|
Rep. Robyn Gabel
Filed: 12/2/2014
| | 09800SB0636ham006 | | LRB098 04421 RPS 62683 a |
|
|
1 | | AMENDMENT TO SENATE BILL 636
|
2 | | AMENDMENT NO. ______. Amend Senate Bill 636, AS AMENDED, by |
3 | | replacing everything after the enacting clause with the |
4 | | following:
|
5 | | "Section 5. The Open Meetings Act is amended by changing |
6 | | Section 1.02 as follows: |
7 | | (5 ILCS 120/1.02) (from Ch. 102, par. 41.02) |
8 | | Sec. 1.02. For the purposes of this Act:
|
9 | | "Meeting" means any gathering, whether in person or by |
10 | | video or audio conference, telephone call, electronic means |
11 | | (such as, without limitation, electronic mail, electronic |
12 | | chat, and instant messaging), or other means of contemporaneous |
13 | | interactive communication, of a majority of a quorum of the |
14 | | members of a
public body held for the purpose of discussing |
15 | | public
business or, for a 5-member public body, a quorum of the |
16 | | members of a public body held for the purpose of discussing |
|
| | 09800SB0636ham006 | - 2 - | LRB098 04421 RPS 62683 a |
|
|
1 | | public business. |
2 | | Accordingly, for a 5-member public body, 3 members of the |
3 | | body constitute a quorum and the affirmative vote of 3 members |
4 | | is necessary to adopt any motion, resolution, or ordinance, |
5 | | unless a greater number is otherwise required.
|
6 | | "Public body" includes all legislative, executive, |
7 | | administrative or advisory
bodies of the State, counties, |
8 | | townships, cities, villages, incorporated
towns, school |
9 | | districts and all other municipal corporations, boards, |
10 | | bureaus,
committees or commissions of this State, and any |
11 | | subsidiary bodies of any
of the foregoing including but not |
12 | | limited to committees and subcommittees
which are supported in |
13 | | whole or in part by tax revenue, or which expend tax
revenue, |
14 | | except the General Assembly and committees or commissions |
15 | | thereof.
"Public body" includes tourism boards and convention |
16 | | or civic center
boards located in counties that are contiguous |
17 | | to the Mississippi River with
populations of more than 250,000 |
18 | | but less than 300,000. "Public body"
includes the Health |
19 | | Facilities and Services Review Board and the Illinois Health |
20 | | Benefits Exchange Board . "Public body" does not
include a child |
21 | | death review team or the Illinois Child Death Review Teams
|
22 | | Executive Council established under
the Child Death Review Team |
23 | | Act, an ethics commission acting under the State Officials and
|
24 | | Employees Ethics Act, a regional youth advisory board or the |
25 | | Statewide Youth Advisory Board established under the |
26 | | Department of Children and Family Services Statewide Youth |
|
| | 09800SB0636ham006 | - 3 - | LRB098 04421 RPS 62683 a |
|
|
1 | | Advisory Board Act, or the Illinois Independent Tax Tribunal.
|
2 | | (Source: P.A. 97-1129, eff. 8-28-12; 98-806, eff. 1-1-15 .)
|
3 | | Section 6. The Freedom of Information Act is amended by |
4 | | changing Section 2 as follows:
|
5 | | (5 ILCS 140/2) (from Ch. 116, par. 202)
|
6 | | Sec. 2. Definitions. As used in this Act:
|
7 | | (a) "Public body" means all legislative,
executive, |
8 | | administrative, or advisory bodies of the State, state |
9 | | universities
and colleges, counties, townships, cities, |
10 | | villages, incorporated towns,
school districts and all other |
11 | | municipal corporations,
boards, bureaus, committees, or |
12 | | commissions of this State, any
subsidiary
bodies of any of the |
13 | | foregoing including but not limited to committees and
|
14 | | subcommittees thereof, and a School Finance Authority created |
15 | | under
Article 1E of the School Code. "Public body" includes the |
16 | | Illinois Health Benefits Exchange.
"Public body" does not |
17 | | include a child death review team
or the Illinois Child Death |
18 | | Review Teams
Executive Council
established under
the Child |
19 | | Death Review Team Act, or a regional youth advisory board or |
20 | | the Statewide Youth Advisory Board established under the |
21 | | Department of Children and Family Services Statewide Youth |
22 | | Advisory Board Act.
|
23 | | (b) "Person" means any individual, corporation, |
24 | | partnership, firm,
organization
or association, acting |
|
| | 09800SB0636ham006 | - 4 - | LRB098 04421 RPS 62683 a |
|
|
1 | | individually or as a group.
|
2 | | (c) "Public records" means all records, reports, forms, |
3 | | writings, letters,
memoranda, books, papers, maps, |
4 | | photographs, microfilms, cards, tapes,
recordings,
electronic |
5 | | data processing records, electronic communications, recorded |
6 | | information and all other
documentary
materials pertaining to |
7 | | the transaction of public business, regardless of physical form |
8 | | or characteristics, having been
prepared by or for, or having |
9 | | been or being used by, received by, in the possession of, or |
10 | | under the
control
of
any public body. |
11 | | (c-5) "Private information" means unique identifiers, |
12 | | including a person's social security number, driver's license |
13 | | number, employee identification number, biometric identifiers, |
14 | | personal financial information, passwords or other access |
15 | | codes, medical records, home or personal telephone numbers, and |
16 | | personal email addresses. Private information also includes |
17 | | home address and personal license plates, except as otherwise |
18 | | provided by law or when compiled without possibility of |
19 | | attribution to any person. |
20 | | (c-10) "Commercial purpose" means the use of any part of a |
21 | | public record or records, or information derived from public |
22 | | records, in any form for sale, resale, or solicitation or |
23 | | advertisement for sales or services. For purposes of this |
24 | | definition, requests made by news media and non-profit, |
25 | | scientific, or academic organizations shall not be considered |
26 | | to be made for a "commercial purpose" when the principal |
|
| | 09800SB0636ham006 | - 5 - | LRB098 04421 RPS 62683 a |
|
|
1 | | purpose of the request is (i) to access and disseminate |
2 | | information concerning news and current or passing events, (ii) |
3 | | for articles of opinion or features of interest to the public, |
4 | | or (iii) for the purpose of academic, scientific, or public |
5 | | research or education.
|
6 | | (d) "Copying" means the reproduction of any public record |
7 | | by means of any
photographic, electronic, mechanical or other |
8 | | process, device or means now known or hereafter developed and |
9 | | available to the public body.
|
10 | | (e) "Head of the public body" means the president, mayor, |
11 | | chairman,
presiding
officer, director, superintendent, |
12 | | manager, supervisor or individual otherwise
holding primary |
13 | | executive and administrative authority for the public
body, or |
14 | | such person's duly authorized designee.
|
15 | | (f) "News media" means a newspaper or other periodical |
16 | | issued at regular
intervals whether in print or electronic |
17 | | format, a news service whether
in print or electronic format, a |
18 | | radio
station, a television station, a television network, a |
19 | | community
antenna television service, or a person or |
20 | | corporation engaged in making news
reels or other motion |
21 | | picture news for public showing.
|
22 | | (g) "Recurrent requester", as used in Section 3.2 of this |
23 | | Act, means a person that, in the 12 months immediately |
24 | | preceding the request, has submitted to the same public body |
25 | | (i) a minimum of 50 requests for records, (ii) a minimum of 15 |
26 | | requests for records within a 30-day period, or (iii) a minimum |
|
| | 09800SB0636ham006 | - 6 - | LRB098 04421 RPS 62683 a |
|
|
1 | | of 7 requests for records within a 7-day period. For purposes |
2 | | of this definition, requests made by news media and non-profit, |
3 | | scientific, or academic organizations shall not be considered |
4 | | in calculating the number of requests made in the time periods |
5 | | in this definition when the principal purpose of the requests |
6 | | is (i) to access and disseminate information concerning news |
7 | | and current or passing events, (ii) for articles of opinion or |
8 | | features of interest to the public, or (iii) for the purpose of |
9 | | academic, scientific, or public research or education. |
10 | | For the purposes of this subsection (g), "request" means a |
11 | | written document (or oral request, if the public body chooses |
12 | | to honor oral requests) that is submitted to a public body via |
13 | | personal delivery, mail, telefax, electronic mail, or other |
14 | | means available to the public body and that identifies the |
15 | | particular public record the requester seeks. One request may |
16 | | identify multiple records to be inspected or copied. |
17 | | (Source: P.A. 97-579, eff. 8-26-11; 98-806, eff. 1-1-15 .)
|
18 | | Section 7. The Illinois Public Labor Relations Act is |
19 | | amended by changing Section 3 as follows: |
20 | | (5 ILCS 315/3) (from Ch. 48, par. 1603)
|
21 | | Sec. 3. Definitions. As used in this Act, unless the |
22 | | context
otherwise requires:
|
23 | | (a) "Board" means the Illinois
Labor Relations Board or, |
24 | | with respect to a matter over which the
jurisdiction of the |
|
| | 09800SB0636ham006 | - 7 - | LRB098 04421 RPS 62683 a |
|
|
1 | | Board is assigned to the State Panel or the Local Panel
under |
2 | | Section 5, the panel having jurisdiction over the matter.
|
3 | | (b) "Collective bargaining" means bargaining over terms |
4 | | and conditions
of employment, including hours, wages, and other |
5 | | conditions of employment,
as detailed in Section 7 and which |
6 | | are not excluded by Section 4.
|
7 | | (c) "Confidential employee" means an employee who, in the |
8 | | regular course
of his or her duties, assists and acts in a |
9 | | confidential capacity to persons
who formulate, determine, and |
10 | | effectuate management policies with regard
to labor relations |
11 | | or who, in the regular course of his or her duties, has
|
12 | | authorized access to information relating to the effectuation
|
13 | | or review of the employer's collective bargaining policies.
|
14 | | (d) "Craft employees" means skilled journeymen, crafts |
15 | | persons, and their
apprentices and helpers.
|
16 | | (e) "Essential services employees" means those public |
17 | | employees
performing functions so essential that the |
18 | | interruption or termination of
the function will constitute a |
19 | | clear and present danger to the health and
safety of the |
20 | | persons in the affected community.
|
21 | | (f) "Exclusive representative", except with respect to |
22 | | non-State fire
fighters and paramedics employed by fire |
23 | | departments and fire protection
districts, non-State peace |
24 | | officers, and peace officers in the
Department of State Police, |
25 | | means the labor organization that has
been (i) designated by |
26 | | the Board as the representative of a majority of public
|
|
| | 09800SB0636ham006 | - 8 - | LRB098 04421 RPS 62683 a |
|
|
1 | | employees in an appropriate bargaining unit in accordance with |
2 | | the procedures
contained in this Act, (ii) historically
|
3 | | recognized by the State of Illinois or
any political |
4 | | subdivision of the State before July 1, 1984
(the effective |
5 | | date of this
Act) as the exclusive representative of the |
6 | | employees in an appropriate
bargaining unit, (iii) after July |
7 | | 1, 1984 (the
effective date of this Act) recognized by an
|
8 | | employer upon evidence, acceptable to the Board, that the labor
|
9 | | organization has been designated as the exclusive |
10 | | representative by a
majority of the employees in an appropriate |
11 | | bargaining unit;
(iv) recognized as the exclusive |
12 | | representative of personal
assistants under Executive Order |
13 | | 2003-8 prior to the effective date of this
amendatory
Act of |
14 | | the 93rd General Assembly, and the organization shall be |
15 | | considered to
be the
exclusive representative of the personal |
16 | | assistants
as defined
in this Section; or (v) recognized as the |
17 | | exclusive representative of child and day care home providers, |
18 | | including licensed and license exempt providers, pursuant to an |
19 | | election held under Executive Order 2005-1 prior to the |
20 | | effective date of this amendatory Act of the 94th General |
21 | | Assembly, and the organization shall be considered to be the |
22 | | exclusive representative of the child and day care home |
23 | | providers as defined in this Section.
|
24 | | With respect to non-State fire fighters and paramedics |
25 | | employed by fire
departments and fire protection districts, |
26 | | non-State peace officers, and
peace officers in the Department |
|
| | 09800SB0636ham006 | - 9 - | LRB098 04421 RPS 62683 a |
|
|
1 | | of State Police,
"exclusive representative" means the labor |
2 | | organization that has
been (i) designated by the Board as the |
3 | | representative of a majority of peace
officers or fire fighters |
4 | | in an appropriate bargaining unit in accordance
with the |
5 | | procedures contained in this Act, (ii)
historically recognized
|
6 | | by the State of Illinois or any political subdivision of the |
7 | | State before
January 1, 1986 (the effective date of this |
8 | | amendatory Act of 1985) as the exclusive
representative by a |
9 | | majority of the peace officers or fire fighters in an
|
10 | | appropriate bargaining unit, or (iii) after January 1,
1986 |
11 | | (the effective date of this amendatory
Act of 1985) recognized |
12 | | by an employer upon evidence, acceptable to the
Board, that the |
13 | | labor organization has been designated as the exclusive
|
14 | | representative by a majority of the peace officers or fire |
15 | | fighters in an
appropriate bargaining unit.
|
16 | | Where a historical pattern of representation exists for the |
17 | | workers of a water system that was owned by a public utility, |
18 | | as defined in Section 3-105 of the Public Utilities Act, prior |
19 | | to becoming certified employees of a municipality or |
20 | | municipalities once the municipality or municipalities have |
21 | | acquired the water system as authorized in Section 11-124-5 of |
22 | | the Illinois Municipal Code, the Board shall find the labor |
23 | | organization that has historically represented the workers to |
24 | | be the exclusive representative under this Act, and shall find |
25 | | the unit represented by the exclusive representative to be the |
26 | | appropriate unit. |
|
| | 09800SB0636ham006 | - 10 - | LRB098 04421 RPS 62683 a |
|
|
1 | | (g) "Fair share agreement" means an agreement between the |
2 | | employer and
an employee organization under which all or any of |
3 | | the employees in a
collective bargaining unit are required to |
4 | | pay their proportionate share of
the costs of the collective |
5 | | bargaining process, contract administration, and
pursuing |
6 | | matters affecting wages, hours, and other conditions of |
7 | | employment,
but not to exceed the amount of dues uniformly |
8 | | required of members. The
amount certified by the exclusive |
9 | | representative shall not include any fees
for contributions |
10 | | related to the election or support of any candidate for
|
11 | | political office. Nothing in this subsection (g) shall
preclude |
12 | | an employee from making
voluntary political contributions in |
13 | | conjunction with his or her fair share
payment.
|
14 | | (g-1) "Fire fighter" means, for the purposes of this Act |
15 | | only, any
person who has been or is hereafter appointed to a |
16 | | fire department or fire
protection district or employed by a |
17 | | state university and sworn or
commissioned to perform fire |
18 | | fighter duties or paramedic duties, except that the
following |
19 | | persons are not included: part-time fire fighters,
auxiliary, |
20 | | reserve or voluntary fire fighters, including paid on-call fire
|
21 | | fighters, clerks and dispatchers or other civilian employees of |
22 | | a fire
department or fire protection district who are not |
23 | | routinely expected to
perform fire fighter duties, or elected |
24 | | officials.
|
25 | | (g-2) "General Assembly of the State of Illinois" means the
|
26 | | legislative branch of the government of the State of Illinois, |
|
| | 09800SB0636ham006 | - 11 - | LRB098 04421 RPS 62683 a |
|
|
1 | | as provided
for under Article IV of the Constitution of the |
2 | | State of Illinois, and
includes but is not limited to the House |
3 | | of Representatives, the Senate,
the Speaker of the House of |
4 | | Representatives, the Minority Leader of the
House of |
5 | | Representatives, the President of the Senate, the Minority |
6 | | Leader
of the Senate, the Joint Committee on Legislative |
7 | | Support Services and any
legislative support services agency |
8 | | listed in the Legislative Commission
Reorganization Act of |
9 | | 1984.
|
10 | | (h) "Governing body" means, in the case of the State, the |
11 | | State Panel of
the Illinois Labor Relations Board, the Director |
12 | | of the Department of Central
Management Services, and the |
13 | | Director of the Department of Labor; the county
board in the |
14 | | case of a county; the corporate authorities in the case of a
|
15 | | municipality; and the appropriate body authorized to provide |
16 | | for expenditures
of its funds in the case of any other unit of |
17 | | government.
|
18 | | (i) "Labor organization" means any organization in which |
19 | | public employees
participate and that exists for the purpose, |
20 | | in whole or in part, of dealing
with a public employer |
21 | | concerning wages, hours, and other terms and conditions
of |
22 | | employment, including the settlement of grievances.
|
23 | | (i-5) "Legislative liaison" means a person who is an |
24 | | employee of a State agency, the Attorney General, the Secretary |
25 | | of State, the Comptroller, or the Treasurer, as the case may |
26 | | be, and whose job duties require the person to regularly |
|
| | 09800SB0636ham006 | - 12 - | LRB098 04421 RPS 62683 a |
|
|
1 | | communicate in the course of his or her employment with any |
2 | | official or staff of the General Assembly of the State of |
3 | | Illinois for the purpose of influencing any legislative action. |
4 | | (j) "Managerial employee" means an individual who is |
5 | | engaged
predominantly in executive and management functions |
6 | | and is charged with the
responsibility of directing the |
7 | | effectuation of management policies
and practices. With |
8 | | respect only to State employees in positions under the |
9 | | jurisdiction of the Attorney General, Secretary of State, |
10 | | Comptroller, or Treasurer (i) that were certified in a |
11 | | bargaining unit on or after December 2, 2008, (ii) for which a |
12 | | petition is filed with the Illinois Public Labor Relations |
13 | | Board on or after April 5, 2013 (the effective date of Public |
14 | | Act 97-1172), or (iii) for which a petition is pending before |
15 | | the Illinois Public Labor Relations Board on that date, |
16 | | "managerial employee" means an individual who is engaged in |
17 | | executive and management functions or who is charged with the |
18 | | effectuation of management policies and practices or who |
19 | | represents management interests by taking or recommending |
20 | | discretionary actions that effectively control or implement |
21 | | policy. Nothing in this definition prohibits an individual from |
22 | | also meeting the definition of "supervisor" under subsection |
23 | | (r) of this Section.
|
24 | | (k) "Peace officer" means, for the purposes of this Act |
25 | | only, any
persons who have been or are hereafter appointed to a |
26 | | police force,
department, or agency and sworn or commissioned |
|
| | 09800SB0636ham006 | - 13 - | LRB098 04421 RPS 62683 a |
|
|
1 | | to perform police duties,
except that the following persons are |
2 | | not
included: part-time police
officers, special police |
3 | | officers, auxiliary police as defined by Section
3.1-30-20 of |
4 | | the Illinois Municipal Code, night watchmen, "merchant |
5 | | police",
court security officers as defined by Section 3-6012.1 |
6 | | of the Counties
Code,
temporary employees, traffic guards or |
7 | | wardens, civilian parking meter and
parking facilities |
8 | | personnel or other individuals specially appointed to
aid or |
9 | | direct traffic at or near schools or public functions or to aid |
10 | | in
civil defense or disaster, parking enforcement employees who |
11 | | are not
commissioned as peace officers and who are not armed |
12 | | and who are not
routinely expected to effect arrests, parking |
13 | | lot attendants, clerks and
dispatchers or other civilian |
14 | | employees of a police department who are not
routinely expected |
15 | | to effect arrests, or elected officials.
|
16 | | (l) "Person" includes one or more individuals, labor |
17 | | organizations, public
employees, associations, corporations, |
18 | | legal representatives, trustees,
trustees in bankruptcy, |
19 | | receivers, or the State of Illinois or any political
|
20 | | subdivision of the State or governing body, but does not |
21 | | include the General
Assembly of the State of Illinois or any |
22 | | individual employed by the General
Assembly of the State of |
23 | | Illinois.
|
24 | | (m) "Professional employee" means any employee engaged in |
25 | | work predominantly
intellectual and varied in character rather |
26 | | than routine mental, manual,
mechanical or physical work; |
|
| | 09800SB0636ham006 | - 14 - | LRB098 04421 RPS 62683 a |
|
|
1 | | involving the consistent exercise of discretion
and adjustment |
2 | | in its performance; of such a character that the output |
3 | | produced
or the result accomplished cannot be standardized in |
4 | | relation to a given
period of time; and requiring advanced |
5 | | knowledge in a field of science or
learning customarily |
6 | | acquired by a prolonged course of specialized intellectual
|
7 | | instruction and study in an institution of higher learning or a |
8 | | hospital,
as distinguished from a general academic education or |
9 | | from apprenticeship
or from training in the performance of |
10 | | routine mental, manual, or physical
processes; or any employee |
11 | | who has completed the courses of specialized
intellectual |
12 | | instruction and study prescribed in this subsection (m) and is
|
13 | | performing related
work under the supervision of a professional |
14 | | person to qualify to become
a professional employee as defined |
15 | | in this subsection (m).
|
16 | | (n) "Public employee" or "employee", for the purposes of |
17 | | this Act, means
any individual employed by a public employer, |
18 | | including (i) interns and residents
at public hospitals, (ii) |
19 | | as of the effective date of this amendatory Act of the 93rd |
20 | | General
Assembly, but not
before, personal assistants working |
21 | | under the Home
Services
Program under Section 3 of the Disabled |
22 | | Persons Rehabilitation Act, subject to
the
limitations set |
23 | | forth in this Act and in the Disabled Persons Rehabilitation
|
24 | | Act,
(iii) as of the effective date of this amendatory Act of |
25 | | the 94th General Assembly, but not before, child and day care |
26 | | home providers participating in the child care assistance |
|
| | 09800SB0636ham006 | - 15 - | LRB098 04421 RPS 62683 a |
|
|
1 | | program under Section 9A-11 of the Illinois Public Aid Code, |
2 | | subject to the limitations set forth in this Act and in Section |
3 | | 9A-11 of the Illinois Public Aid Code, (iv) as of January 29, |
4 | | 2013 (the effective date of Public Act 97-1158), but not before |
5 | | except as otherwise provided in this subsection (n), home care |
6 | | and home health workers who function as personal assistants and |
7 | | individual maintenance home health workers and who also work |
8 | | under the Home Services Program under Section 3 of the Disabled |
9 | | Persons Rehabilitation Act, no matter whether the State |
10 | | provides those services through direct fee-for-service |
11 | | arrangements, with the assistance of a managed care |
12 | | organization or other intermediary, or otherwise, (v) |
13 | | beginning on the effective date of this amendatory Act of the |
14 | | 98th General Assembly and notwithstanding any other provision |
15 | | of this Act, any person employed by a public employer and who |
16 | | is classified as or who holds the employment title of Chief |
17 | | Stationary Engineer, Assistant Chief Stationary Engineer, |
18 | | Sewage Plant Operator, Water Plant Operator, Stationary |
19 | | Engineer, Plant Operating Engineer, and any other employee who |
20 | | holds the position of: Civil Engineer V, Civil Engineer VI, |
21 | | Civil Engineer VII, Technical Manager I, Technical Manager II, |
22 | | Technical Manager III, Technical Manager IV, Technical Manager |
23 | | V, Technical Manager VI, Realty Specialist III, Realty |
24 | | Specialist IV, Realty Specialist V, Technical Advisor I, |
25 | | Technical Advisor II, Technical Advisor III, Technical Advisor |
26 | | IV, or Technical Advisor V employed by the Department of |
|
| | 09800SB0636ham006 | - 16 - | LRB098 04421 RPS 62683 a |
|
|
1 | | Transportation who is in a position which is certified in a |
2 | | bargaining unit on or before the effective date of this |
3 | | amendatory Act of the 98th General Assembly, and (vi) beginning |
4 | | on the effective date of this amendatory Act of the 98th |
5 | | General Assembly and notwithstanding any other provision of |
6 | | this Act, any mental health administrator in the Department of |
7 | | Corrections who is classified as or who holds the position of |
8 | | Public Service Administrator (Option 8K), any employee of the |
9 | | Office of the Inspector General in the Department of Human |
10 | | Services who is classified as or who holds the position of |
11 | | Public Service Administrator (Option 7), any Deputy of |
12 | | Intelligence in the Department of Corrections who is classified |
13 | | as or who holds the position of Public Service Administrator |
14 | | (Option 7), and any employee of the Department of State Police |
15 | | who handles issues concerning the Illinois State Police Sex |
16 | | Offender Registry and who is classified as or holds the |
17 | | position of Public Service Administrator (Option 7), but |
18 | | excluding all of the following: employees of the
General |
19 | | Assembly of the State of Illinois; elected officials; executive
|
20 | | heads of a department; members of boards or commissions; the |
21 | | Executive
Inspectors General; any special Executive Inspectors |
22 | | General; employees of each
Office of an Executive Inspector |
23 | | General;
commissioners and employees of the Executive Ethics |
24 | | Commission; the Auditor
General's Inspector General; employees |
25 | | of the Office of the Auditor General's
Inspector General; the |
26 | | Legislative Inspector General; any special Legislative
|
|
| | 09800SB0636ham006 | - 17 - | LRB098 04421 RPS 62683 a |
|
|
1 | | Inspectors General; employees of the Office
of the Legislative |
2 | | Inspector General;
commissioners and employees of the |
3 | | Legislative Ethics Commission;
employees
of any
agency, board |
4 | | or commission created by this Act; members of the Illinois |
5 | | Health Benefits Exchange Board and employees of the Illinois |
6 | | Health Benefits Exchange; employees appointed to
State |
7 | | positions of a temporary or emergency nature; all employees of |
8 | | school
districts and higher education institutions except |
9 | | firefighters and peace
officers employed
by a state university |
10 | | and except peace officers employed by a school district in its |
11 | | own police department in existence on the effective date of |
12 | | this amendatory Act of the 96th General Assembly; managerial |
13 | | employees; short-term employees; legislative liaisons; a |
14 | | person who is a State employee under the jurisdiction of the |
15 | | Office of the Attorney General who is licensed to practice law |
16 | | or whose position authorizes, either directly or indirectly, |
17 | | meaningful input into government decision-making on issues |
18 | | where there is room for principled disagreement on goals or |
19 | | their implementation; a person who is a State employee under |
20 | | the jurisdiction of the Office of the Comptroller who holds the |
21 | | position of Public Service Administrator or whose position is |
22 | | otherwise exempt under the Comptroller Merit Employment Code; a |
23 | | person who is a State employee under the jurisdiction of the |
24 | | Secretary of State who holds the position classification of |
25 | | Executive I or higher, whose position authorizes, either |
26 | | directly or indirectly, meaningful input into government |
|
| | 09800SB0636ham006 | - 18 - | LRB098 04421 RPS 62683 a |
|
|
1 | | decision-making on issues where there is room for principled |
2 | | disagreement on goals or their implementation, or who is |
3 | | otherwise exempt under the Secretary of State Merit Employment |
4 | | Code; employees in the Office of the Secretary of State who are |
5 | | completely exempt from jurisdiction B of the Secretary of State |
6 | | Merit Employment Code and who are in Rutan-exempt positions on |
7 | | or after April 5, 2013 (the effective date of Public Act |
8 | | 97-1172); a person who is a State employee under the |
9 | | jurisdiction of the Treasurer who holds a position that is |
10 | | exempt from the State Treasurer Employment Code; any employee |
11 | | of a State agency who (i) holds the title or position of, or |
12 | | exercises substantially similar duties as a legislative |
13 | | liaison, Agency General Counsel, Agency Chief of Staff, Agency |
14 | | Executive Director, Agency Deputy Director, Agency Chief |
15 | | Fiscal Officer, Agency Human Resources Director, Public |
16 | | Information Officer, or Chief Information Officer and (ii) was |
17 | | neither included in a bargaining unit nor subject to an active |
18 | | petition for certification in a bargaining unit; any employee |
19 | | of a State agency who (i) is in a position that is |
20 | | Rutan-exempt, as designated by the employer, and completely |
21 | | exempt from jurisdiction B of the Personnel Code and (ii) was |
22 | | neither included in a bargaining unit nor subject to an active |
23 | | petition for certification in a bargaining unit; any term |
24 | | appointed employee of a State agency pursuant to Section 8b.18 |
25 | | or 8b.19 of the Personnel Code who was neither included in a |
26 | | bargaining unit nor subject to an active petition for |
|
| | 09800SB0636ham006 | - 19 - | LRB098 04421 RPS 62683 a |
|
|
1 | | certification in a bargaining unit; any employment position |
2 | | properly designated pursuant to Section 6.1 of this Act;
|
3 | | confidential employees; independent contractors; and |
4 | | supervisors except as
provided in this Act.
|
5 | | Home care
and home health workers who function as personal |
6 | | assistants and individual maintenance home health workers and |
7 | | who also work under the Home Services Program under Section 3 |
8 | | of the Disabled Persons Rehabilitation Act shall not be |
9 | | considered
public
employees for any purposes not specifically |
10 | | provided for in Public Act 93-204 or Public Act 97-1158, |
11 | | including but not limited to, purposes of vicarious
liability |
12 | | in tort
and purposes of statutory retirement or health |
13 | | insurance benefits. Home care and home health workers who |
14 | | function as personal assistants and individual maintenance |
15 | | home health workers and who also work under the Home Services |
16 | | Program under Section 3 of the Disabled Persons Rehabilitation |
17 | | Act shall not be covered by the State Employees
Group
Insurance |
18 | | Act of 1971 (5 ILCS 375/).
|
19 | | Child and day care home providers shall not be considered |
20 | | public employees for any purposes not specifically provided for |
21 | | in this amendatory Act of the 94th General Assembly, including |
22 | | but not limited to, purposes of vicarious liability in tort and |
23 | | purposes of statutory retirement or health insurance benefits. |
24 | | Child and day care home providers shall not be covered by the |
25 | | State Employees Group Insurance Act of 1971. |
26 | | Notwithstanding Section 9, subsection (c), or any other |
|
| | 09800SB0636ham006 | - 20 - | LRB098 04421 RPS 62683 a |
|
|
1 | | provisions of
this Act, all peace officers above the rank of |
2 | | captain in
municipalities with more than 1,000,000 inhabitants |
3 | | shall be excluded
from this Act.
|
4 | | (o) Except as otherwise in subsection (o-5), "public |
5 | | employer" or "employer" means the State of Illinois; any
|
6 | | political subdivision of the State, unit of local government or |
7 | | school
district; authorities including departments, divisions, |
8 | | bureaus, boards,
commissions, or other agencies of the |
9 | | foregoing entities; and any person
acting within the scope of |
10 | | his or her authority, express or implied, on
behalf of those |
11 | | entities in dealing with its employees.
As of the effective |
12 | | date of the amendatory Act of the 93rd General Assembly,
but |
13 | | not
before, the State of Illinois shall be considered the |
14 | | employer of the personal assistants working under the Home |
15 | | Services Program
under
Section 3 of the Disabled Persons |
16 | | Rehabilitation Act, subject to the
limitations set forth
in |
17 | | this Act and in the Disabled Persons Rehabilitation Act. As of |
18 | | January 29, 2013 (the effective date of Public Act 97-1158), |
19 | | but not before except as otherwise provided in this subsection |
20 | | (o), the State shall be considered the employer of home care |
21 | | and home health workers who function as personal assistants and |
22 | | individual maintenance home health workers and who also work |
23 | | under the Home Services Program under Section 3 of the Disabled |
24 | | Persons Rehabilitation Act, no matter whether the State |
25 | | provides those services through direct fee-for-service |
26 | | arrangements, with the assistance of a managed care |
|
| | 09800SB0636ham006 | - 21 - | LRB098 04421 RPS 62683 a |
|
|
1 | | organization or other intermediary, or otherwise, but subject |
2 | | to the limitations set forth in this Act and the Disabled |
3 | | Persons Rehabilitation Act. The State shall not
be
considered |
4 | | to be the employer of home care and home health workers who |
5 | | function as personal
assistants and individual maintenance |
6 | | home health workers and who also work under the Home Services |
7 | | Program under Section 3 of the Disabled Persons Rehabilitation |
8 | | Act, for any
purposes not specifically provided for in Public |
9 | | Act 93-204 or Public Act 97-1158, including but not limited to, |
10 | | purposes of vicarious liability in tort
and
purposes of |
11 | | statutory retirement or health insurance benefits. Home care |
12 | | and home health workers who function as
personal assistants and |
13 | | individual maintenance home health workers and who also work |
14 | | under the Home Services Program under Section 3 of the Disabled |
15 | | Persons Rehabilitation Act shall not be covered by the State |
16 | | Employees Group
Insurance Act of 1971
(5 ILCS 375/).
As of the |
17 | | effective date of this amendatory Act of the 94th General |
18 | | Assembly but not before, the State of Illinois shall be |
19 | | considered the employer of the day and child care home |
20 | | providers participating in the child care assistance program |
21 | | under Section 9A-11 of the Illinois Public Aid Code, subject to |
22 | | the limitations set forth in this Act and in Section 9A-11 of |
23 | | the Illinois Public Aid Code. The State shall not be considered |
24 | | to be the employer of child and day care home providers for any |
25 | | purposes not specifically provided for in this amendatory Act |
26 | | of the 94th General Assembly, including but not limited to, |
|
| | 09800SB0636ham006 | - 22 - | LRB098 04421 RPS 62683 a |
|
|
1 | | purposes of vicarious liability in tort and purposes of |
2 | | statutory retirement or health insurance benefits. Child and |
3 | | day care home providers shall not be covered by the State |
4 | | Employees Group Insurance Act of 1971. |
5 | | "Public employer" or
"employer" as used in this Act, |
6 | | however, does not
mean and shall not include the General |
7 | | Assembly of the State of Illinois,
the Executive Ethics |
8 | | Commission, the Offices of the Executive Inspectors
General, |
9 | | the Legislative Ethics Commission, the Office of the |
10 | | Legislative
Inspector General, the Office of the Auditor |
11 | | General's Inspector General, the Office of the Governor, the |
12 | | Governor's Office of Management and Budget, the Illinois |
13 | | Finance Authority, the Office of the Lieutenant Governor, the |
14 | | State Board of Elections, the Illinois Health Benefits |
15 | | Exchange, and educational employers or employers as defined in |
16 | | the Illinois
Educational Labor Relations Act, except with |
17 | | respect to a state university in
its employment of firefighters |
18 | | and peace officers and except with respect to a school district |
19 | | in the employment of peace officers in its own police |
20 | | department in existence on the effective date of this |
21 | | amendatory Act of the 96th General Assembly. County boards and |
22 | | county
sheriffs shall be
designated as joint or co-employers of |
23 | | county peace officers appointed
under the authority of a county |
24 | | sheriff. Nothing in this subsection
(o) shall be construed
to |
25 | | prevent the State Panel or the Local Panel
from determining |
26 | | that employers are joint or co-employers.
|
|
| | 09800SB0636ham006 | - 23 - | LRB098 04421 RPS 62683 a |
|
|
1 | | (o-5) With respect to
wages, fringe
benefits, hours, |
2 | | holidays, vacations, proficiency
examinations, sick leave, and |
3 | | other conditions of
employment, the public employer of public |
4 | | employees who are court reporters, as
defined in the Court |
5 | | Reporters Act, shall be determined as
follows:
|
6 | | (1) For court reporters employed by the Cook County |
7 | | Judicial
Circuit, the chief judge of the Cook County |
8 | | Circuit
Court is the public employer and employer |
9 | | representative.
|
10 | | (2) For court reporters employed by the 12th, 18th, |
11 | | 19th, and, on and after December 4, 2006, the 22nd judicial
|
12 | | circuits, a group consisting of the chief judges of those |
13 | | circuits, acting
jointly by majority vote, is the public |
14 | | employer and employer representative.
|
15 | | (3) For court reporters employed by all other judicial |
16 | | circuits,
a group consisting of the chief judges of those |
17 | | circuits, acting jointly by
majority vote, is the public |
18 | | employer and employer representative.
|
19 | | (p) "Security employee" means an employee who is |
20 | | responsible for the
supervision and control of inmates at |
21 | | correctional facilities. The term
also includes other |
22 | | non-security employees in bargaining units having the
majority |
23 | | of employees being responsible for the supervision and control |
24 | | of
inmates at correctional facilities.
|
25 | | (q) "Short-term employee" means an employee who is employed |
26 | | for less
than 2 consecutive calendar quarters during a calendar |
|
| | 09800SB0636ham006 | - 24 - | LRB098 04421 RPS 62683 a |
|
|
1 | | year and who does
not have a reasonable assurance that he or |
2 | | she will be rehired by the
same employer for the same service |
3 | | in a subsequent calendar year.
|
4 | | (q-5) "State agency" means an agency directly responsible |
5 | | to the Governor, as defined in Section 3.1 of the Executive |
6 | | Reorganization Implementation Act, and the Illinois Commerce |
7 | | Commission, the Illinois Workers' Compensation Commission, the |
8 | | Civil Service Commission, the Pollution Control Board, the |
9 | | Illinois Racing Board, and the Department of State Police Merit |
10 | | Board. |
11 | | (r) "Supervisor" is: |
12 | | (1) An employee whose principal work is substantially
|
13 | | different from that of his or her subordinates and who has |
14 | | authority, in the
interest of the employer, to hire, |
15 | | transfer, suspend, lay off, recall,
promote, discharge, |
16 | | direct, reward, or discipline employees, to adjust
their |
17 | | grievances, or to effectively recommend any of those |
18 | | actions, if the
exercise
of that authority is not of a |
19 | | merely routine or clerical nature, but
requires the |
20 | | consistent use of independent judgment. Except with |
21 | | respect to
police employment, the term "supervisor" |
22 | | includes only those individuals
who devote a preponderance |
23 | | of their employment time to exercising that
authority, |
24 | | State supervisors notwithstanding. Nothing in this |
25 | | definition prohibits an individual from also meeting the |
26 | | definition of "managerial employee" under subsection (j) |
|
| | 09800SB0636ham006 | - 25 - | LRB098 04421 RPS 62683 a |
|
|
1 | | of this Section. In addition, in determining
supervisory |
2 | | status in police employment, rank shall not be |
3 | | determinative.
The Board shall consider, as evidence of |
4 | | bargaining unit inclusion or
exclusion, the common law |
5 | | enforcement policies and relationships between
police |
6 | | officer ranks and certification under applicable civil |
7 | | service law,
ordinances, personnel codes, or Division 2.1 |
8 | | of Article 10 of the Illinois
Municipal Code, but these |
9 | | factors shall not
be the sole or predominant factors |
10 | | considered by the Board in determining
police supervisory |
11 | | status.
|
12 | | Notwithstanding the provisions of the preceding |
13 | | paragraph, in determining
supervisory status in fire |
14 | | fighter employment, no fire fighter shall be
excluded as a |
15 | | supervisor who has established representation rights under
|
16 | | Section 9 of this Act. Further, in new fire fighter units, |
17 | | employees shall
consist of fire fighters of the rank of |
18 | | company officer and below. If a company officer otherwise |
19 | | qualifies as a supervisor under the preceding paragraph, |
20 | | however, he or she shall
not be included in the fire |
21 | | fighter
unit. If there is no rank between that of chief and |
22 | | the
highest company officer, the employer may designate a |
23 | | position on each
shift as a Shift Commander, and the |
24 | | persons occupying those positions shall
be supervisors. |
25 | | All other ranks above that of company officer shall be
|
26 | | supervisors.
|
|
| | 09800SB0636ham006 | - 26 - | LRB098 04421 RPS 62683 a |
|
|
1 | | (2) With respect only to State employees in positions |
2 | | under the jurisdiction of the Attorney General, Secretary |
3 | | of State, Comptroller, or Treasurer (i) that were certified |
4 | | in a bargaining unit on or after December 2, 2008, (ii) for |
5 | | which a petition is filed with the Illinois Public Labor |
6 | | Relations Board on or after April 5, 2013 (the effective |
7 | | date of Public Act 97-1172), or (iii) for which a petition |
8 | | is pending before the Illinois Public Labor Relations Board |
9 | | on that date, an employee who qualifies as a supervisor |
10 | | under (A) Section 152 of the National Labor Relations Act |
11 | | and (B) orders of the National Labor Relations Board |
12 | | interpreting that provision or decisions of courts |
13 | | reviewing decisions of the National Labor Relations Board. |
14 | | (s)(1) "Unit" means a class of jobs or positions that are |
15 | | held by
employees whose collective interests may suitably be |
16 | | represented by a labor
organization for collective bargaining. |
17 | | Except with respect to non-State fire
fighters and paramedics |
18 | | employed by fire departments and fire protection
districts, |
19 | | non-State peace officers, and peace officers in the Department |
20 | | of
State Police, a bargaining unit determined by the Board |
21 | | shall not include both
employees and supervisors, or |
22 | | supervisors only, except as provided in paragraph
(2) of this |
23 | | subsection (s) and except for bargaining units in existence on |
24 | | July
1, 1984 (the effective date of this Act). With respect to |
25 | | non-State fire
fighters and paramedics employed by fire |
26 | | departments and fire protection
districts, non-State peace |
|
| | 09800SB0636ham006 | - 27 - | LRB098 04421 RPS 62683 a |
|
|
1 | | officers, and peace officers in the Department of
State Police, |
2 | | a bargaining unit determined by the Board shall not include |
3 | | both
supervisors and nonsupervisors, or supervisors only, |
4 | | except as provided in
paragraph (2) of this subsection (s) and |
5 | | except for bargaining units in
existence on January 1, 1986 |
6 | | (the effective date of this amendatory Act of
1985). A |
7 | | bargaining unit determined by the Board to contain peace |
8 | | officers
shall contain no employees other than peace officers |
9 | | unless otherwise agreed to
by the employer and the labor |
10 | | organization or labor organizations involved.
Notwithstanding |
11 | | any other provision of this Act, a bargaining unit, including a
|
12 | | historical bargaining unit, containing sworn peace officers of |
13 | | the Department
of Natural Resources (formerly designated the |
14 | | Department of Conservation) shall
contain no employees other |
15 | | than such sworn peace officers upon the effective
date of this |
16 | | amendatory Act of 1990 or upon the expiration date of any
|
17 | | collective bargaining agreement in effect upon the effective |
18 | | date of this
amendatory Act of 1990 covering both such sworn |
19 | | peace officers and other
employees.
|
20 | | (2) Notwithstanding the exclusion of supervisors from |
21 | | bargaining units
as provided in paragraph (1) of this |
22 | | subsection (s), a public
employer may agree to permit its |
23 | | supervisory employees to form bargaining units
and may bargain |
24 | | with those units. This Act shall apply if the public employer
|
25 | | chooses to bargain under this subsection.
|
26 | | (3) Public employees who are court reporters, as defined
in |
|
| | 09800SB0636ham006 | - 28 - | LRB098 04421 RPS 62683 a |
|
|
1 | | the Court Reporters Act,
shall be divided into 3 units for |
2 | | collective bargaining purposes. One unit
shall be court |
3 | | reporters employed by the Cook County Judicial Circuit; one
|
4 | | unit shall be court reporters employed by the 12th, 18th, 19th, |
5 | | and, on and after December 4, 2006, the 22nd judicial
circuits; |
6 | | and one unit shall be court reporters employed by all other
|
7 | | judicial circuits.
|
8 | | (t) "Active petition for certification in a bargaining |
9 | | unit" means a petition for certification filed with the Board |
10 | | under one of the following case numbers: S-RC-11-110; |
11 | | S-RC-11-098; S-UC-11-080; S-RC-11-086; S-RC-11-074; |
12 | | S-RC-11-076; S-RC-11-078; S-UC-11-052; S-UC-11-054; |
13 | | S-RC-11-062; S-RC-11-060; S-RC-11-042; S-RC-11-014; |
14 | | S-RC-11-016; S-RC-11-020; S-RC-11-030; S-RC-11-004; |
15 | | S-RC-10-244; S-RC-10-228; S-RC-10-222; S-RC-10-220; |
16 | | S-RC-10-214; S-RC-10-196; S-RC-10-194; S-RC-10-178; |
17 | | S-RC-10-176; S-RC-10-162; S-RC-10-156; S-RC-10-088; |
18 | | S-RC-10-074; S-RC-10-076; S-RC-10-078; S-RC-10-060; |
19 | | S-RC-10-070; S-RC-10-044; S-RC-10-038; S-RC-10-040; |
20 | | S-RC-10-042; S-RC-10-018; S-RC-10-024; S-RC-10-004; |
21 | | S-RC-10-006; S-RC-10-008; S-RC-10-010; S-RC-10-012; |
22 | | S-RC-09-202; S-RC-09-182; S-RC-09-180; S-RC-09-156; |
23 | | S-UC-09-196; S-UC-09-182; S-RC-08-130; S-RC-07-110; or |
24 | | S-RC-07-100. |
25 | | (Source: P.A. 97-586, eff. 8-26-11; 97-1158, eff. 1-29-13; |
26 | | 97-1172, eff. 4-5-13; 98-100, eff. 7-19-13; 98-1004, eff. |
|
| | 09800SB0636ham006 | - 29 - | LRB098 04421 RPS 62683 a |
|
|
1 | | 8-18-14.)
|
2 | | Section 8. The State Employee Indemnification Act is |
3 | | amended by changing Section 1 as follows: |
4 | | (5 ILCS 350/1) (from Ch. 127, par. 1301)
|
5 | | Sec. 1. Definitions. For the purpose of this Act:
|
6 | | (a) The term "State" means the State of Illinois, the |
7 | | General
Assembly, the court, or any State office, department, |
8 | | division, bureau,
board, commission, or committee, the |
9 | | governing boards of the public
institutions of higher education |
10 | | created by the State, the Illinois
National Guard, the |
11 | | Comprehensive Health Insurance Board, any poison control
|
12 | | center designated under the Poison Control System Act that |
13 | | receives State
funding, the Illinois Health Benefits Exchange, |
14 | | or any other agency or instrumentality of the State. It
does |
15 | | not mean any local public entity as that term is defined in |
16 | | Section
1-206 of the Local Governmental and Governmental |
17 | | Employees Tort Immunity
Act or a pension fund.
|
18 | | (b) The term "employee" means: any present or former |
19 | | elected or
appointed officer, trustee or employee of the State, |
20 | | or of a pension
fund;
any present or former commissioner or |
21 | | employee of the Executive Ethics
Commission or of the |
22 | | Legislative Ethics Commission; any present or former
|
23 | | Executive, Legislative, or Auditor General's Inspector |
24 | | General; any present or
former employee of an Office of an |
|
| | 09800SB0636ham006 | - 30 - | LRB098 04421 RPS 62683 a |
|
|
1 | | Executive, Legislative, or Auditor General's
Inspector |
2 | | General; any present or former member of the Illinois National
|
3 | | Guard
while on active duty; individuals or organizations who |
4 | | contract with the
Department of Corrections, the Department of |
5 | | Juvenile Justice, the Comprehensive Health Insurance Board, or |
6 | | the
Department of Veterans' Affairs to provide services; |
7 | | individuals or
organizations who contract with the Department |
8 | | of Human Services (as
successor to the Department of Mental |
9 | | Health and Developmental
Disabilities) to provide services |
10 | | including but not limited to treatment and
other services for |
11 | | sexually violent persons; individuals or organizations who
|
12 | | contract with the Department of
Military
Affairs for youth |
13 | | programs; individuals or
organizations who contract to perform |
14 | | carnival and amusement ride safety
inspections for the |
15 | | Department of Labor; individuals who contract with the Office |
16 | | of the State's Attorneys Appellate Prosecutor to provide legal |
17 | | services, but only when performing duties within the scope of |
18 | | the Office's prosecutorial activities; individual |
19 | | representatives of or
designated organizations authorized to |
20 | | represent the Office of State Long-Term
Ombudsman for the |
21 | | Department on Aging; individual representatives of or
|
22 | | organizations designated by the Department on Aging in the |
23 | | performance of their
duties as adult protective services |
24 | | agencies or regional administrative agencies
under the Adult |
25 | | Protective Services Act; individuals or organizations |
26 | | appointed as members of a review team or the Advisory Council |
|
| | 09800SB0636ham006 | - 31 - | LRB098 04421 RPS 62683 a |
|
|
1 | | under the Adult Protective Services Act; individuals or |
2 | | organizations who perform
volunteer services for the State |
3 | | where such volunteer relationship is reduced
to writing; |
4 | | individuals who serve on any public entity (whether created by |
5 | | law
or administrative action) described in paragraph (a) of |
6 | | this Section; individuals or not for profit organizations who, |
7 | | either as volunteers, where
such volunteer relationship is |
8 | | reduced to writing, or pursuant to contract,
furnish |
9 | | professional advice or consultation to any agency or |
10 | | instrumentality of
the State; individuals who serve as foster |
11 | | parents for the Department of
Children and Family Services when |
12 | | caring for a Department ward; individuals who serve as members |
13 | | of an independent team of experts under Brian's Law; and |
14 | | individuals
who serve as arbitrators pursuant to Part 10A of
|
15 | | Article II of the Code of Civil Procedure and the rules of the |
16 | | Supreme Court
implementing Part 10A, each as now or hereafter |
17 | | amended; the term "employee" does not mean an
independent |
18 | | contractor except as provided in this Section. The term |
19 | | includes an
individual appointed as an inspector by the |
20 | | Director of State Police when
performing duties within the |
21 | | scope of the activities of a Metropolitan
Enforcement Group or |
22 | | a law enforcement organization established under the
|
23 | | Intergovernmental Cooperation Act. An individual who renders |
24 | | professional
advice and consultation to the State through an |
25 | | organization which qualifies as
an "employee" under the Act is |
26 | | also an employee. The term includes the estate
or personal |
|
| | 09800SB0636ham006 | - 32 - | LRB098 04421 RPS 62683 a |
|
|
1 | | representative of an employee.
|
2 | | (c) The term "pension fund" means a retirement system or |
3 | | pension
fund created under the Illinois Pension Code.
|
4 | | (Source: P.A. 98-49, eff. 7-1-13; 98-83, eff. 7-15-13; 98-732, |
5 | | eff. 7-16-14; 98-756, eff. 7-16-14.)
|
6 | | Section 10. The Personnel Code is amended by changing |
7 | | Section 4c as follows: |
8 | | (20 ILCS 415/4c) (from Ch. 127, par. 63b104c) |
9 | | Sec. 4c. General exemptions. The following positions in |
10 | | State
service shall be exempt from jurisdictions A, B, and C, |
11 | | unless the
jurisdictions shall be extended as provided in this |
12 | | Act:
|
13 | | (1) All officers elected by the people.
|
14 | | (2) All positions under the Lieutenant Governor, |
15 | | Secretary of State,
State Treasurer, State Comptroller, |
16 | | State Board of Education, Clerk of
the Supreme Court,
|
17 | | Attorney General, and State Board of Elections.
|
18 | | (3) Judges, and officers and employees of the courts, |
19 | | and notaries
public.
|
20 | | (4) All officers and employees of the Illinois General |
21 | | Assembly, all
employees of legislative commissions, all |
22 | | officers and employees of the
Illinois Legislative |
23 | | Reference Bureau, the Legislative
Research Unit, and the |
24 | | Legislative Printing Unit.
|
|
| | 09800SB0636ham006 | - 33 - | LRB098 04421 RPS 62683 a |
|
|
1 | | (5) All positions in the Illinois National Guard and |
2 | | Illinois State
Guard, paid from federal funds or positions
|
3 | | in the State Military Service filled by enlistment and paid |
4 | | from State
funds.
|
5 | | (6) All employees of the Governor at the executive |
6 | | mansion and on
his immediate personal staff.
|
7 | | (7) Directors of Departments, the Adjutant General, |
8 | | the Assistant
Adjutant General, the Director of the |
9 | | Illinois Emergency
Management Agency, members of boards |
10 | | and commissions, and all other
positions appointed by the |
11 | | Governor by and with the consent of the
Senate.
|
12 | | (8) The presidents, other principal administrative |
13 | | officers, and
teaching, research and extension faculties |
14 | | of
Chicago State University, Eastern Illinois University, |
15 | | Governors State
University, Illinois State University, |
16 | | Northeastern Illinois University,
Northern Illinois |
17 | | University, Western Illinois University, the Illinois
|
18 | | Community College Board, Southern Illinois
University, |
19 | | Illinois Board of Higher Education, University of
|
20 | | Illinois, State Universities Civil Service System, |
21 | | University Retirement
System of Illinois, and the |
22 | | administrative officers and scientific and
technical staff |
23 | | of the Illinois State Museum.
|
24 | | (9) All other employees except the presidents, other |
25 | | principal
administrative officers, and teaching, research |
26 | | and extension faculties
of the universities under the |
|
| | 09800SB0636ham006 | - 34 - | LRB098 04421 RPS 62683 a |
|
|
1 | | jurisdiction of the Board of Regents and
the colleges and |
2 | | universities under the jurisdiction of the Board of
|
3 | | Governors of State Colleges and Universities, Illinois |
4 | | Community College
Board, Southern Illinois University, |
5 | | Illinois Board of Higher Education,
Board of Governors of |
6 | | State Colleges and Universities, the Board of
Regents, |
7 | | University of Illinois, State Universities Civil Service
|
8 | | System, University Retirement System of Illinois, so long |
9 | | as these are
subject to the provisions of the State |
10 | | Universities Civil Service Act.
|
11 | | (10) The State Police so long as they are subject to |
12 | | the merit
provisions of the State Police Act.
|
13 | | (11) (Blank).
|
14 | | (12) The technical and engineering staffs of the |
15 | | Department of
Transportation, the Department of Nuclear |
16 | | Safety, the Pollution Control
Board, and the Illinois |
17 | | Commerce Commission, and the technical and engineering
|
18 | | staff providing architectural and engineering services in |
19 | | the Department of
Central Management Services.
|
20 | | (13) All employees of the Illinois State Toll Highway |
21 | | Authority.
|
22 | | (14) The Secretary of the Illinois Workers' |
23 | | Compensation Commission.
|
24 | | (15) All persons who are appointed or employed by the |
25 | | Director of
Insurance under authority of Section 202 of the |
26 | | Illinois Insurance Code
to assist the Director of Insurance |
|
| | 09800SB0636ham006 | - 35 - | LRB098 04421 RPS 62683 a |
|
|
1 | | in discharging his responsibilities
relating to the |
2 | | rehabilitation, liquidation, conservation, and
dissolution |
3 | | of companies that are subject to the jurisdiction of the
|
4 | | Illinois Insurance Code.
|
5 | | (16) All employees of the St. Louis Metropolitan Area |
6 | | Airport
Authority.
|
7 | | (17) All investment officers employed by the Illinois |
8 | | State Board of
Investment.
|
9 | | (18) Employees of the Illinois Young Adult |
10 | | Conservation Corps program,
administered by the Illinois |
11 | | Department of Natural Resources, authorized
grantee under |
12 | | Title VIII of the Comprehensive
Employment and Training Act |
13 | | of 1973, 29 USC 993.
|
14 | | (19) Seasonal employees of the Department of |
15 | | Agriculture for the
operation of the Illinois State Fair |
16 | | and the DuQuoin State Fair, no one
person receiving more |
17 | | than 29 days of such employment in any calendar year.
|
18 | | (20) All "temporary" employees hired under the |
19 | | Department of Natural
Resources' Illinois Conservation |
20 | | Service, a youth
employment program that hires young people |
21 | | to work in State parks for a period
of one year or less.
|
22 | | (21) All hearing officers of the Human Rights |
23 | | Commission.
|
24 | | (22) All employees of the Illinois Mathematics and |
25 | | Science Academy.
|
26 | | (23) All employees of the Kankakee River Valley Area
|
|
| | 09800SB0636ham006 | - 36 - | LRB098 04421 RPS 62683 a |
|
|
1 | | Airport Authority.
|
2 | | (24) The commissioners and employees of the Executive |
3 | | Ethics
Commission.
|
4 | | (25) The Executive Inspectors General, including |
5 | | special Executive
Inspectors General, and employees of |
6 | | each Office of an
Executive Inspector General.
|
7 | | (26) The commissioners and employees of the |
8 | | Legislative Ethics
Commission.
|
9 | | (27) The Legislative Inspector General, including |
10 | | special Legislative
Inspectors General, and employees of |
11 | | the Office of
the Legislative Inspector General.
|
12 | | (28) The Auditor General's Inspector General and |
13 | | employees of the Office
of the Auditor General's Inspector |
14 | | General.
|
15 | | (29) All employees of the Illinois Power Agency. |
16 | | (30) Employees having demonstrable, defined advanced |
17 | | skills in accounting, financial reporting, or technical |
18 | | expertise who are employed within executive branch |
19 | | agencies and whose duties are directly related to the |
20 | | submission to the Office of the Comptroller of financial |
21 | | information for the publication of the Comprehensive |
22 | | Annual Financial Report (CAFR). |
23 | | (31) All employees of the Illinois Sentencing Policy |
24 | | Advisory Council. |
25 | | (32) The employees of the Illinois Health Benefits |
26 | | Exchange. |
|
| | 09800SB0636ham006 | - 37 - | LRB098 04421 RPS 62683 a |
|
|
1 | | (Source: P.A. 97-618, eff. 10-26-11; 97-1055, eff. 8-23-12; |
2 | | 98-65, eff. 7-15-13.)
|
3 | | Section 15. The Department of Insurance Law of the
Civil |
4 | | Administrative Code of Illinois is amended by adding Section |
5 | | 1405-40 as follows: |
6 | | (20 ILCS 1405/1405-40 new) |
7 | | Sec. 1405-40. Transfer of the Comprehensive Health |
8 | | Insurance Plan. |
9 | | (a) On January 1, 2016, all powers, duties, rights, and |
10 | | responsibilities of the Comprehensive Health Insurance Plan |
11 | | and the Illinois Comprehensive Health Insurance Board shall be |
12 | | transferred to the Department of Insurance. |
13 | | (b) The Department of Insurance shall act on behalf of the |
14 | | Comprehensive Health Insurance Plan and the Illinois |
15 | | Comprehensive Health Insurance Board and shall have the power |
16 | | and duty to receive and answer correspondence, pay claims due |
17 | | and owing to the Department of Central Management Services |
18 | | revolving fund from any unencumbered funds, refer unpaid |
19 | | vendors to the court of claims, and arrange for the orderly |
20 | | termination of any affairs of the Comprehensive Health |
21 | | Insurance Plan and the Illinois Comprehensive Health Insurance |
22 | | Board that remain unresolved on or after January 1, 2016. |
23 | | (c) All books, records, papers, documents, property (real |
24 | | and personal), contracts, causes of action, and pending |
|
| | 09800SB0636ham006 | - 38 - | LRB098 04421 RPS 62683 a |
|
|
1 | | business pertaining to the powers, duties, rights, and |
2 | | responsibilities transferred by this amendatory Act of the 98th |
3 | | General Assembly from the Comprehensive Health Insurance Plan |
4 | | and the Illinois Comprehensive Health Insurance Board to the |
5 | | Department of Insurance, including, but not limited to, |
6 | | material in electronic or magnetic format and necessary |
7 | | computer hardware and software, shall be transferred to the |
8 | | Department of Insurance. Records shall remain intact as |
9 | | regulated by the federal Health Insurance Portability and |
10 | | Accountability Act of 1996. |
11 | | (d) The personnel of the Comprehensive Health Insurance |
12 | | Plan and the Illinois Comprehensive Health Insurance Board |
13 | | shall be transferred to the Department of Insurance. The status |
14 | | and rights of those employees under the Personnel Code shall |
15 | | not be affected by the transfer. The rights of the employees |
16 | | and the State of Illinois and its agencies under the Personnel |
17 | | Code and applicable collective bargaining agreements or under |
18 | | any pension, retirement, or annuity plan shall not be affected |
19 | | by this amendatory Act of the 98th General Assembly. |
20 | | (e) All unexpended appropriations and balances and other |
21 | | funds available for use by the Comprehensive Health Insurance |
22 | | Plan and the Illinois Comprehensive Health Insurance Board |
23 | | shall be transferred for use by the Department of Insurance. |
24 | | Unexpended balances so transferred shall be expended only for |
25 | | the purpose for which the appropriations were originally made. |
26 | | (f) The powers, duties, rights, and responsibilities |
|
| | 09800SB0636ham006 | - 39 - | LRB098 04421 RPS 62683 a |
|
|
1 | | transferred from the Comprehensive Health Insurance Plan and |
2 | | the Illinois Comprehensive Health Insurance Board shall be |
3 | | vested in and shall be exercised by the Department of |
4 | | Insurance. |
5 | | (g) Whenever reports or notices are now required to be made |
6 | | or given or papers or documents furnished or served by any |
7 | | person to or upon the Comprehensive Health Insurance Plan or |
8 | | the Illinois Comprehensive Health Insurance Board in |
9 | | connection with any of the powers, duties, rights, and |
10 | | responsibilities transferred by this amendatory Act of the 98th |
11 | | General Assembly, the same shall be made, given, furnished, or |
12 | | served in the same manner to or upon the Department of |
13 | | Insurance. |
14 | | (h) This amendatory Act of the 98th General Assembly does |
15 | | not affect any act done, ratified, or canceled or any right |
16 | | occurring or established or any action or proceeding had or |
17 | | commenced in an administrative, civil, or criminal cause by the |
18 | | Comprehensive Health Insurance Plan or the Illinois |
19 | | Comprehensive Health Insurance Board prior to January 1, 2016; |
20 | | such actions or proceedings may be prosecuted and continued by |
21 | | the Department of Insurance. |
22 | | Section 20. The Illinois State Auditing Act is amended by |
23 | | changing Section 3-1 as follows:
|
24 | | (30 ILCS 5/3-1) (from Ch. 15, par. 303-1)
|
|
| | 09800SB0636ham006 | - 40 - | LRB098 04421 RPS 62683 a |
|
|
1 | | Sec. 3-1. Jurisdiction of Auditor General. The Auditor |
2 | | General has
jurisdiction over all State agencies to make post |
3 | | audits and investigations
authorized by or under this Act or |
4 | | the Constitution.
|
5 | | The Auditor General has jurisdiction over local government |
6 | | agencies
and private agencies only:
|
7 | | (a) to make such post audits authorized by or under |
8 | | this Act as are
necessary and incidental to a post audit of |
9 | | a State agency or of a
program administered by a State |
10 | | agency involving public funds of the
State, but this |
11 | | jurisdiction does not include any authority to review
local |
12 | | governmental agencies in the obligation, receipt, |
13 | | expenditure or
use of public funds of the State that are |
14 | | granted without limitation or
condition imposed by law, |
15 | | other than the general limitation that such
funds be used |
16 | | for public purposes;
|
17 | | (b) to make investigations authorized by or under this |
18 | | Act or the
Constitution; and
|
19 | | (c) to make audits of the records of local government |
20 | | agencies to verify
actual costs of state-mandated programs |
21 | | when directed to do so by the
Legislative Audit Commission |
22 | | at the request of the State Board of Appeals
under the |
23 | | State Mandates Act.
|
24 | | In addition to the foregoing, the Auditor General may |
25 | | conduct an
audit of the Metropolitan Pier and Exposition |
26 | | Authority, the
Regional Transportation Authority, the Suburban |
|
| | 09800SB0636ham006 | - 41 - | LRB098 04421 RPS 62683 a |
|
|
1 | | Bus Division, the Commuter
Rail Division and the Chicago |
2 | | Transit Authority and any other subsidized
carrier when |
3 | | authorized by the Legislative Audit Commission. Such audit
may |
4 | | be a financial, management or program audit, or any combination |
5 | | thereof.
|
6 | | The audit shall determine whether they are operating in |
7 | | accordance with
all applicable laws and regulations. Subject to |
8 | | the limitations of this
Act, the Legislative Audit Commission |
9 | | may by resolution specify additional
determinations to be |
10 | | included in the scope of the audit.
|
11 | | In addition to the foregoing, the Auditor General must also |
12 | | conduct a
financial audit of
the Illinois Sports Facilities |
13 | | Authority's expenditures of public funds in
connection with the |
14 | | reconstruction, renovation, remodeling, extension, or
|
15 | | improvement of all or substantially all of any existing |
16 | | "facility", as that
term is defined in the Illinois Sports |
17 | | Facilities Authority Act.
|
18 | | The Auditor General may also conduct an audit, when |
19 | | authorized by
the Legislative Audit Commission, of any hospital |
20 | | which receives 10% or
more of its gross revenues from payments |
21 | | from the State of Illinois,
Department of Healthcare and Family |
22 | | Services (formerly Department of Public Aid), Medical |
23 | | Assistance Program.
|
24 | | The Auditor General is authorized to conduct financial and |
25 | | compliance
audits of the Illinois Distance Learning Foundation |
26 | | and the Illinois
Conservation Foundation.
|
|
| | 09800SB0636ham006 | - 42 - | LRB098 04421 RPS 62683 a |
|
|
1 | | As soon as practical after the effective date of this |
2 | | amendatory Act of
1995, the Auditor General shall conduct a |
3 | | compliance and management audit of
the City of
Chicago and any |
4 | | other entity with regard to the operation of Chicago O'Hare
|
5 | | International Airport, Chicago Midway Airport and Merrill C. |
6 | | Meigs Field. The
audit shall include, but not be limited to, an |
7 | | examination of revenues,
expenses, and transfers of funds; |
8 | | purchasing and contracting policies and
practices; staffing |
9 | | levels; and hiring practices and procedures. When
completed, |
10 | | the audit required by this paragraph shall be distributed in
|
11 | | accordance with Section 3-14.
|
12 | | The Auditor General shall conduct a financial and |
13 | | compliance and program
audit of distributions from the |
14 | | Municipal Economic Development Fund
during the immediately |
15 | | preceding calendar year pursuant to Section 8-403.1 of
the |
16 | | Public Utilities Act at no cost to the city, village, or |
17 | | incorporated town
that received the distributions.
|
18 | | The Auditor General must conduct an audit of the Health |
19 | | Facilities and Services Review Board pursuant to Section 19.5 |
20 | | of the Illinois Health Facilities Planning
Act.
|
21 | | The Auditor General of the State of Illinois shall annually |
22 | | conduct or
cause to be conducted a financial and compliance |
23 | | audit of the books and records
of any county water commission |
24 | | organized pursuant to the Water Commission Act
of 1985 and |
25 | | shall file a copy of the report of that audit with the Governor |
26 | | and
the Legislative Audit Commission. The filed audit shall be |
|
| | 09800SB0636ham006 | - 43 - | LRB098 04421 RPS 62683 a |
|
|
1 | | open to the public
for inspection. The cost of the audit shall |
2 | | be charged to the county water
commission in accordance with |
3 | | Section 6z-27 of the State Finance Act. The
county water |
4 | | commission shall make available to the Auditor General its |
5 | | books
and records and any other documentation, whether in the |
6 | | possession of its
trustees or other parties, necessary to |
7 | | conduct the audit required. These
audit requirements apply only |
8 | | through July 1, 2007.
|
9 | | The Auditor General must conduct audits of the Rend Lake |
10 | | Conservancy
District as provided in Section 25.5 of the River |
11 | | Conservancy Districts Act.
|
12 | | The Auditor General must conduct financial audits of the |
13 | | Southeastern Illinois Economic Development Authority as |
14 | | provided in Section 70 of the Southeastern Illinois Economic |
15 | | Development Authority Act.
|
16 | | The Auditor General shall conduct a compliance audit in |
17 | | accordance with subsections (d) and (f) of Section 30 of the |
18 | | Innovation Development and Economy Act. |
19 | | The Auditor General shall have the authority to conduct an |
20 | | audit of the Illinois Health Benefits Exchange. The audit may |
21 | | be a financial audit, a management audit, a program audit, or |
22 | | any combination thereof. |
23 | | (Source: P.A. 95-331, eff. 8-21-07; 96-31, eff. 6-30-09; |
24 | | 96-939, eff. 6-24-10.)
|
25 | | Section 25. The Illinois Procurement Code is amended by |
|
| | 09800SB0636ham006 | - 44 - | LRB098 04421 RPS 62683 a |
|
|
1 | | changing Section 1-15.100 as follows:
|
2 | | (30 ILCS 500/1-15.100)
|
3 | | Sec. 1-15.100. State agency. "State agency" means and |
4 | | includes all
boards, commissions, agencies, institutions, |
5 | | authorities, and bodies politic
and corporate of the State, |
6 | | created by or in accordance with the constitution
or statute, |
7 | | of the executive branch of State government and does include
|
8 | | colleges, universities, and institutions under the |
9 | | jurisdiction of the
governing boards of the University of |
10 | | Illinois, Southern Illinois University,
Illinois State |
11 | | University, Eastern Illinois University, Northern Illinois
|
12 | | University, Western Illinois University, Chicago State |
13 | | University, Governor
State University, Northeastern Illinois |
14 | | University, and the Board of Higher
Education. However, this |
15 | | term does
not apply to public employee retirement systems or |
16 | | investment boards that are
subject to fiduciary duties imposed |
17 | | by the Illinois Pension Code or to the
University of Illinois |
18 | | Foundation. "State agency" does not include units of
local |
19 | | government, school districts, community colleges under the |
20 | | Public
Community College Act, and the Illinois Comprehensive |
21 | | Health Insurance Board , and the Illinois Health Benefits |
22 | | Exchange .
|
23 | | (Source: P.A. 90-572, eff. 2-6-98.)
|
24 | | Section 30. The Comprehensive Health Insurance Plan Act is |
|
| | 09800SB0636ham006 | - 45 - | LRB098 04421 RPS 62683 a |
|
|
1 | | amended by adding Sections 16 and 17 as follows: |
2 | | (215 ILCS 105/16 new) |
3 | | Sec. 16. Cessation of operations. |
4 | | (a) Except as otherwise provided in this Section, the |
5 | | insurance operations of the Plan authorized by this Act shall |
6 | | cease on January 1, 2016. |
7 | | (b) Coverage under the Plan does not apply to service |
8 | | provided on or after January 1, 2016. |
9 | | (c) The Plan shall cease enrolling new participants on |
10 | | December 31, 2015. |
11 | | (d) The Plan shall cease providing coverage for |
12 | | participants enrolled prior to January 1, 2016 at 11:59 p.m. on |
13 | | December 31, 2015. Except as otherwise provided in this |
14 | | subsection (d), the Board shall provide at least 90 days |
15 | | written notice to all Plan participants of the cessation of |
16 | | coverage under this Section. For participants enrolled less |
17 | | than 90 days before January 1, 2016, notice of the cessation of |
18 | | coverage under this Section shall be provided to all applicants |
19 | | and to all participants upon enrollment. |
20 | | (e) Any claim for payment under the Plan must be submitted |
21 | | no later than 90 days after January 1, 2016, and any valid |
22 | | claim submitted on or after January 1, 2016 must be paid within |
23 | | 90 days after receipt. |
24 | | (f) Any grievance shall be resolved by the Board not later |
25 | | than October 31, 2016. |
|
| | 09800SB0636ham006 | - 46 - | LRB098 04421 RPS 62683 a |
|
|
1 | | (g) Balance billing under this Section by a health care |
2 | | provider that is not a member of the provider network |
3 | | arrangement used by the Plan is prohibited. |
4 | | (h) The Board shall, not later than June 30, 2015, submit |
5 | | to the Director a plan of dissolution, which must provide for, |
6 | | but not be limited to, the following: |
7 | | (1) Continuity of care for an individual who is covered |
8 | | under the Plan and is an inpatient on at the time the Plan |
9 | | ceases. |
10 | | (2) A final accounting of assessments. |
11 | | (3) Resolution of any net asset deficiency. |
12 | | (4) Cessation of all liability of the Plan. |
13 | | (5) Final dissolution of the Plan. |
14 | | (i) No legal action by or against the Plan may be filed on |
15 | | or after January 1, 2017. |
16 | | (j) General Revenue Fund funds remaining in the Plan after |
17 | | satisfaction of all of the Plan's liabilities shall be |
18 | | transferred back into the General Revenue Fund. |
19 | | (k) The Board shall cease charging insurer assessments on |
20 | | January 1, 2016; however, the Board may charge and collect |
21 | | insurer assessments pursuant to Section 12 of this Act as |
22 | | necessary to satisfy any remaining liabilities of the Plan. |
23 | | Insurer assessments remaining in the Plan after satisfaction of |
24 | | all of the Plan's liabilities shall be returned to insurers |
25 | | based on subsection (e) of Section 12 of this Act. |
|
| | 09800SB0636ham006 | - 47 - | LRB098 04421 RPS 62683 a |
|
|
1 | | (215 ILCS 105/17 new) |
2 | | Sec. 17. Repealer. This Act is repealed on July 1, 2017. |
3 | | Section 35. The Illinois Health Benefits Exchange Law is |
4 | | amended by changing Sections 5-3, 5-5, 5-10, and 5-15 and by |
5 | | adding Sections 5-4, 5-11, 5-12, 5-16, 5-17, 5-18, 5-21, 5-23, |
6 | | and 5-30 as follows: |
7 | | (215 ILCS 122/5-3)
|
8 | | Sec. 5-3. Legislative intent. The General Assembly finds |
9 | | the health benefits exchanges authorized by the federal Patient |
10 | | Protection and Affordable Care Act represent one of a number of |
11 | | ways in which the State can address coverage gaps and provide |
12 | | individual consumers and small employers access to greater |
13 | | coverage options. The General Assembly also finds that the |
14 | | State is best positioned to implement an exchange that is |
15 | | sensitive to the coverage gaps and market landscape unique to |
16 | | this State. |
17 | | The purpose of this Law is to provide for the establishment |
18 | | of an Illinois Health Benefits Exchange (the Exchange) to |
19 | | facilitate the purchase and sale of qualified health plans and |
20 | | qualified dental plans in the individual market in this State |
21 | | and to provide for the establishment of a Small Business Health |
22 | | Options Program (SHOP Exchange) to assist qualified small |
23 | | employers in this State in facilitating the enrollment of their |
24 | | employees in qualified health plans and qualified dental plans |
|
| | 09800SB0636ham006 | - 48 - | LRB098 04421 RPS 62683 a |
|
|
1 | | offered in the small group market. The intent of the Exchange |
2 | | is to supplement the existing health insurance market to |
3 | | simplify shopping for individual and small employers by |
4 | | increasing access to benefit options, encouraging a |
5 | | competitive market both inside and outside the Exchange, |
6 | | reducing the number of uninsured, and providing a transparent |
7 | | marketplace and effective consumer education and programmatic |
8 | | assistance tools. The purpose of this Law is to ensure that the |
9 | | State is making sufficient progress towards establishing an |
10 | | exchange within the guidelines outlined by the federal law and |
11 | | to protect Illinoisans from undue federal regulation. Although |
12 | | the federal law imposes a number of core requirements on |
13 | | state-level exchanges, the State has significant flexibility |
14 | | in the design and operation of a State exchange that make it |
15 | | prudent for the State to carefully analyze, plan, and prepare |
16 | | for the exchange. The General Assembly finds that in order for |
17 | | the State to craft a tenable exchange that meets the |
18 | | fundamental goals outlined by the Patient Protection and |
19 | | Affordable Care Act of expanding access to affordable coverage |
20 | | and improving the quality of care, the implementation process |
21 | | should (1) provide for broad stakeholder representation; (2) |
22 | | foster a robust and competitive marketplace, both inside and |
23 | | outside of the exchange; and (3) provide for a broad-based |
24 | | approach to the fiscal solvency of the exchange.
|
25 | | (Source: P.A. 97-142, eff. 7-14-11.) |
|
| | 09800SB0636ham006 | - 49 - | LRB098 04421 RPS 62683 a |
|
|
1 | | (215 ILCS 122/5-4 new) |
2 | | Sec. 5-4. Definitions. In this Law: |
3 | | "Board" means the Illinois Health Benefits Exchange Board |
4 | | established pursuant to this Law. |
5 | | "Department" means the Department of Insurance. |
6 | | "Director" means the Director of Insurance. |
7 | | "Educated health care consumer" means an individual who is |
8 | | knowledgeable about the health care system, has background or |
9 | | experience in making informed decisions regarding health, |
10 | | medical, and public health matters, and represents the |
11 | | interests of healthcare consumers. |
12 | | "Essential community provider" means a health care |
13 | | provider that serves predominately low-income, |
14 | | medically-underserved individuals, such as health care |
15 | | providers as defined in Section 340B(a)(4) of the federal |
16 | | Public Health Service Act. |
17 | | "Essential health benefits" has the meaning provided under |
18 | | Section 1302(b) of the Federal Act. |
19 | | "Exchange" means the Illinois Health Benefits Exchange |
20 | | established by this Law and includes the Individual Exchange |
21 | | and the SHOP Exchange, unless otherwise specified. |
22 | | "Executive Director" means the Executive Director of the |
23 | | Illinois Health Benefits Exchange. |
24 | | "Federal Act" means the federal Patient Protection and |
25 | | Affordable Care Act (Public Law 111-148), as amended by the |
26 | | federal Health Care and Education Reconciliation Act of 2010 |
|
| | 09800SB0636ham006 | - 50 - | LRB098 04421 RPS 62683 a |
|
|
1 | | (Public Law 111-152), and any amendments thereto, or |
2 | | regulations or guidance issued under, those Acts. |
3 | | "Health benefit plan" means a policy, contract, |
4 | | certificate, or agreement offered or issued by a health |
5 | | insurance carrier to provide, deliver, arrange for, pay for, or |
6 | | reimburse any of the costs of health care services.
"Health |
7 | | benefit plan" does not include: |
8 | | (1) coverage for accident only or disability income |
9 | | insurance or any combination thereof; |
10 | | (2) coverage issued as a supplement to liability |
11 | | insurance; |
12 | | (3) liability insurance, including general liability |
13 | | insurance and automobile liability insurance; |
14 | | (4) workers' compensation or similar insurance; |
15 | | (5) automobile medical payment insurance; |
16 | | (6) credit-only insurance; |
17 | | (7) coverage for on-site medical clinics; or |
18 | | (8) other similar insurance coverage, specified in |
19 | | federal regulations issued pursuant to the federal Health |
20 | | Information Portability and Accountability Act of 1996, |
21 | | Public Law 104-191, under which benefits for health care |
22 | | services are secondary or incidental to other insurance |
23 | | benefits. |
24 | | "Health benefit plan" does not include the following |
25 | | benefits if they are provided under a separate policy, |
26 | | certificate, or contract of insurance or are otherwise not an |
|
| | 09800SB0636ham006 | - 51 - | LRB098 04421 RPS 62683 a |
|
|
1 | | integral part of the plan: |
2 | | (a) limited scope dental or vision benefits; |
3 | | (b) benefits for long-term care, nursing home care, |
4 | | home health care, community-based care, or any combination |
5 | | thereof; or |
6 | | (c) other similar, limited benefits specified in |
7 | | federal regulations issued pursuant to Public Law 104-191. |
8 | | "Health benefit plan" does not include the following |
9 | | benefits if the benefits are provided under a separate policy, |
10 | | certificate, or contract of insurance, there is no coordination |
11 | | between the provision of the benefits and any exclusion of |
12 | | benefits under any group health plan maintained by the same |
13 | | plan sponsor, and the benefits are paid with respect to an |
14 | | event without regard to whether benefits are provided with |
15 | | respect to such an event under any group health plan maintained |
16 | | by the same plan sponsor: |
17 | | (i) coverage only for a specified disease or illness; |
18 | | or |
19 | | (ii) hospital indemnity or other fixed indemnity |
20 | | insurance. |
21 | | "Health benefit plan" does not include the following if |
22 | | offered as a separate policy, certificate, or contract of |
23 | | insurance: |
24 | | (A) Medicare supplemental health insurance as defined |
25 | | under Section 1882(g)(1) of the federal Social Security |
26 | | Act; |
|
| | 09800SB0636ham006 | - 52 - | LRB098 04421 RPS 62683 a |
|
|
1 | | (B) coverage supplemental to the coverage provided |
2 | | under Chapter 55 of Title 10, United States Code (Civilian |
3 | | Health and Medical Program of the Uniformed Services |
4 | | (CHAMPUS)); or |
5 | | (C) similar supplemental coverage provided to coverage |
6 | | under a group health plan. |
7 | | "Health benefit plan" does not include a group health plan |
8 | | or multiple employer welfare arrangement to the extent the plan |
9 | | or arrangement is not subject to State insurance regulation |
10 | | under Section 514 of the federal Employee Retirement Income |
11 | | Security Act of 1974. |
12 | | "Health insurance carrier" or "carrier" means an entity |
13 | | subject to the insurance laws and regulations of this State, or |
14 | | subject to the jurisdiction of the Director, that contracts or |
15 | | offers to contract to provide, deliver, arrange for, pay for, |
16 | | or reimburse any of the costs of health care services, |
17 | | including a sickness and accident insurance company, a health |
18 | | maintenance organization, or any other entity providing a plan |
19 | | of health insurance, or health benefits. "Health insurance |
20 | | carrier" or "carrier" includes a Consumer Operated and Oriented |
21 | | Plan. "Health insurance carrier" or "carrier" does not include |
22 | | short term, accident only, disability income, hospital |
23 | | confinement or fixed indemnity, vision only, limited benefit, |
24 | | or credit insurance, coverage issued as a supplement to |
25 | | liability insurance, insurance arising out of a workers' |
26 | | compensation or similar law, automobile medical-payment |
|
| | 09800SB0636ham006 | - 53 - | LRB098 04421 RPS 62683 a |
|
|
1 | | insurance, or insurance under which benefits are payable with |
2 | | or without regard to fault and which is statutorily required to |
3 | | be contained in any liability insurance policy or equivalent |
4 | | self-insurance. |
5 | | "Illinois Health Benefits Exchange Fund" means the fund |
6 | | created outside of the State treasury to be used exclusively to |
7 | | provide funding for the operation and administration of the |
8 | | Exchange in carrying out the purposes authorized by this Law. |
9 | | "Individual Exchange" means the exchange marketplace |
10 | | established by this Law through which qualified individuals may |
11 | | obtain coverage through an individual market qualified health |
12 | | plan. |
13 | | "Participating insurer" means a health insurance carrier |
14 | | that offers a qualified health plan or qualified dental plan |
15 | | through the Exchange. |
16 | | "Principal place of business" means the location in a state |
17 | | where an employer has its headquarters or significant place of |
18 | | business and where the persons with direction and control |
19 | | authority over the business are employed. |
20 | | "Qualified dental plan" means a limited scope dental plan |
21 | | that has been certified in accordance with this Law. |
22 | | "Qualified employee" means an eligible individual employed |
23 | | by a qualified employer who has been offered health insurance |
24 | | coverage by that qualified employer through the SHOP Exchange. |
25 | | "Qualified employer" means a small employer that elects to |
26 | | make its full-time employees eligible for one or more qualified |
|
| | 09800SB0636ham006 | - 54 - | LRB098 04421 RPS 62683 a |
|
|
1 | | health plans or qualified dental plans offered through the SHOP |
2 | | Exchange, and at the option of the employer, some or all of its |
3 | | part-time employees, provided that the employer either (i) has |
4 | | its principal place of business in this State and elects to |
5 | | provide coverage through the SHOP Exchange to all of its |
6 | | eligible employees, wherever employed, or (ii) offers coverage |
7 | | through the SHOP Exchange to each eligible employee whose |
8 | | primary worksite is in this State. |
9 | | "Qualified health plan" or "QHP" means a health benefit |
10 | | plan that has in effect a certification that the plan meets the |
11 | | criteria for certification described in Section 1311(c) of the |
12 | | Federal Act. |
13 | | "Qualified health plan issuer" or "QHP issuer" means a |
14 | | health insurance carrier that offers a health plan that the |
15 | | Exchange has certified as a qualified health plan. |
16 | | "Qualified individual" means an individual, including a |
17 | | minor, who: |
18 | | (1) is seeking to enroll in a qualified health plan or |
19 | | qualified dental plan offered to individuals through the |
20 | | Exchange; |
21 | | (2) resides in this State; |
22 | | (3) at the time of enrollment, is not incarcerated, |
23 | | other than incarceration pending the disposition of |
24 | | charges; and |
25 | | (4) is, and is reasonably expected to be, for the |
26 | | entire period for which enrollment is sought, a citizen or |
|
| | 09800SB0636ham006 | - 55 - | LRB098 04421 RPS 62683 a |
|
|
1 | | national of the United States or an alien lawfully present |
2 | | in the United States. |
3 | | "Secretary" means the Secretary of the federal Department |
4 | | of Health and Human Services. |
5 | | "SHOP Exchange" means the Small Business Health Options |
6 | | Program established under this Law through which a qualified |
7 | | employer can provide small group qualified health plans to its |
8 | | qualified employees through various options available to the |
9 | | employer, including, but not limited to: (a) offering one |
10 | | qualified health plan to employees, (b) offering multiple |
11 | | qualified health plans to employees, or (c) offering an |
12 | | employee-directed choice of a qualified health plan within an |
13 | | employer-selected coverage tier. |
14 | | "Small employer" means, in connection with a group health |
15 | | plan with respect to a calendar year and a plan year, an |
16 | | employer who employed an average of at least one but no more |
17 | | than 50 employees before January 1, 2016 and no more than 100 |
18 | | employees on and after January 1, 2016 on business days during |
19 | | the preceding calendar year and who employs at least one |
20 | | employee on the first day of the plan year.
For purposes of |
21 | | this definition: |
22 | | (a) all persons treated as a single employer under |
23 | | subsection (b), (c), (m) or (o) of Section 414 of the |
24 | | federal Internal Revenue Code of 1986 shall be treated as a |
25 | | single employer; |
26 | | (b) an employer and any predecessor employer shall be |
|
| | 09800SB0636ham006 | - 56 - | LRB098 04421 RPS 62683 a |
|
|
1 | | treated as a single employer; |
2 | | (c) employees shall be counted in accordance with |
3 | | federal law and regulations and State law and regulations; |
4 | | provided however, that in the event of a conflict between |
5 | | the federal law and regulations and the State law and |
6 | | regulations, the federal law and regulations shall |
7 | | prevail; |
8 | | (d) if an employer was not in existence throughout the |
9 | | preceding calendar year, then the determination of whether |
10 | | that employer is a small employer shall be based on the |
11 | | average number of employees that is reasonably expected |
12 | | that employer will employ on business days in the current |
13 | | calendar year; and |
14 | | (e) an employer that makes enrollment in qualified |
15 | | health plans or qualified dental plans available to its |
16 | | employees through the SHOP Exchange, and would cease to be |
17 | | a small employer by reason of an increase in the number of |
18 | | its employees, shall continue to be treated as a small |
19 | | employer for purposes of this Law as long as it |
20 | | continuously makes enrollment through the SHOP Exchange |
21 | | available to its employees. |
22 | | (215 ILCS 122/5-5)
|
23 | | Sec. 5-5. Establishment of the Exchange State health |
24 | | benefits exchange . |
25 | | (a) It is declared that this State, beginning on the |
|
| | 09800SB0636ham006 | - 57 - | LRB098 04421 RPS 62683 a |
|
|
1 | | effective date of this amendatory Act of the 98th General |
2 | | Assembly October 1, 2013 , in accordance with Section 1311 of |
3 | | the federal Patient Protection and Affordable Care Act, shall |
4 | | establish a State health benefits exchange to be known as the |
5 | | Illinois Health Benefits Exchange in order to help individuals |
6 | | and small employers with no more than 50 employees shop for, |
7 | | select, and enroll in qualified, affordable private health |
8 | | plans that fit their needs at competitive prices. The Exchange |
9 | | shall separate coverage pools for individuals and small |
10 | | employers and shall supplement and not supplant any existing |
11 | | private health insurance market for individuals and small |
12 | | employers. These health plans shall be available to individuals |
13 | | and small employers for enrollment by October 1, 2015.
|
14 | | (b) There is hereby created a political subdivision, body |
15 | | politic and corporate, named the Illinois Health Benefits |
16 | | Exchange. The Exchange shall be a public entity, but shall not |
17 | | be considered a department, institution, or agency of the |
18 | | State, except as otherwise expressly provided by law. |
19 | | (c) The Exchange shall be comprised of an individual and a |
20 | | small business health options (SHOP) exchange. Pursuant to |
21 | | Section 1311(b)(2) of the Federal Act, the Exchange shall |
22 | | provide individual exchange services to qualified individuals |
23 | | and SHOP Exchange services to qualified employers under a |
24 | | single governance and administrative structure. The Board |
25 | | shall produce an assessment, which must include a premium |
26 | | impact study, by July 1, 2017 to determine the viability of |
|
| | 09800SB0636ham006 | - 58 - | LRB098 04421 RPS 62683 a |
|
|
1 | | merging the SHOP Exchange and Individual Exchange functions |
2 | | into a single exchange by January 1, 2018. Any recommended |
3 | | merger of the SHOP Exchange and Individual Exchange functions |
4 | | shall be subject to legislative approval. |
5 | | (d) The Exchange shall promote a competitive marketplace |
6 | | for consumer access to affordable health coverage options. The |
7 | | Department shall review and recommend that the Board certify |
8 | | health benefit plans on the individual and SHOP Exchange, as |
9 | | applicable, provided that any such health benefit plan meets |
10 | | the requirements set forth in Section 1311(c) of the Federal |
11 | | Act and any other requirements of the Illinois Insurance Code. |
12 | | The Board shall certify health benefit plans that the |
13 | | Department recommends for certification. |
14 | | (e) The Exchange shall not supersede the provisions of the |
15 | | Illinois Insurance Code, nor the functions of the Department of |
16 | | Insurance, the Department of Healthcare and Family Services, or |
17 | | the Department of Public Health. |
18 | | (Source: P.A. 97-142, eff. 7-14-11.) |
19 | | (215 ILCS 122/5-10)
|
20 | | Sec. 5-10. Exchange functions. |
21 | | (a) On or before October 1, 2015, in compliance with |
22 | | paragraph (4) of subdivision (d) of Section 1311 of the federal |
23 | | Patient Protection and Affordable Care Act, the Exchange shall, |
24 | | at a minimum, do all of the following to implement Section 1311 |
25 | | of the federal Patient Protection and Affordable Care Act: |
|
| | 09800SB0636ham006 | - 59 - | LRB098 04421 RPS 62683 a |
|
|
1 | | (1) Make qualified health plans available to qualified |
2 | | individuals and qualified employers. |
3 | | (2) Implement procedures for the certification, |
4 | | recertification, and decertification, consistent with |
5 | | Section 5-12 of this Act and the guidelines established by |
6 | | the U.S. Secretary of Health and Human Services, of health |
7 | | plans as qualified health plans. |
8 | | (3) Provide for the operation of a toll-free telephone |
9 | | hotline and call center to respond to requests for |
10 | | assistance. |
11 | | (4) Maintain an Internet website through which |
12 | | enrollees and prospective enrollees of qualified health |
13 | | plans may obtain standardized comparative information on |
14 | | those plans. The Exchange shall include on its website a |
15 | | navigator and producer locator section, featured |
16 | | prominently, through which individuals and small employers |
17 | | can find Exchange-certified producers and navigators. |
18 | | (5) With respect to each qualified health plan offered |
19 | | through the Exchange, do both of the following: |
20 | | (A) assign a rating to each qualified health plan |
21 | | offered through the Exchange in accordance with the |
22 | | criteria developed by the U.S. Secretary of Health and |
23 | | Human Services; and |
24 | | (B) determine each qualified health plan's level |
25 | | of coverage in accordance with regulations adopted by |
26 | | the U.S. Secretary of Health and Human Services under |
|
| | 09800SB0636ham006 | - 60 - | LRB098 04421 RPS 62683 a |
|
|
1 | | paragraph (A) of subdivision (2) of Section 1302(d) of |
2 | | the federal Patient Protection and Affordable Care Act |
3 | | and any additional regulations adopted by the Exchange |
4 | | under this Law. |
5 | | (6) Utilize a standardized format for presenting |
6 | | health benefits plan options in the Exchange, including the |
7 | | use of the uniform outline of coverage established under |
8 | | Section 2715 of the federal Public Health Service Act. |
9 | | (7) Inform individuals of eligibility requirements for |
10 | | health coverage available under the federal Medicaid |
11 | | program, the federal Children's Health Insurance Program, |
12 | | the Illinois Public Aid Code, the Children's Health |
13 | | Insurance Program Act, the Covering ALL KIDS Health |
14 | | Insurance Act, or any other applicable State or local |
15 | | public program and coordinate with the Department of |
16 | | Healthcare and Family Services and the Department of Human |
17 | | Services to determine eligibility and enroll eligible |
18 | | individuals in those programs in accordance with |
19 | | applicable federal and State law, rules, and regulations. |
20 | | (8) Establish and make available by electronic means a |
21 | | calculator to determine the actual cost of coverage after |
22 | | the application of any premium tax credit under Section 36B |
23 | | of the Internal Revenue Code of 1986 and any cost sharing |
24 | | reduction under Section 1402 of the federal Patient |
25 | | Protection and Affordable Care Act. |
26 | | (9) Grant a certification attesting that, for purposes |
|
| | 09800SB0636ham006 | - 61 - | LRB098 04421 RPS 62683 a |
|
|
1 | | of the individual responsibility penalty under Section |
2 | | 5000A of the Internal Revenue Code of 1986, an individual |
3 | | is exempt from the individual requirement or from the |
4 | | penalty imposed by that Section because of either of the |
5 | | following: |
6 | | (A) There is no affordable qualified health plan |
7 | | available through the Exchange or the individual's |
8 | | employer covering the individual. |
9 | | (B) The individual meets the requirements for any |
10 | | other exemption from the individual responsibility |
11 | | requirement or penalty. |
12 | | (10) Transfer to the Secretary of the Treasury of the |
13 | | United States all of the following: |
14 | | (A) a list of the individuals who are issued a |
15 | | certification, including the name and taxpayer |
16 | | identification number of each individual; |
17 | | (B) the name and taxpayer identification number of |
18 | | each individual who was an employee of an employer, but |
19 | | who was determined to be eligible for the premium tax |
20 | | credit under Section 36B of the Internal Revenue Code |
21 | | of 1986 because: |
22 | | (i) the employer did not provide the minimum |
23 | | essential coverage or the employer provided the |
24 | | minimum essential coverage but it was determined |
25 | | under item (C) of paragraph (2) of subdivision (c) |
26 | | of Section 36B of the Internal Revenue Code to |
|
| | 09800SB0636ham006 | - 62 - | LRB098 04421 RPS 62683 a |
|
|
1 | | either be unaffordable to the employee or not |
2 | | provide the required minimum actuarial value; and |
3 | | (ii) the name and taxpayer identification |
4 | | number of each individual who notifies the |
5 | | Exchange under paragraph (4) of subdivision (b) of |
6 | | Section 1411 of the federal Patient Protection and |
7 | | Affordable Care Act that they have changed |
8 | | employers and of each individual who ceases |
9 | | coverage under a qualified health plan during a |
10 | | plan year, and the effective date of such |
11 | | cessation. |
12 | | (11) Provide to each employer the name of each employee |
13 | | of the employer described in subdivision (i) of Section |
14 | | 1311 of the federal Patient Protection and Affordable Care |
15 | | Act who ceases coverage under a qualified health plan |
16 | | during a plan year and the effective date of that |
17 | | cessation. |
18 | | (12) Perform duties required of, or delegated to, the |
19 | | Exchange by the U.S. Secretary of Health and Human Services |
20 | | or the Secretary of the Treasury of the United States |
21 | | related to the following: |
22 | | (A) Determining eligibility for premium tax |
23 | | credits, reduced cost sharing, or individual |
24 | | responsibility exemptions. |
25 | | (B) Establishing procedures necessary for the |
26 | | operation of the program, including, but not limited |
|
| | 09800SB0636ham006 | - 63 - | LRB098 04421 RPS 62683 a |
|
|
1 | | to, procedures for application, enrollment, risk |
2 | | assessment, risk adjustment, plan administration, |
3 | | performance monitoring, and consumer education. |
4 | | (C) Arranging for collection of contributions from |
5 | | participating employers and individuals. |
6 | | (D) Arranging for payment of premiums and other |
7 | | appropriate disbursements based on the selections of |
8 | | products and services by the individual participants. |
9 | | (E) Establishing criteria for disenrollment of |
10 | | participating individuals based on failure to pay the |
11 | | individual's share of any contribution required to |
12 | | maintain enrollment in selected products. |
13 | | (F) Establishing criteria for exclusion of |
14 | | vendors. |
15 | | (G) Developing and implementing a plan for |
16 | | promoting public awareness of and participation in the |
17 | | program. |
18 | | (H) Evaluating options for employer participation |
19 | | which may conform with common insurance practices. |
20 | | (I) Conducting assessments of eligibility for the |
21 | | federal Medicaid program and the federal Children's |
22 | | Health Insurance Program in accordance with 45 CFR |
23 | | 155.302 or any successor regulation. |
24 | | (13) Providing for initial, annual, and special |
25 | | enrollment periods, in accordance with guidelines adopted |
26 | | by the U.S. Secretary of Health and Human Services under |
|
| | 09800SB0636ham006 | - 64 - | LRB098 04421 RPS 62683 a |
|
|
1 | | paragraph (6) of subdivision (c) of Section 1311 of the |
2 | | federal Patient Protection and Affordable Care Act. |
3 | | (14) Establish the Navigator Program in accordance |
4 | | with subdivision (i) of Section 1311 of the federal Patient |
5 | | Protection and Affordable Care Act. The Exchange shall |
6 | | award grants to certain entities to do the following: |
7 | | (A) Conduct public education activities to raise |
8 | | awareness of the availability of qualified health |
9 | | plans. |
10 | | (B) Distribute fair and impartial information |
11 | | concerning enrollment in qualified health plans and |
12 | | the availability of premium tax credits under Section |
13 | | 36B of the Internal Revenue Code of 1986 and |
14 | | cost-sharing reductions under Section 1402 of the |
15 | | federal Patient Protection and Affordable Care Act. |
16 | | (C) Facilitate enrollment in qualified health |
17 | | plans. |
18 | | (D) Provide referrals to any applicable office of |
19 | | health insurance consumer assistance or health |
20 | | insurance ombudsman established under Section 2793 of |
21 | | the federal Public Health Service Act, or any other |
22 | | appropriate State agency or agencies, for any enrollee |
23 | | with a grievance, complaint, or question regarding his |
24 | | or her health plan, coverage, or a determination under |
25 | | that plan or coverage. |
26 | | (E) Refer individuals with a grievance, complaint, |
|
| | 09800SB0636ham006 | - 65 - | LRB098 04421 RPS 62683 a |
|
|
1 | | or question regarding a plan, a plan's coverage, or a |
2 | | determination under a plan's coverage to a customer |
3 | | relations unit established by the Exchange. |
4 | | (F) Provide information in a manner that is |
5 | | culturally and linguistically appropriate to the needs |
6 | | of the population being served by the Exchange. |
7 | | (15) Establish the Small Business Health Options |
8 | | Program, separate from the activities of the Board related |
9 | | to the individual market, to assist qualified small |
10 | | employers in facilitating the enrollment of their |
11 | | employees in qualified health plans offered through the |
12 | | Exchange in the small employer market in a manner |
13 | | consistent with paragraph (2) of subdivision (a) of Section |
14 | | 1312 of the Federal Act. The Illinois Health Benefits |
15 | | Exchange shall meet the core functions identified by |
16 | | Section 1311 of the Patient Protection and Affordable Care |
17 | | Act and subsequent federal guidance and regulations. |
18 | | (b) The In order to meet the deadline of October 1, 2013 |
19 | | established by federal law to have operational a State |
20 | | exchange, the Department of Insurance
and the Commission on |
21 | | Government Forecasting and Accountability is authorized to |
22 | | apply for, accept, receive, and use as appropriate
for and on |
23 | | behalf of the State any grant money provided by the
federal |
24 | | government and to share federal grant funding with, give |
25 | | support to,
and coordinate with other agencies of the State and |
26 | | federal government
or third parties as determined by the |
|
| | 09800SB0636ham006 | - 66 - | LRB098 04421 RPS 62683 a |
|
|
1 | | Governor , until the Board has the ability to do so, at which |
2 | | time the Board is authorized to apply for, accept, receive, and |
3 | | use as appropriate for and on behalf of the State any grant |
4 | | money provided by the federal government and to share federal |
5 | | grant funding with, give support to, and coordinate with other |
6 | | agencies of the State and federal government or third parties |
7 | | pursuant to Section 5-11 of this Law .
|
8 | | (Source: P.A. 97-142, eff. 7-14-11; 98-756, eff. 7-16-14.) |
9 | | (215 ILCS 122/5-11 new) |
10 | | Sec. 5-11. Exchange powers and authorities. In addition to |
11 | | powers set forth elsewhere in this Law, the Board is authorized |
12 | | to do the following: |
13 | | (1) Have perpetual successions as a political |
14 | | subdivision, body politic and corporate, and adopt bylaws, |
15 | | rules, and regulations to carry out the provisions of this |
16 | | Law. |
17 | | (2) Adopt an official seal and alter the same at |
18 | | pleasure. |
19 | | (3) Maintain an office in the State at such place or |
20 | | places as it may designate. |
21 | | (4) Acquire, lease, purchase, own, manage, hold, and |
22 | | dispose of real and personal property. |
23 | | (5) Apply for, accept, and spend, as appropriate, any |
24 | | federal or State grant money made available through or |
25 | | pursuant to the federal Patient Protection and Affordable |
|
| | 09800SB0636ham006 | - 67 - | LRB098 04421 RPS 62683 a |
|
|
1 | | Care Act or any other federal or State-related opportunity |
2 | | in order to assist the Board as it implements the |
3 | | provisions of the federal Patient Protection and |
4 | | Affordable Care Act. |
5 | | (6) Enter into contracts or intergovernmental |
6 | | cooperation agreements as are necessary or proper to carry |
7 | | out the provisions and purposes or perform any of the |
8 | | functions described in this Law. |
9 | | (7) Enter into commercial, banking, and financial |
10 | | arrangements as needed to manage the day-to-day operations |
11 | | of the Exchange. |
12 | | (8) Take or defend any legal actions necessary to |
13 | | effectuate the purposes of this Law. |
14 | | (215 ILCS 122/5-12 new) |
15 | | Sec. 5-12. Health benefit plan certification. |
16 | | (a) To be certified as a qualified health plan, a health |
17 | | benefit plan shall, at a minimum: |
18 | | (1) provide the essential health benefits package |
19 | | described in Section 1302(a) of
the Federal Act; except |
20 | | that the plan is not required to provide essential benefits |
21 | | that duplicate
the minimum benefits of qualified dental |
22 | | plans, as provided in subsection (e) of this Section if: |
23 | | (A) the Board, in cooperation with the Department, |
24 | | has determined that at least one qualified dental plan |
25 | | is
available to supplement the plan's coverage; and |
|
| | 09800SB0636ham006 | - 68 - | LRB098 04421 RPS 62683 a |
|
|
1 | | (B) the health insurance carrier makes prominent |
2 | | disclosure at the time it offers the
plan, in a form |
3 | | approved by the Board, that the plan does not provide |
4 | | the full range of
essential pediatric dental benefits |
5 | | and that qualified dental plans providing those |
6 | | benefits and
other dental benefits not covered by the |
7 | | plan are offered through the Exchange; |
8 | | (2) fulfill all premium rate and contract filing |
9 | | requirements and ensure that no contract language has been |
10 | | disapproved by the Director; |
11 | | (3) provide at least the minimum level of coverage |
12 | | prescribed by the Federal Act; |
13 | | (4) ensure that the cost-sharing requirements of the |
14 | | plan do not exceed the limits
established under Section |
15 | | 1302(c)(l) of the Federal Act, and if the plan is offered |
16 | | through the
SHOP Exchange, the plan's deductible does not |
17 | | exceed the limits established under Section
1302(c)(2) of |
18 | | the Federal Act; |
19 | | (5) be offered by a health insurance carrier that: |
20 | | (A) is authorized and in good standing to offer |
21 | | health insurance coverage; |
22 | | (B) offers at least one qualified health plan at |
23 | | the silver level and at
least one plan at the gold |
24 | | level, as described in the Federal Act, through each |
25 | | component of the Board in which the health insurance
|
26 | | carrier participates; for the purposes of this |
|
| | 09800SB0636ham006 | - 69 - | LRB098 04421 RPS 62683 a |
|
|
1 | | subparagraph (B), "component"
means the SHOP Exchange |
2 | | and the exchange for individual coverage within the |
3 | | American
Health Benefit Exchange; |
4 | | (C) charges the same premium rate for each |
5 | | qualified health plan without
regard to whether the |
6 | | plan is offered through the Exchange and without regard |
7 | | to whether the
plan is offered directly from the health |
8 | | insurance carrier or through an insurance producer; |
9 | | (D) does not charge any cancellation fees or |
10 | | penalties; and |
11 | | (E) complies with the regulations established by |
12 | | the Secretary under
Section 1311 (d) of the Federal Act |
13 | | and any other requirements of the Illinois Insurance |
14 | | Code and the Department; |
15 | | (6) meet the requirements of certification pursuant to |
16 | | the requirements of the Department and the Illinois |
17 | | Insurance Code provided in
this Law and the requirements |
18 | | issued by the Secretary under Section 1311(c) of the |
19 | | Federal Act and rules promulgated or adopted
pursuant to |
20 | | this Law or the Federal Act, which shall include: |
21 | | (A) minimum standards in the areas of marketing |
22 | | practices; |
23 | | (B) network adequacy; |
24 | | (C) essential community providers in underserved |
25 | | areas; |
26 | | (D) accreditation; |
|
| | 09800SB0636ham006 | - 70 - | LRB098 04421 RPS 62683 a |
|
|
1 | | (E) quality improvement; |
2 | | (F) uniform enrollment forms and descriptions of |
3 | | coverage; and |
4 | | (G) information on quality measures for health |
5 | | benefit plan performance; |
6 | | (7) include outpatient clinics in the health plan's |
7 | | region that are controlled by an entity that also controls |
8 | | a 340B eligible provider as defined by Section 340B(a)(4) |
9 | | of the federal Public Health Service Act such that the |
10 | | outpatient clinics are subject to the same mission, |
11 | | policies, and medical standards related to the provision of |
12 | | health care services as the 340B eligible provider; and |
13 | | (8) submit a justification for any premium increase |
14 | | prior to the implementation of the increase and prominently |
15 | | post that information on its Internet website; this |
16 | | information, and the information and the recommendations |
17 | | provided by the Department of Insurance or the U.S. |
18 | | Department of Health and Human Services under Section |
19 | | 2794(b)(1) of the federal Public Health Service Act |
20 | | (relating to patterns or practices of excessive or |
21 | | unjustified premium increases), shall be taken into |
22 | | consideration when determining whether to make the health |
23 | | plan available through the Exchange; any excess of premium |
24 | | growth outside the Exchange as compared to the rate of that |
25 | | growth inside the Exchange, including information reported |
26 | | by the Department of Insurance and the U.S. Department of |
|
| | 09800SB0636ham006 | - 71 - | LRB098 04421 RPS 62683 a |
|
|
1 | | Health and Human Services, shall also be taken into |
2 | | account. |
3 | | (b) The Department shall require each health insurance |
4 | | carrier seeking certification of a plan as a
qualified health |
5 | | plan to: |
6 | | (1) make available to the public, in plain language as |
7 | | defined in Section 1311(e)(3)(B) of the Federal Act, and |
8 | | submit to the Board, the Secretary, and the Department |
9 | | accurate
and timely disclosure of the following: |
10 | | (i) claims payment policies and practices; |
11 | | (ii) periodic financial disclosures; |
12 | | (iii) data on enrollment; |
13 | | (iv) data on disenrollment; |
14 | | (v) data on the number of claims that are |
15 | | denied; |
16 | | (vi) data on rating practices; |
17 | | (vii) information on cost-sharing and payments |
18 | | with respect to any
out-of-network coverage; |
19 | | (viii) information on enrollee and participant |
20 | | rights under Title I of
the Federal Act; and |
21 | | (ix) other information as determined |
22 | | appropriate by the Secretary, including, but not |
23 | | limited to, accredited clinical quality measures; |
24 | | and |
25 | | (2) permit individuals to learn, in a timely manner |
26 | | upon the request of the
individual, the comparative quality |
|
| | 09800SB0636ham006 | - 72 - | LRB098 04421 RPS 62683 a |
|
|
1 | | standards of the plans along established clinical |
2 | | data-based standards and the amount of cost-sharing, |
3 | | including deductibles, copayments, and coinsurance,
under |
4 | | the individual's plan or coverage that the individual would |
5 | | be responsible for paying with
respect to the furnishing of |
6 | | a specific item or service by a participating provider and |
7 | | make this
information available to the individual through |
8 | | an Internet website that is publicly accessible and
through |
9 | | other means for individuals without access to the Internet. |
10 | | (c) The Department shall not exempt any health insurance |
11 | | carrier seeking certification as a qualified
health plan, |
12 | | regardless of the type or size of the health insurance carrier, |
13 | | from licensure or solvency
requirements and shall apply the |
14 | | criteria of this Section in a manner that ensures a level |
15 | | playing
field between or among health insurance carriers |
16 | | participating in the Exchange. |
17 | | (d) The provisions of this Law that are applicable to |
18 | | qualified health plans shall also
apply, to the extent |
19 | | relevant, to qualified dental plans, except as modified in |
20 | | accordance with the
provisions of paragraphs (1), (2), and (3) |
21 | | of this subsection (d) or by rules adopted by the
Board. |
22 | | (1) The health insurance carrier shall be licensed to |
23 | | offer dental coverage, but need not be
licensed to offer |
24 | | other health benefits. |
25 | | (2) The plan shall be limited to dental and oral health |
26 | | benefits, without
substantially duplicating the benefits |
|
| | 09800SB0636ham006 | - 73 - | LRB098 04421 RPS 62683 a |
|
|
1 | | typically offered by health benefit plans without dental
|
2 | | coverage and shall include, at a minimum, the essential |
3 | | pediatric dental benefits prescribed by
the Secretary |
4 | | pursuant to Section 1302(b)(l)(J) of the Federal Act and |
5 | | such other dental benefits
as the Board or the Secretary |
6 | | may specify by rule. |
7 | | (3) Health insurance carriers may jointly offer a |
8 | | comprehensive plan through the Exchange
in which the dental |
9 | | benefits are provided by a health insurance carrier through |
10 | | a qualified dental plan and
the other benefits are provided |
11 | | by a health insurance carrier through a qualified health |
12 | | plan, provided that
the plans are priced separately and are |
13 | | also made available for purchase separately at the same
|
14 | | price. |
15 | | (215 ILCS 122/5-15)
|
16 | | Sec. 5-15. Illinois Health Benefits Exchange Legislative |
17 | | Oversight Study Committee. |
18 | | (a) There is created an Illinois Health Benefits Exchange |
19 | | Legislative Oversight Study Committee within the Commission on |
20 | | Government Forecasting and Accountability to provide |
21 | | accountability for conduct a study regarding State |
22 | | implementation and establishment of the Illinois Health |
23 | | Benefits Exchange and to ensure Exchange operations and |
24 | | functions align with the goals and duties outlined by this Law . |
25 | | The Committee shall also be responsible for providing policy |
|
| | 09800SB0636ham006 | - 74 - | LRB098 04421 RPS 62683 a |
|
|
1 | | recommendations to ensure the Exchange aligns with the Federal |
2 | | Act, amendments to the Federal Act, and regulations promulgated |
3 | | pursuant to the Federal Act. |
4 | | (b) Members of the Legislative Oversight Study Committee |
5 | | shall be appointed as follows: 3 members of the Senate shall be |
6 | | appointed by the President of the Senate; 3 members of the |
7 | | Senate shall be appointed by the Minority Leader of the Senate; |
8 | | 3 members of the House of Representatives shall be appointed by |
9 | | the Speaker of the House of Representatives; and 3 members of |
10 | | the House of Representatives shall be appointed by the Minority |
11 | | Leader of the House of Representatives. Each legislative leader |
12 | | shall select one member to serve as co-chair of the committee. |
13 | | (c) Members of the Legislative Oversight Study Committee |
14 | | shall be appointed within 30 days after the effective date of |
15 | | this Law. The co-chairs shall convene the first meeting of the |
16 | | committee no later than 45 days after the effective date of |
17 | | this Law.
|
18 | | (Source: P.A. 97-142, eff. 7-14-11.) |
19 | | (215 ILCS 122/5-16 new) |
20 | | Sec. 5-16. Exchange governance. The governing and |
21 | | administrative powers of the Exchange shall be vested in a body |
22 | | known as the Illinois Health Benefits Exchange Board. The |
23 | | following provisions shall apply: |
24 | | (1) The Board shall consist of 13 voting members |
25 | | appointed by the Governor with the advice and consent of a |
|
| | 09800SB0636ham006 | - 75 - | LRB098 04421 RPS 62683 a |
|
|
1 | | majority of the members elected to the Senate. In addition, |
2 | | the Director of Insurance, the Director of Public Health, |
3 | | the Secretary of Human Services, the Director of Healthcare |
4 | | and Family Services, and the Executive Director of the |
5 | | Exchange shall serve as non-voting, ex officio members of |
6 | | the Board. The Governor shall also appoint as non-voting, |
7 | | ex officio members one economist with experience in the |
8 | | health care markets and one educated health care consumer |
9 | | advocate. All Board members shall be appointed no later |
10 | | than July 1, 2015. Any nomination not acted upon by the |
11 | | Senate within 60 session days of the receipt thereof shall |
12 | | be deemed to have received the advice and consent of the |
13 | | Senate. If, during a recess of the Senate, an appointment |
14 | | is made or there is a vacancy on the Board, the Governor |
15 | | shall make a temporary appointment until the next meeting |
16 | | of the Senate when the Governor shall make a nomination to |
17 | | fill that office. No person rejected for membership on the |
18 | | Board shall, except by the Senate's request, be nominated |
19 | | again for that office at the same session of the Senate or |
20 | | be appointed to that office during a recess of that Senate. |
21 | | (2) The Governor shall make the appointments so as to |
22 | | reflect the geographic, gender, cultural, racial, and |
23 | | ethnic diversity of this State and in accordance with |
24 | | subparagraphs (A), (B), and (C) of this paragraph, as |
25 | | follows: |
26 | | (A) No more than 4 voting members may represent the |
|
| | 09800SB0636ham006 | - 76 - | LRB098 04421 RPS 62683 a |
|
|
1 | | following interests, of which no more than 2 may |
2 | | represent any one interest: |
3 | | (1) the insurance industry; |
4 | | (2) health care administrators; and |
5 | | (3) licensed health care professionals. |
6 | | (B) At least 9 voting members shall represent the |
7 | | following interest groups, with each interest group |
8 | | represented by at least one voting member: |
9 | | (1) a labor interest group; |
10 | | (2) a women's interest group; |
11 | | (3) a minorities' interest group; |
12 | | (4) a disabled persons' interest group; |
13 | | (5) a small business interest group; |
14 | | (6) a public health interest group; |
15 | | (7) hospitals; and |
16 | | (8) essential community providers. |
17 | | (C) Each person appointed to the Board should have |
18 | | demonstrated experience in at least one of the |
19 | | following areas: |
20 | | (1) individual health insurance coverage; |
21 | | (2) small employer health insurance; |
22 | | (3) health benefits administration; |
23 | | (4) health care finance; |
24 | | (5) administration of a public or private |
25 | | health care delivery system; |
26 | | (6) the provision of health care services; |
|
| | 09800SB0636ham006 | - 77 - | LRB098 04421 RPS 62683 a |
|
|
1 | | (7) the purchase of health insurance coverage; |
2 | | (8) health care consumer navigation or |
3 | | assistance; |
4 | | (9) health care economics or health care |
5 | | actuarial sciences; |
6 | | (10) information technology; or |
7 | | (11) operating a small business with 50 or |
8 | | fewer employees. |
9 | | (3) The Board shall elect one voting member of the |
10 | | Board to serve as chairperson and one voting member to |
11 | | serve as vice-chairperson, upon approval of a majority of |
12 | | the Board. |
13 | | (4) The Exchange shall be administered by an Executive |
14 | | Director, who shall be appointed, and may be removed, by a |
15 | | majority of the Board. The Board shall have the power to |
16 | | determine compensation for the Executive Director. The |
17 | | Executive Director shall be responsible for the selection |
18 | | of such other staff and the determination of compensation |
19 | | as may be authorized by the Board's operating budget. |
20 | | (5) The terms of the non-voting, ex officio members of |
21 | | the Board shall run concurrent with their terms of |
22 | | appointment to office, or in the case of the Executive |
23 | | Director, his or her term of appointment to that position, |
24 | | subject to the determination of the Board. The terms of the |
25 | | members, including those non-voting, ex officio members |
26 | | appointed by the Governor, shall be 4 years. Upon |
|
| | 09800SB0636ham006 | - 78 - | LRB098 04421 RPS 62683 a |
|
|
1 | | conclusion of the initial term, the next term and every |
2 | | term subsequent to it shall run for 3 years. Voting members |
3 | | shall serve no more than 3 consecutive terms. |
4 | | A person appointed to fill a vacancy and complete the |
5 | | unexpired term of a member of the Board shall only be |
6 | | appointed to serve out the unexpired term by the individual |
7 | | who made the original appointment within 45 days after the |
8 | | initial vacancy. A person appointed to fill a vacancy and |
9 | | complete the unexpired term of a member of the Board may be |
10 | | re-appointed to the Board for another term, but shall not |
11 | | serve than more than 2 consecutive terms following their |
12 | | completion of the unexpired term of a member of the Board. |
13 | | If a voting Board member's qualifications change due to |
14 | | a change in employment during the term of their |
15 | | appointment, then the Board member shall resign their |
16 | | position, subject to reappointment by the individual who |
17 | | made the original appointment. |
18 | | (6) The Board shall create and appoint qualified |
19 | | persons with requisite expertise to Exchange regional |
20 | | advisory groups. Members of the regional advisory groups |
21 | | shall serve without pay. These Exchange regional advisory |
22 | | groups shall meet in a manner and frequency determined by |
23 | | the Board to discuss exchange-related issues and to provide |
24 | | exchange-related guidance, advice, and recommendations to |
25 | | the Board. There shall be a regional advisory group for |
26 | | each of the qualified health plan rating areas designated |
|
| | 09800SB0636ham006 | - 79 - | LRB098 04421 RPS 62683 a |
|
|
1 | | by the Department. Each regional advisory group shall, at a |
2 | | minimum, include one member from each of the following |
3 | | interest groups: |
4 | | (A) insurers; |
5 | | (B) business; |
6 | | (C) consumers; |
7 | | (D) providers; |
8 | | (E) insurance producers; |
9 | | (F) navigators; and |
10 | | (G) dentists. |
11 | | (7) The Board shall meet no less than quarterly on a |
12 | | schedule established by the chairperson. Meetings shall be |
13 | | public and public records shall be maintained, subject to |
14 | | the Open Meetings Act. A majority of the Board shall |
15 | | constitute a quorum and the affirmative vote of a majority |
16 | | is necessary for any action of the Board. No vacancy shall |
17 | | impair the ability of the Board to act provided a quorum is |
18 | | reached. Members shall serve without pay, but shall be |
19 | | reimbursed for their actual and reasonable expenses |
20 | | incurred in the performance of their duties. The |
21 | | chairperson of the Board shall file a written report |
22 | | regarding the activities of the Board and the Exchange to |
23 | | the Governor and General Assembly annually, and the |
24 | | Legislative Oversight Committee established in Section |
25 | | 5-15 quarterly, beginning on January 1, 2016 through |
26 | | December 31, 2017. |
|
| | 09800SB0636ham006 | - 80 - | LRB098 04421 RPS 62683 a |
|
|
1 | | (8) The Board shall adopt conflict of interest rules |
2 | | and recusal procedures. Such rules and procedures shall (i) |
3 | | prohibit a member of the Board from performing an official |
4 | | act that may have a direct economic benefit on a business |
5 | | or other endeavor in which that member has a direct or |
6 | | substantial financial interest and (ii) require a member of |
7 | | the Board to recuse himself or herself from an official |
8 | | matter, whether direct or indirect. All recusals must be in |
9 | | writing and specify the reason and date of the recusal. All |
10 | | recusals shall be maintained by the Executive Director and |
11 | | shall be disclosed to any person upon written request. |
12 | | Within 6 months after the Board is convened, the Board |
13 | | shall adopt rules that regulate, in a manner no less |
14 | | restrictive than Sections 5-15 and 5-45 and Article 10 of |
15 | | the State Officials and Employees Ethics Act, (i) the |
16 | | political activities of Board members and employees of the |
17 | | Exchange, (ii) the soliciting and accepting of gifts by, |
18 | | and the offering and making of gifts to, Board members and |
19 | | employees of the Exchange, and (iii) the future employment |
20 | | of Board members and employees of the Exchange with |
21 | | entities that they regulated or conducted business with |
22 | | preceding the termination of their board membership or |
23 | | employment with the Exchange. |
24 | | (9) The Board shall develop a budget, to be submitted |
25 | | to the General Assembly by August 15, 2015, by March 15, |
26 | | 2017, and by March 15 every year thereafter, for the |
|
| | 09800SB0636ham006 | - 81 - | LRB098 04421 RPS 62683 a |
|
|
1 | | implementation and operation of the Exchange for operating |
2 | | expenses, including, but not limited to: |
3 | | (A) proposed compensation levels for the Executive |
4 | | Director and shall identify personnel and staffing |
5 | | needs for the implementation and operation of the |
6 | | Exchange; |
7 | | (B) disclosure of funds received or expected to be |
8 | | received from the federal government for the |
9 | | infrastructure and systems of the Exchange and those |
10 | | funds received or expected to be received for program |
11 | | administration and operations; |
12 | | (C) delineation of those functions of the Exchange |
13 | | that are to be paid by State and federal programs that |
14 | | are allocable to the State's General Revenue Fund; and |
15 | | (D) insurer assessments. |
16 | | (10) The Board shall, in consultation with the Health |
17 | | Benefits Exchange Legislative Oversight Committee, produce |
18 | | a cost-benefit analysis of the State's essential health |
19 | | benefits no later than August 1, 2016 for the purposes of |
20 | | informing the U.S. Department of Health and Human Services |
21 | | in their re-evaluation of the essential health benefits for |
22 | | plan years 2017 and beyond. |
23 | | (11) Except as otherwise expressly provided by law, |
24 | | employees of the Exchange and members of the Board shall |
25 | | not be considered State employees. |
26 | | (12) The purpose of the Board shall be to implement the |
|
| | 09800SB0636ham006 | - 82 - | LRB098 04421 RPS 62683 a |
|
|
1 | | Exchange in accordance with this Law. |
2 | | (215 ILCS 122/5-17 new) |
3 | | Sec. 5-17. Insurer's assessment. A participating insurer |
4 | | shall be assessed a monthly fee for each plan it offers through |
5 | | the Exchange in an amount equal to the product of the rate |
6 | | established annually by the Board in accordance with this |
7 | | Section for the applicable benefit year and the monthly premium |
8 | | charged by the insurer prior to application of any premium |
9 | | assistance, including, but not limited to, premium tax credits, |
10 | | for each policy under the plan where enrollment is through the |
11 | | Exchange. No participating insurer shall be assessed while |
12 | | assessments are being made pursuant to Section 12 of the |
13 | | Comprehensive Health Insurance Plan Act. The Board may exempt |
14 | | those insurers whose total assessment would be so minimal as to |
15 | | not exceed the estimated cost of levying the assessment. |
16 | | The total amount assessed on all participating insurers |
17 | | shall not exceed an amount that is reasonably necessary to |
18 | | support the operation and administration of the Exchange and |
19 | | the related functions of the Department for carrying out the |
20 | | purposes authorized in this Law. The assessment rate |
21 | | established by the Board shall not exceed the lesser of 3.5% or |
22 | | the rate established by the United States Department of Health |
23 | | and Human Services pursuant to 45 CFR 156.50(c) for insurers |
24 | | offering plans through the federal facilitated exchange. In |
25 | | establishing the assessment, the Board shall take into |
|
| | 09800SB0636ham006 | - 83 - | LRB098 04421 RPS 62683 a |
|
|
1 | | consideration any unspent federal funds remaining and shall |
2 | | reduce the assessment accordingly. |
3 | | The assessed fee shall be remitted to the Board within 30 |
4 | | days after the end of the month in which the fee was assessed. |
5 | | When a carrier fails to pay the full amount of any assessment |
6 | | of $100 or more due under this Section there shall be added to |
7 | | the amount due as a penalty the greater of $50 or an amount |
8 | | equal to 5% of the deficiency for each month or part of a month |
9 | | that the deficiency remains unpaid. All moneys collected by the |
10 | | Board shall be placed in the Illinois Health Benefits Exchange |
11 | | Fund. |
12 | | The Board shall prepare annually a complete and detailed |
13 | | written report accounting for all funds received and dispensed |
14 | | during the preceding fiscal year. |
15 | | Assessments or fees charged to carriers under this Law |
16 | | shall not include any amount based on coverage, or premiums |
17 | | associated with such coverage, that is defined as an excepted |
18 | | benefit under Section 2791(c) of the federal Public Health |
19 | | Service Act (42 U.S.C. 300gg-91(c)). |
20 | | (215 ILCS 122/5-18 new) |
21 | | Sec. 5-18. Illinois Health Benefits Exchange Fund. There |
22 | | is hereby created as a fund outside of the State treasury the |
23 | | Illinois Health Benefits Exchange Fund to be used exclusively |
24 | | by the Exchange and the Department to provide funding for the |
25 | | operation and administration of the Exchange and for carrying |
|
| | 09800SB0636ham006 | - 84 - | LRB098 04421 RPS 62683 a |
|
|
1 | | out the purposes authorized in this Law. The Fund shall consist |
2 | | of the following: |
3 | | (1) any user fees or other assessment collected by the |
4 | | Exchange, as authorized by this Law; |
5 | | (2) income from investments made on behalf of the Fund; |
6 | | (3) interest on deposits or investments of money in the |
7 | | Fund; |
8 | | (4) money collected by the Board as a result of legal |
9 | | or other action taken by the Board on behalf of the |
10 | | Exchange or the Fund; |
11 | | (5) money donated to the Fund; |
12 | | (6) money awarded to the Fund through grants; and |
13 | | (7) any other money from any other source accepted for |
14 | | the benefit of the Fund. |
15 | | Any investment earnings of the Fund shall be credited to |
16 | | the Fund. No part of the Fund may revert or be credited to the |
17 | | General Revenue Fund or any special fund in the State Treasury. |
18 | | A debt or an obligation of the Fund or the Exchange is not a |
19 | | debt of the State or a pledge of credit of the State. |
20 | | (215 ILCS 122/5-23 new) |
21 | | Sec. 5-23. Examination or investigation of the Exchange. |
22 | | The Director shall have the ability to examine or investigate |
23 | | the Exchange pursuant to his or her authority under Article |
24 | | XXIV of the Illinois Insurance Code.
|