SB3658 98TH GENERAL ASSEMBLY

LRB098 21240 KTG 59242 b

98TH GENERAL ASSEMBLY
State of Illinois
2013 and 2014
SB3658

Introduced 5/12/2014, by Sen. Dale A. Righter

SYNOPSIS AS INTRODUCED:

305 ILCS 5/5-1.4

Amends Article V of the Illinois Public Aid Code. Provides that if the Department of Healthcare and Family Services fails to reach the 50% care coordination enrollment mandate contained in the Children's Health Insurance Program Act, the Covering ALL KIDS Health Insurance Act, and the Illinois Public Aid Code by the January 1, 2015 deadline, then the 4-year moratorium on eligibility expansions under the medical assistance program shall be extended for an additional 2-year period, or until the 50% care coordination enrollment mandate is achieved, whichever period is longer. Provides that the extended moratorium shall also include a moratorium on benefit expansions which shall run concurrently with the moratorium on eligibility expansions. Effective immediately.

FISCAL NOTE ACT MAY APPLY

A BILL FOR

AN ACT concerning public aid.

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

Section 5. The Illinois Public Aid Code is amended by changing Section 5-1.4 as follows:

(305 ILCS 5/5-1.4)

Sec. 5-1.4. Moratorium on eligibility and benefit expansions.

(a) Beginning on January 25, 2011 (the effective date of Public Act 96-1501), there shall be a 4-year moratorium on the expansion of eligibility through increasing financial eligibility standards, or through increasing income disregards, or through the creation of new programs which would add new categories of eligible individuals under the medical assistance program in addition to those categories covered on January 1, 2011 or above the level of any subsequent reduction in eligibility. This moratorium shall not apply to expansions required as a federal condition of State participation in the medical assistance program or to expansions approved by the federal government that are financed entirely by units of local government and federal matching funds. If the State of Illinois finds that the State has borne a cost related to such an expansion, the unit of local government shall reimburse the State. All federal funds associated with an expansion funded by a unit of local government shall be returned to the local government entity funding the expansion, pursuant to an intergovernmental agreement between the Department of Healthcare and Family Services and the local government entity. Within 10 calendar days of the effective date of this amendatory Act of the 97th General Assembly, the Department of Healthcare and Family Services shall formally advise the Centers for Medicare and Medicaid Services of the passage of this amendatory Act of the 97th General Assembly. The State is prohibited from submitting additional waiver requests that expand or allow for an increase in the classes of persons eligible for medical assistance under this Article to the federal government for its consideration beginning on the 20th calendar day following the effective date of this amendatory Act of the 97th General Assembly until January 25, 2015. This moratorium shall not apply to those persons eligible for medical assistance pursuant to 42 U.S.C. 1396a(a)(10)(A)(i)(VIII) and 42 U.S.C. 1396a(a)(10)(A)(i)(IX).

(b) If the Department fails to reach the 50% care coordination enrollment mandate contained in Section 23 of the Children's Health Insurance Program Act, Section 56 of the Covering ALL KIDS Health Insurance Act, and Section 5-30 of this Code by the January 1, 2015 deadline, then the moratorium established under subsection (a) shall be extended for an additional 2-year period, or until the 50% care coordination enrollment mandate is achieved, whichever period is longer. This extended moratorium shall also include a moratorium on benefit expansions which shall run concurrently with the moratorium on eligibility expansions.

(Source: P.A. 97-687, eff. 6-14-12; 98-104, eff. 7-22-13.)

Section 99. Effective date. This Act takes effect upon becoming law.