Public Act 098-0488
 
SB1256 EnrolledLRB098 06209 KTG 36250 b

    AN ACT concerning State government.
 
    Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
 
    Section 1. Short title. This Act may be cited as the
Executive Order 1 (2012) Implementation Act.
 
    Section 5. Effect. This Act, including all of the
amendatory provisions of this Act, implements and supersedes
Executive Order 1 (2012).
 
    Section 10. Revocation of Executive Order 3 (2005). On the
date 6 months after the effective date of this Act, Executive
Order 3 (2005) is revoked and rescinded with the exception of
Section I (renaming the Department of Public Aid as the
Department of Healthcare and Family Services), which remains in
effect.
 
    Section 15. Transfer back of State healthcare purchasing
functions transferred by Executive Order 3 (2005).
    (a) On the date 6 months after the effective date of this
Act or as soon thereafter as practical, all of the powers,
duties, rights, and responsibilities related to State
healthcare purchasing that were transferred from the
Department of Central Management Services, the Department of
Corrections, the Department of Human Services, and the
Department of Veterans' Affairs to the Department of Healthcare
and Family Services by Executive Order 3 (2005) are transferred
back to the Departments from which those powers, duties,
rights, and responsibilities were transferred; however,
powers, duties, rights, and responsibilities related to State
healthcare purchasing that were exercised by the Department of
Corrections before the effective date of Executive Order 3
(2005) but that pertain to individuals resident in facilities
operated by the Department of Juvenile Justice are transferred
to the Department of Juvenile Justice.
    (b) The functions associated with State healthcare
purchasing that are transferred from the Department of
Healthcare and Family Services under this Section include,
without limitation, the following:
        (1) Rate development and negotiation with hospitals,
    physicians, and managed care providers.
        (2) Health care procurement development.
        (3) Contract implementation and fiscal monitoring.
        (4) Contract amendments.
        (5) Payment processing.
        (6) Purchasing aspects of health care plans
    administered by the State on behalf of the following:
            (A) State employees. These healthcare purchasing
        functions include the following health care plans:
        quality care health plan; managed care health plan;
        vision plan; pharmacy benefits plan; dental plan;
        behavioral health plan; employee assistance plan;
        utilization management plan; and SHIPs and various
        subrogation agreements. These healthcare purchasing
        functions also include the purchasing and
        administration of flu shots, hepatitis B vaccinations,
        and tuberculosis tests.
            (B) Persons other than State employees. These
        healthcare purchasing functions include the following
        health care plans: the retired teachers' health
        insurance plan under the State Employees Group
        Insurance Act of 1971; the local government health
        insurance plan under the State Employees Group
        Insurance Act of 1971; the community colleges health
        insurance plan under the State Employees Group
        Insurance Act of 1971; the active teacher prescription
        program; and the Illinois Prescription Drug Discount
        Program.
            (C) Residents of State-operated facilities,
        including (i) correctional and youth facilities
        operated by the Department of Corrections or the
        Department of Juvenile Justice, (ii) mental health
        centers and developmental centers operated by the
        Department of Human Services, and (iii) veterans homes
        operated by the Department of Veterans' Affairs.
    (c) The powers, duties, rights, and responsibilities
vested in or associated with State healthcare purchasing are
not affected by this Act, except that all management and staff
support or other resources necessary to the operation of a
State healthcare purchasing function shall be provided by the
Department to which that function is transferred under this
Act.
 
    Section 20. Representation on boards or other entities.
When any provision of an Executive Order or Act provides for
the membership of the Director of Healthcare and Family
Services on any council, commission, board, or other entity
that exercises any of the State healthcare purchasing functions
transferred by this Act, the Director or Secretary of the
Department to which the State healthcare purchasing function is
transferred under this Act, or his or her designee, shall serve
in the place of the Director of Healthcare and Family Services,
but only with regard to the exercise of the function
transferred under this Act. If more than one such person is
required by law to serve on any council, commission, board, or
other entity, then an equivalent number of the representatives
of the Department to which the applicable function is
transferred under this Act shall so serve. In addition, any
statutory mandate that provides for action on the part of the
Director of Healthcare and Family Services relating to a State
healthcare purchasing function transferred under this Act
shall become the responsibility of the Director or Secretary of
the Department to which that function is transferred under this
Act.
 
    Section 25. Personnel transferred.
    (a) Personnel and positions within the Department of
Healthcare and Family Services that are engaged in the
performance of State healthcare purchasing functions
transferred back to the Department of Central Management
Services are transferred to and shall continue their service
within the Department of Central Management Services. The
status and rights of those employees under the Personnel Code
are not affected by this Act.
    (b) Personnel and positions of the Department of
Corrections, the Department of Juvenile Justice, the
Department of Human Services, and the Department of Veterans'
Affairs were not in fact transferred under Executive Order 3
(2005) and are not affected by this Act.
 
    Section 30. Books and records transferred. All books,
records, papers, documents, property (real and personal),
contracts, and pending business pertaining to the powers,
duties, rights, and responsibilities related to any of the
State healthcare purchasing functions transferred under this
Act from the Department of Healthcare and Family Services to
the Department of Central Management Services, the Department
of Corrections, the Department of Juvenile Justice, the
Department of Human Services, and the Department of Veterans'
Affairs, including, but not limited to, material in electronic
or magnetic format and necessary computer hardware and
software, shall be delivered to the Department to which that
State healthcare purchasing function is transferred under this
Act, provided that the delivery of that information may not
violate any applicable confidentiality constraints. The access
by personnel of the Department of Central Management Services,
the Department of Corrections, the Department of Juvenile
Justice, the Department of Human Services, and the Department
of Veterans' Affairs to databases and electronic health
information that are currently maintained by the Department of
Healthcare and Family Services and that contain data and
information necessary to the performance of the State
healthcare purchasing functions shall continue in the same
manner and level of access as before the effective date of
Executive Order 1 (2012). Staff of the Department of Central
Management Services, the Department of Corrections, the
Department of Juvenile Justice, the Department of Human
Services, and the Department of Veterans' Affairs may work with
staff of the Department of Healthcare and Family Services to
add new information relevant to State healthcare purchasing
functions.
 
    Section 35. Unexpended moneys transferred.
    (a) With respect to the State healthcare purchasing
functions transferred under this Act, the Department of Central
Management Services is the successor agency to the Department
of Healthcare and Family Services under the Successor Agency
Act and Section 9b of the State Finance Act. All unexpended
appropriations and balances and other moneys available for use
in connection with any of the State healthcare purchasing
functions transferred from the Department of Healthcare and
Family Services to the Department of Central Management
Services are transferred for use by the Department of Central
Management Services for the exercise of those functions
pursuant to the direction of the Governor. Unexpended balances
so transferred shall be expended only for the purpose for which
the appropriations were originally made.
    (b) Appropriations of the Department of Corrections, the
Department of Juvenile Justice, the Department of Human
Services, and the Department of Veterans' Affairs were not in
fact transferred under Executive Order 3 (2005) and are not
affected by this Act.
 
    Section 40. Exercise of transferred powers; savings
provisions. The powers, duties, rights, and responsibilities
related to the State healthcare purchasing functions
transferred under this Act are vested in and shall be exercised
by the Department to which the applicable function is
transferred. Each act done in the exercise of those powers,
duties, rights, and responsibilities shall have the same legal
effect as if done by the Department of Healthcare and Family
Services or its divisions, officers, or employees.
 
    Section 45. Rules.
    (a) Any rules that (i) relate to the Illinois Prescription
Drug Discount Program or to any other State healthcare
purchasing function or program transferred to the Department of
Central Management Services by this Act, (ii) are in full force
on the effective date of Executive Order 1 (2012), and (iii)
have been duly adopted by the Department of Healthcare and
Family Services shall become the rules of the Department of
Central Management Services. This Act shall not affect the
legality of any such rules in the Illinois Administrative Code.
    (b) Any proposed rule filed with the Secretary of State by
the Department of Healthcare and Family Services that pertains
to the Illinois Prescription Drug Discount Program, or to any
other State healthcare purchasing function or program
transferred to the Department of Central Management Services by
this Act, and that is pending in the rulemaking process on the
effective date of Executive Order 1 (2012) shall be deemed to
have been filed by the Department of Central Management
Services.
    (c) On and after the effective date of Executive Order 1
(2012), the Department of Central Management Services may
propose and adopt, under the Illinois Administrative Procedure
Act, other rules that relate to the Illinois Prescription Drug
Discount Program, or to any other State healthcare purchasing
function or program transferred to the Department of Central
Management Services by this Act.
 
    Section 50. Rights, obligations, and duties unaffected by
transfer. The transfer of powers, duties, rights, and
responsibilities from the Department of Healthcare and Family
Services under this Act does not affect any person's rights,
obligations, or duties, including any civil or criminal
penalties applicable thereto, arising out of those transferred
powers, duties, rights, and responsibilities.
 
    Section 55. Agency officers; penalties. Every officer of
the Department of Central Management Services, the Department
of Corrections, the Department of Juvenile Justice, the
Department of Human Services, and the Department of Veterans'
Affairs is, for any offense, subject to the same penalty or
penalties, civil or criminal, as are prescribed by existing law
for the same offense by any officer whose powers or duties are
transferred under this Act.
 
    Section 60. Reports, notices, or papers. Whenever reports
or notices are required to be made or given or papers or
documents furnished or served by any person to or upon the
Department of Healthcare and Family Services in connection with
any State healthcare purchasing function transferred under
this Act, the same shall be made, given, furnished, or served
in the same manner to or upon the Department to which that
State healthcare purchasing function is transferred.
 
    Section 65. Interagency agreements. To the extent
necessary or prudent to fully implement the intent of this Act,
the Department of Central Management Services, the Department
of Corrections, the Department of Human Services, the
Department of Juvenile Justice, the Department of Veterans'
Affairs, and the Department of Healthcare and Family Services
may enter into one or more interagency agreements to ensure the
full and appropriate transfer of all State healthcare
purchasing functions transferred from the Department of
Healthcare and Family Services under this Act.
 
    Section 70. Acts and actions unaffected by transfer. This
Act does not affect any act done, ratified, or canceled, or any
right occurring or established, before the effective date of
Executive Order 1 (2012), in connection with any State
healthcare purchasing function transferred under this Act.
This Act does not affect any action or proceeding had or
commenced before the effective date of Executive Order 1 (2012)
in an administrative, civil, or criminal cause regarding a
State healthcare purchasing function transferred from the
Department of Healthcare and Family Services under this Act,
but any such action or proceeding may be defended, prosecuted,
or continued by the Department to which the applicable State
healthcare purchasing function is transferred.
 
    Section 900. The State Employees Group Insurance Act of
1971 is amended by adding Section 2.5 and changing Sections 3,
6.5, 6.10, 10, and 13.1 as follows:
 
    (5 ILCS 375/2.5 new)
    Sec. 2.5. State healthcare purchasing. On and after the
date 6 months after the effective date of this amendatory Act
of the 98th General Assembly, as provided in the Executive
Order 1 (2012) Implementation Act, all of the powers, duties,
rights, and responsibilities related to State healthcare
purchasing under this Act that were transferred from the
Department of Central Management Services to the Department of
Healthcare and Family Services by Executive Order 3 (2005) are
transferred back to the Department.
 
    (5 ILCS 375/3)  (from Ch. 127, par. 523)
    Sec. 3. Definitions. Unless the context otherwise
requires, the following words and phrases as used in this Act
shall have the following meanings. The Department may define
these and other words and phrases separately for the purpose of
implementing specific programs providing benefits under this
Act.
    (a) "Administrative service organization" means any
person, firm or corporation experienced in the handling of
claims which is fully qualified, financially sound and capable
of meeting the service requirements of a contract of
administration executed with the Department.
    (b) "Annuitant" means (1) an employee who retires, or has
retired, on or after January 1, 1966 on an immediate annuity
under the provisions of Articles 2, 14 (including an employee
who has elected to receive an alternative retirement
cancellation payment under Section 14-108.5 of the Illinois
Pension Code in lieu of an annuity), 15 (including an employee
who has retired under the optional retirement program
established under Section 15-158.2), paragraphs (2), (3), or
(5) of Section 16-106, or Article 18 of the Illinois Pension
Code; (2) any person who was receiving group insurance coverage
under this Act as of March 31, 1978 by reason of his status as
an annuitant, even though the annuity in relation to which such
coverage was provided is a proportional annuity based on less
than the minimum period of service required for a retirement
annuity in the system involved; (3) any person not otherwise
covered by this Act who has retired as a participating member
under Article 2 of the Illinois Pension Code but is ineligible
for the retirement annuity under Section 2-119 of the Illinois
Pension Code; (4) the spouse of any person who is receiving a
retirement annuity under Article 18 of the Illinois Pension
Code and who is covered under a group health insurance program
sponsored by a governmental employer other than the State of
Illinois and who has irrevocably elected to waive his or her
coverage under this Act and to have his or her spouse
considered as the "annuitant" under this Act and not as a
"dependent"; or (5) an employee who retires, or has retired,
from a qualified position, as determined according to rules
promulgated by the Director, under a qualified local
government, a qualified rehabilitation facility, a qualified
domestic violence shelter or service, or a qualified child
advocacy center. (For definition of "retired employee", see (p)
post).
    (b-5) (Blank).
    (b-6) (Blank).
    (b-7) (Blank).
    (c) "Carrier" means (1) an insurance company, a corporation
organized under the Limited Health Service Organization Act or
the Voluntary Health Services Plan Act, a partnership, or other
nongovernmental organization, which is authorized to do group
life or group health insurance business in Illinois, or (2) the
State of Illinois as a self-insurer.
    (d) "Compensation" means salary or wages payable on a
regular payroll by the State Treasurer on a warrant of the
State Comptroller out of any State, trust or federal fund, or
by the Governor of the State through a disbursing officer of
the State out of a trust or out of federal funds, or by any
Department out of State, trust, federal or other funds held by
the State Treasurer or the Department, to any person for
personal services currently performed, and ordinary or
accidental disability benefits under Articles 2, 14, 15
(including ordinary or accidental disability benefits under
the optional retirement program established under Section
15-158.2), paragraphs (2), (3), or (5) of Section 16-106, or
Article 18 of the Illinois Pension Code, for disability
incurred after January 1, 1966, or benefits payable under the
Workers' Compensation or Occupational Diseases Act or benefits
payable under a sick pay plan established in accordance with
Section 36 of the State Finance Act. "Compensation" also means
salary or wages paid to an employee of any qualified local
government, qualified rehabilitation facility, qualified
domestic violence shelter or service, or qualified child
advocacy center.
    (e) "Commission" means the State Employees Group Insurance
Advisory Commission authorized by this Act. Commencing July 1,
1984, "Commission" as used in this Act means the Commission on
Government Forecasting and Accountability as established by
the Legislative Commission Reorganization Act of 1984.
    (f) "Contributory", when referred to as contributory
coverage, shall mean optional coverages or benefits elected by
the member toward the cost of which such member makes
contribution, or which are funded in whole or in part through
the acceptance of a reduction in earnings or the foregoing of
an increase in earnings by an employee, as distinguished from
noncontributory coverage or benefits which are paid entirely by
the State of Illinois without reduction of the member's salary.
    (g) "Department" means any department, institution, board,
commission, officer, court or any agency of the State
government receiving appropriations and having power to
certify payrolls to the Comptroller authorizing payments of
salary and wages against such appropriations as are made by the
General Assembly from any State fund, or against trust funds
held by the State Treasurer and includes boards of trustees of
the retirement systems created by Articles 2, 14, 15, 16 and 18
of the Illinois Pension Code. "Department" also includes the
Illinois Comprehensive Health Insurance Board, the Board of
Examiners established under the Illinois Public Accounting
Act, and the Illinois Finance Authority.
    (h) "Dependent", when the term is used in the context of
the health and life plan, means a member's spouse and any child
(1) from birth to age 26 including an adopted child, a child
who lives with the member from the time of the filing of a
petition for adoption until entry of an order of adoption, a
stepchild or adjudicated child, or a child who lives with the
member if such member is a court appointed guardian of the
child or (2) age 19 or over who is mentally or physically
disabled from a cause originating prior to the age of 19 (age
26 if enrolled as an adult child dependent). For the health
plan only, the term "dependent" also includes (1) any person
enrolled prior to the effective date of this Section who is
dependent upon the member to the extent that the member may
claim such person as a dependent for income tax deduction
purposes and (2) any person who has received after June 30,
2000 an organ transplant and who is financially dependent upon
the member and eligible to be claimed as a dependent for income
tax purposes. A member requesting to cover any dependent must
provide documentation as requested by the Department of Central
Management Services and file with the Department any and all
forms required by the Department.
    (i) "Director" means the Director of the Illinois
Department of Central Management Services or of any successor
agency designated to administer this Act.
    (j) "Eligibility period" means the period of time a member
has to elect enrollment in programs or to select benefits
without regard to age, sex or health.
    (k) "Employee" means and includes each officer or employee
in the service of a department who (1) receives his
compensation for service rendered to the department on a
warrant issued pursuant to a payroll certified by a department
or on a warrant or check issued and drawn by a department upon
a trust, federal or other fund or on a warrant issued pursuant
to a payroll certified by an elected or duly appointed officer
of the State or who receives payment of the performance of
personal services on a warrant issued pursuant to a payroll
certified by a Department and drawn by the Comptroller upon the
State Treasurer against appropriations made by the General
Assembly from any fund or against trust funds held by the State
Treasurer, and (2) is employed full-time or part-time in a
position normally requiring actual performance of duty during
not less than 1/2 of a normal work period, as established by
the Director in cooperation with each department, except that
persons elected by popular vote will be considered employees
during the entire term for which they are elected regardless of
hours devoted to the service of the State, and (3) except that
"employee" does not include any person who is not eligible by
reason of such person's employment to participate in one of the
State retirement systems under Articles 2, 14, 15 (either the
regular Article 15 system or the optional retirement program
established under Section 15-158.2) or 18, or under paragraph
(2), (3), or (5) of Section 16-106, of the Illinois Pension
Code, but such term does include persons who are employed
during the 6 month qualifying period under Article 14 of the
Illinois Pension Code. Such term also includes any person who
(1) after January 1, 1966, is receiving ordinary or accidental
disability benefits under Articles 2, 14, 15 (including
ordinary or accidental disability benefits under the optional
retirement program established under Section 15-158.2),
paragraphs (2), (3), or (5) of Section 16-106, or Article 18 of
the Illinois Pension Code, for disability incurred after
January 1, 1966, (2) receives total permanent or total
temporary disability under the Workers' Compensation Act or
Occupational Disease Act as a result of injuries sustained or
illness contracted in the course of employment with the State
of Illinois, or (3) is not otherwise covered under this Act and
has retired as a participating member under Article 2 of the
Illinois Pension Code but is ineligible for the retirement
annuity under Section 2-119 of the Illinois Pension Code.
However, a person who satisfies the criteria of the foregoing
definition of "employee" except that such person is made
ineligible to participate in the State Universities Retirement
System by clause (4) of subsection (a) of Section 15-107 of the
Illinois Pension Code is also an "employee" for the purposes of
this Act. "Employee" also includes any person receiving or
eligible for benefits under a sick pay plan established in
accordance with Section 36 of the State Finance Act. "Employee"
also includes (i) each officer or employee in the service of a
qualified local government, including persons appointed as
trustees of sanitary districts regardless of hours devoted to
the service of the sanitary district, (ii) each employee in the
service of a qualified rehabilitation facility, (iii) each
full-time employee in the service of a qualified domestic
violence shelter or service, and (iv) each full-time employee
in the service of a qualified child advocacy center, as
determined according to rules promulgated by the Director.
    (l) "Member" means an employee, annuitant, retired
employee or survivor. In the case of an annuitant or retired
employee who first becomes an annuitant or retired employee on
or after the effective date of this amendatory Act of the 97th
General Assembly, the individual must meet the minimum vesting
requirements of the applicable retirement system in order to be
eligible for group insurance benefits under that system. In the
case of a survivor who first becomes a survivor on or after the
effective date of this amendatory Act of the 97th General
Assembly, the deceased employee, annuitant, or retired
employee upon whom the annuity is based must have been eligible
to participate in the group insurance system under the
applicable retirement system in order for the survivor to be
eligible for group insurance benefits under that system.
    (m) "Optional coverages or benefits" means those coverages
or benefits available to the member on his or her voluntary
election, and at his or her own expense.
    (n) "Program" means the group life insurance, health
benefits and other employee benefits designed and contracted
for by the Director under this Act.
    (o) "Health plan" means a health benefits program offered
by the State of Illinois for persons eligible for the plan.
    (p) "Retired employee" means any person who would be an
annuitant as that term is defined herein but for the fact that
such person retired prior to January 1, 1966. Such term also
includes any person formerly employed by the University of
Illinois in the Cooperative Extension Service who would be an
annuitant but for the fact that such person was made ineligible
to participate in the State Universities Retirement System by
clause (4) of subsection (a) of Section 15-107 of the Illinois
Pension Code.
    (q) "Survivor" means a person receiving an annuity as a
survivor of an employee or of an annuitant. "Survivor" also
includes: (1) the surviving dependent of a person who satisfies
the definition of "employee" except that such person is made
ineligible to participate in the State Universities Retirement
System by clause (4) of subsection (a) of Section 15-107 of the
Illinois Pension Code; (2) the surviving dependent of any
person formerly employed by the University of Illinois in the
Cooperative Extension Service who would be an annuitant except
for the fact that such person was made ineligible to
participate in the State Universities Retirement System by
clause (4) of subsection (a) of Section 15-107 of the Illinois
Pension Code; and (3) the surviving dependent of a person who
was an annuitant under this Act by virtue of receiving an
alternative retirement cancellation payment under Section
14-108.5 of the Illinois Pension Code.
    (q-2) "SERS" means the State Employees' Retirement System
of Illinois, created under Article 14 of the Illinois Pension
Code.
    (q-3) "SURS" means the State Universities Retirement
System, created under Article 15 of the Illinois Pension Code.
    (q-4) "TRS" means the Teachers' Retirement System of the
State of Illinois, created under Article 16 of the Illinois
Pension Code.
    (q-5) (Blank).
    (q-6) (Blank).
    (q-7) (Blank).
    (r) "Medical services" means the services provided within
the scope of their licenses by practitioners in all categories
licensed under the Medical Practice Act of 1987.
    (s) "Unit of local government" means any county,
municipality, township, school district (including a
combination of school districts under the Intergovernmental
Cooperation Act), special district or other unit, designated as
a unit of local government by law, which exercises limited
governmental powers or powers in respect to limited
governmental subjects, any not-for-profit association with a
membership that primarily includes townships and township
officials, that has duties that include provision of research
service, dissemination of information, and other acts for the
purpose of improving township government, and that is funded
wholly or partly in accordance with Section 85-15 of the
Township Code; any not-for-profit corporation or association,
with a membership consisting primarily of municipalities, that
operates its own utility system, and provides research,
training, dissemination of information, or other acts to
promote cooperation between and among municipalities that
provide utility services and for the advancement of the goals
and purposes of its membership; the Southern Illinois
Collegiate Common Market, which is a consortium of higher
education institutions in Southern Illinois; the Illinois
Association of Park Districts; and any hospital provider that
is owned by a county that has 100 or fewer hospital beds and
has not already joined the program. "Qualified local
government" means a unit of local government approved by the
Director and participating in a program created under
subsection (i) of Section 10 of this Act.
    (t) "Qualified rehabilitation facility" means any
not-for-profit organization that is accredited by the
Commission on Accreditation of Rehabilitation Facilities or
certified by the Department of Human Services (as successor to
the Department of Mental Health and Developmental
Disabilities) to provide services to persons with disabilities
and which receives funds from the State of Illinois for
providing those services, approved by the Director and
participating in a program created under subsection (j) of
Section 10 of this Act.
    (u) "Qualified domestic violence shelter or service" means
any Illinois domestic violence shelter or service and its
administrative offices funded by the Department of Human
Services (as successor to the Illinois Department of Public
Aid), approved by the Director and participating in a program
created under subsection (k) of Section 10.
    (v) "TRS benefit recipient" means a person who:
        (1) is not a "member" as defined in this Section; and
        (2) is receiving a monthly benefit or retirement
    annuity under Article 16 of the Illinois Pension Code; and
        (3) either (i) has at least 8 years of creditable
    service under Article 16 of the Illinois Pension Code, or
    (ii) was enrolled in the health insurance program offered
    under that Article on January 1, 1996, or (iii) is the
    survivor of a benefit recipient who had at least 8 years of
    creditable service under Article 16 of the Illinois Pension
    Code or was enrolled in the health insurance program
    offered under that Article on the effective date of this
    amendatory Act of 1995, or (iv) is a recipient or survivor
    of a recipient of a disability benefit under Article 16 of
    the Illinois Pension Code.
    (w) "TRS dependent beneficiary" means a person who:
        (1) is not a "member" or "dependent" as defined in this
    Section; and
        (2) is a TRS benefit recipient's: (A) spouse, (B)
    dependent parent who is receiving at least half of his or
    her support from the TRS benefit recipient, or (C) natural,
    step, adjudicated, or adopted child who is (i) under age
    26, (ii) was, on January 1, 1996, participating as a
    dependent beneficiary in the health insurance program
    offered under Article 16 of the Illinois Pension Code, or
    (iii) age 19 or over who is mentally or physically disabled
    from a cause originating prior to the age of 19 (age 26 if
    enrolled as an adult child).
    "TRS dependent beneficiary" does not include, as indicated
under paragraph (2) of this subsection (w), a dependent of the
survivor of a TRS benefit recipient who first becomes a
dependent of a survivor of a TRS benefit recipient on or after
the effective date of this amendatory Act of the 97th General
Assembly unless that dependent would have been eligible for
coverage as a dependent of the deceased TRS benefit recipient
upon whom the survivor benefit is based.
    (x) "Military leave" refers to individuals in basic
training for reserves, special/advanced training, annual
training, emergency call up, activation by the President of the
United States, or any other training or duty in service to the
United States Armed Forces.
    (y) (Blank).
    (z) "Community college benefit recipient" means a person
who:
        (1) is not a "member" as defined in this Section; and
        (2) is receiving a monthly survivor's annuity or
    retirement annuity under Article 15 of the Illinois Pension
    Code; and
        (3) either (i) was a full-time employee of a community
    college district or an association of community college
    boards created under the Public Community College Act
    (other than an employee whose last employer under Article
    15 of the Illinois Pension Code was a community college
    district subject to Article VII of the Public Community
    College Act) and was eligible to participate in a group
    health benefit plan as an employee during the time of
    employment with a community college district (other than a
    community college district subject to Article VII of the
    Public Community College Act) or an association of
    community college boards, or (ii) is the survivor of a
    person described in item (i).
    (aa) "Community college dependent beneficiary" means a
person who:
        (1) is not a "member" or "dependent" as defined in this
    Section; and
        (2) is a community college benefit recipient's: (A)
    spouse, (B) dependent parent who is receiving at least half
    of his or her support from the community college benefit
    recipient, or (C) natural, step, adjudicated, or adopted
    child who is (i) under age 26, or (ii) age 19 or over and
    mentally or physically disabled from a cause originating
    prior to the age of 19 (age 26 if enrolled as an adult
    child).
    "Community college dependent beneficiary" does not
include, as indicated under paragraph (2) of this subsection
(aa), a dependent of the survivor of a community college
benefit recipient who first becomes a dependent of a survivor
of a community college benefit recipient on or after the
effective date of this amendatory Act of the 97th General
Assembly unless that dependent would have been eligible for
coverage as a dependent of the deceased community college
benefit recipient upon whom the survivor annuity is based.
    (bb) "Qualified child advocacy center" means any Illinois
child advocacy center and its administrative offices funded by
the Department of Children and Family Services, as defined by
the Children's Advocacy Center Act (55 ILCS 80/), approved by
the Director and participating in a program created under
subsection (n) of Section 10.
(Source: P.A. 96-756, eff. 1-1-10; 96-1519, eff. 2-4-11;
97-668, eff. 1-13-12; 97-695, eff. 7-1-12.)
 
    (5 ILCS 375/6.5)
    Sec. 6.5. Health benefits for TRS benefit recipients and
TRS dependent beneficiaries.
    (a) Purpose. It is the purpose of this amendatory Act of
1995 to transfer the administration of the program of health
benefits established for benefit recipients and their
dependent beneficiaries under Article 16 of the Illinois
Pension Code to the Department of Central Management Services.
    (b) Transition provisions. The Board of Trustees of the
Teachers' Retirement System shall continue to administer the
health benefit program established under Article 16 of the
Illinois Pension Code through December 31, 1995. Beginning
January 1, 1996, the Department of Central Management Services
shall be responsible for administering a program of health
benefits for TRS benefit recipients and TRS dependent
beneficiaries under this Section. The Department of Central
Management Services and the Teachers' Retirement System shall
cooperate in this endeavor and shall coordinate their
activities so as to ensure a smooth transition and
uninterrupted health benefit coverage.
    (c) Eligibility. All persons who were enrolled in the
Article 16 program at the time of the transfer shall be
eligible to participate in the program established under this
Section without any interruption or delay in coverage or
limitation as to pre-existing medical conditions. Eligibility
to participate shall be determined by the Teachers' Retirement
System. Eligibility information shall be communicated to the
Department of Central Management Services in a format
acceptable to the Department.
    A TRS dependent beneficiary who is a child age 19 or over
and mentally or physically disabled does not become ineligible
to participate by reason of (i) becoming ineligible to be
claimed as a dependent for Illinois or federal income tax
purposes or (ii) receiving earned income, so long as those
earnings are insufficient for the child to be fully
self-sufficient.
    (d) Coverage. The level of health benefits provided under
this Section shall be similar to the level of benefits provided
by the program previously established under Article 16 of the
Illinois Pension Code.
    Group life insurance benefits are not included in the
benefits to be provided to TRS benefit recipients and TRS
dependent beneficiaries under this Act.
    The program of health benefits under this Section may
include any or all of the benefit limitations, including but
not limited to a reduction in benefits based on eligibility for
federal medicare benefits, that are provided under subsection
(a) of Section 6 of this Act for other health benefit programs
under this Act.
    (e) Insurance rates and premiums. The Director shall
determine the insurance rates and premiums for TRS benefit
recipients and TRS dependent beneficiaries, and shall present
to the Teachers' Retirement System of the State of Illinois, by
April 15 of each calendar year, the rate-setting methodology
(including but not limited to utilization levels and costs)
used to determine the amount of the health care premiums.
        For Fiscal Year 1996, the premium shall be equal to the
    premium actually charged in Fiscal Year 1995; in subsequent
    years, the premium shall never be lower than the premium
    charged in Fiscal Year 1995.
        For Fiscal Year 2003, the premium shall not exceed 110%
    of the premium actually charged in Fiscal Year 2002.
        For Fiscal Year 2004, the premium shall not exceed 112%
    of the premium actually charged in Fiscal Year 2003.
        For Fiscal Year 2005, the premium shall not exceed a
    weighted average of 106.6% of the premium actually charged
    in Fiscal Year 2004.
        For Fiscal Year 2006, the premium shall not exceed a
    weighted average of 109.1% of the premium actually charged
    in Fiscal Year 2005.
        For Fiscal Year 2007, the premium shall not exceed a
    weighted average of 103.9% of the premium actually charged
    in Fiscal Year 2006.
        For Fiscal Year 2008 and thereafter, the premium in
    each fiscal year shall not exceed 105% of the premium
    actually charged in the previous fiscal year.
    Rates and premiums may be based in part on age and
eligibility for federal medicare coverage. However, the cost of
participation for a TRS dependent beneficiary who is an
unmarried child age 19 or over and mentally or physically
disabled shall not exceed the cost for a TRS dependent
beneficiary who is an unmarried child under age 19 and
participates in the same major medical or managed care program.
    The cost of health benefits under the program shall be paid
as follows:
        (1) For a TRS benefit recipient selecting a managed
    care program, up to 75% of the total insurance rate shall
    be paid from the Teacher Health Insurance Security Fund.
    Effective with Fiscal Year 2007 and thereafter, for a TRS
    benefit recipient selecting a managed care program, 75% of
    the total insurance rate shall be paid from the Teacher
    Health Insurance Security Fund.
        (2) For a TRS benefit recipient selecting the major
    medical coverage program, up to 50% of the total insurance
    rate shall be paid from the Teacher Health Insurance
    Security Fund if a managed care program is accessible, as
    determined by the Teachers' Retirement System. Effective
    with Fiscal Year 2007 and thereafter, for a TRS benefit
    recipient selecting the major medical coverage program,
    50% of the total insurance rate shall be paid from the
    Teacher Health Insurance Security Fund if a managed care
    program is accessible, as determined by the Department of
    Central Management Services.
        (3) For a TRS benefit recipient selecting the major
    medical coverage program, up to 75% of the total insurance
    rate shall be paid from the Teacher Health Insurance
    Security Fund if a managed care program is not accessible,
    as determined by the Teachers' Retirement System.
    Effective with Fiscal Year 2007 and thereafter, for a TRS
    benefit recipient selecting the major medical coverage
    program, 75% of the total insurance rate shall be paid from
    the Teacher Health Insurance Security Fund if a managed
    care program is not accessible, as determined by the
    Department of Central Management Services.
        (3.1) For a TRS dependent beneficiary who is Medicare
    primary and enrolled in a managed care plan, or the major
    medical coverage program if a managed care plan is not
    available, 25% of the total insurance rate shall be paid
    from the Teacher Health Security Fund as determined by the
    Department of Central Management Services. For the purpose
    of this item (3.1), the term "TRS dependent beneficiary who
    is Medicare primary" means a TRS dependent beneficiary who
    is participating in Medicare Parts A and B.
        (4) Except as otherwise provided in item (3.1), the
    balance of the rate of insurance, including the entire
    premium of any coverage for TRS dependent beneficiaries
    that has been elected, shall be paid by deductions
    authorized by the TRS benefit recipient to be withheld from
    his or her monthly annuity or benefit payment from the
    Teachers' Retirement System; except that (i) if the balance
    of the cost of coverage exceeds the amount of the monthly
    annuity or benefit payment, the difference shall be paid
    directly to the Teachers' Retirement System by the TRS
    benefit recipient, and (ii) all or part of the balance of
    the cost of coverage may, at the school board's option, be
    paid to the Teachers' Retirement System by the school board
    of the school district from which the TRS benefit recipient
    retired, in accordance with Section 10-22.3b of the School
    Code. The Teachers' Retirement System shall promptly
    deposit all moneys withheld by or paid to it under this
    subdivision (e)(4) into the Teacher Health Insurance
    Security Fund. These moneys shall not be considered assets
    of the Retirement System.
    (f) Financing. Beginning July 1, 1995, all revenues arising
from the administration of the health benefit programs
established under Article 16 of the Illinois Pension Code or
this Section shall be deposited into the Teacher Health
Insurance Security Fund, which is hereby created as a
nonappropriated trust fund to be held outside the State
Treasury, with the State Treasurer as custodian. Any interest
earned on moneys in the Teacher Health Insurance Security Fund
shall be deposited into the Fund.
    Moneys in the Teacher Health Insurance Security Fund shall
be used only to pay the costs of the health benefit program
established under this Section, including associated
administrative costs, and the costs associated with the health
benefit program established under Article 16 of the Illinois
Pension Code, as authorized in this Section. Beginning July 1,
1995, the Department of Central Management Services may make
expenditures from the Teacher Health Insurance Security Fund
for those costs.
    After other funds authorized for the payment of the costs
of the health benefit program established under Article 16 of
the Illinois Pension Code are exhausted and until January 1,
1996 (or such later date as may be agreed upon by the Director
of Central Management Services and the Secretary of the
Teachers' Retirement System), the Secretary of the Teachers'
Retirement System may make expenditures from the Teacher Health
Insurance Security Fund as necessary to pay up to 75% of the
cost of providing health coverage to eligible benefit
recipients (as defined in Sections 16-153.1 and 16-153.3 of the
Illinois Pension Code) who are enrolled in the Article 16
health benefit program and to facilitate the transfer of
administration of the health benefit program to the Department
of Central Management Services.
    The Department of Central Management Healthcare and Family
Services, or any successor agency designated to procure
healthcare contracts pursuant to this Act, is authorized to
establish funds, separate accounts provided by any bank or
banks as defined by the Illinois Banking Act, or separate
accounts provided by any savings and loan association or
associations as defined by the Illinois Savings and Loan Act of
1985 to be held by the Director, outside the State treasury,
for the purpose of receiving the transfer of moneys from the
Teacher Health Insurance Security Fund. The Department may
promulgate rules further defining the methodology for the
transfers. Any interest earned by moneys in the funds or
accounts shall inure to the Teacher Health Insurance Security
Fund. The transferred moneys, and interest accrued thereon,
shall be used exclusively for transfers to administrative
service organizations or their financial institutions for
payments of claims to claimants and providers under the
self-insurance health plan. The transferred moneys, and
interest accrued thereon, shall not be used for any other
purpose including, but not limited to, reimbursement of
administration fees due the administrative service
organization pursuant to its contract or contracts with the
Department.
    (g) Contract for benefits. The Director shall by contract,
self-insurance, or otherwise make available the program of
health benefits for TRS benefit recipients and their TRS
dependent beneficiaries that is provided for in this Section.
The contract or other arrangement for the provision of these
health benefits shall be on terms deemed by the Director to be
in the best interest of the State of Illinois and the TRS
benefit recipients based on, but not limited to, such criteria
as administrative cost, service capabilities of the carrier or
other contractor, and the costs of the benefits.
    (g-5) Committee. A Teacher Retirement Insurance Program
Committee shall be established, to consist of 10 persons
appointed by the Governor.
    The Committee shall convene at least 4 times each year, and
shall consider and make recommendations on issues affecting the
program of health benefits provided under this Section.
Recommendations of the Committee shall be based on a consensus
of the members of the Committee.
    If the Teacher Health Insurance Security Fund experiences a
deficit balance based upon the contribution and subsidy rates
established in this Section and Section 6.6 for Fiscal Year
2008 or thereafter, the Committee shall make recommendations
for adjustments to the funding sources established under these
Sections.
    In addition, the Committee shall identify proposed
solutions to the funding shortfalls that are affecting the
Teacher Health Insurance Security Fund, and it shall report
those solutions to the Governor and the General Assembly within
6 months after August 15, 2011 (the effective date of Public
Act 97-386).
    (h) Continuation of program. It is the intention of the
General Assembly that the program of health benefits provided
under this Section be maintained on an ongoing, affordable
basis.
    The program of health benefits provided under this Section
may be amended by the State and is not intended to be a pension
or retirement benefit subject to protection under Article XIII,
Section 5 of the Illinois Constitution.
    (i) Repeal. (Blank).
(Source: P.A. 96-1519, eff. 2-4-11; 97-386, eff. 8-15-11;
97-813, eff. 7-13-12.)
 
    (5 ILCS 375/6.10)
    Sec. 6.10. Contributions to the Community College Health
Insurance Security Fund.
    (a) Beginning January 1, 1999, every active contributor of
the State Universities Retirement System (established under
Article 15 of the Illinois Pension Code) who (1) is a full-time
employee of a community college district (other than a
community college district subject to Article VII of the Public
Community College Act) or an association of community college
boards and (2) is not an employee as defined in Section 3 of
this Act shall make contributions toward the cost of community
college annuitant and survivor health benefits at the rate of
0.50% of salary.
    These contributions shall be deducted by the employer and
paid to the State Universities Retirement System as service
agent for the Department of Central Management Services. The
System may use the same processes for collecting the
contributions required by this subsection that it uses to
collect the contributions received from those employees under
Section 15-157 of the Illinois Pension Code. An employer may
agree to pick up or pay the contributions required under this
subsection on behalf of the employee; such contributions shall
be deemed to have been paid by the employee.
    The State Universities Retirement System shall promptly
deposit all moneys collected under this subsection (a) into the
Community College Health Insurance Security Fund created in
Section 6.9 of this Act. The moneys collected under this
Section shall be used only for the purposes authorized in
Section 6.9 of this Act and shall not be considered to be
assets of the State Universities Retirement System.
Contributions made under this Section are not transferable to
other pension funds or retirement systems and are not
refundable upon termination of service.
    (b) Beginning January 1, 1999, every community college
district (other than a community college district subject to
Article VII of the Public Community College Act) or association
of community college boards that is an employer under the State
Universities Retirement System shall contribute toward the
cost of the community college health benefits provided under
Section 6.9 of this Act an amount equal to 0.50% of the salary
paid to its full-time employees who participate in the State
Universities Retirement System and are not members as defined
in Section 3 of this Act.
    These contributions shall be paid by the employer to the
State Universities Retirement System as service agent for the
Department of Central Management Services. The System may use
the same processes for collecting the contributions required by
this subsection that it uses to collect the contributions
received from those employers under Section 15-155 of the
Illinois Pension Code.
    The State Universities Retirement System shall promptly
deposit all moneys collected under this subsection (b) into the
Community College Health Insurance Security Fund created in
Section 6.9 of this Act. The moneys collected under this
Section shall be used only for the purposes authorized in
Section 6.9 of this Act and shall not be considered to be
assets of the State Universities Retirement System.
Contributions made under this Section are not transferable to
other pension funds or retirement systems and are not
refundable upon termination of service.
    The Department of Central Management Healthcare and Family
Services, or any successor agency designated to procure
healthcare contracts pursuant to this Act, is authorized to
establish funds, separate accounts provided by any bank or
banks as defined by the Illinois Banking Act, or separate
accounts provided by any savings and loan association or
associations as defined by the Illinois Savings and Loan Act of
1985 to be held by the Director, outside the State treasury,
for the purpose of receiving the transfer of moneys from the
Community College Health Insurance Security Fund. The
Department may promulgate rules further defining the
methodology for the transfers. Any interest earned by moneys in
the funds or accounts shall inure to the Community College
Health Insurance Security Fund. The transferred moneys, and
interest accrued thereon, shall be used exclusively for
transfers to administrative service organizations or their
financial institutions for payments of claims to claimants and
providers under the self-insurance health plan. The
transferred moneys, and interest accrued thereon, shall not be
used for any other purpose including, but not limited to,
reimbursement of administration fees due the administrative
service organization pursuant to its contract or contracts with
the Department.
    (c) On or before November 15 of each year, the Board of
Trustees of the State Universities Retirement System shall
certify to the Governor, the Director of Central Management
Services, and the State Comptroller its estimate of the total
amount of contributions to be paid under subsection (a) of this
Section for the next fiscal year. Beginning in fiscal year
2008, the amount certified shall be decreased or increased each
year by the amount that the actual active employee
contributions either fell short of or exceeded the estimate
used by the Board in making the certification for the previous
fiscal year. The State Universities Retirement System shall
calculate the amount of actual active employee contributions in
fiscal years 1999 through 2005. Based upon this calculation,
the fiscal year 2008 certification shall include an amount
equal to the cumulative amount that the actual active employee
contributions either fell short of or exceeded the estimate
used by the Board in making the certification for those fiscal
years. The certification shall include a detailed explanation
of the methods and information that the Board relied upon in
preparing its estimate. As soon as possible after the effective
date of this Section, the Board shall submit its estimate for
fiscal year 1999.
    (d) Beginning in fiscal year 1999, on the first day of each
month, or as soon thereafter as may be practical, the State
Treasurer and the State Comptroller shall transfer from the
General Revenue Fund to the Community College Health Insurance
Security Fund 1/12 of the annual amount appropriated for that
fiscal year to the State Comptroller for deposit into the
Community College Health Insurance Security Fund under Section
1.4 of the State Pension Funds Continuing Appropriation Act.
    (e) Except where otherwise specified in this Section, the
definitions that apply to Article 15 of the Illinois Pension
Code apply to this Section.
(Source: P.A. 94-839, eff. 6-6-06; 95-632, eff. 9-25-07.)
 
    (5 ILCS 375/10)  (from Ch. 127, par. 530)
    Sec. 10. Contributions by the State and members.
    (a) The State shall pay the cost of basic non-contributory
group life insurance and, subject to member paid contributions
set by the Department or required by this Section and except as
provided in this Section, the basic program of group health
benefits on each eligible member, except a member, not
otherwise covered by this Act, who has retired as a
participating member under Article 2 of the Illinois Pension
Code but is ineligible for the retirement annuity under Section
2-119 of the Illinois Pension Code, and part of each eligible
member's and retired member's premiums for health insurance
coverage for enrolled dependents as provided by Section 9. The
State shall pay the cost of the basic program of group health
benefits only after benefits are reduced by the amount of
benefits covered by Medicare for all members and dependents who
are eligible for benefits under Social Security or the Railroad
Retirement system or who had sufficient Medicare-covered
government employment, except that such reduction in benefits
shall apply only to those members and dependents who (1) first
become eligible for such Medicare coverage on or after July 1,
1992; or (2) are Medicare-eligible members or dependents of a
local government unit which began participation in the program
on or after July 1, 1992; or (3) remain eligible for, but no
longer receive Medicare coverage which they had been receiving
on or after July 1, 1992. The Department may determine the
aggregate level of the State's contribution on the basis of
actual cost of medical services adjusted for age, sex or
geographic or other demographic characteristics which affect
the costs of such programs.
    The cost of participation in the basic program of group
health benefits for the dependent or survivor of a living or
deceased retired employee who was formerly employed by the
University of Illinois in the Cooperative Extension Service and
would be an annuitant but for the fact that he or she was made
ineligible to participate in the State Universities Retirement
System by clause (4) of subsection (a) of Section 15-107 of the
Illinois Pension Code shall not be greater than the cost of
participation that would otherwise apply to that dependent or
survivor if he or she were the dependent or survivor of an
annuitant under the State Universities Retirement System.
    (a-1) (Blank).
    (a-2) (Blank).
    (a-3) (Blank).
    (a-4) (Blank).
    (a-5) (Blank).
    (a-6) (Blank).
    (a-7) (Blank).
    (a-8) Any annuitant, survivor, or retired employee may
waive or terminate coverage in the program of group health
benefits. Any such annuitant, survivor, or retired employee who
has waived or terminated coverage may enroll or re-enroll in
the program of group health benefits only during the annual
benefit choice period, as determined by the Director; except
that in the event of termination of coverage due to nonpayment
of premiums, the annuitant, survivor, or retired employee may
not re-enroll in the program.
    (a-8.5) Beginning on the effective date of this amendatory
Act of the 97th General Assembly, the Director of Central
Management Services shall, on an annual basis, determine the
amount that the State shall contribute toward the basic program
of group health benefits on behalf of annuitants (including
individuals who (i) participated in the General Assembly
Retirement System, the State Employees' Retirement System of
Illinois, the State Universities Retirement System, the
Teachers' Retirement System of the State of Illinois, or the
Judges Retirement System of Illinois and (ii) qualify as
annuitants under subsection (b) of Section 3 of this Act),
survivors (including individuals who (i) receive an annuity as
a survivor of an individual who participated in the General
Assembly Retirement System, the State Employees' Retirement
System of Illinois, the State Universities Retirement System,
the Teachers' Retirement System of the State of Illinois, or
the Judges Retirement System of Illinois and (ii) qualify as
survivors under subsection (q) of Section 3 of this Act), and
retired employees (as defined in subsection (p) of Section 3 of
this Act). The remainder of the cost of coverage for each
annuitant, survivor, or retired employee, as determined by the
Director of Central Management Services, shall be the
responsibility of that annuitant, survivor, or retired
employee.
    Contributions required of annuitants, survivors, and
retired employees shall be the same for all retirement systems
and shall also be based on whether an individual has made an
election under Section 15-135.1 of the Illinois Pension Code.
Contributions may be based on annuitants', survivors', or
retired employees' Medicare eligibility, but may not be based
on Social Security eligibility.
    (a-9) No later than May 1 of each calendar year, the
Director of Central Management Services shall certify in
writing to the Executive Secretary of the State Employees'
Retirement System of Illinois the amounts of the Medicare
supplement health care premiums and the amounts of the health
care premiums for all other retirees who are not Medicare
eligible.
    A separate calculation of the premiums based upon the
actual cost of each health care plan shall be so certified.
    The Director of Central Management Services shall provide
to the Executive Secretary of the State Employees' Retirement
System of Illinois such information, statistics, and other data
as he or she may require to review the premium amounts
certified by the Director of Central Management Services.
    The Department of Central Management Healthcare and Family
Services, or any successor agency designated to procure
healthcare contracts pursuant to this Act, is authorized to
establish funds, separate accounts provided by any bank or
banks as defined by the Illinois Banking Act, or separate
accounts provided by any savings and loan association or
associations as defined by the Illinois Savings and Loan Act of
1985 to be held by the Director, outside the State treasury,
for the purpose of receiving the transfer of moneys from the
Local Government Health Insurance Reserve Fund. The Department
may promulgate rules further defining the methodology for the
transfers. Any interest earned by moneys in the funds or
accounts shall inure to the Local Government Health Insurance
Reserve Fund. The transferred moneys, and interest accrued
thereon, shall be used exclusively for transfers to
administrative service organizations or their financial
institutions for payments of claims to claimants and providers
under the self-insurance health plan. The transferred moneys,
and interest accrued thereon, shall not be used for any other
purpose including, but not limited to, reimbursement of
administration fees due the administrative service
organization pursuant to its contract or contracts with the
Department.
    (b) State employees who become eligible for this program on
or after January 1, 1980 in positions normally requiring actual
performance of duty not less than 1/2 of a normal work period
but not equal to that of a normal work period, shall be given
the option of participating in the available program. If the
employee elects coverage, the State shall contribute on behalf
of such employee to the cost of the employee's benefit and any
applicable dependent supplement, that sum which bears the same
percentage as that percentage of time the employee regularly
works when compared to normal work period.
    (c) The basic non-contributory coverage from the basic
program of group health benefits shall be continued for each
employee not in pay status or on active service by reason of
(1) leave of absence due to illness or injury, (2) authorized
educational leave of absence or sabbatical leave, or (3)
military leave. This coverage shall continue until expiration
of authorized leave and return to active service, but not to
exceed 24 months for leaves under item (1) or (2). This
24-month limitation and the requirement of returning to active
service shall not apply to persons receiving ordinary or
accidental disability benefits or retirement benefits through
the appropriate State retirement system or benefits under the
Workers' Compensation or Occupational Disease Act.
    (d) The basic group life insurance coverage shall continue,
with full State contribution, where such person is (1) absent
from active service by reason of disability arising from any
cause other than self-inflicted, (2) on authorized educational
leave of absence or sabbatical leave, or (3) on military leave.
    (e) Where the person is in non-pay status for a period in
excess of 30 days or on leave of absence, other than by reason
of disability, educational or sabbatical leave, or military
leave, such person may continue coverage only by making
personal payment equal to the amount normally contributed by
the State on such person's behalf. Such payments and coverage
may be continued: (1) until such time as the person returns to
a status eligible for coverage at State expense, but not to
exceed 24 months or (2) until such person's employment or
annuitant status with the State is terminated (exclusive of any
additional service imposed pursuant to law).
    (f) The Department shall establish by rule the extent to
which other employee benefits will continue for persons in
non-pay status or who are not in active service.
    (g) The State shall not pay the cost of the basic
non-contributory group life insurance, program of health
benefits and other employee benefits for members who are
survivors as defined by paragraphs (1) and (2) of subsection
(q) of Section 3 of this Act. The costs of benefits for these
survivors shall be paid by the survivors or by the University
of Illinois Cooperative Extension Service, or any combination
thereof. However, the State shall pay the amount of the
reduction in the cost of participation, if any, resulting from
the amendment to subsection (a) made by this amendatory Act of
the 91st General Assembly.
    (h) Those persons occupying positions with any department
as a result of emergency appointments pursuant to Section 8b.8
of the Personnel Code who are not considered employees under
this Act shall be given the option of participating in the
programs of group life insurance, health benefits and other
employee benefits. Such persons electing coverage may
participate only by making payment equal to the amount normally
contributed by the State for similarly situated employees. Such
amounts shall be determined by the Director. Such payments and
coverage may be continued until such time as the person becomes
an employee pursuant to this Act or such person's appointment
is terminated.
    (i) Any unit of local government within the State of
Illinois may apply to the Director to have its employees,
annuitants, and their dependents provided group health
coverage under this Act on a non-insured basis. To participate,
a unit of local government must agree to enroll all of its
employees, who may select coverage under either the State group
health benefits plan or a health maintenance organization that
has contracted with the State to be available as a health care
provider for employees as defined in this Act. A unit of local
government must remit the entire cost of providing coverage
under the State group health benefits plan or, for coverage
under a health maintenance organization, an amount determined
by the Director based on an analysis of the sex, age,
geographic location, or other relevant demographic variables
for its employees, except that the unit of local government
shall not be required to enroll those of its employees who are
covered spouses or dependents under this plan or another group
policy or plan providing health benefits as long as (1) an
appropriate official from the unit of local government attests
that each employee not enrolled is a covered spouse or
dependent under this plan or another group policy or plan, and
(2) at least 50% of the employees are enrolled and the unit of
local government remits the entire cost of providing coverage
to those employees, except that a participating school district
must have enrolled at least 50% of its full-time employees who
have not waived coverage under the district's group health plan
by participating in a component of the district's cafeteria
plan. A participating school district is not required to enroll
a full-time employee who has waived coverage under the
district's health plan, provided that an appropriate official
from the participating school district attests that the
full-time employee has waived coverage by participating in a
component of the district's cafeteria plan. For the purposes of
this subsection, "participating school district" includes a
unit of local government whose primary purpose is education as
defined by the Department's rules.
    Employees of a participating unit of local government who
are not enrolled due to coverage under another group health
policy or plan may enroll in the event of a qualifying change
in status, special enrollment, special circumstance as defined
by the Director, or during the annual Benefit Choice Period. A
participating unit of local government may also elect to cover
its annuitants. Dependent coverage shall be offered on an
optional basis, with the costs paid by the unit of local
government, its employees, or some combination of the two as
determined by the unit of local government. The unit of local
government shall be responsible for timely collection and
transmission of dependent premiums.
    The Director shall annually determine monthly rates of
payment, subject to the following constraints:
        (1) In the first year of coverage, the rates shall be
    equal to the amount normally charged to State employees for
    elected optional coverages or for enrolled dependents
    coverages or other contributory coverages, or contributed
    by the State for basic insurance coverages on behalf of its
    employees, adjusted for differences between State
    employees and employees of the local government in age,
    sex, geographic location or other relevant demographic
    variables, plus an amount sufficient to pay for the
    additional administrative costs of providing coverage to
    employees of the unit of local government and their
    dependents.
        (2) In subsequent years, a further adjustment shall be
    made to reflect the actual prior years' claims experience
    of the employees of the unit of local government.
    In the case of coverage of local government employees under
a health maintenance organization, the Director shall annually
determine for each participating unit of local government the
maximum monthly amount the unit may contribute toward that
coverage, based on an analysis of (i) the age, sex, geographic
location, and other relevant demographic variables of the
unit's employees and (ii) the cost to cover those employees
under the State group health benefits plan. The Director may
similarly determine the maximum monthly amount each unit of
local government may contribute toward coverage of its
employees' dependents under a health maintenance organization.
    Monthly payments by the unit of local government or its
employees for group health benefits plan or health maintenance
organization coverage shall be deposited in the Local
Government Health Insurance Reserve Fund.
    The Local Government Health Insurance Reserve Fund is
hereby created as a nonappropriated trust fund to be held
outside the State Treasury, with the State Treasurer as
custodian. The Local Government Health Insurance Reserve Fund
shall be a continuing fund not subject to fiscal year
limitations. The Local Government Health Insurance Reserve
Fund is not subject to administrative charges or charge-backs,
including but not limited to those authorized under Section 8h
of the State Finance Act. All revenues arising from the
administration of the health benefits program established
under this Section shall be deposited into the Local Government
Health Insurance Reserve Fund. Any interest earned on moneys in
the Local Government Health Insurance Reserve Fund shall be
deposited into the Fund. All expenditures from this Fund shall
be used for payments for health care benefits for local
government and rehabilitation facility employees, annuitants,
and dependents, and to reimburse the Department or its
administrative service organization for all expenses incurred
in the administration of benefits. No other State funds may be
used for these purposes.
    A local government employer's participation or desire to
participate in a program created under this subsection shall
not limit that employer's duty to bargain with the
representative of any collective bargaining unit of its
employees.
    (j) Any rehabilitation facility within the State of
Illinois may apply to the Director to have its employees,
annuitants, and their eligible dependents provided group
health coverage under this Act on a non-insured basis. To
participate, a rehabilitation facility must agree to enroll all
of its employees and remit the entire cost of providing such
coverage for its employees, except that the rehabilitation
facility shall not be required to enroll those of its employees
who are covered spouses or dependents under this plan or
another group policy or plan providing health benefits as long
as (1) an appropriate official from the rehabilitation facility
attests that each employee not enrolled is a covered spouse or
dependent under this plan or another group policy or plan, and
(2) at least 50% of the employees are enrolled and the
rehabilitation facility remits the entire cost of providing
coverage to those employees. Employees of a participating
rehabilitation facility who are not enrolled due to coverage
under another group health policy or plan may enroll in the
event of a qualifying change in status, special enrollment,
special circumstance as defined by the Director, or during the
annual Benefit Choice Period. A participating rehabilitation
facility may also elect to cover its annuitants. Dependent
coverage shall be offered on an optional basis, with the costs
paid by the rehabilitation facility, its employees, or some
combination of the 2 as determined by the rehabilitation
facility. The rehabilitation facility shall be responsible for
timely collection and transmission of dependent premiums.
    The Director shall annually determine quarterly rates of
payment, subject to the following constraints:
        (1) In the first year of coverage, the rates shall be
    equal to the amount normally charged to State employees for
    elected optional coverages or for enrolled dependents
    coverages or other contributory coverages on behalf of its
    employees, adjusted for differences between State
    employees and employees of the rehabilitation facility in
    age, sex, geographic location or other relevant
    demographic variables, plus an amount sufficient to pay for
    the additional administrative costs of providing coverage
    to employees of the rehabilitation facility and their
    dependents.
        (2) In subsequent years, a further adjustment shall be
    made to reflect the actual prior years' claims experience
    of the employees of the rehabilitation facility.
    Monthly payments by the rehabilitation facility or its
employees for group health benefits shall be deposited in the
Local Government Health Insurance Reserve Fund.
    (k) Any domestic violence shelter or service within the
State of Illinois may apply to the Director to have its
employees, annuitants, and their dependents provided group
health coverage under this Act on a non-insured basis. To
participate, a domestic violence shelter or service must agree
to enroll all of its employees and pay the entire cost of
providing such coverage for its employees. The domestic
violence shelter shall not be required to enroll those of its
employees who are covered spouses or dependents under this plan
or another group policy or plan providing health benefits as
long as (1) an appropriate official from the domestic violence
shelter attests that each employee not enrolled is a covered
spouse or dependent under this plan or another group policy or
plan and (2) at least 50% of the employees are enrolled and the
domestic violence shelter remits the entire cost of providing
coverage to those employees. Employees of a participating
domestic violence shelter who are not enrolled due to coverage
under another group health policy or plan may enroll in the
event of a qualifying change in status, special enrollment, or
special circumstance as defined by the Director or during the
annual Benefit Choice Period. A participating domestic
violence shelter may also elect to cover its annuitants.
Dependent coverage shall be offered on an optional basis, with
employees, or some combination of the 2 as determined by the
domestic violence shelter or service. The domestic violence
shelter or service shall be responsible for timely collection
and transmission of dependent premiums.
    The Director shall annually determine rates of payment,
subject to the following constraints:
        (1) In the first year of coverage, the rates shall be
    equal to the amount normally charged to State employees for
    elected optional coverages or for enrolled dependents
    coverages or other contributory coverages on behalf of its
    employees, adjusted for differences between State
    employees and employees of the domestic violence shelter or
    service in age, sex, geographic location or other relevant
    demographic variables, plus an amount sufficient to pay for
    the additional administrative costs of providing coverage
    to employees of the domestic violence shelter or service
    and their dependents.
        (2) In subsequent years, a further adjustment shall be
    made to reflect the actual prior years' claims experience
    of the employees of the domestic violence shelter or
    service.
    Monthly payments by the domestic violence shelter or
service or its employees for group health insurance shall be
deposited in the Local Government Health Insurance Reserve
Fund.
    (l) A public community college or entity organized pursuant
to the Public Community College Act may apply to the Director
initially to have only annuitants not covered prior to July 1,
1992 by the district's health plan provided health coverage
under this Act on a non-insured basis. The community college
must execute a 2-year contract to participate in the Local
Government Health Plan. Any annuitant may enroll in the event
of a qualifying change in status, special enrollment, special
circumstance as defined by the Director, or during the annual
Benefit Choice Period.
    The Director shall annually determine monthly rates of
payment subject to the following constraints: for those
community colleges with annuitants only enrolled, first year
rates shall be equal to the average cost to cover claims for a
State member adjusted for demographics, Medicare
participation, and other factors; and in the second year, a
further adjustment of rates shall be made to reflect the actual
first year's claims experience of the covered annuitants.
    (l-5) The provisions of subsection (l) become inoperative
on July 1, 1999.
    (m) The Director shall adopt any rules deemed necessary for
implementation of this amendatory Act of 1989 (Public Act
86-978).
    (n) Any child advocacy center within the State of Illinois
may apply to the Director to have its employees, annuitants,
and their dependents provided group health coverage under this
Act on a non-insured basis. To participate, a child advocacy
center must agree to enroll all of its employees and pay the
entire cost of providing coverage for its employees. The child
advocacy center shall not be required to enroll those of its
employees who are covered spouses or dependents under this plan
or another group policy or plan providing health benefits as
long as (1) an appropriate official from the child advocacy
center attests that each employee not enrolled is a covered
spouse or dependent under this plan or another group policy or
plan and (2) at least 50% of the employees are enrolled and the
child advocacy center remits the entire cost of providing
coverage to those employees. Employees of a participating child
advocacy center who are not enrolled due to coverage under
another group health policy or plan may enroll in the event of
a qualifying change in status, special enrollment, or special
circumstance as defined by the Director or during the annual
Benefit Choice Period. A participating child advocacy center
may also elect to cover its annuitants. Dependent coverage
shall be offered on an optional basis, with the costs paid by
the child advocacy center, its employees, or some combination
of the 2 as determined by the child advocacy center. The child
advocacy center shall be responsible for timely collection and
transmission of dependent premiums.
    The Director shall annually determine rates of payment,
subject to the following constraints:
        (1) In the first year of coverage, the rates shall be
    equal to the amount normally charged to State employees for
    elected optional coverages or for enrolled dependents
    coverages or other contributory coverages on behalf of its
    employees, adjusted for differences between State
    employees and employees of the child advocacy center in
    age, sex, geographic location, or other relevant
    demographic variables, plus an amount sufficient to pay for
    the additional administrative costs of providing coverage
    to employees of the child advocacy center and their
    dependents.
        (2) In subsequent years, a further adjustment shall be
    made to reflect the actual prior years' claims experience
    of the employees of the child advocacy center.
    Monthly payments by the child advocacy center or its
employees for group health insurance shall be deposited into
the Local Government Health Insurance Reserve Fund.
(Source: P.A. 96-756, eff. 1-1-10; 96-1232, eff. 7-23-10;
96-1519, eff. 2-4-11; 97-695, eff. 7-1-12.)
 
    (5 ILCS 375/13.1)  (from Ch. 127, par. 533.1)
    Sec. 13.1. (a) All contributions, appropriations,
interest, and dividend payments to fund the program of health
benefits and other employee benefits, and all other revenues
arising from the administration of any employee health benefits
program, shall be deposited in a trust fund outside the State
Treasury, with the State Treasurer as ex-officio custodian, to
be known as the Health Insurance Reserve Fund.
    (b) Upon the adoption of a self-insurance health plan, any
monies attributable to the group health insurance program shall
be deposited in or transferred to the Health Insurance Reserve
Fund for use by the Department. As of the effective date of
this amendatory Act of 1986, the Department shall certify to
the Comptroller the amount of money in the Group Insurance
Premium Fund attributable to the State group health insurance
program and the Comptroller shall transfer such money from the
Group Insurance Premium Fund to the Health Insurance Reserve
Fund. Contributions by the State to the Health Insurance
Reserve Fund to meet the requirements of this Act, as
established by the Director, from the General Revenue Fund and
the Road Fund to the Health Insurance Reserve Fund shall be by
annual appropriations, and all other contributions to meet the
requirements of the programs of health benefits or other
employee benefits shall be deposited in the Health Insurance
Reserve Fund. The Department shall draw the appropriation from
the General Revenue Fund and the Road Fund from time to time as
necessary to make expenditures authorized under this Act.
    The Director may employ such assistance and services and
may purchase such goods as may be necessary for the proper
development and administration of any of the benefit programs
authorized by this Act. The Director may promulgate rules and
regulations in regard to the administration of these programs.
    All monies received by the Department for deposit in or
transfer to the Health Insurance Reserve Fund, through
appropriation or otherwise, shall be used to provide for the
making of payments to claimants and providers and to reimburse
the Department for all expenses directly incurred relating to
Department development and administration of the program of
health benefits and other employee benefits.
    Any administrative service organization administering any
self-insurance health plan and paying claims and benefits under
authority of this Act may receive, pursuant to written
authorization and direction of the Director, an initial
transfer and periodic transfers of funds from the Health
Insurance Reserve Fund in amounts determined by the Director
who may consider the amount recommended by the administrative
service organization. Notwithstanding any other statute, such
transferred funds shall be retained by the administrative
service organization in a separate account provided by any bank
as defined by the Illinois Banking Act. The Department may
promulgate regulations further defining the banks authorized
to accept such funds and all methodology for transfer of such
funds. Any interest earned by monies in such account shall
inure to the Health Insurance Reserve Fund, shall remain in
such account and shall be used exclusively to pay claims and
benefits under this Act. Such transferred funds shall be used
exclusively for administrative service organization payment of
claims to claimants and providers under the self-insurance
health plan by the drawing of checks against such account. The
administrative service organization may not use such
transferred funds, or interest accrued thereon, for any other
purpose including, but not limited to, reimbursement of
administrative expenses or payments of administration fees due
the organization pursuant to its contract or contracts with the
Department of Central Management Services.
    The account of the administrative service organization
established under this Section, any transfers from the Health
Insurance Reserve Fund to such account and the use of such
account and funds shall be subject to (1) audit by the
Department or private contractor authorized by the Department
to conduct audits, and (2) post audit pursuant to the Illinois
State Auditing Act.
    The Department of Central Management Healthcare and Family
Services, or any successor agency designated to procure
healthcare contracts pursuant to this Act, is authorized to
establish funds, separate accounts provided by any bank or
banks as defined by the Illinois Banking Act, or separate
accounts provided by any savings and loan association or
associations as defined by the Illinois Savings and Loan Act of
1985 to be held by the Director, outside the State treasury,
for the purpose of receiving the transfer of moneys from the
Health Insurance Reserve Fund. The Department may promulgate
rules further defining the methodology for the transfers. Any
interest earned by monies in the funds or accounts shall inure
to the Health Insurance Reserve Fund. The transferred moneys,
and interest accrued thereon, shall be used exclusively for
transfers to administrative service organizations or their
financial institutions for payments of claims to claimants and
providers under the self-insurance health plan. The
transferred moneys, and interest accrued thereon, shall not be
used for any other purpose including, but not limited to,
reimbursement of administration fees due the administrative
service organization pursuant to its contract or contracts with
the Department.
    (c) The Director, with the advice and consent of the
Commission, shall establish premiums for optional coverage for
dependents of eligible members for the health plans. The
eligible members shall be responsible for their portion of such
optional premium. The State shall contribute an amount per
month for each eligible member who has enrolled one or more
dependents under the health plans. Such contribution shall be
made directly to the Health Insurance Reserve Fund. Those
employees described in subsection (b) of Section 9 of this Act
shall be allowed to continue in the health plan by making
personal payments with the premiums to be deposited in the
Health Insurance Reserve Fund.
    (d) The Health Insurance Reserve Fund shall be a continuing
fund not subject to fiscal year limitations. All expenditures
from that fund shall be at the direction of the Director and
shall be only for the purpose of:
        (1) the payment of administrative expenses incurred by
    the Department for the program of health benefits or other
    employee benefit programs, including but not limited to the
    costs of audits or actuarial consultations, professional
    and contractual services, electronic data processing
    systems and services, and expenses in connection with the
    development and administration of such programs;
        (2) the payment of administrative expenses incurred by
    the Administrative Service Organization;
        (3) the payment of health benefits;
        (3.5) the payment of medical expenses incurred by the
    Department for the treatment of employees who suffer
    accidental injury or death within the scope of their
    employment;
        (4) refunds to employees for erroneous payments of
    their selected dependent coverage;
        (5) payment of premium for stop-loss or re-insurance;
        (6) payment of premium to health maintenance
    organizations pursuant to Section 6.1 of this Act;
        (7) payment of adoption program benefits; and
        (8) payment of other benefits offered to members and
    dependents under this Act.
(Source: P.A. 94-839, eff. 6-6-06; 95-632, eff. 9-25-07;
95-744, eff. 7-18-08.)
 
    Section 905. The Department of Central Management Services
Law of the Civil Administrative Code of Illinois is amended by
adding Section 405-520 as follows:
 
    (20 ILCS 405/405-520 new)
    Sec. 405-520. State healthcare purchasing. On and after the
date 6 months after the effective date of this amendatory Act
of the 98th General Assembly, as provided in the Executive
Order 1 (2012) Implementation Act, all of the powers, duties,
rights, and responsibilities related to State healthcare
purchasing under this Law that were transferred from the
Department to the Department of Healthcare and Family Services
by Executive Order 3 (2005) are transferred back to the
Department.
 
    Section 910. The Department of Human Services Act is
amended by changing Section 1-20 as follows:
 
    (20 ILCS 1305/1-20)
    Sec. 1-20. General powers and duties.
    (a) The Department shall exercise the rights, powers,
duties, and functions provided by law, including (but not
limited to) the rights, powers, duties, and functions
transferred to the Department under Article 80 and Article 90
of this Act.
    (b) The Department may employ personnel (in accordance with
the Personnel Code), provide facilities, contract for goods and
services, and adopt rules as necessary to carry out its
functions and purposes, all in accordance with applicable State
and federal law.
    (c) On and after the date 6 months after the effective date
of this amendatory Act of the 98th General Assembly, as
provided in the Executive Order 1 (2012) Implementation Act,
all of the powers, duties, rights, and responsibilities related
to State healthcare purchasing under this Act that were
transferred from the Department to the Department of Healthcare
and Family Services by Executive Order 3 (2005) are transferred
back to the Department.
(Source: P.A. 89-507, eff. 7-3-96.)
 
    Section 915. The Department of Healthcare and Family
Services Law of the Civil Administrative Code of Illinois is
amended by adding Section 2205-20 as follows:
 
    (20 ILCS 2205/2205-20 new)
    Sec. 2205-20. State healthcare purchasing. On and after the
date 6 months after the effective date of this amendatory Act
of the 98th General Assembly, as provided in the Executive
Order 1 (2012) Implementation Act, all of the powers, duties,
rights, and responsibilities related to State healthcare
purchasing under this Law that were transferred to the
Department of Healthcare and Family Services by Executive Order
3 (2005) are transferred back to the Departments from which
those powers, duties, rights, and responsibilities were
transferred; however, powers, duties, rights, and
responsibilities related to State healthcare purchasing under
this Law that were exercised by the Department of Corrections
before the effective date of Executive Order 3 (2005) but that
pertain to individuals resident in facilities operated by the
Department of Juvenile Justice shall be transferred to the
Department of Juvenile Justice.
 
    Section 920. The Department of Veterans Affairs Act is
amended by adding Section 2.08 as follows:
 
    (20 ILCS 2805/2.08 new)
    Sec. 2.08. State healthcare purchasing. On and after the
date 6 months after the effective date of this amendatory Act
of the 98th General Assembly, as provided in the Executive
Order 1 (2012) Implementation Act, all of the powers, duties,
rights, and responsibilities related to State healthcare
purchasing under this Act that were transferred from the
Department to the Department of Healthcare and Family Services
by Executive Order 3 (2005) are transferred back to the
Department.
 
    Section 925. The School Employee Benefit Act is amended by
adding Section 7 as follows:
 
    (105 ILCS 55/7 new)
    Sec. 7. State healthcare purchasing. On and after the date
6 months after the effective date of this amendatory Act of the
98th General Assembly, as provided in the Executive Order 1
(2012) Implementation Act, all of the powers, duties, rights,
and responsibilities related to State healthcare purchasing
under this Act that were transferred from the Department to the
Department of Healthcare and Family Services by Executive Order
3 (2005) are transferred back to the Department.
 
    Section 930. The Illinois Prescription Drug Discount
Program Act is amended by changing Sections 10 and 15 and by
adding Section 2 as follows:
 
    (320 ILCS 55/2 new)
    Sec. 2. State healthcare purchasing. On and after the date
6 months after the effective date of this amendatory Act of the
98th General Assembly, as provided in the Executive Order 1
(2012) Implementation Act, all of the powers, duties, rights,
and responsibilities related to State healthcare purchasing
under this Act that were transferred from the Department of
Central Management Services to the Department of Healthcare and
Family Services by Executive Order 3 (2005) are transferred
back to the Department of Central Management Services.
 
    (320 ILCS 55/10)
    Sec. 10. Purpose. The purpose of this program is to require
the Department of Central Management Healthcare and Family
Services to establish and administer a program that will enable
eligible Illinois residents to purchase prescription drugs at
discounted prices.
(Source: P.A. 93-18, eff. 7-1-03; 94-86, eff. 1-1-06.)
 
    (320 ILCS 55/15)
    Sec. 15. Definitions. As used in this Act:
    "Authorized pharmacy" means any pharmacy registered in
this State under the Pharmacy Practice Act or approved by the
Department of Financial and Professional Regulation and
approved by the Department or its program administrator.
    "AWP" or "average wholesale price" means the amount
determined from the latest publication of the Red Book, a
universally subscribed pharmacist reference guide annually
published by the Hearst Corporation. "AWP" or "average
wholesale price" may also be derived electronically from the
drug pricing database synonymous with the latest publication of
the Red Book and furnished in the National Drug Data File
(NDDF) by First Data Bank (FDB), a service of the Hearst
Corporation.
    "Covered medication" means any medication included in the
Illinois Prescription Drug Discount Program.
    "Department" means the Department of Central Management
Healthcare and Family Services.
    "Director" means the Director of Central Management
Healthcare and Family Services.
    "Drug manufacturer" means any entity (1) that is located
within or outside Illinois that is engaged in (i) the
production, preparation, propagation, compounding, conversion,
or processing of prescription drug products covered under the
program, either directly or indirectly by extraction from
substances of natural origin, independently by means of
chemical synthesis, or by a combination of extraction and
chemical synthesis or (ii) the packaging, repackaging,
leveling, labeling, or distribution of prescription drug
products covered under the program and (2) that elects to
provide prescription drugs either directly or under contract
with any entity providing prescription drug services on behalf
of the State of Illinois. "Drug manufacturer", however, does
not include a wholesale distributor of drugs or a retail
pharmacy licensed under Illinois law.
    "Federal Poverty Limit" or "FPL" means the Federal Poverty
Income Guidelines published annually in the Federal Register.
    "Prescription drug" means any prescribed drug that may be
legally dispensed by an authorized pharmacy.
    "Program" means the Illinois Prescription Drug Discount
Program created under this Act.
    "Program administrator" means the entity that is chosen by
the Department to administer the program. The program
administrator may, in this case, be the Director or a Pharmacy
Benefits Manager (PBM) chosen to subcontract with the Director.
    "Rules" includes rules adopted and forms prescribed by the
Department.
(Source: P.A. 94-86, eff. 1-1-06; 95-689, eff. 10-29-07.)
 
    Section 935. The Unified Code of Corrections is amended by
changing Sections 3-2-2 and 3-2.5-20 as follows:
 
    (730 ILCS 5/3-2-2)  (from Ch. 38, par. 1003-2-2)
    Sec. 3-2-2. Powers and Duties of the Department.
    (1) In addition to the powers, duties and responsibilities
which are otherwise provided by law, the Department shall have
the following powers:
        (a) To accept persons committed to it by the courts of
    this State for care, custody, treatment and
    rehabilitation, and to accept federal prisoners and aliens
    over whom the Office of the Federal Detention Trustee is
    authorized to exercise the federal detention function for
    limited purposes and periods of time.
        (b) To develop and maintain reception and evaluation
    units for purposes of analyzing the custody and
    rehabilitation needs of persons committed to it and to
    assign such persons to institutions and programs under its
    control or transfer them to other appropriate agencies. In
    consultation with the Department of Alcoholism and
    Substance Abuse (now the Department of Human Services), the
    Department of Corrections shall develop a master plan for
    the screening and evaluation of persons committed to its
    custody who have alcohol or drug abuse problems, and for
    making appropriate treatment available to such persons;
    the Department shall report to the General Assembly on such
    plan not later than April 1, 1987. The maintenance and
    implementation of such plan shall be contingent upon the
    availability of funds.
        (b-1) To create and implement, on January 1, 2002, a
    pilot program to establish the effectiveness of
    pupillometer technology (the measurement of the pupil's
    reaction to light) as an alternative to a urine test for
    purposes of screening and evaluating persons committed to
    its custody who have alcohol or drug problems. The pilot
    program shall require the pupillometer technology to be
    used in at least one Department of Corrections facility.
    The Director may expand the pilot program to include an
    additional facility or facilities as he or she deems
    appropriate. A minimum of 4,000 tests shall be included in
    the pilot program. The Department must report to the
    General Assembly on the effectiveness of the program by
    January 1, 2003.
        (b-5) To develop, in consultation with the Department
    of State Police, a program for tracking and evaluating each
    inmate from commitment through release for recording his or
    her gang affiliations, activities, or ranks.
        (c) To maintain and administer all State correctional
    institutions and facilities under its control and to
    establish new ones as needed. Pursuant to its power to
    establish new institutions and facilities, the Department
    may, with the written approval of the Governor, authorize
    the Department of Central Management Services to enter into
    an agreement of the type described in subsection (d) of
    Section 405-300 of the Department of Central Management
    Services Law (20 ILCS 405/405-300). The Department shall
    designate those institutions which shall constitute the
    State Penitentiary System.
        Pursuant to its power to establish new institutions and
    facilities, the Department may authorize the Department of
    Central Management Services to accept bids from counties
    and municipalities for the construction, remodeling or
    conversion of a structure to be leased to the Department of
    Corrections for the purposes of its serving as a
    correctional institution or facility. Such construction,
    remodeling or conversion may be financed with revenue bonds
    issued pursuant to the Industrial Building Revenue Bond Act
    by the municipality or county. The lease specified in a bid
    shall be for a term of not less than the time needed to
    retire any revenue bonds used to finance the project, but
    not to exceed 40 years. The lease may grant to the State
    the option to purchase the structure outright.
        Upon receipt of the bids, the Department may certify
    one or more of the bids and shall submit any such bids to
    the General Assembly for approval. Upon approval of a bid
    by a constitutional majority of both houses of the General
    Assembly, pursuant to joint resolution, the Department of
    Central Management Services may enter into an agreement
    with the county or municipality pursuant to such bid.
        (c-5) To build and maintain regional juvenile
    detention centers and to charge a per diem to the counties
    as established by the Department to defray the costs of
    housing each minor in a center. In this subsection (c-5),
    "juvenile detention center" means a facility to house
    minors during pendency of trial who have been transferred
    from proceedings under the Juvenile Court Act of 1987 to
    prosecutions under the criminal laws of this State in
    accordance with Section 5-805 of the Juvenile Court Act of
    1987, whether the transfer was by operation of law or
    permissive under that Section. The Department shall
    designate the counties to be served by each regional
    juvenile detention center.
        (d) To develop and maintain programs of control,
    rehabilitation and employment of committed persons within
    its institutions.
        (d-5) To provide a pre-release job preparation program
    for inmates at Illinois adult correctional centers.
        (e) To establish a system of supervision and guidance
    of committed persons in the community.
        (f) To establish in cooperation with the Department of
    Transportation to supply a sufficient number of prisoners
    for use by the Department of Transportation to clean up the
    trash and garbage along State, county, township, or
    municipal highways as designated by the Department of
    Transportation. The Department of Corrections, at the
    request of the Department of Transportation, shall furnish
    such prisoners at least annually for a period to be agreed
    upon between the Director of Corrections and the Director
    of Transportation. The prisoners used on this program shall
    be selected by the Director of Corrections on whatever
    basis he deems proper in consideration of their term,
    behavior and earned eligibility to participate in such
    program - where they will be outside of the prison facility
    but still in the custody of the Department of Corrections.
    Prisoners convicted of first degree murder, or a Class X
    felony, or armed violence, or aggravated kidnapping, or
    criminal sexual assault, aggravated criminal sexual abuse
    or a subsequent conviction for criminal sexual abuse, or
    forcible detention, or arson, or a prisoner adjudged a
    Habitual Criminal shall not be eligible for selection to
    participate in such program. The prisoners shall remain as
    prisoners in the custody of the Department of Corrections
    and such Department shall furnish whatever security is
    necessary. The Department of Transportation shall furnish
    trucks and equipment for the highway cleanup program and
    personnel to supervise and direct the program. Neither the
    Department of Corrections nor the Department of
    Transportation shall replace any regular employee with a
    prisoner.
        (g) To maintain records of persons committed to it and
    to establish programs of research, statistics and
    planning.
        (h) To investigate the grievances of any person
    committed to the Department, to inquire into any alleged
    misconduct by employees or committed persons, and to
    investigate the assets of committed persons to implement
    Section 3-7-6 of this Code; and for these purposes it may
    issue subpoenas and compel the attendance of witnesses and
    the production of writings and papers, and may examine
    under oath any witnesses who may appear before it; to also
    investigate alleged violations of a parolee's or
    releasee's conditions of parole or release; and for this
    purpose it may issue subpoenas and compel the attendance of
    witnesses and the production of documents only if there is
    reason to believe that such procedures would provide
    evidence that such violations have occurred.
        If any person fails to obey a subpoena issued under
    this subsection, the Director may apply to any circuit
    court to secure compliance with the subpoena. The failure
    to comply with the order of the court issued in response
    thereto shall be punishable as contempt of court.
        (i) To appoint and remove the chief administrative
    officers, and administer programs of training and
    development of personnel of the Department. Personnel
    assigned by the Department to be responsible for the
    custody and control of committed persons or to investigate
    the alleged misconduct of committed persons or employees or
    alleged violations of a parolee's or releasee's conditions
    of parole shall be conservators of the peace for those
    purposes, and shall have the full power of peace officers
    outside of the facilities of the Department in the
    protection, arrest, retaking and reconfining of committed
    persons or where the exercise of such power is necessary to
    the investigation of such misconduct or violations.
        (j) To cooperate with other departments and agencies
    and with local communities for the development of standards
    and programs for better correctional services in this
    State.
        (k) To administer all moneys and properties of the
    Department.
        (l) To report annually to the Governor on the committed
    persons, institutions and programs of the Department.
        (l-5) (Blank).
        (m) To make all rules and regulations and exercise all
    powers and duties vested by law in the Department.
        (n) To establish rules and regulations for
    administering a system of sentence credits, established in
    accordance with Section 3-6-3, subject to review by the
    Prisoner Review Board.
        (o) To administer the distribution of funds from the
    State Treasury to reimburse counties where State penal
    institutions are located for the payment of assistant
    state's attorneys' salaries under Section 4-2001 of the
    Counties Code.
        (p) To exchange information with the Department of
    Human Services and the Department of Healthcare and Family
    Services for the purpose of verifying living arrangements
    and for other purposes directly connected with the
    administration of this Code and the Illinois Public Aid
    Code.
        (q) To establish a diversion program.
        The program shall provide a structured environment for
    selected technical parole or mandatory supervised release
    violators and committed persons who have violated the rules
    governing their conduct while in work release. This program
    shall not apply to those persons who have committed a new
    offense while serving on parole or mandatory supervised
    release or while committed to work release.
        Elements of the program shall include, but shall not be
    limited to, the following:
            (1) The staff of a diversion facility shall provide
        supervision in accordance with required objectives set
        by the facility.
            (2) Participants shall be required to maintain
        employment.
            (3) Each participant shall pay for room and board
        at the facility on a sliding-scale basis according to
        the participant's income.
            (4) Each participant shall:
                (A) provide restitution to victims in
            accordance with any court order;
                (B) provide financial support to his
            dependents; and
                (C) make appropriate payments toward any other
            court-ordered obligations.
            (5) Each participant shall complete community
        service in addition to employment.
            (6) Participants shall take part in such
        counseling, educational and other programs as the
        Department may deem appropriate.
            (7) Participants shall submit to drug and alcohol
        screening.
            (8) The Department shall promulgate rules
        governing the administration of the program.
        (r) To enter into intergovernmental cooperation
    agreements under which persons in the custody of the
    Department may participate in a county impact
    incarceration program established under Section 3-6038 or
    3-15003.5 of the Counties Code.
        (r-5) (Blank).
        (r-10) To systematically and routinely identify with
    respect to each streetgang active within the correctional
    system: (1) each active gang; (2) every existing inter-gang
    affiliation or alliance; and (3) the current leaders in
    each gang. The Department shall promptly segregate leaders
    from inmates who belong to their gangs and allied gangs.
    "Segregate" means no physical contact and, to the extent
    possible under the conditions and space available at the
    correctional facility, prohibition of visual and sound
    communication. For the purposes of this paragraph (r-10),
    "leaders" means persons who:
            (i) are members of a criminal streetgang;
            (ii) with respect to other individuals within the
        streetgang, occupy a position of organizer,
        supervisor, or other position of management or
        leadership; and
            (iii) are actively and personally engaged in
        directing, ordering, authorizing, or requesting
        commission of criminal acts by others, which are
        punishable as a felony, in furtherance of streetgang
        related activity both within and outside of the
        Department of Corrections.
    "Streetgang", "gang", and "streetgang related" have the
    meanings ascribed to them in Section 10 of the Illinois
    Streetgang Terrorism Omnibus Prevention Act.
        (s) To operate a super-maximum security institution,
    in order to manage and supervise inmates who are disruptive
    or dangerous and provide for the safety and security of the
    staff and the other inmates.
        (t) To monitor any unprivileged conversation or any
    unprivileged communication, whether in person or by mail,
    telephone, or other means, between an inmate who, before
    commitment to the Department, was a member of an organized
    gang and any other person without the need to show cause or
    satisfy any other requirement of law before beginning the
    monitoring, except as constitutionally required. The
    monitoring may be by video, voice, or other method of
    recording or by any other means. As used in this
    subdivision (1)(t), "organized gang" has the meaning
    ascribed to it in Section 10 of the Illinois Streetgang
    Terrorism Omnibus Prevention Act.
        As used in this subdivision (1)(t), "unprivileged
    conversation" or "unprivileged communication" means a
    conversation or communication that is not protected by any
    privilege recognized by law or by decision, rule, or order
    of the Illinois Supreme Court.
        (u) To establish a Women's and Children's Pre-release
    Community Supervision Program for the purpose of providing
    housing and services to eligible female inmates, as
    determined by the Department, and their newborn and young
    children.
        (u-5) To issue an order, whenever a person committed to
    the Department absconds or absents himself or herself,
    without authority to do so, from any facility or program to
    which he or she is assigned. The order shall be certified
    by the Director, the Supervisor of the Apprehension Unit,
    or any person duly designated by the Director, with the
    seal of the Department affixed. The order shall be directed
    to all sheriffs, coroners, and police officers, or to any
    particular person named in the order. Any order issued
    pursuant to this subdivision (1) (u-5) shall be sufficient
    warrant for the officer or person named in the order to
    arrest and deliver the committed person to the proper
    correctional officials and shall be executed the same as
    criminal process.
        (v) To do all other acts necessary to carry out the
    provisions of this Chapter.
    (2) The Department of Corrections shall by January 1, 1998,
consider building and operating a correctional facility within
100 miles of a county of over 2,000,000 inhabitants, especially
a facility designed to house juvenile participants in the
impact incarceration program.
    (3) When the Department lets bids for contracts for medical
services to be provided to persons committed to Department
facilities by a health maintenance organization, medical
service corporation, or other health care provider, the bid may
only be let to a health care provider that has obtained an
irrevocable letter of credit or performance bond issued by a
company whose bonds have an investment grade or higher rating
by a bond rating organization.
    (4) When the Department lets bids for contracts for food or
commissary services to be provided to Department facilities,
the bid may only be let to a food or commissary services
provider that has obtained an irrevocable letter of credit or
performance bond issued by a company whose bonds have an
investment grade or higher rating by a bond rating
organization.
    (5) On and after the date 6 months after the effective date
of this amendatory Act of the 98th General Assembly, as
provided in the Executive Order 1 (2012) Implementation Act,
all of the powers, duties, rights, and responsibilities related
to State healthcare purchasing under this Code that were
transferred from the Department of Corrections to the
Department of Healthcare and Family Services by Executive Order
3 (2005) are transferred back to the Department of Corrections;
however, powers, duties, rights, and responsibilities related
to State healthcare purchasing under this Code that were
exercised by the Department of Corrections before the effective
date of Executive Order 3 (2005) but that pertain to
individuals resident in facilities operated by the Department
of Juvenile Justice are transferred to the Department of
Juvenile Justice.
(Source: P.A. 96-1265, eff. 7-26-10; 97-697, eff. 6-22-12;
97-800, eff. 7-13-12; 97-802, eff. 7-13-12; revised 7-23-12.)
 
    (730 ILCS 5/3-2.5-20)
    Sec. 3-2.5-20. General powers and duties.
    (a) In addition to the powers, duties, and responsibilities
which are otherwise provided by law or transferred to the
Department as a result of this Article, the Department, as
determined by the Director, shall have, but are not limited to,
the following rights, powers, functions and duties:
        (1) To accept juveniles committed to it by the courts
    of this State for care, custody, treatment, and
    rehabilitation.
        (2) To maintain and administer all State juvenile
    correctional institutions previously under the control of
    the Juvenile and Women's & Children Divisions of the
    Department of Corrections, and to establish and maintain
    institutions as needed to meet the needs of the youth
    committed to its care.
        (3) To identify the need for and recommend the funding
    and implementation of an appropriate mix of programs and
    services within the juvenile justice continuum, including
    but not limited to prevention, nonresidential and
    residential commitment programs, day treatment, and
    conditional release programs and services, with the
    support of educational, vocational, alcohol, drug abuse,
    and mental health services where appropriate.
        (4) To establish and provide transitional and
    post-release treatment programs for juveniles committed to
    the Department. Services shall include but are not limited
    to:
            (i) family and individual counseling and treatment
        placement;
            (ii) referral services to any other State or local
        agencies;
            (iii) mental health services;
            (iv) educational services;
            (v) family counseling services; and
            (vi) substance abuse services.
        (5) To access vital records of juveniles for the
    purposes of providing necessary documentation for
    transitional services such as obtaining identification,
    educational enrollment, employment, and housing.
        (6) To develop staffing and workload standards and
    coordinate staff development and training appropriate for
    juvenile populations.
        (7) To develop, with the approval of the Office of the
    Governor and the Governor's Office of Management and
    Budget, annual budget requests.
        (8) To administer the Interstate Compact for
    Juveniles, with respect to all juveniles under its
    jurisdiction, and to cooperate with the Department of Human
    Services with regard to all non-offender juveniles subject
    to the Interstate Compact for Juveniles.
    (b) The Department may employ personnel in accordance with
the Personnel Code and Section 3-2.5-15 of this Code, provide
facilities, contract for goods and services, and adopt rules as
necessary to carry out its functions and purposes, all in
accordance with applicable State and federal law.
    (c) On and after the date 6 months after the effective date
of this amendatory Act of the 98th General Assembly, as
provided in the Executive Order 1 (2012) Implementation Act,
all of the powers, duties, rights, and responsibilities related
to State healthcare purchasing under this Code that were
transferred from the Department of Corrections to the
Department of Healthcare and Family Services by Executive Order
3 (2005) are transferred back to the Department of Corrections;
however, powers, duties, rights, and responsibilities related
to State healthcare purchasing under this Code that were
exercised by the Department of Corrections before the effective
date of Executive Order 3 (2005) but that pertain to
individuals resident in facilities operated by the Department
of Juvenile Justice are transferred to the Department of
Juvenile Justice.
(Source: P.A. 94-696, eff. 6-1-06; 95-937, eff. 8-26-08.)
 
    Section 997. Severability. The provisions of this Act are
severable under Section 1.31 of the Statute on Statutes.
 
    Section 999. Effective date. This Act takes effect upon
becoming law.