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Full Text of HB0106  98th General Assembly

HB0106 98TH GENERAL ASSEMBLY

  
  

 


 
98TH GENERAL ASSEMBLY
State of Illinois
2013 and 2014
HB0106

 

Introduced 1/10/2013, by Rep. Sara Feigenholtz

 

SYNOPSIS AS INTRODUCED:
 
305 ILCS 5/5-1.1  from Ch. 23, par. 5-1.1
305 ILCS 5/5-1.4
305 ILCS 5/5-2  from Ch. 23, par. 5-2

    Amends the Medical Assistance Article of the Illinois Public Aid Code. Beginning January 1, 2014, extends benefits under the State's medical assistance program to persons aged 19 or older, but younger than 65, who are not otherwise eligible for medical assistance under the Code, who qualify for medical assistance under specified provisions of the Social Security Act, and who have income at or below 133% of the federal poverty level plus 5% for the applicable family size. Provides that the 4-year moratorium on the expansion of medical assistance eligibility through increasing financial eligibility standards shall not apply to this new class of persons. Provides that such persons shall receive coverage for the Health Benefits Service Package. Defines "Health Benefits Service Package". Provides that if Illinois' federal medical assistance percentage (FMAP) is reduced below 90% for persons eligible for medical assistance under the specified provisions, medical assistance eligibility for this new class of persons shall cease no later than the end of the third month following the month in which the reduction in FMAP takes effect. 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 1. Findings. The General Assembly finds it is in
5the best interests of the State to take advantage of the
6Patient Protection and Affordable Care Act to enable Illinois
7to receive enhanced federal revenue to cover the costs of
8health care for low-income adults who are otherwise not
9eligible for Medicaid. The General Assembly further finds that
10the administration and financing of the Medicaid program must
11be sound to ensure Illinois may take full advantage of national
12health care reform to keep people healthier; reimburse
13hospitals and clinics for uncompensated and charity care for
14the uninsured; and replace spending by county and local
15governments for healthcare costs now borne by local health
16departments, social service agencies, homeless shelters,
17mental health clinics, drug treatment centers, township
18organizations, and others for the care of the uninsured.
19Accordingly, the General Assembly finds that, while filling the
20current gap in Medicaid coverage, it is essential that the
21State preserve and extend recent efforts to reform Illinois'
22Medicaid program. Changes designed to increase efficiencies
23and enhance program integrity must continue to prevent client
24and provider fraud and abuse; to impose controls on use of

 

 

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1Medicaid services to prevent over-use or waste; to rationalize
2the Medicaid health care delivery system by adopting care
3coordination models wherever feasible to achieve effective and
4efficient care delivery across all covered services; and to
5operate the program within budget limits.
 
6    Section 5. The Illinois Public Aid Code is amended by
7changing Sections 5-1.1, 5-1.4, and 5-2 as follows:
 
8    (305 ILCS 5/5-1.1)  (from Ch. 23, par. 5-1.1)
9    Sec. 5-1.1. Definitions. The terms defined in this Section
10shall have the meanings ascribed to them, except when the
11context otherwise requires.
12    (a) "Nursing facility" means a facility, licensed by the
13Department of Public Health under the Nursing Home Care Act,
14that provides nursing facility services within the meaning of
15Title XIX of the federal Social Security Act.
16    (b) "Intermediate care facility for the developmentally
17disabled" or "ICF/DD" means a facility, licensed by the
18Department of Public Health under the ID/DD Community Care Act,
19that is an intermediate care facility for the mentally retarded
20within the meaning of Title XIX of the federal Social Security
21Act.
22    (c) "Standard services" means those services required for
23the care of all patients in the facility and shall, as a
24minimum, include the following: (1) administration; (2)

 

 

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1dietary (standard); (3) housekeeping; (4) laundry and linen;
2(5) maintenance of property and equipment, including
3utilities; (6) medical records; (7) training of employees; (8)
4utilization review; (9) activities services; (10) social
5services; (11) disability services; and all other similar
6services required by either the laws of the State of Illinois
7or one of its political subdivisions or municipalities or by
8Title XIX of the Social Security Act.
9    (d) "Patient services" means those which vary with the
10number of personnel; professional and para-professional skills
11of the personnel; specialized equipment, and reflect the
12intensity of the medical and psycho-social needs of the
13patients. Patient services shall as a minimum include: (1)
14physical services; (2) nursing services, including restorative
15nursing; (3) medical direction and patient care planning; (4)
16health related supportive and habilitative services and all
17similar services required by either the laws of the State of
18Illinois or one of its political subdivisions or municipalities
19or by Title XIX of the Social Security Act.
20    (e) "Ancillary services" means those services which
21require a specific physician's order and defined as under the
22medical assistance program as not being routine in nature for
23skilled nursing facilities and ICF/DDs. Such services
24generally must be authorized prior to delivery and payment as
25provided for under the rules of the Department of Healthcare
26and Family Services.

 

 

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1    (f) "Capital" means the investment in a facility's assets
2for both debt and non-debt funds. Non-debt capital is the
3difference between an adjusted replacement value of the assets
4and the actual amount of debt capital.
5    (g) "Profit" means the amount which shall accrue to a
6facility as a result of its revenues exceeding its expenses as
7determined in accordance with generally accepted accounting
8principles.
9    (h) "Non-institutional services" means those services
10provided under paragraph (f) of Section 3 of the Disabled
11Persons Rehabilitation Act and those services provided under
12Section 4.02 of the Illinois Act on the Aging.
13    (i) (Blank).
14    (j) "Institutionalized person" means an individual who is
15an inpatient in an ICF/DD or nursing facility, or who is an
16inpatient in a medical institution receiving a level of care
17equivalent to that of an ICF/DD or nursing facility, or who is
18receiving services under Section 1915(c) of the Social Security
19Act.
20    (k) "Institutionalized spouse" means an institutionalized
21person who is expected to receive services at the same level of
22care for at least 30 days and is married to a spouse who is not
23an institutionalized person.
24    (l) "Community spouse" is the spouse of an
25institutionalized spouse.
26    (m) "Health Benefits Service Package" means, subject to

 

 

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1federal approval, benefits covered by the medical assistance
2program as determined by the Department by rule for individuals
3eligible for medical assistance under paragraph 18 of Section
45-2 of this Code.
5(Source: P.A. 96-1530, eff. 2-16-11; 97-227, eff. 1-1-12;
697-820, eff. 7-17-12.)
 
7    (305 ILCS 5/5-1.4)
8    Sec. 5-1.4. Moratorium on eligibility expansions.
9Beginning on January 25, 2011 (the effective date of Public Act
1096-1501), there shall be a 4-year moratorium on the expansion
11of eligibility through increasing financial eligibility
12standards, or through increasing income disregards, or through
13the creation of new programs which would add new categories of
14eligible individuals under the medical assistance program in
15addition to those categories covered on January 1, 2011 or
16above the level of any subsequent reduction in eligibility.
17This moratorium shall not apply to expansions required as a
18federal condition of State participation in the medical
19assistance program or to expansions approved by the federal
20government 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
24State. All federal funds associated with an expansion funded by
25a unit of local government shall be returned to the local

 

 

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1government entity funding the expansion, pursuant to an
2intergovernmental agreement between the Department of
3Healthcare and Family Services and the local government entity.
4Within 10 calendar days of the effective date of this
5amendatory Act of the 97th General Assembly, the Department of
6Healthcare and Family Services shall formally advise the
7Centers for Medicare and Medicaid Services of the passage of
8this amendatory Act of the 97th General Assembly. The State is
9prohibited from submitting additional waiver requests that
10expand or allow for an increase in the classes of persons
11eligible for medical assistance under this Article to the
12federal government for its consideration beginning on the 20th
13calendar day following the effective date of this amendatory
14Act of the 97th General Assembly until January 25, 2015. This
15moratorium shall not apply to those persons eligible for
16medical assistance pursuant to 42 U.S.C.
171396a(a)(10)(A)(i)(VIII) as set forth in paragraph 18 of
18Section 5-2 of this Code.
19(Source: P.A. 96-1501, eff. 1-25-11; 97-687, eff. 6-14-12.)
 
20    (305 ILCS 5/5-2)  (from Ch. 23, par. 5-2)
21    Sec. 5-2. Classes of Persons Eligible. Medical assistance
22under this Article shall be available to any of the following
23classes of persons in respect to whom a plan for coverage has
24been submitted to the Governor by the Illinois Department and
25approved by him:

 

 

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1        1. Recipients of basic maintenance grants under
2    Articles III and IV.
3        2. Persons otherwise eligible for basic maintenance
4    under Articles III and IV, excluding any eligibility
5    requirements that are inconsistent with any federal law or
6    federal regulation, as interpreted by the U.S. Department
7    of Health and Human Services, but who fail to qualify
8    thereunder on the basis of need or who qualify but are not
9    receiving basic maintenance under Article IV, and who have
10    insufficient income and resources to meet the costs of
11    necessary medical care, including but not limited to the
12    following:
13            (a) All persons otherwise eligible for basic
14        maintenance under Article III but who fail to qualify
15        under that Article on the basis of need and who meet
16        either of the following requirements:
17                (i) their income, as determined by the
18            Illinois Department in accordance with any federal
19            requirements, is equal to or less than 70% in
20            fiscal year 2001, equal to or less than 85% in
21            fiscal year 2002 and until a date to be determined
22            by the Department by rule, and equal to or less
23            than 100% beginning on the date determined by the
24            Department by rule, of the nonfarm income official
25            poverty line, as defined by the federal Office of
26            Management and Budget and revised annually in

 

 

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1            accordance with Section 673(2) of the Omnibus
2            Budget Reconciliation Act of 1981, applicable to
3            families of the same size; or
4                (ii) their income, after the deduction of
5            costs incurred for medical care and for other types
6            of remedial care, is equal to or less than 70% in
7            fiscal year 2001, equal to or less than 85% in
8            fiscal year 2002 and until a date to be determined
9            by the Department by rule, and equal to or less
10            than 100% beginning on the date determined by the
11            Department by rule, of the nonfarm income official
12            poverty line, as defined in item (i) of this
13            subparagraph (a).
14            (b) All persons who, excluding any eligibility
15        requirements that are inconsistent with any federal
16        law or federal regulation, as interpreted by the U.S.
17        Department of Health and Human Services, would be
18        determined eligible for such basic maintenance under
19        Article IV by disregarding the maximum earned income
20        permitted by federal law.
21        3. Persons who would otherwise qualify for Aid to the
22    Medically Indigent under Article VII.
23        4. Persons not eligible under any of the preceding
24    paragraphs who fall sick, are injured, or die, not having
25    sufficient money, property or other resources to meet the
26    costs of necessary medical care or funeral and burial

 

 

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1    expenses.
2        5.(a) Women during pregnancy, after the fact of
3    pregnancy has been determined by medical diagnosis, and
4    during the 60-day period beginning on the last day of the
5    pregnancy, together with their infants and children born
6    after September 30, 1983, whose income and resources are
7    insufficient to meet the costs of necessary medical care to
8    the maximum extent possible under Title XIX of the Federal
9    Social Security Act.
10        (b) The Illinois Department and the Governor shall
11    provide a plan for coverage of the persons eligible under
12    paragraph 5(a) by April 1, 1990. Such plan shall provide
13    ambulatory prenatal care to pregnant women during a
14    presumptive eligibility period and establish an income
15    eligibility standard that is equal to 133% of the nonfarm
16    income official poverty line, as defined by the federal
17    Office of Management and Budget and revised annually in
18    accordance with Section 673(2) of the Omnibus Budget
19    Reconciliation Act of 1981, applicable to families of the
20    same size, provided that costs incurred for medical care
21    are not taken into account in determining such income
22    eligibility.
23        (c) The Illinois Department may conduct a
24    demonstration in at least one county that will provide
25    medical assistance to pregnant women, together with their
26    infants and children up to one year of age, where the

 

 

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1    income eligibility standard is set up to 185% of the
2    nonfarm income official poverty line, as defined by the
3    federal Office of Management and Budget. The Illinois
4    Department shall seek and obtain necessary authorization
5    provided under federal law to implement such a
6    demonstration. Such demonstration may establish resource
7    standards that are not more restrictive than those
8    established under Article IV of this Code.
9        6. Persons under the age of 18 who fail to qualify as
10    dependent under Article IV and who have insufficient income
11    and resources to meet the costs of necessary medical care
12    to the maximum extent permitted under Title XIX of the
13    Federal Social Security Act.
14        7. (Blank).
15        8. Persons who become ineligible for basic maintenance
16    assistance under Article IV of this Code in programs
17    administered by the Illinois Department due to employment
18    earnings and persons in assistance units comprised of
19    adults and children who become ineligible for basic
20    maintenance assistance under Article VI of this Code due to
21    employment earnings. The plan for coverage for this class
22    of persons shall:
23            (a) extend the medical assistance coverage for up
24        to 12 months following termination of basic
25        maintenance assistance; and
26            (b) offer persons who have initially received 6

 

 

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1        months of the coverage provided in paragraph (a) above,
2        the option of receiving an additional 6 months of
3        coverage, subject to the following:
4                (i) such coverage shall be pursuant to
5            provisions of the federal Social Security Act;
6                (ii) such coverage shall include all services
7            covered while the person was eligible for basic
8            maintenance assistance;
9                (iii) no premium shall be charged for such
10            coverage; and
11                (iv) such coverage shall be suspended in the
12            event of a person's failure without good cause to
13            file in a timely fashion reports required for this
14            coverage under the Social Security Act and
15            coverage shall be reinstated upon the filing of
16            such reports if the person remains otherwise
17            eligible.
18        9. Persons with acquired immunodeficiency syndrome
19    (AIDS) or with AIDS-related conditions with respect to whom
20    there has been a determination that but for home or
21    community-based services such individuals would require
22    the level of care provided in an inpatient hospital,
23    skilled nursing facility or intermediate care facility the
24    cost of which is reimbursed under this Article. Assistance
25    shall be provided to such persons to the maximum extent
26    permitted under Title XIX of the Federal Social Security

 

 

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1    Act.
2        10. Participants in the long-term care insurance
3    partnership program established under the Illinois
4    Long-Term Care Partnership Program Act who meet the
5    qualifications for protection of resources described in
6    Section 15 of that Act.
7        11. Persons with disabilities who are employed and
8    eligible for Medicaid, pursuant to Section
9    1902(a)(10)(A)(ii)(xv) of the Social Security Act, and,
10    subject to federal approval, persons with a medically
11    improved disability who are employed and eligible for
12    Medicaid pursuant to Section 1902(a)(10)(A)(ii)(xvi) of
13    the Social Security Act, as provided by the Illinois
14    Department by rule. In establishing eligibility standards
15    under this paragraph 11, the Department shall, subject to
16    federal approval:
17            (a) set the income eligibility standard at not
18        lower than 350% of the federal poverty level;
19            (b) exempt retirement accounts that the person
20        cannot access without penalty before the age of 59 1/2,
21        and medical savings accounts established pursuant to
22        26 U.S.C. 220;
23            (c) allow non-exempt assets up to $25,000 as to
24        those assets accumulated during periods of eligibility
25        under this paragraph 11; and
26            (d) continue to apply subparagraphs (b) and (c) in

 

 

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1        determining the eligibility of the person under this
2        Article even if the person loses eligibility under this
3        paragraph 11.
4        12. Subject to federal approval, persons who are
5    eligible for medical assistance coverage under applicable
6    provisions of the federal Social Security Act and the
7    federal Breast and Cervical Cancer Prevention and
8    Treatment Act of 2000. Those eligible persons are defined
9    to include, but not be limited to, the following persons:
10            (1) persons who have been screened for breast or
11        cervical cancer under the U.S. Centers for Disease
12        Control and Prevention Breast and Cervical Cancer
13        Program established under Title XV of the federal
14        Public Health Services Act in accordance with the
15        requirements of Section 1504 of that Act as
16        administered by the Illinois Department of Public
17        Health; and
18            (2) persons whose screenings under the above
19        program were funded in whole or in part by funds
20        appropriated to the Illinois Department of Public
21        Health for breast or cervical cancer screening.
22        "Medical assistance" under this paragraph 12 shall be
23    identical to the benefits provided under the State's
24    approved plan under Title XIX of the Social Security Act.
25    The Department must request federal approval of the
26    coverage under this paragraph 12 within 30 days after the

 

 

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1    effective date of this amendatory Act of the 92nd General
2    Assembly.
3        In addition to the persons who are eligible for medical
4    assistance pursuant to subparagraphs (1) and (2) of this
5    paragraph 12, and to be paid from funds appropriated to the
6    Department for its medical programs, any uninsured person
7    as defined by the Department in rules residing in Illinois
8    who is younger than 65 years of age, who has been screened
9    for breast and cervical cancer in accordance with standards
10    and procedures adopted by the Department of Public Health
11    for screening, and who is referred to the Department by the
12    Department of Public Health as being in need of treatment
13    for breast or cervical cancer is eligible for medical
14    assistance benefits that are consistent with the benefits
15    provided to those persons described in subparagraphs (1)
16    and (2). Medical assistance coverage for the persons who
17    are eligible under the preceding sentence is not dependent
18    on federal approval, but federal moneys may be used to pay
19    for services provided under that coverage upon federal
20    approval.
21        13. Subject to appropriation and to federal approval,
22    persons living with HIV/AIDS who are not otherwise eligible
23    under this Article and who qualify for services covered
24    under Section 5-5.04 as provided by the Illinois Department
25    by rule.
26        14. Subject to the availability of funds for this

 

 

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1    purpose, the Department may provide coverage under this
2    Article to persons who reside in Illinois who are not
3    eligible under any of the preceding paragraphs and who meet
4    the income guidelines of paragraph 2(a) of this Section and
5    (i) have an application for asylum pending before the
6    federal Department of Homeland Security or on appeal before
7    a court of competent jurisdiction and are represented
8    either by counsel or by an advocate accredited by the
9    federal Department of Homeland Security and employed by a
10    not-for-profit organization in regard to that application
11    or appeal, or (ii) are receiving services through a
12    federally funded torture treatment center. Medical
13    coverage under this paragraph 14 may be provided for up to
14    24 continuous months from the initial eligibility date so
15    long as an individual continues to satisfy the criteria of
16    this paragraph 14. If an individual has an appeal pending
17    regarding an application for asylum before the Department
18    of Homeland Security, eligibility under this paragraph 14
19    may be extended until a final decision is rendered on the
20    appeal. The Department may adopt rules governing the
21    implementation of this paragraph 14.
22        15. Family Care Eligibility.
23            (a) On and after July 1, 2012, a caretaker relative
24        who is 19 years of age or older when countable income
25        is at or below 133% of the Federal Poverty Level
26        Guidelines, as published annually in the Federal

 

 

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1        Register, for the appropriate family size. A person may
2        not spend down to become eligible under this paragraph
3        15.
4            (b) Eligibility shall be reviewed annually.
5            (c) (Blank).
6            (d) (Blank).
7            (e) (Blank).
8            (f) (Blank).
9            (g) (Blank).
10            (h) (Blank).
11            (i) Following termination of an individual's
12        coverage under this paragraph 15, the individual must
13        be determined eligible before the person can be
14        re-enrolled.
15        16. Subject to appropriation, uninsured persons who
16    are not otherwise eligible under this Section who have been
17    certified and referred by the Department of Public Health
18    as having been screened and found to need diagnostic
19    evaluation or treatment, or both diagnostic evaluation and
20    treatment, for prostate or testicular cancer. For the
21    purposes of this paragraph 16, uninsured persons are those
22    who do not have creditable coverage, as defined under the
23    Health Insurance Portability and Accountability Act, or
24    have otherwise exhausted any insurance benefits they may
25    have had, for prostate or testicular cancer diagnostic
26    evaluation or treatment, or both diagnostic evaluation and

 

 

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1    treatment. To be eligible, a person must furnish a Social
2    Security number. A person's assets are exempt from
3    consideration in determining eligibility under this
4    paragraph 16. Such persons shall be eligible for medical
5    assistance under this paragraph 16 for so long as they need
6    treatment for the cancer. A person shall be considered to
7    need treatment if, in the opinion of the person's treating
8    physician, the person requires therapy directed toward
9    cure or palliation of prostate or testicular cancer,
10    including recurrent metastatic cancer that is a known or
11    presumed complication of prostate or testicular cancer and
12    complications resulting from the treatment modalities
13    themselves. Persons who require only routine monitoring
14    services are not considered to need treatment. "Medical
15    assistance" under this paragraph 16 shall be identical to
16    the benefits provided under the State's approved plan under
17    Title XIX of the Social Security Act. Notwithstanding any
18    other provision of law, the Department (i) does not have a
19    claim against the estate of a deceased recipient of
20    services under this paragraph 16 and (ii) does not have a
21    lien against any homestead property or other legal or
22    equitable real property interest owned by a recipient of
23    services under this paragraph 16.
24        17. Persons who, pursuant to a waiver approved by the
25    Secretary of the U.S. Department of Health and Human
26    Services, are eligible for medical assistance under Title

 

 

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1    XIX or XXI of the federal Social Security Act.
2    Notwithstanding any other provision of this Code and
3    consistent with the terms of the approved waiver, the
4    Illinois Department, may by rule:
5            (a) Limit the geographic areas in which the waiver
6        program operates.
7            (b) Determine the scope, quantity, duration, and
8        quality, and the rate and method of reimbursement, of
9        the medical services to be provided, which may differ
10        from those for other classes of persons eligible for
11        assistance under this Article.
12            (c) Restrict the persons' freedom in choice of
13        providers.
14        18. Beginning January 1, 2014, persons aged 19 or
15    older, but younger than 65, who are not otherwise eligible
16    for medical assistance under this Section 5-2, who qualify
17    for medical assistance pursuant to 42 U.S.C.
18    1396a(a)(10)(A)(i)(VIII) and as set forth in 42 CFR
19    435.119, and who have income at or below 133% of the
20    federal poverty level plus 5% for the applicable family
21    size as determined pursuant to 42 U.S.C. 1396a(e)(14) and
22    as set forth in 42 CFR 435.603. Persons eligible for
23    medical assistance under this paragraph 18 shall receive
24    coverage for the Health Benefits Service Package as that
25    term is defined in subsection (m) of Section 5-1.1 of this
26    Code. If Illinois' federal medical assistance percentage

 

 

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1    (FMAP) is reduced below 90% for persons eligible for
2    medical assistance under this paragraph 18, eligibility
3    under this paragraph 18 shall cease no later than the end
4    of the third month following the month in which the
5    reduction in FMAP takes effect.
6    In implementing the provisions of Public Act 96-20, the
7Department is authorized to adopt only those rules necessary,
8including emergency rules. Nothing in Public Act 96-20 permits
9the Department to adopt rules or issue a decision that expands
10eligibility for the FamilyCare Program to a person whose income
11exceeds 185% of the Federal Poverty Level as determined from
12time to time by the U.S. Department of Health and Human
13Services, unless the Department is provided with express
14statutory authority.
15    The Illinois Department and the Governor shall provide a
16plan for coverage of the persons eligible under paragraph 7 as
17soon as possible after July 1, 1984.
18    The eligibility of any such person for medical assistance
19under this Article is not affected by the payment of any grant
20under the Senior Citizens and Disabled Persons Property Tax
21Relief Act or any distributions or items of income described
22under subparagraph (X) of paragraph (2) of subsection (a) of
23Section 203 of the Illinois Income Tax Act. The Department
24shall by rule establish the amounts of assets to be disregarded
25in determining eligibility for medical assistance, which shall
26at a minimum equal the amounts to be disregarded under the

 

 

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1Federal Supplemental Security Income Program. The amount of
2assets of a single person to be disregarded shall not be less
3than $2,000, and the amount of assets of a married couple to be
4disregarded shall not be less than $3,000.
5    To the extent permitted under federal law, any person found
6guilty of a second violation of Article VIIIA shall be
7ineligible for medical assistance under this Article, as
8provided in Section 8A-8.
9    The eligibility of any person for medical assistance under
10this Article shall not be affected by the receipt by the person
11of donations or benefits from fundraisers held for the person
12in cases of serious illness, as long as neither the person nor
13members of the person's family have actual control over the
14donations or benefits or the disbursement of the donations or
15benefits.
16    Notwithstanding any other provision of this Code, if the
17United States Supreme Court holds Title II, Subtitle A, Section
182001(a) of Public Law 111-148 to be unconstitutional, or if a
19holding of Public Law 111-148 makes Medicaid eligibility
20allowed under Section 2001(a) inoperable, the State or a unit
21of local government shall be prohibited from enrolling
22individuals in the Medical Assistance Program as the result of
23federal approval of a State Medicaid waiver on or after the
24effective date of this amendatory Act of the 97th General
25Assembly, and any individuals enrolled in the Medical
26Assistance Program pursuant to eligibility permitted as a

 

 

HB0106- 21 -LRB098 05309 KTG 35343 b

1result of such a State Medicaid waiver shall become immediately
2ineligible.
3    Notwithstanding any other provision of this Code, if an Act
4of Congress that becomes a Public Law eliminates Section
52001(a) of Public Law 111-148, the State or a unit of local
6government shall be prohibited from enrolling individuals in
7the Medical Assistance Program as the result of federal
8approval of a State Medicaid waiver on or after the effective
9date of this amendatory Act of the 97th General Assembly, and
10any individuals enrolled in the Medical Assistance Program
11pursuant to eligibility permitted as a result of such a State
12Medicaid waiver shall become immediately ineligible.
13(Source: P.A. 96-20, eff. 6-30-09; 96-181, eff. 8-10-09;
1496-328, eff. 8-11-09; 96-567, eff. 1-1-10; 96-1000, eff.
157-2-10; 96-1123, eff. 1-1-11; 96-1270, eff. 7-26-10; 97-48,
16eff. 6-28-11; 97-74, eff. 6-30-11; 97-333, eff. 8-12-11;
1797-687, eff. 6-14-12; 97-689, eff. 6-14-12; 97-813, eff.
187-13-12; revised 7-23-12.)
 
19    Section 99. Effective date. This Act takes effect upon
20becoming law.