98TH GENERAL ASSEMBLY
State of Illinois
2013 and 2014
SB3658

 

Introduced 5/12/2014, by Sen. Dale A. Righter

 

SYNOPSIS AS INTRODUCED:
 
305 ILCS 5/5-1.4

    Amends Article V of the Illinois Public Aid Code. Provides that if the Department of Healthcare and Family Services fails to reach the 50% care coordination enrollment mandate contained in the Children's Health Insurance Program Act, the Covering ALL KIDS Health Insurance Act, and the Illinois Public Aid Code by the January 1, 2015 deadline, then the 4-year moratorium on eligibility expansions under the medical assistance program shall be extended for an additional 2-year period, or until the 50% care coordination enrollment mandate is achieved, whichever period is longer. Provides that the extended moratorium shall also include a moratorium on benefit expansions which shall run concurrently with the moratorium on eligibility expansions. Effective immediately.


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FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

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1    AN ACT concerning public aid.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Illinois Public Aid Code is amended by
5changing Section 5-1.4 as follows:
 
6    (305 ILCS 5/5-1.4)
7    Sec. 5-1.4. Moratorium on eligibility and benefit
8expansions.
9    (a) Beginning on January 25, 2011 (the effective date of
10Public Act 96-1501), there shall be a 4-year moratorium on the
11expansion of eligibility through increasing financial
12eligibility standards, or through increasing income
13disregards, or through the creation of new programs which would
14add new categories of eligible individuals under the medical
15assistance program in addition to those categories covered on
16January 1, 2011 or above the level of any subsequent reduction
17in eligibility. This moratorium shall not apply to expansions
18required as a federal condition of State participation in the
19medical assistance program or to expansions approved by the
20federal government that are financed entirely by units of local
21government and federal matching funds. If the State of Illinois
22finds that the State has borne a cost related to such an
23expansion, the unit of local government shall reimburse the

 

 

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1State. All federal funds associated with an expansion funded by
2a unit of local government shall be returned to the local
3government entity funding the expansion, pursuant to an
4intergovernmental agreement between the Department of
5Healthcare and Family Services and the local government entity.
6Within 10 calendar days of the effective date of this
7amendatory Act of the 97th General Assembly, the Department of
8Healthcare and Family Services shall formally advise the
9Centers for Medicare and Medicaid Services of the passage of
10this amendatory Act of the 97th General Assembly. The State is
11prohibited from submitting additional waiver requests that
12expand or allow for an increase in the classes of persons
13eligible for medical assistance under this Article to the
14federal government for its consideration beginning on the 20th
15calendar day following the effective date of this amendatory
16Act of the 97th General Assembly until January 25, 2015. This
17moratorium shall not apply to those persons eligible for
18medical assistance pursuant to 42 U.S.C.
191396a(a)(10)(A)(i)(VIII) and 42 U.S.C. 1396a(a)(10)(A)(i)(IX).
20    (b) If the Department fails to reach the 50% care
21coordination enrollment mandate contained in Section 23 of the
22Children's Health Insurance Program Act, Section 56 of the
23Covering ALL KIDS Health Insurance Act, and Section 5-30 of
24this Code by the January 1, 2015 deadline, then the moratorium
25established under subsection (a) shall be extended for an
26additional 2-year period, or until the 50% care coordination

 

 

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1enrollment mandate is achieved, whichever period is longer.
2This extended moratorium shall also include a moratorium on
3benefit expansions which shall run concurrently with the
4moratorium on eligibility expansions.
5(Source: P.A. 97-687, eff. 6-14-12; 98-104, eff. 7-22-13.)
 
6    Section 99. Effective date. This Act takes effect upon
7becoming law.