate under
7contract in integrated delivery systems that are responsible
8for providing or arranging the majority of care, including
9primary care physician services, referrals from primary care
10physicians, diagnostic and treatment services, behavioral
11health services, in-patient and outpatient hospital services,
12dental services, and rehabilitation and long-term care
13services. The Department shall designate or contract for such
14integrated delivery systems (i) to ensure enrollees have a
15choice of systems and of primary care providers within such
16systems; (ii) to ensure that enrollees receive quality care in
17a culturally and linguistically appropriate manner; and (iii)
18to ensure that coordinated care programs meet the diverse needs
19of enrollees with developmental, mental health, physical, and
20age-related disabilities.
21    (b) Payment for such coordinated care shall be based on
22arrangements where the State pays for performance related to
23health care outcomes, the use of evidence-based practices, the
24use of primary care delivered through comprehensive medical
25homes, the use of electronic medical records, and the
26appropriate exchange of health information electronically made

 

 

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1either on a capitated basis in which a fixed monthly premium
2per recipient is paid and full financial risk is assumed for
3the delivery of services, or through other risk-based payment
4arrangements.
5    (c) To qualify for compliance with this Section, the 50%
6goal shall be achieved by enrolling medical assistance
7enrollees from each medical assistance enrollment category,
8including parents, children, seniors, and people with
9disabilities to the extent that current State Medicaid payment
10laws would not limit federal matching funds for recipients in
11care coordination programs. In addition, services must be more
12comprehensively defined and more risk shall be assumed than in
13the Department's primary care case management program as of the
14effective date of this amendatory Act of the 96th General
15Assembly.
16    (d) The Department shall report to the General Assembly in
17a separate part of its annual medical assistance program
18report, beginning April, 2012 until April, 2016, on the
19progress and implementation of the care coordination program
20initiatives established by the provisions of this amendatory
21Act of the 96th General Assembly. The Department shall include
22in its April 2011 report a full analysis of federal laws or
23regulations regarding upper payment limitations to providers
24and the necessary revisions or adjustments in rate
25methodologies and payments to providers under this Code that
26would be necessary to implement coordinated care with full

 

 

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1financial risk by a party other than the Department.
 
2    (215 ILCS 170/98)
3    (Section scheduled to be repealed on July 1, 2011)
4    Sec. 98. Repealer. This Act is repealed on July 1, 2016
5July 1, 2011.
6(Source: P.A. 94-693, eff. 7-1-06.)
 
7    Section 40. The Illinois Public Aid Code is amended by
8changing Sections 5-4.1, 5-5.12, 5-11, 8A-2.5, and 11-26 and by
9adding Sections 5-1.3, 5-1.4, 5-2.03, 5-11a, 5-29, 5-30, and
1011-5.1 as follows:
 
11    (305 ILCS 5/5-1.3 new)
12    Sec. 5-1.3. Payer of last resort. To the extent permissible
13under federal law, the State may pay for medical services only
14after payment from all other sources of payment have been
15exhausted, or after the Department has determined that pursuit
16of such payment is economically unfeasible. Applicants for, and
17recipients of, medical assistance under this Code shall
18disclose to the State all insurance coverage they have. To the
19extent permissible under federal law, the State shall require
20vendors of medical services to bill third-party payers for
21services that may be covered by those third-party payers prior
22to submission of a request for payment to the State. The
23Department shall, to the extent permissible under federal law,

 

 

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1reject a request for payment of a medical service that should
2first have been submitted to a third-party payer.
 
3    (305 ILCS 5/5-1.4 new)
4    Sec. 5-1.4. Moratorium on eligibility expansions.
5Beginning on the effective date of this amendatory Act of the
696th General Assembly, there shall be a 2-year moratorium on
7the expansion of eligibility through increasing financial
8eligibility standards, or through increasing income
9disregards, or through the creation of new programs which would
10add new categories of eligible individuals under the medical
11assistance program in addition to those categories covered on
12January 1, 2011. This moratorium shall not apply to expansions
13required as a federal condition of State participation in the
14medical assistance program.
 
15    (305 ILCS 5/5-2.03 new)
16    Sec. 5-2.03. Presumptive eligibility. Beginning on the
17effective date of this amendatory Act of the 96th General
18Assembly and except where federal law requires presumptive
19eligibility, no adult may be presumed eligible for medical
20assistance under this Code and the Department may not cover any
21service rendered to an adult unless the adult has completed an
22application for benefits, all required verifications have been
23received, and the Department or its designee has found the
24adult eligible for the date on which that service was provided.

 

 

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1Nothing in this Section shall apply to pregnant women.
 
2    (305 ILCS 5/5-4.1)  (from Ch. 23, par. 5-4.1)
3    Sec. 5-4.1. Co-payments. The Department may by rule provide
4that recipients under any Article of this Code shall pay a fee
5as a co-payment for services. Co-payments shall be maximized to
6the extent permitted by federal law may not exceed $3 for brand
7name drugs, $1 for other pharmacy services other than for
8generic drugs, and $2 for physicians services, dental services,
9optical services and supplies, chiropractic services, podiatry
10services, and encounter rate clinic services. There shall be no
11co-payment for generic drugs. Co-payments may not exceed $3 for
12hospital outpatient and clinic services. Provided, however,
13that any such rule must provide that no co-payment requirement
14can exist for renal dialysis, radiation therapy, cancer
15chemotherapy, or insulin, and other products necessary on a
16recurring basis, the absence of which would be life
17threatening, or where co-payment expenditures for required
18services and/or medications for chronic diseases that the
19Illinois Department shall by rule designate shall cause an
20extensive financial burden on the recipient, and provided no
21co-payment shall exist for emergency room encounters which are
22for medical emergencies. The Department shall seek approval of
23a State plan amendment that allows pharmacies to refuse to
24dispense drugs in circumstances where the recipient does not
25pay the required co-payment. In the event the State plan

 

 

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1amendment is rejected, co-payments may not exceed $3 for brand
2name drugs, $1 for other pharmacy services other than for
3generic drugs, and $2 for physician services, dental services,
4optical services and supplies, chiropractic services, podiatry
5services, and encounter rate clinic services. There shall be no
6co-payment for generic drugs. Co-payments may not exceed $3 for
7hospital outpatient and clinic services.
8(Source: P.A. 92-597, eff. 6-28-02; 93-593, eff. 8-25-03.)
 
9    (305 ILCS 5/5-5.12)  (from Ch. 23, par. 5-5.12)
10    Sec. 5-5.12. Pharmacy payments.
11    (a) Every request submitted by a pharmacy for reimbursement
12under this Article for prescription drugs provided to a
13recipient of aid under this Article shall include the name of
14the prescriber or an acceptable identification number as
15established by the Department.
16    (b) Pharmacies providing prescription drugs under this
17Article shall be reimbursed at a rate which shall include a
18professional dispensing fee as determined by the Illinois
19Department, plus the current acquisition cost of the
20prescription drug dispensed. The Illinois Department shall
21update its information on the acquisition costs of all
22prescription drugs no less frequently than every 30 days.
23However, the Illinois Department may set the rate of
24reimbursement for the acquisition cost, by rule, at a
25percentage of the current average wholesale acquisition cost.

 

 

HB5420 Enrolled- 57 -LRB096 18878 JDS 34265 b

1    (c) (Blank).
2    (d) The Department shall not impose requirements for prior
3approval based on a preferred drug list for anti-retroviral,
4anti-hemophilic factor concentrates, or any atypical
5antipsychotics, conventional antipsychotics, or
6anticonvulsants used for the treatment of serious mental
7illnesses until 30 days after it has conducted a study of the
8impact of such requirements on patient care and submitted a
9report to the Speaker of the House of Representatives and the
10President of the Senate. The Department shall review
11utilization of narcotic medications in the medical assistance
12program and impose utilization controls that protect against
13abuse.
14    (e) When making determinations as to which drugs shall be
15on a prior approval list, the Department shall include as part
16of the analysis for this determination, the degree to which a
17drug may affect individuals in different ways based on factors
18including the gender of the person taking the medication.
19    (f) (e) The Department shall cooperate with the Department
20of Public Health and the Department of Human Services Division
21of Mental Health in identifying psychotropic medications that,
22when given in a particular form, manner, duration, or frequency
23(including "as needed") in a dosage, or in conjunction with
24other psychotropic medications to a nursing home resident, may
25constitute a chemical restraint or an "unnecessary drug" as
26defined by the Nursing Home Care Act or Titles XVIII and XIX of

 

 

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1the Social Security Act and the implementing rules and
2regulations. The Department shall require prior approval for
3any such medication prescribed for a nursing home resident that
4appears to be a chemical restraint or an unnecessary drug. The
5Department shall consult with the Department of Human Services
6Division of Mental Health in developing a protocol and criteria
7for deciding whether to grant such prior approval.
8    (g) The Department may by rule provide for reimbursement of
9the dispensing of a 90-day supply of a generic, non-narcotic
10maintenance medication in circumstances where it is cost
11effective.
12(Source: P.A. 96-1269, eff. 7-26-10; 96-1372, eff. 7-29-10;
13revised 9-2-10.)
 
14    (305 ILCS 5/5-11)  (from Ch. 23, par. 5-11)
15    Sec. 5-11. Co-operative arrangements; contracts with other
16State agencies, health care and rehabilitation organizations,
17and fiscal intermediaries.
18    (a) The Illinois Department may enter into co-operative
19arrangements with State agencies responsible for administering
20or supervising the administration of health services and
21vocational rehabilitation services to the end that there may be
22maximum utilization of such services in the provision of
23medical assistance.
24    The Illinois Department shall, not later than June 30,
251993, enter into one or more co-operative arrangements with the

 

 

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1Department of Mental Health and Developmental Disabilities
2providing that the Department of Mental Health and
3Developmental Disabilities will be responsible for
4administering or supervising all programs for services to
5persons in community care facilities for persons with
6developmental disabilities, including but not limited to
7intermediate care facilities, that are supported by State funds
8or by funding under Title XIX of the federal Social Security
9Act. The responsibilities of the Department of Mental Health
10and Developmental Disabilities under these agreements are
11transferred to the Department of Human Services as provided in
12the Department of Human Services Act.
13    The Department may also contract with such State health and
14rehabilitation agencies and other public or private health care
15and rehabilitation organizations to act for it in supplying
16designated medical services to persons eligible therefor under
17this Article. Any contracts with health services or health
18maintenance organizations shall be restricted to organizations
19which have been certified as being in compliance with standards
20promulgated pursuant to the laws of this State governing the
21establishment and operation of health services or health
22maintenance organizations. The Department shall renegotiate
23the contracts with health maintenance organizations and
24managed care community networks that took effect August 1,
252003, so as to produce $70,000,000 savings to the Department
26net of resulting increases to the fee-for-service program for

 

 

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1State fiscal year 2006. The Department may also contract with
2insurance companies or other corporate entities serving as
3fiscal intermediaries in this State for the Federal Government
4in respect to Medicare payments under Title XVIII of the
5Federal Social Security Act to act for the Department in paying
6medical care suppliers. The provisions of Section 9 of "An Act
7in relation to State finance", approved June 10, 1919, as
8amended, notwithstanding, such contracts with State agencies,
9other health care and rehabilitation organizations, or fiscal
10intermediaries may provide for advance payments.
11    (b) For purposes of this subsection (b), "managed care
12community network" means an entity, other than a health
13maintenance organization, that is owned, operated, or governed
14by providers of health care services within this State and that
15provides or arranges primary, secondary, and tertiary managed
16health care services under contract with the Illinois
17Department exclusively to persons participating in programs
18administered by the Illinois Department.
19    The Illinois Department may certify managed care community
20networks, including managed care community networks owned,
21operated, managed, or governed by State-funded medical
22schools, as risk-bearing entities eligible to contract with the
23Illinois Department as Medicaid managed care organizations.
24The Illinois Department may contract with those managed care
25community networks to furnish health care services to or
26arrange those services for individuals participating in

 

 

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1programs administered by the Illinois Department. The rates for
2those provider-sponsored organizations may be determined on a
3prepaid, capitated basis. A managed care community network may
4choose to contract with the Illinois Department to provide only
5pediatric health care services. The Illinois Department shall
6by rule adopt the criteria, standards, and procedures by which
7a managed care community network may be permitted to contract
8with the Illinois Department and shall consult with the
9Department of Insurance in adopting these rules.
10    A county provider as defined in Section 15-1 of this Code
11may contract with the Illinois Department to provide primary,
12secondary, or tertiary managed health care services as a
13managed care community network without the need to establish a
14separate entity and shall be deemed a managed care community
15network for purposes of this Code only to the extent it
16provides services to participating individuals. A county
17provider is entitled to contract with the Illinois Department
18with respect to any contracting region located in whole or in
19part within the county. A county provider is not required to
20accept enrollees who do not reside within the county.
21    In order to (i) accelerate and facilitate the development
22of integrated health care in contracting areas outside counties
23with populations in excess of 3,000,000 and counties adjacent
24to those counties and (ii) maintain and sustain the high
25quality of education and residency programs coordinated and
26associated with local area hospitals, the Illinois Department

 

 

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1may develop and implement a demonstration program from managed
2care community networks owned, operated, managed, or governed
3by State-funded medical schools. The Illinois Department shall
4prescribe by rule the criteria, standards, and procedures for
5effecting this demonstration program.
6    A managed care community network that contracts with the
7Illinois Department to furnish health care services to or
8arrange those services for enrollees participating in programs
9administered by the Illinois Department shall do all of the
10following:
11        (1) Provide that any provider affiliated with the
12    managed care community network may also provide services on
13    a fee-for-service basis to Illinois Department clients not
14    enrolled in such managed care entities.
15        (2) Provide client education services as determined
16    and approved by the Illinois Department, including but not
17    limited to (i) education regarding appropriate utilization
18    of health care services in a managed care system, (ii)
19    written disclosure of treatment policies and restrictions
20    or limitations on health services, including, but not
21    limited to, physical services, clinical laboratory tests,
22    hospital and surgical procedures, prescription drugs and
23    biologics, and radiological examinations, and (iii)
24    written notice that the enrollee may receive from another
25    provider those covered services that are not provided by
26    the managed care community network.

 

 

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1        (3) Provide that enrollees within the system may choose
2    the site for provision of services and the panel of health
3    care providers.
4        (4) Not discriminate in enrollment or disenrollment
5    practices among recipients of medical services or
6    enrollees based on health status.
7        (5) Provide a quality assurance and utilization review
8    program that meets the requirements established by the
9    Illinois Department in rules that incorporate those
10    standards set forth in the Health Maintenance Organization
11    Act.
12        (6) Issue a managed care community network
13    identification card to each enrollee upon enrollment. The
14    card must contain all of the following:
15            (A) The enrollee's health plan.
16            (B) The name and telephone number of the enrollee's
17        primary care physician or the site for receiving
18        primary care services.
19            (C) A telephone number to be used to confirm
20        eligibility for benefits and authorization for
21        services that is available 24 hours per day, 7 days per
22        week.
23        (7) Ensure that every primary care physician and
24    pharmacy in the managed care community network meets the
25    standards established by the Illinois Department for
26    accessibility and quality of care. The Illinois Department

 

 

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1    shall arrange for and oversee an evaluation of the
2    standards established under this paragraph (7) and may
3    recommend any necessary changes to these standards.
4        (8) Provide a procedure for handling complaints that
5    meets the requirements established by the Illinois
6    Department in rules that incorporate those standards set
7    forth in the Health Maintenance Organization Act.
8        (9) Maintain, retain, and make available to the
9    Illinois Department records, data, and information, in a
10    uniform manner determined by the Illinois Department,
11    sufficient for the Illinois Department to monitor
12    utilization, accessibility, and quality of care.
13        (10) (Blank) Provide that the pharmacy formulary used
14    by the managed care community network and its contract
15    providers be no more restrictive than the Illinois
16    Department's pharmaceutical program on the effective date
17    of this amendatory Act of 1998 and as amended after that
18    date.
19    The Illinois Department shall contract with an entity or
20entities to provide external peer-based quality assurance
21review for the managed health care programs administered by the
22Illinois Department. The entity shall meet all federal
23requirements for an external quality review organization be
24representative of Illinois physicians licensed to practice
25medicine in all its branches and have statewide geographic
26representation in all specialities of medical care that are

 

 

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1provided in managed health care programs administered by the
2Illinois Department. The entity may not be a third party payer
3and shall maintain offices in locations around the State in
4order to provide service and continuing medical education to
5physician participants within those managed health care
6programs administered by the Illinois Department. The review
7process shall be developed and conducted by Illinois physicians
8licensed to practice medicine in all its branches. In
9consultation with the entity, the Illinois Department may
10contract with other entities for professional peer-based
11quality assurance review of individual categories of services
12other than services provided, supervised, or coordinated by
13physicians licensed to practice medicine in all its branches.
14The Illinois Department shall establish, by rule, criteria to
15avoid conflicts of interest in the conduct of quality assurance
16activities consistent with professional peer-review standards.
17All quality assurance activities shall be coordinated by the
18Illinois Department.
19    Each managed care community network must demonstrate its
20ability to bear the financial risk of serving individuals under
21this program. The Illinois Department shall by rule adopt
22standards for assessing the solvency and financial soundness of
23each managed care community network. Any solvency and financial
24standards adopted for managed care community networks shall be
25no more restrictive than the solvency and financial standards
26adopted under Section 1856(a) of the Social Security Act for

 

 

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1provider-sponsored organizations under Part C of Title XVIII of
2the Social Security Act.
3    The Illinois Department may implement the amendatory
4changes to this Code made by this amendatory Act of 1998
5through the use of emergency rules in accordance with Section
65-45 of the Illinois Administrative Procedure Act. For purposes
7of that Act, the adoption of rules to implement these changes
8is deemed an emergency and necessary for the public interest,
9safety, and welfare.
10    (c) Not later than June 30, 1996, the Illinois Department
11shall enter into one or more cooperative arrangements with the
12Department of Public Health for the purpose of developing a
13single survey for nursing facilities, including but not limited
14to facilities funded under Title XVIII or Title XIX of the
15federal Social Security Act or both, which shall be
16administered and conducted solely by the Department of Public
17Health. The Departments shall test the single survey process on
18a pilot basis, with both the Departments of Public Aid and
19Public Health represented on the consolidated survey team. The
20pilot will sunset June 30, 1997. After June 30, 1997, unless
21otherwise determined by the Governor, a single survey shall be
22implemented by the Department of Public Health which would not
23preclude staff from the Department of Healthcare and Family
24Services (formerly Department of Public Aid) from going on-site
25to nursing facilities to perform necessary audits and reviews
26which shall not replicate the single State agency survey

 

 

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1required by this Act. This Section shall not apply to community
2or intermediate care facilities for persons with developmental
3disabilities.
4    (d) Nothing in this Code in any way limits or otherwise
5impairs the authority or power of the Illinois Department to
6enter into a negotiated contract pursuant to this Section with
7a managed care community network or a health maintenance
8organization, as defined in the Health Maintenance
9Organization Act, that provides for termination or nonrenewal
10of the contract without cause, upon notice as provided in the
11contract, and without a hearing.
12(Source: P.A. 94-48, eff. 7-1-05; 95-331, eff. 8-21-07.)
 
13    (305 ILCS 5/5-11a new)
14    Sec. 5-11a. Health Benefit Information Systems.
15    (a) It is the intent of the General Assembly to support
16unified electronic systems initiatives that will improve
17management of information related to medical assistance
18programs. This will include improved management capabilities
19and new systems for Eligibility, Verification, and Enrollment
20(EVE) that will simplify and increase efficiencies in and
21access to the medical assistance programs and ensure program
22integrity. The Department of Healthcare and Family Services, in
23coordination with the Department of Human Services and other
24appropriate state agencies, shall develop a plan by July 1,
252011, that will:

 

 

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1        (1) Subject to federal and State privacy and
2    confidentiality laws and regulations, meet standards for
3    timely eligibility verification and enrollment, and annual
4    redetermination of eligibility, of applicants for and
5    recipients of means-tested health benefits sponsored by
6    the State, including medical assistance under this Code.
7        (2) Receive and update data electronically from the
8    Social Security Administration, the U.S. Postal Service,
9    the Illinois Secretary of State, the Department of Revenue,
10    the Department of Employment Security, and other
11    governmental entities, as appropriate and to the extent
12    allowed by law, for verification of any factor of
13    eligibility for medical assistance and for updating
14    addresses of applicants and recipients of medical
15    assistance and other health benefit programs administered
16    by the Department. Data relevant to eligibility shall be
17    provided for no other purpose than to verify the
18    eligibility of new applicants or current recipients of
19    health benefits provided by the State. Data shall be
20    requested or provided for any individual only insofar as
21    that new applicant or current recipient's circumstances
22    are relevant to that individual's or another individual's
23    eligibility for State-sponsored health benefits.
24        (3) Meet federal requirements for timely installation
25    by January 1, 2014 to provide integration with a Health
26    Benefits Exchange pursuant to the requirements of the

 

 

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1    federal Affordable Care Act and the Reconciliation Act and
2    any subsequent amendments thereto and to ensure capture of
3    the maximum available federal financial participation
4    (FFP).
5        (4) Meet federal requirements for compliance with
6    architectural standards, including, but not limited to,
7    (i) the use of a module development as outlined by the
8    Medicaid Information Technology Architecture standards,
9    (ii) the use of federally approved open-interfaces where
10    they exist, (iii) the use or the creation of
11    open-interfaces where necessary, and (iv) the use of rules
12    technology that can dynamically accept and modify rules in
13    standard formats.
14        (5) Include plans to ensure coordination with the State
15    of Illinois Framework Project that will (i) expedite and
16    simplify access to services provided by Illinois human
17    services programs; (ii) streamline administration and data
18    sharing; (iii) enhance planning capacity, program
19    evaluation, and fraud detection or prevention with access
20    to cross-agency data; and (iv) simplify service reporting
21    for contracted providers.
22    (b) The Department of Healthcare and Family Services shall
23continue to plan for and implement a new Medicaid Management
24Information System (MMIS) and upgrade the capabilities of the
25MMIS data warehouse. Upgrades shall include, among other
26things, enhanced capabilities in data analysis including the

 

 

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1ability to identify risk factors that could impact the
2treatment and resulting quality of care, and tools that perform
3predictive analytics on data applying to newborns, women with
4high risk pregnancies, and other populations served by the
5Department.
6    (c) The Department of Healthcare and Family Services shall
7report in its annual Medical Assistance program report each
8April through April, 2015 on the progress and implementation of
9this plan.
 
10    (305 ILCS 5/5-29 new)
11    Sec. 5-29. Income Limits and Parental Responsibility. In
12light of the unprecedented fiscal crisis confronting the State,
13it is the intent of the General Assembly to explore whether the
14income limits and income counting methods established for
15children under the Covering ALL KIDS Health Insurance Act,
16pursuant to this amendatory Act of the 96th General Assembly,
17should apply to medical assistance programs available to
18children made eligible under the Illinois Public Aid Code,
19including through home and community based services waiver
20programs authorized under Section 1915(c) of the Social
21Security Act, where parental income is currently not considered
22in determining a child's eligibility for medical assistance.
23The Department of Healthcare and Family Services is hereby
24directed, with the participation of the Department of Human
25Services and stakeholders, to conduct an analysis of these

 

 

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1programs to determine parental cost sharing opportunities, how
2these opportunities may impact the children currently in the
3programs, waivers and on the waiting list, and any other
4factors which may increase efficiencies and decrease State
5costs. The Department is further directed to review how
6services under these programs and waivers may be provided by
7the use of a combination of skilled, unskilled, and
8uncompensated care and to advise as to what revisions to the
9Nurse Practice Act, and Acts regulating other relevant
10professions, are necessary to accomplish this combination of
11care. The Department shall submit a written analysis on the
12children's programs and waivers as part of the Department's
13annual Medicaid reports due to the General Assembly in 2011 and
142012.
 
15    (305 ILCS 5/5-30 new)
16    Sec. 5-30. Care coordination.
17    (a) At least 50% of recipients eligible for comprehensive
18medical benefits in all medical assistance programs or other
19health benefit programs administered by the Department,
20including the Children's Health Insurance Program Act and the
21Covering ALL KIDS Health Insurance Act, shall be enrolled in a
22care coordination program by no later than January 1, 2015. For
23purposes of this Section, "coordinated care" or "care
24coordination" means delivery systems where recipients will
25receive their care from providers who participate under

 

 

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1contract in integrated delivery systems that are responsible
2for providing or arranging the majority of care, including
3primary care physician services, referrals from primary care
4physicians, diagnostic and treatment services, behavioral
5health services, in-patient and outpatient hospital services,
6dental services, and rehabilitation and long-term care
7services. The Department shall designate or contract for such
8integrated delivery systems (i) to ensure enrollees have a
9choice of systems and of primary care providers within such
10systems; (ii) to ensure that enrollees receive quality care in
11a culturally and linguistically appropriate manner; and (iii)
12to ensure that coordinated care programs meet the diverse needs
13of enrollees with developmental, mental health, physical, and
14age-related disabilities.
15    (b) Payment for such coordinated care shall be based on
16arrangements where the State pays for performance related to
17health care outcomes, the use of evidence-based practices, the
18use of primary care delivered through comprehensive medical
19homes, the use of electronic medical records, and the
20appropriate exchange of health information electronically made
21either on a capitated basis in which a fixed monthly premium
22per recipient is paid and full financial risk is assumed for
23the delivery of services, or through other risk-based payment
24arrangements.
25    (c) To qualify for compliance with this Section, the 50%
26goal shall be achieved by enrolling medical assistance

 

 

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1enrollees from each medical assistance enrollment category,
2including parents, children, seniors, and people with
3disabilities to the extent that current State Medicaid payment
4laws would not limit federal matching funds for recipients in
5care coordination programs. In addition, services must be more
6comprehensively defined and more risk shall be assumed than in
7the Department's primary care case management program as of the
8effective date of this amendatory Act of the 96th General
9Assembly.
10    (d) The Department shall report to the General Assembly in
11a separate part of its annual medical assistance program
12report, beginning April, 2012 until April, 2016, on the
13progress and implementation of the care coordination program
14initiatives established by the provisions of this amendatory
15Act of the 96th General Assembly. The Department shall include
16in its April 2011 report a full analysis of federal laws or
17regulations regarding upper payment limitations to providers
18and the necessary revisions or adjustments in rate
19methodologies and payments to providers under this Code that
20would be necessary to implement coordinated care with full
21financial risk by a party other than the Department.
 
22    (305 ILCS 5/8A-2.5)
23    Sec. 8A-2.5. Unauthorized use of medical assistance.
24    (a) Any person who knowingly uses, acquires, possesses, or
25transfers a medical card in any manner not authorized by law or

 

 

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1by rules and regulations of the Illinois Department, or who
2knowingly alters a medical card, or who knowingly uses,
3acquires, possesses, or transfers an altered medical card, is
4guilty of a violation of this Article and shall be punished as
5provided in Section 8A-6.
6    (b) Any person who knowingly obtains unauthorized medical
7benefits with or without use of a medical card is guilty of a
8violation of this Article and shall be punished as provided in
9Section 8A-6.
10    (c) The Department may seek to recover any and all State
11and federal monies for which it has improperly and erroneously
12paid benefits as a result of a fraudulent action and any civil
13penalties authorized in this Section. Pursuant to Section
1411-14.5 of this Code, the Department may determine the monetary
15value of benefits improperly and erroneously received. The
16Department may recover the monies paid for such benefits and
17interest on that amount at the rate of 5% per annum for the
18period from which payment was made to the date upon which
19repayment is made to the State. Prior to the recovery of any
20amount paid for benefits allegedly obtained by fraudulent
21means, the recipient of such benefits shall be afforded an
22opportunity for a hearing after reasonable notice. The notice
23shall be served personally or by certified or registered mail
24or as otherwise provided by law upon the parties or their
25agents appointed to receive service of process and shall
26include the following:

 

 

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1        (1) A statement of the time, place and nature of the
2    hearing.
3        (2) A statement of the legal authority and jurisdiction
4    under which the hearing is to be held.
5        (3) A reference to the particular Sections of the
6    substantive and procedural statutes and rules involved.
7        (4) Except where a more detailed statement is otherwise
8    provided for by law, a short and plain statement of the
9    matters asserted, the consequences of a failure to respond,
10    and the official file or other reference number.
11        (5) A statement of the monetary value of the benefits
12    fraudulently received by the person accused.
13        (6) A statement that, in addition to any other
14    penalties provided by law, a civil penalty in an amount not
15    to exceed $2,000 may be imposed for each fraudulent claim
16    for benefits or payments.
17        (7) A statement providing that the determination of the
18    monetary value may be contested by petitioning the
19    Department for an administrative hearing within 30 days
20    from the date of mailing the notice.
21        (8) The names and mailing addresses of the
22    administrative law judge, all parties, and all other
23    persons to whom the agency gives notice of the hearing
24    unless otherwise confidential by law.
25    An opportunity shall be afforded all parties to be
26represented by legal counsel and to respond and present

 

 

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1evidence and argument.
2    Unless precluded by law, disposition may be made of any
3contested case by stipulation, agreed settlement, consent
4order, or default.
5    Any final order, decision, or other determination made,
6issued or executed by the Director under the provisions of this
7Article whereby any person is aggrieved shall be subject to
8review in accordance with the provisions of the Administrative
9Review Law, and the rules adopted pursuant thereto, which shall
10apply to and govern all proceedings for the judicial review of
11final administrative decisions of the Director.
12    Upon entry of a final administrative decision for repayment
13of any benefits obtained by fraudulent means, or for any civil
14penalties assessed, a lien shall attach to all property and
15assets of such person, firm, corporation, association, agency,
16institution, or other legal entity until the judgment is
17satisfied.
18    Within 12 months of the effective date of this amendatory
19Act of the 96th General Assembly, the Department of Healthcare
20and Family Services will report to the General Assembly on the
21number of fraud cases identified and pursued, and the fines
22assessed and collected. The report will also include the
23Department's analysis as to the use of private sector resources
24to bring action, investigate, and collect monies owed.
25(Source: P.A. 89-289, eff. 1-1-96.)
 

 

 

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1    (305 ILCS 5/11-5.1 new)
2    Sec. 11-5.1. Eligibility verification. Notwithstanding any
3other provision of this Code, with respect to applications for
4medical assistance provided under Article V of this Code,
5eligibility shall be determined in a manner that ensures
6program integrity and complies with federal laws and
7regulations while minimizing unnecessary barriers to
8enrollment. To this end, as soon as practicable, and unless the
9Department receives written denial from the federal
10government, this Section shall be implemented:
11    (a) The Department of Healthcare and Family Services or its
12designees shall:
13        (1) By no later than July 1, 2011, require verification
14    of, at a minimum, one month's income from all sources
15    required for determining the eligibility of applicants for
16    medical assistance under this Code. Such verification
17    shall take the form of pay stubs, business or income and
18    expense records for self-employed persons, letters from
19    employers, and any other valid documentation of income
20    including data obtained electronically by the Department
21    or its designees from other sources as described in
22    subsection (b) of this Section.
23        (2) By no later than October 1, 2011, require
24    verification of, at a minimum, one month's income from all
25    sources required for determining the continued eligibility
26    of recipients at their annual review of eligibility for

 

 

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1    medical assistance under this Code. Such verification
2    shall take the form of pay stubs, business or income and
3    expense records for self-employed persons, letters from
4    employers, and any other valid documentation of income
5    including data obtained electronically by the Department
6    or its designees from other sources as described in
7    subsection (b) of this Section. The Department shall send a
8    notice to recipients at least 60 days prior to the end of
9    their period of eligibility that informs them of the
10    requirements for continued eligibility. If a recipient
11    does not fulfill the requirements for continued
12    eligibility by the deadline established in the notice a
13    notice of cancellation shall be issued to the recipient and
14    coverage shall end on the last day of the eligibility
15    period. A recipient's eligibility may be reinstated
16    without requiring a new application if the recipient
17    fulfills the requirements for continued eligibility prior
18    to the end of the month following the last date of
19    coverage. Nothing in this Section shall prevent an
20    individual whose coverage has been cancelled from
21    reapplying for health benefits at any time.
22        (3) By no later than July 1, 2011, require verification
23    of Illinois residency.
24    (b) The Department shall establish or continue cooperative
25arrangements with the Social Security Administration, the
26Illinois Secretary of State, the Department of Human Services,

 

 

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1the Department of Revenue, the Department of Employment
2Security, and any other appropriate entity to gain electronic
3access, to the extent allowed by law, to information available
4to those entities that may be appropriate for electronically
5verifying any factor of eligibility for benefits under the
6Program. Data relevant to eligibility shall be provided for no
7other purpose than to verify the eligibility of new applicants
8or current recipients of health benefits under the Program.
9Data shall be requested or provided for any new applicant or
10current recipient only insofar as that individual's
11circumstances are relevant to that individual's or another
12individual's eligibility.
13    (c) Within 90 days of the effective date of this amendatory
14Act of the 96th General Assembly, the Department of Healthcare
15and Family Services shall send notice to current recipients
16informing them of the changes regarding their eligibility
17verification.
 
18    (305 ILCS 5/11-26)  (from Ch. 23, par. 11-26)
19    Sec. 11-26. Recipient's abuse of medical care;
20restrictions on access to medical care.
21    (a) When the Department determines, on the basis of
22statistical norms and medical judgment, that a medical care
23recipient has received medical services in excess of need and
24with such frequency or in such a manner as to constitute an
25abuse of the recipient's medical care privileges, the

 

 

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1recipient's access to medical care may be restricted.
2    (b) When the Department has determined that a recipient is
3abusing his or her medical care privileges as described in this
4Section, it may require that the recipient designate a primary
5provider type primary care provider, primary care pharmacy, or
6health maintenance organization of the recipient's own
7choosing to assume responsibility for the recipient's care. For
8the purposes of this subsection, "primary provider type" means
9a primary care provider, primary care pharmacy, primary
10dentist, primary podiatrist, or primary durable medical
11equipment provider. Instead of requiring a recipient to make a
12designation as provided in this subsection, the Department,
13pursuant to rules adopted by the Department and without regard
14to any choice of an entity that the recipient might otherwise
15make, may initially designate a primary provider type provided
16that the primary provider type is willing to provide that care
17primary care provider, primary care pharmacy, or health
18maintenance organization to assume responsibility for the
19recipient's care, provided that the primary care provider,
20primary care pharmacy, or health maintenance organization is
21willing to provide that care.
22    (c) When the Department has requested that a recipient
23designate a primary provider type primary care provider,
24primary care pharmacy or health maintenance organization and
25the recipient fails or refuses to do so, the Department may,
26after a reasonable period of time, assign the recipient to a

 

 

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1primary provider type of its own choice and determination,
2provided such primary provider type is willing to provide such
3care primary care provider, primary care pharmacy or health
4maintenance organization of its own choice and determination,
5provided such primary care provider, primary care pharmacy or
6health maintenance organization is willing to provide such
7care.
8    (d) When a recipient has been restricted to a designated
9primary provider type primary care provider, primary care
10pharmacy or health maintenance organization, the recipient may
11change the primary provider type primary care provider, primary
12care pharmacy or health maintenance organization:
13        (1) when the designated source becomes unavailable, as
14    the Department shall determine by rule; or
15        (2) when the designated primary provider type primary
16    care provider, primary care pharmacy or health maintenance
17    organization notifies the Department that it wishes to
18    withdraw from any obligation as primary provider type
19    primary care provider, primary care pharmacy or health
20    maintenance organization; or
21        (3) in other situations, as the Department shall
22    provide by rule.
23    The Department shall, by rule, establish procedures for
24providing medical or pharmaceutical services when the
25designated source becomes unavailable or wishes to withdraw
26from any obligation as primary provider type primary care

 

 

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1provider, primary care pharmacy or health maintenance
2organization, shall, by rule, take into consideration the need
3for emergency or temporary medical assistance and shall ensure
4that the recipient has continuous and unrestricted access to
5medical care from the date on which such unavailability or
6withdrawal becomes effective until such time as the recipient
7designates a primary provider type or a primary provider type
8care source or a primary care source willing to provide such
9care is designated by the Department consistent with
10subsections (b) and (c) and such restriction becomes effective.
11    (e) Prior to initiating any action to restrict a
12recipient's access to medical or pharmaceutical care, the
13Department shall notify the recipient of its intended action.
14Such notification shall be in writing and shall set forth the
15reasons for and nature of the proposed action. In addition, the
16notification shall:
17        (1) inform the recipient that (i) the recipient has a
18    right to designate a primary provider type primary care
19    provider, primary care pharmacy, or health maintenance
20    organization of the recipient's own choosing willing to
21    accept such designation and that the recipient's failure to
22    do so within a reasonable time may result in such
23    designation being made by the Department or (ii) the
24    Department has designated a primary provider type primary
25    care provider, primary care pharmacy, or health
26    maintenance organization to assume responsibility for the

 

 

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1    recipient's care; and
2        (2) inform the recipient that the recipient has a right
3    to appeal the Department's determination to restrict the
4    recipient's access to medical care and provide the
5    recipient with an explanation of how such appeal is to be
6    made. The notification shall also inform the recipient of
7    the circumstances under which unrestricted medical
8    eligibility shall continue until a decision is made on
9    appeal and that if the recipient chooses to appeal, the
10    recipient will be able to review the medical payment data
11    that was utilized by the Department to decide that the
12    recipient's access to medical care should be restricted.
13    (f) The Department shall, by rule or regulation, establish
14procedures for appealing a determination to restrict a
15recipient's access to medical care, which procedures shall, at
16a minimum, provide for a reasonable opportunity to be heard
17and, where the appeal is denied, for a written statement of the
18reason or reasons for such denial.
19    (g) Except as otherwise provided in this subsection, when a
20recipient has had his or her medical card restricted for 4 full
21quarters (without regard to any period of ineligibility for
22medical assistance under this Code, or any period for which the
23recipient voluntarily terminates his or her receipt of medical
24assistance, that may occur before the expiration of those 4
25full quarters), the Department shall reevaluate the
26recipient's medical usage to determine whether it is still in

 

 

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1excess of need and with such frequency or in such a manner as
2to constitute an abuse of the receipt of medical assistance. If
3it is still in excess of need, the restriction shall be
4continued for another 4 full quarters. If it is no longer in
5excess of need, the restriction shall be discontinued. If a
6recipient's access to medical care has been restricted under
7this Section and the Department then determines, either at
8reevaluation or after the restriction has been discontinued, to
9restrict the recipient's access to medical care a second or
10subsequent time, the second or subsequent restriction may be
11imposed for a period of more than 4 full quarters. If the
12Department restricts a recipient's access to medical care for a
13period of more than 4 full quarters, as determined by rule, the
14Department shall reevaluate the recipient's medical usage
15after the end of the restriction period rather than after the
16end of 4 full quarters. The Department shall notify the
17recipient, in writing, of any decision to continue the
18restriction and the reason or reasons therefor. A "quarter",
19for purposes of this Section, shall be defined as one of the
20following 3-month periods of time: January-March, April-June,
21July-September or October-December.
22    (h) In addition to any other recipient whose acquisition of
23medical care is determined to be in excess of need, the
24Department may restrict the medical care privileges of the
25following persons:
26        (1) recipients found to have loaned or altered their

 

 

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1    cards or misused or falsely represented medical coverage;
2        (2) recipients found in possession of blank or forged
3    prescription pads;
4        (3) recipients who knowingly assist providers in
5    rendering excessive services or defrauding the medical
6    assistance program.
7    The procedural safeguards in this Section shall apply to
8the above individuals.
9    (i) Restrictions under this Section shall be in addition to
10and shall not in any way be limited by or limit any actions
11taken under Article VIII-A of this Code.
12(Source: P.A. 88-554, eff. 7-26-94.)
 
13    (305 ILCS 5/5-5.15 rep.)
14    Section 45. The Illinois Public Aid Code is amended by
15repealing Section 5-5.15.
 
16    Section 50. The Illinois Vehicle Code is amended by
17changing Section 2-123 as follows:
 
18    (625 ILCS 5/2-123)  (from Ch. 95 1/2, par. 2-123)
19    Sec. 2-123. Sale and Distribution of Information.
20    (a) Except as otherwise provided in this Section, the
21Secretary may make the driver's license, vehicle and title
22registration lists, in part or in whole, and any statistical
23information derived from these lists available to local

 

 

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1governments, elected state officials, state educational
2institutions, and all other governmental units of the State and
3Federal Government requesting them for governmental purposes.
4The Secretary shall require any such applicant for services to
5pay for the costs of furnishing such services and the use of
6the equipment involved, and in addition is empowered to
7establish prices and charges for the services so furnished and
8for the use of the electronic equipment utilized.
9    (b) The Secretary is further empowered to and he may, in
10his discretion, furnish to any applicant, other than listed in
11subsection (a) of this Section, vehicle or driver data on a
12computer tape, disk, other electronic format or computer
13processable medium, or printout at a fixed fee of $250 for
14orders received before October 1, 2003 and $500 for orders
15received on or after October 1, 2003, in advance, and require
16in addition a further sufficient deposit based upon the
17Secretary of State's estimate of the total cost of the
18information requested and a charge of $25 for orders received
19before October 1, 2003 and $50 for orders received on or after
20October 1, 2003, per 1,000 units or part thereof identified or
21the actual cost, whichever is greater. The Secretary is
22authorized to refund any difference between the additional
23deposit and the actual cost of the request. This service shall
24not be in lieu of an abstract of a driver's record nor of a
25title or registration search. This service may be limited to
26entities purchasing a minimum number of records as required by

 

 

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1administrative rule. The information sold pursuant to this
2subsection shall be the entire vehicle or driver data list, or
3part thereof. The information sold pursuant to this subsection
4shall not contain personally identifying information unless
5the information is to be used for one of the purposes
6identified in subsection (f-5) of this Section. Commercial
7purchasers of driver and vehicle record databases shall enter
8into a written agreement with the Secretary of State that
9includes disclosure of the commercial use of the information to
10be purchased.
11    (b-1) The Secretary is further empowered to and may, in his
12or her discretion, furnish vehicle or driver data on a computer
13tape, disk, or other electronic format or computer processible
14medium, at no fee, to any State or local governmental agency
15that uses the information provided by the Secretary to transmit
16data back to the Secretary that enables the Secretary to
17maintain accurate driving records, including dispositions of
18traffic cases. This information may be provided without fee not
19more often than once every 6 months.
20    (c) Secretary of State may issue registration lists. The
21Secretary of State may compile a list of all registered
22vehicles. Each list of registered vehicles shall be arranged
23serially according to the registration numbers assigned to
24registered vehicles and may contain in addition the names and
25addresses of registered owners and a brief description of each
26vehicle including the serial or other identifying number

 

 

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1thereof. Such compilation may be in such form as in the
2discretion of the Secretary of State may seem best for the
3purposes intended.
4    (d) The Secretary of State shall furnish no more than 2
5current available lists of such registrations to the sheriffs
6of all counties and to the chiefs of police of all cities and
7villages and towns of 2,000 population and over in this State
8at no cost. Additional copies may be purchased by the sheriffs
9or chiefs of police at the fee of $500 each or at the cost of
10producing the list as determined by the Secretary of State.
11Such lists are to be used for governmental purposes only.
12    (e) (Blank).
13    (e-1) (Blank).
14    (f) The Secretary of State shall make a title or
15registration search of the records of his office and a written
16report on the same for any person, upon written application of
17such person, accompanied by a fee of $5 for each registration
18or title search. The written application shall set forth the
19intended use of the requested information. No fee shall be
20charged for a title or registration search, or for the
21certification thereof requested by a government agency. The
22report of the title or registration search shall not contain
23personally identifying information unless the request for a
24search was made for one of the purposes identified in
25subsection (f-5) of this Section. The report of the title or
26registration search shall not contain highly restricted

 

 

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1personal information unless specifically authorized by this
2Code.
3    The Secretary of State shall certify a title or
4registration record upon written request. The fee for
5certification shall be $5 in addition to the fee required for a
6title or registration search. Certification shall be made under
7the signature of the Secretary of State and shall be
8authenticated by Seal of the Secretary of State.
9    The Secretary of State may notify the vehicle owner or
10registrant of the request for purchase of his title or
11registration information as the Secretary deems appropriate.
12    No information shall be released to the requestor until
13expiration of a 10 day period. This 10 day period shall not
14apply to requests for information made by law enforcement
15officials, government agencies, financial institutions,
16attorneys, insurers, employers, automobile associated
17businesses, persons licensed as a private detective or firms
18licensed as a private detective agency under the Private
19Detective, Private Alarm, Private Security, Fingerprint
20Vendor, and Locksmith Act of 2004, who are employed by or are
21acting on behalf of law enforcement officials, government
22agencies, financial institutions, attorneys, insurers,
23employers, automobile associated businesses, and other
24business entities for purposes consistent with the Illinois
25Vehicle Code, the vehicle owner or registrant or other entities
26as the Secretary may exempt by rule and regulation.

 

 

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1    Any misrepresentation made by a requestor of title or
2vehicle information shall be punishable as a petty offense,
3except in the case of persons licensed as a private detective
4or firms licensed as a private detective agency which shall be
5subject to disciplinary sanctions under Section 40-10 of the
6Private Detective, Private Alarm, Private Security,
7Fingerprint Vendor, and Locksmith Act of 2004.
8    (f-5) The Secretary of State shall not disclose or
9otherwise make available to any person or entity any personally
10identifying information obtained by the Secretary of State in
11connection with a driver's license, vehicle, or title
12registration record unless the information is disclosed for one
13of the following purposes:
14        (1) For use by any government agency, including any
15    court or law enforcement agency, in carrying out its
16    functions, or any private person or entity acting on behalf
17    of a federal, State, or local agency in carrying out its
18    functions.
19        (2) For use in connection with matters of motor vehicle
20    or driver safety and theft; motor vehicle emissions; motor
21    vehicle product alterations, recalls, or advisories;
22    performance monitoring of motor vehicles, motor vehicle
23    parts, and dealers; and removal of non-owner records from
24    the original owner records of motor vehicle manufacturers.
25        (3) For use in the normal course of business by a
26    legitimate business or its agents, employees, or

 

 

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1    contractors, but only:
2            (A) to verify the accuracy of personal information
3        submitted by an individual to the business or its
4        agents, employees, or contractors; and
5            (B) if such information as so submitted is not
6        correct or is no longer correct, to obtain the correct
7        information, but only for the purposes of preventing
8        fraud by, pursuing legal remedies against, or
9        recovering on a debt or security interest against, the
10        individual.
11        (4) For use in research activities and for use in
12    producing statistical reports, if the personally
13    identifying information is not published, redisclosed, or
14    used to contact individuals.
15        (5) For use in connection with any civil, criminal,
16    administrative, or arbitral proceeding in any federal,
17    State, or local court or agency or before any
18    self-regulatory body, including the service of process,
19    investigation in anticipation of litigation, and the
20    execution or enforcement of judgments and orders, or
21    pursuant to an order of a federal, State, or local court.
22        (6) For use by any insurer or insurance support
23    organization or by a self-insured entity or its agents,
24    employees, or contractors in connection with claims
25    investigation activities, antifraud activities, rating, or
26    underwriting.

 

 

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1        (7) For use in providing notice to the owners of towed
2    or impounded vehicles.
3        (8) For use by any person licensed as a private
4    detective or firm licensed as a private detective agency
5    under the Private Detective, Private Alarm, Private
6    Security, Fingerprint Vendor, and Locksmith Act of 2004,
7    private investigative agency or security service licensed
8    in Illinois for any purpose permitted under this
9    subsection.
10        (9) For use by an employer or its agent or insurer to
11    obtain or verify information relating to a holder of a
12    commercial driver's license that is required under chapter
13    313 of title 49 of the United States Code.
14        (10) For use in connection with the operation of
15    private toll transportation facilities.
16        (11) For use by any requester, if the requester
17    demonstrates it has obtained the written consent of the
18    individual to whom the information pertains.
19        (12) For use by members of the news media, as defined
20    in Section 1-148.5, for the purpose of newsgathering when
21    the request relates to the operation of a motor vehicle or
22    public safety.
23        (13) For any other use specifically authorized by law,
24    if that use is related to the operation of a motor vehicle
25    or public safety.
26    (f-6) The Secretary of State shall not disclose or

 

 

HB5420 Enrolled- 93 -LRB096 18878 JDS 34265 b

1otherwise make available to any person or entity any highly
2restricted personal information obtained by the Secretary of
3State in connection with a driver's license, vehicle, or title
4registration record unless specifically authorized by this
5Code.
6    (g) 1. The Secretary of State may, upon receipt of a
7    written request and a fee of $6 before October 1, 2003 and
8    a fee of $12 on and after October 1, 2003, furnish to the
9    person or agency so requesting a driver's record. Such
10    document may include a record of: current driver's license
11    issuance information, except that the information on
12    judicial driving permits shall be available only as
13    otherwise provided by this Code; convictions; orders
14    entered revoking, suspending or cancelling a driver's
15    license or privilege; and notations of accident
16    involvement. All other information, unless otherwise
17    permitted by this Code, shall remain confidential.
18    Information released pursuant to a request for a driver's
19    record shall not contain personally identifying
20    information, unless the request for the driver's record was
21    made for one of the purposes set forth in subsection (f-5)
22    of this Section. The Secretary of State may, without fee,
23    allow a parent or guardian of a person under the age of 18
24    years, who holds an instruction permit or graduated
25    driver's license, to view that person's driving record
26    online, through a computer connection. The parent or

 

 

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1    guardian's online access to the driving record will
2    terminate when the instruction permit or graduated
3    driver's license holder reaches the age of 18.
4        2. The Secretary of State shall not disclose or
5    otherwise make available to any person or entity any highly
6    restricted personal information obtained by the Secretary
7    of State in connection with a driver's license, vehicle, or
8    title registration record unless specifically authorized
9    by this Code. The Secretary of State may certify an
10    abstract of a driver's record upon written request
11    therefor. Such certification shall be made under the
12    signature of the Secretary of State and shall be
13    authenticated by the Seal of his office.
14        3. All requests for driving record information shall be
15    made in a manner prescribed by the Secretary and shall set
16    forth the intended use of the requested information.
17        The Secretary of State may notify the affected driver
18    of the request for purchase of his driver's record as the
19    Secretary deems appropriate.
20        No information shall be released to the requester until
21    expiration of a 10 day period. This 10 day period shall not
22    apply to requests for information made by law enforcement
23    officials, government agencies, financial institutions,
24    attorneys, insurers, employers, automobile associated
25    businesses, persons licensed as a private detective or
26    firms licensed as a private detective agency under the

 

 

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1    Private Detective, Private Alarm, Private Security,
2    Fingerprint Vendor, and Locksmith Act of 2004, who are
3    employed by or are acting on behalf of law enforcement
4    officials, government agencies, financial institutions,
5    attorneys, insurers, employers, automobile associated
6    businesses, and other business entities for purposes
7    consistent with the Illinois Vehicle Code, the affected
8    driver or other entities as the Secretary may exempt by
9    rule and regulation.
10        Any misrepresentation made by a requestor of driver
11    information shall be punishable as a petty offense, except
12    in the case of persons licensed as a private detective or
13    firms licensed as a private detective agency which shall be
14    subject to disciplinary sanctions under Section 40-10 of
15    the Private Detective, Private Alarm, Private Security,
16    Fingerprint Vendor, and Locksmith Act of 2004.
17        4. The Secretary of State may furnish without fee, upon
18    the written request of a law enforcement agency, any
19    information from a driver's record on file with the
20    Secretary of State when such information is required in the
21    enforcement of this Code or any other law relating to the
22    operation of motor vehicles, including records of
23    dispositions; documented information involving the use of
24    a motor vehicle; whether such individual has, or previously
25    had, a driver's license; and the address and personal
26    description as reflected on said driver's record.

 

 

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1        5. Except as otherwise provided in this Section, the
2    Secretary of State may furnish, without fee, information
3    from an individual driver's record on file, if a written
4    request therefor is submitted by any public transit system
5    or authority, public defender, law enforcement agency, a
6    state or federal agency, or an Illinois local
7    intergovernmental association, if the request is for the
8    purpose of a background check of applicants for employment
9    with the requesting agency, or for the purpose of an
10    official investigation conducted by the agency, or to
11    determine a current address for the driver so public funds
12    can be recovered or paid to the driver, or for any other
13    purpose set forth in subsection (f-5) of this Section.
14        The Secretary may also furnish the courts a copy of an
15    abstract of a driver's record, without fee, subsequent to
16    an arrest for a violation of Section 11-501 or a similar
17    provision of a local ordinance. Such abstract may include
18    records of dispositions; documented information involving
19    the use of a motor vehicle as contained in the current
20    file; whether such individual has, or previously had, a
21    driver's license; and the address and personal description
22    as reflected on said driver's record.
23        6. Any certified abstract issued by the Secretary of
24    State or transmitted electronically by the Secretary of
25    State pursuant to this Section, to a court or on request of
26    a law enforcement agency, for the record of a named person

 

 

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1    as to the status of the person's driver's license shall be
2    prima facie evidence of the facts therein stated and if the
3    name appearing in such abstract is the same as that of a
4    person named in an information or warrant, such abstract
5    shall be prima facie evidence that the person named in such
6    information or warrant is the same person as the person
7    named in such abstract and shall be admissible for any
8    prosecution under this Code and be admitted as proof of any
9    prior conviction or proof of records, notices, or orders
10    recorded on individual driving records maintained by the
11    Secretary of State.
12        7. Subject to any restrictions contained in the
13    Juvenile Court Act of 1987, and upon receipt of a proper
14    request and a fee of $6 before October 1, 2003 and a fee of
15    $12 on or after October 1, 2003, the Secretary of State
16    shall provide a driver's record to the affected driver, or
17    the affected driver's attorney, upon verification. Such
18    record shall contain all the information referred to in
19    paragraph 1 of this subsection (g) plus: any recorded
20    accident involvement as a driver; information recorded
21    pursuant to subsection (e) of Section 6-117 and paragraph
22    (4) of subsection (a) of Section 6-204 of this Code. All
23    other information, unless otherwise permitted by this
24    Code, shall remain confidential.
25    (h) The Secretary shall not disclose social security
26numbers or any associated information obtained from the Social

 

 

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1Security Administration except pursuant to a written request
2by, or with the prior written consent of, the individual
3except: (1) to officers and employees of the Secretary who have
4a need to know the social security numbers in performance of
5their official duties, (2) to law enforcement officials for a
6lawful, civil or criminal law enforcement investigation, and if
7the head of the law enforcement agency has made a written
8request to the Secretary specifying the law enforcement
9investigation for which the social security numbers are being
10sought, (3) to the United States Department of Transportation,
11or any other State, pursuant to the administration and
12enforcement of the Commercial Motor Vehicle Safety Act of 1986,
13(4) pursuant to the order of a court of competent jurisdiction,
14(5) to the Department of Healthcare and Family Services
15(formerly Department of Public Aid) for utilization in the
16child support enforcement duties assigned to that Department
17under provisions of the Illinois Public Aid Code after the
18individual has received advanced meaningful notification of
19what redisclosure is sought by the Secretary in accordance with
20the federal Privacy Act, (5.5) to the Department of Healthcare
21and Family Services and the Department of Human Services solely
22for the purpose of verifying Illinois residency where such
23residency is an eligibility requirement for benefits under the
24Illinois Public Aid Code or any other health benefit program
25administered by the Department of Healthcare and Family
26Services or the Department of Human Services, or (6) to the

 

 

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1Illinois Department of Revenue solely for use by the Department
2in the collection of any tax or debt that the Department of
3Revenue is authorized or required by law to collect, provided
4that the Department shall not disclose the social security
5number to any person or entity outside of the Department.
6    (i) (Blank).
7    (j) Medical statements or medical reports received in the
8Secretary of State's Office shall be confidential. No
9confidential information may be open to public inspection or
10the contents disclosed to anyone, except officers and employees
11of the Secretary who have a need to know the information
12contained in the medical reports and the Driver License Medical
13Advisory Board, unless so directed by an order of a court of
14competent jurisdiction.
15    (k) All fees collected under this Section shall be paid
16into the Road Fund of the State Treasury, except that (i) for
17fees collected before October 1, 2003, $3 of the $6 fee for a
18driver's record shall be paid into the Secretary of State
19Special Services Fund, (ii) for fees collected on and after
20October 1, 2003, of the $12 fee for a driver's record, $3 shall
21be paid into the Secretary of State Special Services Fund and
22$6 shall be paid into the General Revenue Fund, and (iii) for
23fees collected on and after October 1, 2003, 50% of the amounts
24collected pursuant to subsection (b) shall be paid into the
25General Revenue Fund.
26    (l) (Blank).

 

 

HB5420 Enrolled- 100 -LRB096 18878 JDS 34265 b

1    (m) Notations of accident involvement that may be disclosed
2under this Section shall not include notations relating to
3damage to a vehicle or other property being transported by a
4tow truck. This information shall remain confidential,
5provided that nothing in this subsection (m) shall limit
6disclosure of any notification of accident involvement to any
7law enforcement agency or official.
8    (n) Requests made by the news media for driver's license,
9vehicle, or title registration information may be furnished
10without charge or at a reduced charge, as determined by the
11Secretary, when the specific purpose for requesting the
12documents is deemed to be in the public interest. Waiver or
13reduction of the fee is in the public interest if the principal
14purpose of the request is to access and disseminate information
15regarding the health, safety, and welfare or the legal rights
16of the general public and is not for the principal purpose of
17gaining a personal or commercial benefit. The information
18provided pursuant to this subsection shall not contain
19personally identifying information unless the information is
20to be used for one of the purposes identified in subsection
21(f-5) of this Section.
22    (o) The redisclosure of personally identifying information
23obtained pursuant to this Section is prohibited, except to the
24extent necessary to effectuate the purpose for which the
25original disclosure of the information was permitted.
26    (p) The Secretary of State is empowered to adopt rules to

 

 

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1effectuate this Section.
2(Source: P.A. 95-201, eff. 1-1-08; 95-287, eff. 1-1-08; 95-331,
3eff. 8-21-07; 95-613, eff. 9-11-07; 95-876, eff. 8-21-08;
496-1383, eff. 1-1-11.)
 
5    Section 95. Severability. If any provision of this Act or
6application thereof to any person or circumstance is held
7invalid, such invalidity does not affect other provisions or
8applications of this Act which can be given effect without the
9invalid application or provision, and to this end the
10provisions of this Act are declared to be severable.
 
11    Section 99. Effective date. This Act takes effect upon
12becoming law.