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92_HR0865enr HR0865 Enrolled LRB9216744DJmb 1 HOUSE RESOLUTION 865 2 WHEREAS, Approximately 100,000 Illinoisans qualify for 3 Medicaid only by first spending down their monthly income on 4 medical bills to the Medicaid eligibility level (currently 5 $608 per month for a single adult and $822 per month for a 6 married couple); and 7 WHEREAS, The process of verifying that these Illinoisans 8 have spent down their monthly income on medical bills to the 9 Medicaid eligibility level is often cumbersome and 10 time-consuming for both recipients and local office staff of 11 the Department of Human Services; and 12 WHEREAS, Federal law permits the Department of Public Aid 13 to give Illinoisans enrolled in Medicaid spenddown the option 14 of pre-paying their spenddown amount in a manner similar to a 15 monthly insurance premium; and 16 WHEREAS, Having the option of pre-paying their Medicaid 17 spenddown amount is likely to benefit many Illinoisans on 18 Medicaid spenddown, who would then be able to receive a 19 Medicaid card each month without delay and without having to 20 present bills and receipts to their local Department of Human 21 Services office each month; and 22 WHEREAS, Several states have established successful 23 Medicaid spenddown pre-payment programs; therefore, be it 24 RESOLVED, BY THE HOUSE OF REPRESENTATIVES OF THE 25 NINETY-SECOND GENERAL ASSEMBLY OF THE STATE OF ILLINOIS, that 26 the Department of Public Aid is directed to: 27 (1) Conduct a study of the feasibility of establishing a 28 Medicaid spenddown pre-payment program in Illinois, 29 including, but not limited to, (i) an analysis of spenddown 30 pre-payment programs in other states, (ii) an estimate of the 31 number of Illinoisans who would be eligible to participate in HR0865 Enrolled -2- LRB9216744DJmb 1 a spenddown pre-payment program, (iii) the projected number 2 of eligible individuals who are likely to participate in a 3 spenddown pre-payment program, (iv) an analysis of how 4 Medicaid spenddown recipients may or may not benefit from a 5 spenddown pre-payment program, (v) a description of 6 administrative and policy changes that would be necessary to 7 implement a spenddown pre-payment program, and (vi) projected 8 cost increases and cost savings that would result from the 9 implementation of a spenddown pre-payment program; 10 (2) Collaborate with the Department of Human Services, 11 advocates for Medicaid spenddown recipients, and other 12 interested parties in designing and conducting the 13 feasibility study; and 14 (3) File a written report with the House of 15 Representatives on or before March 31, 2003, regarding the 16 feasibility of implementing a Medicaid spenddown pre-payment 17 program in Illinois; and be it further 18 RESOLVED, That the Department of Human Services shall 19 cooperate in executing the requirements of this Resolution; 20 and be it further 21 RESOLVED, That a copy of this Resolution be sent to the 22 Director of Public Aid and to the Secretary of Human 23 Services.