98TH GENERAL ASSEMBLY
State of Illinois
2013 and 2014
HB4642

 

Introduced , by Rep. Adam Brown

 

SYNOPSIS AS INTRODUCED:
 
215 ILCS 170/20

    Amends the Covering ALL KIDS Health Insurance Act. Provides that a child is not eligible for coverage under the Covering ALL KIDS Health Insurance Program if he or she is an undocumented immigrant.


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FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

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1    AN ACT concerning regulation.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Covering ALL KIDS Health Insurance Act is
5amended by changing Section 20 as follows:
 
6    (215 ILCS 170/20)
7    (Section scheduled to be repealed on July 1, 2016)
8    Sec. 20. Eligibility.
9    (a) To be eligible for the Program, a person must be a
10child:
11        (1) who is a resident of the State of Illinois;
12        (2) who is ineligible for medical assistance under the
13    Illinois Public Aid Code or benefits under the Children's
14    Health Insurance Program Act;
15        (3) either (i) who has been without health insurance
16    coverage for 12 months, (ii) whose parent has lost
17    employment that made available affordable dependent health
18    insurance coverage, until such time as affordable
19    employer-sponsored dependent health insurance coverage is
20    again available for the child as set forth by the
21    Department in rules, (iii) who is a newborn whose
22    responsible relative does not have available affordable
23    private or employer-sponsored health insurance, or (iv)

 

 

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1    who, within one year of applying for coverage under this
2    Act, lost medical benefits under the Illinois Public Aid
3    Code or the Children's Health Insurance Program Act; and
4        (3.5) whose household income, as determined by the
5    Department, is at or below 300% of the federal poverty
6    level. This item (3.5) is effective July 1, 2011.
7    An entity that provides health insurance coverage (as
8defined in Section 2 of the Comprehensive Health Insurance Plan
9Act) to Illinois residents shall provide health insurance data
10match to the Department of Healthcare and Family Services as
11provided by and subject to Section 5.5 of the Illinois
12Insurance Code. The Department of Healthcare and Family
13Services may impose an administrative penalty as provided under
14Section 12-4.45 of the Illinois Public Aid Code on entities
15that have established a pattern of failure to provide the
16information required under this Section.
17    The Department of Healthcare and Family Services, in
18collaboration with the Department of Insurance, shall adopt
19rules governing the exchange of information under this Section.
20The rules shall be consistent with all laws relating to the
21confidentiality or privacy of personal information or medical
22records, including provisions under the Federal Health
23Insurance Portability and Accountability Act (HIPAA).
24    (b) The Department shall monitor the availability and
25retention of employer-sponsored dependent health insurance
26coverage and shall modify the period described in subdivision

 

 

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1(a)(3) if necessary to promote retention of private or
2employer-sponsored health insurance and timely access to
3healthcare services, but at no time shall the period described
4in subdivision (a)(3) be less than 6 months.
5    (c) The Department, at its discretion, may take into
6account the affordability of dependent health insurance when
7determining whether employer-sponsored dependent health
8insurance coverage is available upon reemployment of a child's
9parent as provided in subdivision (a)(3).
10    (d) A child who is determined to be eligible for the
11Program shall remain eligible for 12 months, provided that the
12child maintains his or her residence in this State, has not yet
13attained 19 years of age, and is not excluded under subsection
14(e).
15    (e) A child is not eligible for coverage under the Program
16if:
17        (1) the premium required under Section 40 has not been
18    timely paid; if the required premiums are not paid, the
19    liability of the Program shall be limited to benefits
20    incurred under the Program for the time period for which
21    premiums have been paid; re-enrollment shall be completed
22    before the next covered medical visit, and the first
23    month's required premium shall be paid in advance of the
24    next covered medical visit; or
25        (2) the child is an inmate of a public institution or
26    an institution for mental diseases; or .

 

 

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1        (3) the child is an undocumented immigrant.
2    (f) The Department may adopt rules, including, but not
3limited to: rules regarding annual renewals of eligibility for
4the Program in conformance with Section 7 of this Act; rules
5providing for re-enrollment, grace periods, notice
6requirements, and hearing procedures under subdivision (e)(1)
7of this Section; and rules regarding what constitutes
8availability and affordability of private or
9employer-sponsored health insurance, with consideration of
10such factors as the percentage of income needed to purchase
11children or family health insurance, the availability of
12employer subsidies, and other relevant factors.
13    (g) Each child enrolled in the Program as of July 1, 2011
14whose family income, as established by the Department, exceeds
15300% of the federal poverty level may remain enrolled in the
16Program for 12 additional months commencing July 1, 2011.
17Continued enrollment pursuant to this subsection shall be
18available only if the child continues to meet all eligibility
19criteria established under the Program as of the effective date
20of this amendatory Act of the 96th General Assembly without a
21break in coverage. Nothing contained in this subsection shall
22prevent a child from qualifying for any other health benefits
23program operated by the Department.
24(Source: P.A. 98-130, eff. 8-2-13.)