State of Illinois
91st General Assembly
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91_HB1649

 
                                              LRB9105314SMdvA

 1        AN ACT to amend the Illinois Public Aid Code by  changing
 2    Section 5-4.

 3        Be  it  enacted  by  the People of the State of Illinois,
 4    represented in the General Assembly:

 5        Section 5.  The Illinois Public Aid Code  is  amended  by
 6    changing Section 5-4 as follows:

 7        (305 ILCS 5/5-4) (from Ch. 23, par. 5-4)
 8        Sec.  5-4.  Amount and nature of medical assistance.  The
 9    amount and nature of medical assistance shall  be  determined
10    by  the  County Departments in accordance with the standards,
11    rules, and regulations of the Illinois Department  of  Public
12    Aid,  with  due  regard to the requirements and conditions in
13    each case, including  contributions  available  from  legally
14    responsible  relatives.   However,  the  amount and nature of
15    such medical assistance shall not be affected by the  payment
16    of  any  grant under the Senior Citizens and Disabled Persons
17    Property Tax Relief and Pharmaceutical Assistance Act.    The
18    amount and nature of medical assistance shall not be affected
19    by  the  receipt of donations or benefits from fundraisers in
20    cases of serious illness, as long as neither the  person  nor
21    members  of  the person's family have actual control over the
22    donations or benefits or the disbursement of the donations or
23    benefits.
24        In determining the income and  assets  available  to  the
25    institutionalized  spouse  and  to  the community spouse, the
26    Illinois Department of Public Aid shall follow the procedures
27    established by federal law.  The  community  spouse  resource
28    allowance  shall be established and maintained at the maximum
29    level permitted pursuant to Section 1924(f)(2) of the  Social
30    Security  Act,  as now or hereafter amended, or an amount set
31    after a fair hearing,  whichever  is  greater.   The  monthly
 
                            -2-               LRB9105314SMdvA
 1    maintenance  allowance  for  the  community  spouse  shall be
 2    established and maintained at  the  maximum  level  permitted
 3    pursuant to Section 1924(d)(3)(C) of the Social Security Act,
 4    as  now or hereafter amended.  Subject to the approval of the
 5    Secretary of the United States Department of Health and Human
 6    Services, the provisions of this Section shall be extended to
 7    persons who but for the provision of home or  community-based
 8    services under Section 4.02 of the Illinois Act on the Aging,
 9    would  require  the level of care provided in an institution,
10    as is provided for in federal law.
11        The Department of Human Services shall notify in  writing
12    each  institutionalized  spouse who is a recipient of medical
13    assistance  under  this  Article,  and  each  such   person's
14    community  spouse,  of the changes in treatment of income and
15    resources, including provisions for protecting income  for  a
16    community  spouse and permitting the transfer of resources to
17    a community spouse, required  by  enactment  of  the  federal
18    Medicare  Catastrophic  Coverage  Act  of  1988  (Public  Law
19    100-360).  The notification shall be in language likely to be
20    easily  understood by those persons.  The Department of Human
21    Services also shall reassess the amount of medical assistance
22    for which each such recipient is eligible as a result of  the
23    enactment  of  that  federal  Act, whether or not a recipient
24    requests such a reassessment.
25    (Source: P.A. 89-507, eff. 7-1-97; 90-655, eff. 7-30-98.)

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