$HB6070 98TH GENERAL ASSEMBLY

AN ACT concerning appropriations.

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

ARTICLE 1

Section 1. The following named sums, or so much thereof as may be necessary, respectively, are appropriated to the Department of Healthcare and Family Services for the purposes hereinafter named:

PROGRAM ADMINISTRATION

Payable from General Revenue Fund:

For Personal Services......................... 22,010,700

For State Contributions to

Social Security............................... 1,683,800

For Contractual Services....................... 7,392,300

For Travel....................................... 140,000

For Commodities........................................ 0

For Printing........................................... 0

For Equipment.......................................... 0

For Telecommunications Services........................ 0

For Operation of Auto Equipment................... 37,500

For Deposit into the Public Aid

Recoveries Trust Fund......................... 4,500,000

Total $35,764,300

Payable from Public Aid Recoveries Trust Fund:

For Personal Services............................ 270,100

For State Contributions to State

Employees' Retirement System.................... 114,400

For State Contributions to

Social Security.................................. 20,700

For Group Insurance............................... 83,500

For Contractual Services....................... 5,294,400

For Commodities.................................. 320,400

For Printing..................................... 538,400

For Equipment.................................... 110,000

For Telecommunications Services................ 1,300,500

For Costs Associated with Information

Technology Infrastructure.................... 44,055,200

Total $52,107,600

OFFICE OF INSPECTOR GENERAL

Payable from General Revenue Fund:

For Personal Services.......................... 6,233,700

For State Contributions to

Social Security................................. 476,900

For Contractual Services............................... 0

For Travel........................................ 27,500

For Equipment........................................ 0

Total $6,738,100

Payable from Public Aid Recoveries Trust Fund:

For Personal Services......................... 11,495,400

For State Contributions to State

Employees' Retirement System.................. 4,867,000

For State Contributions to

Social Security................................. 879,400

For Group Insurance............................ 2,667,400

For Contractual Services....................... 5,101,800

For Travel........................................ 91,400

For Commodities........................................ 0

For Printing........................................... 0

For Equipment.................................... 345,700

For Telecommunications Services...................... 0

Total $25,448,100

Payable from Long-Term Care Provider Fund:

For Administrative Expenses...................... 390,000

CHILD SUPPORT SERVICES

Payable from General Revenue Fund:

For Deposit into the Child Support

Administrative Fund.......................... 32,214,600

Payable from Child Support Administrative Fund:

For Personal Services......................... 72,793,200

For Employee Retirement Contributions

Paid by Employer................................. 23,300

For State Contributions to State

Employees' Retirement System................. 30,819,900

For State Contributions to

Social Security............................... 5,568,700

For Group Insurance........................... 20,435,200

For Contractual Services...................... 67,111,100

For Travel....................................... 575,200

For Commodities.................................. 290,800

For Printing..................................... 229,600

For Equipment.................................. 1,082,200

For Telecommunications Services................ 3,944,400

For Child Support Enforcement

Demonstration Projects.......................... 900,000

For Administrative Costs Related to

Enhanced Collection Efforts including

Paternity Adjudication Demonstration......... 10,800,000

For Costs Related to the State

Disbursement Unit............................ 12,843,200

Total $227,416,800

LEGAL REPRESENTATION

Payable from General Revenue Fund:

For Personal Services.......................... 1,557,700

For Employee Retirement Contributions

Paid by Employer................................. 11,300

For State Contributions to

Social Security................................. 119,200

For Contractual Services......................... 173,700

For Travel......................................... 8,000

For Equipment...................................... 3,500

Total $1,873,400

PUBLIC AID RECOVERIES

Payable from Public Aid Recoveries Trust Fund:

For Personal Services.......................... 9,702,000

For State Contributions to State

Employees' Retirement System.................. 4,107,700

For State Contributions to

Social Security................................. 742,200

For Group Insurance............................ 2,553,400

For Contractual Services...................... 24,845,800

For Travel....................................... 100,000

For Commodities................................... 27,000

For Printing...................................... 10,000

For Equipment.................................. 1,259,500

For Telecommunications Services.................. 190,000

Total $43,537,600

MEDICAL

Payable from General Revenue Fund:

For Expenses Related to Community Transitions

and Long-Term Care System Rebalancing,

Including Grants, Services and Related

Operating and Administrative Costs........... 19,500,000

For Deposit into the Healthcare Provider

Relief Fund.................................. 64,232,900

Total $83,732,900

Payable from Provider Inquiry Trust Fund:

For Expenses Associated with

Providing Access and Utilization

of Department Eligibility Files............... 2,500,000

Payable from Public Aid Recoveries Trust Fund:

For Personal Services.......................... 8,674,500

For State Contributions to State

Employees’ Retirement System.................. 3,672,700

For State Contributions to

Social Security................................. 663,600

For Group Insurance............................ 2,177,100

For Contractual Services...................... 45,299,000

For Commodities.................................... 5,300

For Printing....................................... 3,500

For Equipment.................................... 136,800

For Telecommunications Services................... 22,400

For Deposit into the Medical

Special Purposes Trust Fund..................... 500,000

For Costs Associated with the

Development, Implementation and

Operation of a Medical Data Warehouse......... 6,259,100

Total $67,414,000

Payable from Healthcare Provider Relief Fund:

For Operational Expenses...................... 53,361,800

Section 5. In addition to any amounts heretofore appropriated, the following named amounts, or so much thereof as may be necessary, respectively, are appropriated to the Department of Healthcare and Family Services for Medical Assistance:

FOR MEDICAL ASSISTANCE UNDER THE ILLINOIS PUBLIC AID CODE,

THE CHILDREN'S HEALTH INSURANCE PROGRAM ACT,

THE COVERING ALL KIDS HEALTH INSURANCE ACT, AND THE LONG TERM ACUTE CARE HOSPITAL QUALITY IMPROVEMENT TRANSFER PROGRAM ACT

Payable from General Revenue Fund:

For Physicians............................... 172,101,900

For Dentists................................. 143,967,600

For Optometrists.............................. 17,342,900

For Podiatrists.................................. 614,000

For Chiropractors................................. 78,600

For Hospital In-Patient, Disproportionate

Share and Ambulatory Care................. 1,386,215,800

For federally defined Institutions for

Mental Diseases.............................. 46,359,700

For Supportive Living Facilities............. 123,927,100

For all other Skilled, Intermediate, and

Other Related Long Term Care Services....... 912,326,500

For Community Health Centers.................. 98,458,100

For Hospice Care.............................. 76,247,300

For Independent Laboratories.................. 25,959,500

For Home Health Care, Therapy, and

Nursing Services............................. 14,475,300

For Appliances................................ 36,691,800

For Transportation............................ 48,208,400

For Other Related Medical Services,

development, implementation,

and operation of managed

care and children's health

programs, operating

and administrative costs and

related distributive purposes............... 140,790,600

For Medicare Part A Premiums.................. 12,662,600

For Medicare Part B Premiums................. 387,164,500

For Medicare Part B Premiums for

Qualified Individuals under the

Federal Balanced Budget Act of 1997.......... 28,278,900

For Health Maintenance Organizations,

Managed Care Entities, and Coordinated

Care Entities............................. 3,064,240,600

For Division of Specialized Care

for Children................................ 107,036,500

Total $6,843,148,200

In addition to any amounts heretofore appropriated, the following named amounts, or so much thereof as may be necessary, are appropriated to the Department of Healthcare and Family Services for Medical Assistance under the Illinois Public Aid Code, the Children's Health Insurance Program Act, the Covering ALL KIDS Health Insurance Act, and the Long Term Acute Care Hospital Quality Improvement Transfer Program Act for prescribed drugs, including related administrative and operation costs, and costs related to the operation of the Health Benefits for Workers with Disabilities Program:

Payable from:

General Revenue Fund......................... 126,505,200

Drug Rebate Fund............................. 700,000,000

Tobacco Settlement Recovery Fund............. 200,600,000

Medicaid Buy-In Program Revolving Fund........... 550,000

Total $1,027,655,200

Section 10. The following named amounts, or so much thereof as may be necessary, are appropriated to the Department of Healthcare and Family Services for the purposes hereinafter named:

FOR MEDICAL ASSISTANCE

Payable from General Revenue Fund:

For Medical Care for Persons

Suffering from Chronic Renal Disease............ 183,300

For Medical Care for Persons

Suffering from Hemophilia..................... 4,275,700

For Medical Care for Sexual

Assault Victims................................. 224,700

For Altgeld Clinic............................... 400,000

Total $5,083,700

The Department, with the consent in writing from the Governor, may reapportion not more than six percent of the total General Revenue Fund appropriations in this Act for “Medical Assistance” among the various purposes therein enumerated.

Section 15. In addition to any amount heretofore appropriated, the amount of $70,000,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the Medical Interagency Program Fund for i) Medical Assistance payments on behalf of individuals eligible for Medical Assistance programs administered by the Department of Healthcare and Family Services, and ii) pursuant to an interagency agreement, medical services and other costs associated with programs administered by another agency of state government, including operating and administrative costs.

Section 20. The sum of $28,000,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the Medicaid Research and Education Support Fund for Medicaid research and education enhancement payments to qualifying academic medical centers.

Section 25. In addition to any amounts heretofore appropriated, the following named amounts, or so much thereof as may be necessary, respectively, are appropriated to the Department of Healthcare and Family Services for Medical Assistance and Administrative Expenditures:

FOR MEDICAL ASSISTANCE UNDER THE ILLINOIS PUBLIC AID CODE, THE CHILDREN’S HEALTH INSURANCE PROGRAM ACT, THE COVERING ALL KIDS HEALTH INSURANCE ACT AND THE LONG TERM ACUTE CARE HOSPITAL QUALITY IMPROVEMENT TRANSFER PROGRAM ACT

Payable from Care Provider Fund for Persons

with a Developmental Disability:

For Administrative Expenditures.................. 205,000

Payable from Long-Term Care Provider Fund:

For Skilled, Intermediate, and Other Related

Long-Term Care Services..................... 700,000,000

For Administrative Expenditures................ 1,700,000

Total $701,700,000

Payable from Hospital Provider Fund:

For Hospitals and Related Operating

and Administrative Costs.................. 2,500,000,000

Payable from Healthcare Provider Relief Fund:

For Medical Assistance Providers

and Related Operating and

Administrative Costs...................... 4,500,000,000

Section 30. In addition to any amounts heretofore appropriated, the following named amounts, or so much thereof as may be necessary, respectively, are appropriated to the Department of Healthcare and Family Services for Medical Assistance and Administrative Expenditures:

FOR MEDICAL ASSISTANCE UNDER THE ILLINOIS PUBLIC AID CODE,

THE CHILDREN'S HEALTH INSURANCE PROGRAM ACT, AND

THE COVERING ALL KIDS HEALTH INSURANCE ACT

Payable from County Provider Trust Fund:

For Medical Services....................... 2,500,000,000

For Administrative Expenditures Including

Pass-through of Federal Matching Funds....... 25,000,000

Total $2,525,000,000

Section 35. The following named amounts, or so much thereof as may be necessary, respectively, are appropriated to the Department of Healthcare and Family Services for refunds of overpayments of assessments or inter-governmental transfers made by providers during the period from July 1, 1991 through June 30, 2014:

Payable from:

Care Provider Fund for Persons

with a Developmental Disability............... 1,000,000

Long-Term Care Provider Fund................... 2,750,000

Hospital Provider Fund......................... 5,000,000

County Provider Trust Fund..................... 1,000,000

Total $9,750,000

Section 40. The amount of $15,000,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the Trauma Center Fund for adjustment payments to certain Level I and Level II trauma centers.

Section 45. The amount of $375,000,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the University of Illinois Hospital Services Fund to reimburse the University of Illinois Hospital for medical services.

Section 50. The amount of $4,000,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the Juvenile Rehabilitation Services Medicaid Matching Fund for payments to the Department of Juvenile Justice and counties for court-ordered juvenile behavioral health services under the Illinois Public Aid Code and the Children's Health Insurance Program Act.

Section 55. The amount of $30,500,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the Medical Special Purposes Trust Fund for medical demonstration projects and costs associated with the implementation of federal Health Insurance Portability and Accountability Act mandates.

Section 60. The amount of $60,000,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the Medical Special Purposes Trust Fund for costs associated with the development, implementation and operation of an eligibility verification and enrollment system as required by Public Act 96-1501 and the federal Patient Protection and Affordable Care Act, including grant expenditures, operating and administrative costs and related distributive purposes.

Section 65. The amount of $200,000,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the Special Education Medicaid Matching Fund for payments to local education agencies for medical services and other costs eligible for federal reimbursement under Title XIX or Title XXI of the federal Social Security Act.

Section 70. In addition to any amounts heretofore appropriated, the amount of $15,000,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the Money Follows the Person Budget Transfer Fund for costs associated with long-term care, including related operating and administrative costs. Such costs shall include, but not necessarily be limited to, those related to long-term care rebalancing efforts, institutional long-term care services, and, pursuant to an interagency agreement, community-based services administered by another agency of state government.

Section 75. The sum of $200,000,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the Electronic Health Record Incentive Fund for the purpose of payments to qualifying health care providers to encourage the adoption and use of certified electronic health records technology pursuant to paragraph 1903 (t)(1) of the Social Security Act.

Section 99. Effective date. This Act takes effect July 1, 2014.