093_SB1621ham001 LRB093 03226 MKM 16624 a 1 AMENDMENT TO SENATE BILL 1621 2 AMENDMENT NO. . Amend Senate Bill 1621 by replacing 3 everything after the enacting clause with the following: 4 "Section 1. Short title. This Act may be cited as the 5 Disabilities Services Act of 2003. 6 Section 5. Purpose. It is the purpose of this Act to 7 create an advisory committee to develop and implement a 8 disabilities services implementation plan as provided in 9 Section 20 to ensure compliance by the State of Illinois with 10 the Americans with Disabilities Act and the decision in 11 Olmstead v. L.C., 119 S.Ct. 2176 (1999). 12 Section 10. Application of Act; definitions. 13 (a) This Act applies to persons with disabilities. The 14 disabilities included are defined for purposes of this Act as 15 follows: 16 "Disability" means a disability as defined by the 17 Americans with Disabilities Act of 1990 that is attributable 18 to a developmental disability, a mental illness, or a 19 physical disability, or combination of those. 20 "Developmental disability" means a disability that is 21 attributable to mental retardation or a related condition. A -2- LRB093 03226 MKM 16624 a 1 related condition must meet all of the following conditions: 2 (1) It must be attributable to cerebral palsy, 3 epilepsy, or any other condition (other than mental 4 illness) found to be closely related to mental 5 retardation because that condition results in impairment 6 of general intellectual functioning or adaptive behavior 7 similar to that of individuals with mental retardation, 8 and requires treatment or services similar to those 9 required for those individuals. For purposes of this 10 Section autism shall be considered a related condition. 11 (2) It must be manifested before the individual 12 reaches age 22. 13 (3) It must be likely to continue indefinitely. 14 (4) It must result in substantial functional 15 limitations in 3 or more of the following areas of major 16 life activity: self-care, language, learning, mobility, 17 self-direction, and capacity for independent living. 18 "Mental Illness" means a mental or emotional disorder 19 verified by a diagnosis contained in the Diagnostic and 20 Statistical Manual of Mental Disorders-Fourth Edition, 21 published by the American Psychiatric Association (DSM-IV) or 22 International Classification of Diseases, 9th Revision, 23 Clinical Modification (ICD-9-CM) or its successor that 24 substantially impairs a person's cognitive, emotional, or 25 behavioral functioning, or any combination of those, 26 excluding (i) conditions that may be the focus of clinical 27 attention but are not of sufficient duration or severity to 28 be categorized as a mental illness, such as parent-child 29 relational problems, partner-relational problems, sexual 30 abuse of a child, bereavement, academic problems, 31 phase-of-life problems, and occupational problems 32 (collectively, "V codes"), (ii) organic disorders such as 33 substance intoxication dementia, substance withdrawal 34 dementia, Alzheimer's disease, vascular dementia, dementia -3- LRB093 03226 MKM 16624 a 1 due to HIV infection, and dementia due to Creutzfeld-Jakob 2 disease and disorders associated with known or unknown 3 physical conditions such as hallucinasis, amnestic disorders 4 and delirium, and psychoactive substance-induced organic 5 disorders, and (iii) a developmental disability, a substance 6 abuse disorder, or an abnormality manifested only by repeated 7 criminal or otherwise anti-social conduct. 8 "Mental retardation" means significantly sub-average 9 general intellectual functioning existing concurrently with 10 deficits in adaptive behavior and manifested before the age 11 of 22 years. 12 "Physical disability" means a disability as defined by 13 the Americans with Disabilities Act of 1990 that meets the 14 following criteria: 15 (1) It is attributable to a physical impairment. 16 (2) It results in a substantial functional 17 limitation in any of the following areas of major life 18 activity: (i) self-care, (ii) receptive and expressive 19 language, (iii) learning, (iv) mobility, (v) 20 self-direction, (vi) capacity for independent living, and 21 (vii) economic sufficiency. 22 (3) It reflects the person's need for a combination 23 and sequence of special, interdisciplinary, or general 24 care, treatment, or other services that are of lifelong 25 or of extended duration and must be individually planned 26 and coordinated. 27 (b) In this Act: 28 "Chronological age-appropriate services" means services, 29 activities, and strategies for persons with disabilities that 30 are representative of the lifestyle activities of nondisabled 31 peers of similar age in the community. 32 "Comprehensive evaluation" means procedures used by 33 qualified professionals selectively with an individual to 34 determine whether a person has a disability and the nature -4- LRB093 03226 MKM 16624 a 1 and extent of the services that the person with a disability 2 needs. 3 "Department" means the Department on Aging, the 4 Department of Human Services, the Department of Public 5 Health, the Department of Public Aid, the University of 6 Illinois Division of Specialized Care for Children, the 7 Department of Children and Family Services, and the Illinois 8 State Board of Education, where appropriate, as designated in 9 the implementation plan developed under Section 20. 10 "Family" means a natural, adoptive, or foster parent or 11 parents or other person or persons responsible for the care 12 of an individual with a disability in a family setting. 13 "Family or individual support" means those resources and 14 services that are necessary to maintain an individual with a 15 disability within the family home or his or her own home. 16 These services may include, but are not limited to, cash 17 subsidy, respite care, and counseling services. 18 "Independent service coordination" means a social service 19 that enables persons with developmental disabilities and 20 their families to locate, use, and coordinate resources and 21 opportunities in their communities on the basis of individual 22 need. Independent service coordination is independent of 23 providers of services and funding sources and is designed to 24 ensure accessibility, continuity of care, and accountability 25 and to maximize the potential of persons with developmental 26 disabilities for independence, productivity, and integration 27 into the community. Independent service coordination 28 includes, at a minimum: (i) outreach to identify eligible 29 individuals; (ii) assessment and periodic reassessment to 30 determine each individual's strengths, functional 31 limitations, and need for specific services; (iii) 32 participation in the development of a comprehensive 33 individual service or treatment plan; (iv) referral to and 34 linkage with needed services and supports; (v) monitoring to -5- LRB093 03226 MKM 16624 a 1 ensure the delivery of appropriate services and to determine 2 individual progress in meeting goals and objectives; and (vi) 3 advocacy to assist the person in obtaining all services for 4 which he or she is eligible or entitled. 5 "Individual service or treatment plan" means a recorded 6 assessment of the needs of a person with a disability, a 7 description of the services recommended, the goals of each 8 type of element of service, an anticipated timetable for the 9 accomplishment of the goals, and a designation of the 10 qualified professionals responsible for the implementation of 11 the plan. 12 "Least restrictive environment" means an environment that 13 represents the least departure from the normal patterns of 14 living and that effectively meets the needs of the person 15 receiving the service. 16 Section 15. Services. Services shall be provided in 17 accordance with the individual service or treatment plan 18 developed for an individual under this Section. The 19 individual shall initially be screened for potential 20 eligibility by the appropriate State agency and, if the 21 individual is deemed probably eligible for a disability 22 service or program, a comprehensive evaluation of the 23 individual shall be conducted to determine the services and 24 programs appropriate for that individual. The array of 25 available services shall be described in the Disabilities 26 Services Implementation Plan required under this Act and may 27 include, but need not be limited to: 28 (1) Comprehensive evaluation and diagnosis. A 29 person with a suspected disability who is applying for 30 Department-authorized disability services must receive, 31 after an initial screening and a determination of 32 probable eligibility for a disability service or program, 33 a comprehensive diagnosis and evaluation, including an -6- LRB093 03226 MKM 16624 a 1 assessment of skills, abilities, and potential for 2 residential and work placement, adapted to his or her 3 primary language, cultural background, and ethnic origin. 4 All components of a comprehensive evaluation must be 5 administered by a qualified professional, as defined by 6 rule. 7 (2) Individual service or treatment plan. A person 8 with a disability shall receive services in accordance 9 with a current individual service or treatment plan. A 10 person with a disability who is receiving services shall 11 be provided periodic reevaluation and review of the 12 individual service or treatment plan, at least annually, 13 in order to measure progress, to modify or change 14 objectives if necessary, and to provide guidance and 15 remediation techniques. 16 A person with a disability and his or her guardian 17 have the right to participate in the planning and 18 decision-making process regarding the person's individual 19 service or treatment plan and to be informed in writing, 20 or in that person's mode of communication, of progress at 21 reasonable time intervals. Each person must be given the 22 opportunity to make decisions and exercise options 23 regarding the plan, consistent with the person's 24 capabilities. Family members and other representatives of 25 the person with a disability must be allowed, encouraged, 26 and supported to participate as well, if the person with 27 a disability consents to that participation. 28 (3) Nondiscriminatory access to services. A person 29 with a disability may not be denied program services 30 because of sex, ethnic origin, marital status, ability to 31 pay (except where contrary to law), or criminal record. 32 Specific program eligibility requirements with regard to 33 disability, level of need, age, and other matters may be 34 established by the Department by rule. The Department -7- LRB093 03226 MKM 16624 a 1 may set priorities for the provision of services and for 2 determining the need and eligibility for services in 3 accordance with available funding. 4 (4) Family or individual support. A person with a 5 disability must be provided family or individual support 6 services, or both, whenever possible and appropriate, to 7 prevent unnecessary out-of-home placement and to foster 8 independent living skills when authorized for such 9 services. 10 (5) Residential choices and options. A person with 11 a disability who requires residential placement in a 12 supervised or supported setting must be provided choices 13 among various residential options when authorized for 14 those services. The placement must be offered in the 15 least restrictive environment appropriate to the 16 individual. 17 (6) Education. A person with a disability has the 18 right to a free, appropriate public education as provided 19 in both State and federal law. Each local educational 20 agency must prepare persons with disabilities for adult 21 living. In anticipation of adulthood, each person with a 22 disability has the right to a transition plan developed 23 and ready for implementation before the person's exit by 24 no later than the school year in which the person reaches 25 age 14, consistent with the requirements of the federal 26 Individuals with Disabilities Education Act and Article 27 XIV of the School Code. 28 (7) Vocational training. A person with a 29 disability must be provided vocational training, when 30 appropriate, that contributes to the person's 31 independence and employment potential. This training 32 should include strategies and activities in programs that 33 lead to employment and reemployment in the least 34 restrictive environment appropriate to the individual. -8- LRB093 03226 MKM 16624 a 1 (8) Employment. A person with a disability has the 2 right to be employed free from discrimination, pursuant 3 to the Constitution and laws of this State. 4 (9) Independent service coordination. A person with 5 a developmental disability who is receiving direct 6 services from the Department must be provided independent 7 service coordination when needed. 8 (10) Mental health supports. Individuals with a 9 disability must be provided needed mental health supports 10 such as psychological rehabilitation, psychiatric and 11 medication coverage, day treatment, care management, and 12 crisis services. 13 (11) Due process. A person with a disability 14 retains the rights of citizenship. Any person aggrieved 15 by a decision of a department regarding services 16 provided under this Act must be given an opportunity to 17 present complaints at a due process hearing before an 18 impartial hearing officer designated by the director of 19 that department. Any person aggrieved by a final 20 administrative decision rendered following the due 21 process hearing may seek judicial review of that decision 22 pursuant to the Administrative Review Law. The term 23 "administrative decision" is defined as in Section 3-101 24 of the Code of Civil Procedure. Attorney's fees and costs 25 may be awarded to a prevailing complainant in any due 26 process hearing or action for judicial review under this 27 Act. 28 The right to a hearing under this item (11) is in 29 addition to any other rights under federal, State, or 30 local laws, however nothing in this Section shall be 31 construed as requiring the establishment of a new due 32 process hearing procedure if one already exists for a 33 particular service or program. -9- LRB093 03226 MKM 16624 a 1 Section 20. Implementation. 2 (a) The Governor shall appoint an advisory committee to 3 assist in the development and implementation of a 4 Disabilities Services Implementation Plan that will ensure 5 compliance by the State of Illinois with the Americans with 6 Disabilities Act and the decision in Olmstead v. L.C., 119 7 S.Ct. 2176 (1999). The advisory committee shall be known as 8 the Illinois Disabilities Services Advisory Committee and 9 shall be composed of no more than 33 members, including: 10 persons who have a physical disability, a developmental 11 disability, or a mental illness; senior citizens; advocates 12 for persons with physical disabilities; advocates for 13 persons with developmental disabilities; advocates for 14 persons with mental illness; advocates for senior citizens; 15 representatives of providers of services to persons with 16 physical disabilities, developmental disabilities, and mental 17 illness; representatives of providers of services to senior 18 citizens; and representatives of organized labor. 19 In addition, the following State officials shall serve on 20 the committee as ex-officio non-voting members: the Secretary 21 of Human Services or his or her designee; the State 22 Superintendent of Education or his or her designee; the 23 Director of Aging or his or her designee; the Executive 24 Director of the Illinois Housing Development Authority or his 25 or her designee; the Director of Public Aid or his or her 26 designee; and the Director of Employment Security or his or 27 her designee. 28 The advisory committee shall select officers, including a 29 chair and a vice-chair. 30 The advisory committee shall meet at least quarterly and 31 shall keep official meeting minutes. Committee members shall 32 not be compensated but shall be paid for their expenses 33 related to attendance at meetings. 34 (b) The implementation plan must include, but need not -10- LRB093 03226 MKM 16624 a 1 be limited to, the following: 2 (1) Establishing procedures for completing 3 comprehensive evaluations, including provisions for 4 Department review and approval of need determinations. 5 The Department may utilize independent evaluators and 6 targeted or sample reviews during this review and 7 approval process, as it deems appropriate. 8 (2) Establishing procedures for the development of 9 an individual service or treatment plan for each person 10 with a disability, including provisions for Department 11 review and authorization. 12 (3) Identifying core services to be provided by 13 agencies of the State of Illinois or other agencies. 14 (4) Establishing minimum standards for 15 individualized services. 16 (5) Establishing minimum standards for residential 17 services in the least restrictive environment. 18 (6) Establishing minimum standards for vocational 19 services. 20 (7) Establishing due process hearing procedures. 21 (8) Establishing minimum standards for family 22 support services. 23 (9) Securing financial resources necessary to 24 fulfill the purposes and requirements of this Act, 25 including but not limited to obtaining approval and 26 implementing waivers or demonstrations authorized under 27 federal law. 28 (c) The Governor, with the assistance of the Illinois 29 Disabilities Services Advisory Committee and the Secretary of 30 Human Services, is responsible for the completion of the 31 implementation plan. The Governor must submit a report to the 32 General Assembly by November 1, 2004, which must include the 33 following: 34 (1) The implementation plan. -11- LRB093 03226 MKM 16624 a 1 (2) A description of current and planned programs 2 and services necessary to meet the requirements of the 3 individual service or treatment plans required by this 4 Act, together with the actions to be taken by the State 5 of Illinois to ensure that those plans will be 6 implemented. This description shall include a report of 7 related program and service improvements or expansions 8 implemented by the Department since the effective date of 9 this Act. 10 (3) The estimated costs of current and planned 11 programs and services to be provided under the 12 implementation plan. 13 (4) A report on the number of persons with 14 disabilities who may be eligible to receive services 15 under this Act, together with a report on the number of 16 persons who are currently receiving those services. 17 (5) Any proposed changes in State policies, laws, 18 or regulations necessary to fulfill the purposes and 19 requirements of this Act. 20 (d) The Governor, with the assistance of the Secretary 21 of Human Services, shall annually update the implementation 22 plan and report changes to the General Assembly by July 1 of 23 each year. Initial implementation of the plan is required by 24 July 1, 2005. The requirement of annual updates and reports 25 expires in 2008, unless otherwise extended by the General 26 Assembly. 27 Section 25. Appropriations. Services shall be provided 28 under this Act to the extent that appropriations are made 29 available by the General Assembly for the programs and 30 services indicated in the implementation plan. 31 Section 30. Entitlements. This Act does not create any 32 new entitlement to a service, program, or benefit, but shall -12- LRB093 03226 MKM 16624 a 1 not be construed to affect any entitlement to a service, 2 program, or benefit created by any other law. 3 Section 75. The Illinois Public Aid Code is amended by 4 changing Section 5-2 as follows: 5 (305 ILCS 5/5-2) (from Ch. 23, par. 5-2) 6 Sec. 5-2. Classes of Persons Eligible. Medical 7 assistance under this Article shall be available to any of 8 the following classes of persons in respect to whom a plan 9 for coverage has been submitted to the Governor by the 10 Illinois Department and approved by him: 11 1. Recipients of basic maintenance grants under Articles 12 III and IV. 13 2. Persons otherwise eligible for basic maintenance 14 under Articles III and IV but who fail to qualify thereunder 15 on the basis of need, and who have insufficient income and 16 resources to meet the costs of necessary medical care, 17 including but not limited to the following: 18 (a) All persons otherwise eligible for basic 19 maintenance under Article III but who fail to qualify 20 under that Article on the basis of need and who meet 21 either of the following requirements: 22 (i) their income, as determined by the 23 Illinois Department in accordance with any federal 24 requirements, is equal to or less than 70% in fiscal 25 year 2001, equal to or less than 85% in fiscal year 26 2002 and until a date to be determined by the 27 Department by rule, and equal to or less than 100% 28 beginning on the date determined by the Department 29 by rule, of the nonfarm income official poverty 30 line, as defined by the federal Office of Management 31 and Budget and revised annually in accordance with 32 Section 673(2) of the Omnibus Budget Reconciliation -13- LRB093 03226 MKM 16624 a 1 Act of 1981, applicable to families of the same 2 size; or 3 (ii) their income, after the deduction of 4 costs incurred for medical care and for other types 5 of remedial care, is equal to or less than 70% in 6 fiscal year 2001, equal to or less than 85% in 7 fiscal year 2002 and until a date to be determined 8 by the Department by rule, and equal to or less than 9 100% beginning on the date determined by the 10 Department by rule, of the nonfarm income official 11 poverty line, as defined in item (i) of this 12 subparagraph (a). 13 (b) All persons who would be determined eligible 14 for such basic maintenance under Article IV by 15 disregarding the maximum earned income permitted by 16 federal law. 17 3. Persons who would otherwise qualify for Aid to the 18 Medically Indigent under Article VII. 19 4. Persons not eligible under any of the preceding 20 paragraphs who fall sick, are injured, or die, not having 21 sufficient money, property or other resources to meet the 22 costs of necessary medical care or funeral and burial 23 expenses. 24 5. (a) Women during pregnancy, after the fact of 25 pregnancy has been determined by medical diagnosis, and 26 during the 60-day period beginning on the last day of the 27 pregnancy, together with their infants and children born 28 after September 30, 1983, whose income and resources are 29 insufficient to meet the costs of necessary medical care 30 to the maximum extent possible under Title XIX of the 31 Federal Social Security Act. 32 (b) The Illinois Department and the Governor shall 33 provide a plan for coverage of the persons eligible under 34 paragraph 5(a) by April 1, 1990. Such plan shall provide -14- LRB093 03226 MKM 16624 a 1 ambulatory prenatal care to pregnant women during a 2 presumptive eligibility period and establish an income 3 eligibility standard that is equal to 133% of the nonfarm 4 income official poverty line, as defined by the federal 5 Office of Management and Budget and revised annually in 6 accordance with Section 673(2) of the Omnibus Budget 7 Reconciliation Act of 1981, applicable to families of the 8 same size, provided that costs incurred for medical care 9 are not taken into account in determining such income 10 eligibility. 11 (c) The Illinois Department may conduct a 12 demonstration in at least one county that will provide 13 medical assistance to pregnant women, together with their 14 infants and children up to one year of age, where the 15 income eligibility standard is set up to 185% of the 16 nonfarm income official poverty line, as defined by the 17 federal Office of Management and Budget. The Illinois 18 Department shall seek and obtain necessary authorization 19 provided under federal law to implement such a 20 demonstration. Such demonstration may establish resource 21 standards that are not more restrictive than those 22 established under Article IV of this Code. 23 6. Persons under the age of 18 who fail to qualify as 24 dependent under Article IV and who have insufficient income 25 and resources to meet the costs of necessary medical care to 26 the maximum extent permitted under Title XIX of the Federal 27 Social Security Act. 28 7. Persons who are 18 years of age or younger and would 29 qualify as disabled as defined under the Federal Supplemental 30 Security Income Program, provided medical service for such 31 persons would be eligible for Federal Financial 32 Participation, and provided the Illinois Department 33 determines that: 34 (a) the person requires a level of care provided by -15- LRB093 03226 MKM 16624 a 1 a hospital, skilled nursing facility, or intermediate 2 care facility, as determined by a physician licensed to 3 practice medicine in all its branches; 4 (b) it is appropriate to provide such care outside 5 of an institution, as determined by a physician licensed 6 to practice medicine in all its branches; 7 (c) the estimated amount which would be expended 8 for care outside the institution is not greater than the 9 estimated amount which would be expended in an 10 institution. 11 Persons who are 16 years of age or older who have 12 received benefits under this subsection shall be reviewed 13 annually to determine appropriate ways to prepare them and 14 their families to transition from the technology dependent, 15 medically fragile, home-based and community-based services 16 waiver to the home-based and community-based services waiver 17 authorized under Title XIX of the federal Social Security Act 18 and administered by the Office of Rehabilitation Services of 19 the Illinois Department of Human Services. The transition 20 shall include: 21 (1) Assessing the person's medical needs, including 22 consultation by a physician licensed to practice medicine 23 in all its branches, and providing information and 24 opportunities to transition from services using 25 registered nurses or licensed practical nurses to 26 services using certified nursing assistants or personal 27 assistants in order to assist the person and his or her 28 family in adjusting to services provided through the 29 adult home-based and community-based services waiver. 30 (2) Assessing the person's needs for educational 31 and vocational planning and linking the person and his or 32 her family to support services that assist the person to 33 transition successfully from the technology dependent, 34 medically fragile model of care to an adult independent -16- LRB093 03226 MKM 16624 a 1 living model administered by the Office of Rehabilitation 2 Services. 3 (3) Development of a service plan with timelines 4 for implementation by the person's 21st birthday based on 5 the level of care required for that person. The service 6 plan shall provide services comparable to coverage under 7 this paragraph under a home-based and community-based 8 waiver adult independent living model administered by the 9 Illinois Department of Human Services when the person is 10 no longer eligible for coverage under this paragraph. The 11 service plan may include services at a cost no greater 12 than the Department of Public Aid rate paid for 13 exceptional care services provided in a skilled nursing 14 facility pursuant to Section 5-5.8a. 15 8. Persons who become ineligible for basic maintenance 16 assistance under Article IV of this Code in programs 17 administered by the Illinois Department due to employment 18 earnings and persons in assistance units comprised of adults 19 and children who become ineligible for basic maintenance 20 assistance under Article VI of this Code due to employment 21 earnings. The plan for coverage for this class of persons 22 shall: 23 (a) extend the medical assistance coverage for up 24 to 12 months following termination of basic maintenance 25 assistance; and 26 (b) offer persons who have initially received 6 27 months of the coverage provided in paragraph (a) above, 28 the option of receiving an additional 6 months of 29 coverage, subject to the following: 30 (i) such coverage shall be pursuant to 31 provisions of the federal Social Security Act; 32 (ii) such coverage shall include all services 33 covered while the person was eligible for basic 34 maintenance assistance; -17- LRB093 03226 MKM 16624 a 1 (iii) no premium shall be charged for such 2 coverage; and 3 (iv) such coverage shall be suspended in the 4 event of a person's failure without good cause to 5 file in a timely fashion reports required for this 6 coverage under the Social Security Act and coverage 7 shall be reinstated upon the filing of such reports 8 if the person remains otherwise eligible. 9 9. Persons with acquired immunodeficiency syndrome 10 (AIDS) or with AIDS-related conditions with respect to whom 11 there has been a determination that but for home or 12 community-based services such individuals would require the 13 level of care provided in an inpatient hospital, skilled 14 nursing facility or intermediate care facility the cost of 15 which is reimbursed under this Article. Assistance shall be 16 provided to such persons to the maximum extent permitted 17 under Title XIX of the Federal Social Security Act. 18 10. Participants in the long-term care insurance 19 partnership program established under the Partnership for 20 Long-Term Care Act who meet the qualifications for protection 21 of resources described in Section 25 of that Act. 22 11. Persons with disabilities who are employed and 23 eligible for Medicaid, pursuant to Section 24 1902(a)(10)(A)(ii)(xv) of the Social Security Act, as 25 provided by the Illinois Department by rule. 26 12. Subject to federal approval, persons who are 27 eligible for medical assistance coverage under applicable 28 provisions of the federal Social Security Act and the federal 29 Breast and Cervical Cancer Prevention and Treatment Act of 30 2000. Those eligible persons are defined to include, but not 31 be limited to, the following persons: 32 (1) persons who have been screened for breast or 33 cervical cancer under the U.S. Centers for Disease 34 Control and Prevention Breast and Cervical Cancer Program -18- LRB093 03226 MKM 16624 a 1 established under Title XV of the federal Public Health 2 Services Act in accordance with the requirements of 3 Section 1504 of that Act as administered by the Illinois 4 Department of Public Health; and 5 (2) persons whose screenings under the above 6 program were funded in whole or in part by funds 7 appropriated to the Illinois Department of Public Health 8 for breast or cervical cancer screening. 9 "Medical assistance" under this paragraph 12 shall be 10 identical to the benefits provided under the State's approved 11 plan under Title XIX of the Social Security Act. The 12 Department must request federal approval of the coverage 13 under this paragraph 12 within 30 days after the effective 14 date of this amendatory Act of the 92nd General Assembly. 15 The Illinois Department and the Governor shall provide a 16 plan for coverage of the persons eligible under paragraph 7 17 as soon as possible after July 1, 1984. 18 The eligibility of any such person for medical assistance 19 under this Article is not affected by the payment of any 20 grant under the Senior Citizens and Disabled Persons Property 21 Tax Relief and Pharmaceutical Assistance Act or any 22 distributions or items of income described under subparagraph 23 (X) of paragraph (2) of subsection (a) of Section 203 of the 24 Illinois Income Tax Act. The Department shall by rule 25 establish the amounts of assets to be disregarded in 26 determining eligibility for medical assistance, which shall 27 at a minimum equal the amounts to be disregarded under the 28 Federal Supplemental Security Income Program. The amount of 29 assets of a single person to be disregarded shall not be less 30 than $2,000, and the amount of assets of a married couple to 31 be disregarded shall not be less than $3,000. 32 To the extent permitted under federal law, any person 33 found guilty of a second violation of Article VIIIA shall be 34 ineligible for medical assistance under this Article, as -19- LRB093 03226 MKM 16624 a 1 provided in Section 8A-8. 2 The eligibility of any person for medical assistance 3 under this Article shall not be affected by the receipt by 4 the person of donations or benefits from fundraisers held for 5 the person in cases of serious illness, as long as neither 6 the person nor members of the person's family have actual 7 control over the donations or benefits or the disbursement of 8 the donations or benefits. 9 (Source: P.A. 91-676, eff. 12-23-99; 91-699, eff. 7-1-00; 10 91-712, eff. 7-1-00; 92-16, eff. 6-28-01; 92-47, eff. 7-3-01; 11 92-597, eff. 6-28-02.) 12 (405 ILCS 80/1-1 rep.) 13 (405 ILCS 80/1-2 rep.) 14 (405 ILCS 80/1-3 rep.) 15 (405 ILCS 80/1-4 rep.) 16 (405 ILCS 80/1-5 rep.) 17 Section 90. The Developmental Disability and Mental 18 Disability Services Act is amended by repealing Sections 1-1, 19 1-2, 1-3, 1-4, and 1-5 (the Developmental Disabilities 20 Services Law). 21 Section 99. Effective date. This Act takes effect upon 22 becoming law.".