HB4165 100TH GENERAL ASSEMBLY

LRB100 15528 KTG 30575 b

100TH GENERAL ASSEMBLY
State of Illinois
2017 and 2018
HB4165

Introduced , by Rep. Gregory Harris

SYNOPSIS AS INTRODUCED:

5 ILCS 375/18 new
215 ILCS 5/356z.29 new
305 ILCS 5/5-36 new

Amends the State Employees Group Insurance Act of 1971. Prohibits the Director of the Illinois Department of Central Management Services and the State from applying for any federal waiver that would reduce or eliminate any protection or coverage required under the Patient Protection and Affordable Care Act (ACA) that was in effect on January 1, 2017, including, but not limited to, any protection for persons with pre-existing conditions and coverage for services identified as essential health benefits under the ACA. Provides that the Director may apply for such a waiver only if granted authorization by the General Assembly through a joint resolution. Amends the Illinois Insurance Code. Prohibits the State from applying for any federal waiver that would permit an individual or group health insurance plan to reduce or eliminate any protection or coverage required under the ACA that was in effect on January 1, 2017, including, but not limited to, any protection for persons with pre-existing conditions and coverage for services identified as essential health benefits under the ACA. Provides that the State may apply for such a waiver only if granted authorization by the General Assembly through a joint resolution. Amends the Illinois Public Aid Code. Prohibits the State from applying for any waiver of federal Medicaid requirements that would reduce or eliminate any protection or coverage required under the ACA that was in effect on January 1, 2017. Provides that the State may apply for such a waiver only if granted authorization by the General Assembly through a joint resolution. Effective immediately.

FISCAL NOTE ACT MAY APPLY

A BILL FOR

AN ACT concerning health care.

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

Section 1. The State Employees Group Insurance Act of 1971 is amended by adding Section 18 as follows:

(5 ILCS 375/18 new)

Sec. 18. Waiver application prohibitions. Notwithstanding any other law to the contrary, the Director may not apply for any federal waiver that, if granted, would reduce or eliminate any protection or coverage required under the Patient Protection and Affordable Care Act (Public Law 111-148) that was in effect on January 1, 2017, including, but not limited to, any protection for persons with pre-existing conditions and coverage for services identified as essential health benefits under the Patient Protection and Affordable Care Act. The Director may apply for such a waiver only if the General Assembly, by joint resolution approved by a majority of each chamber, authorizes the Director to apply for a federal waiver prior to the submission of the waiver application to the U.S. Department of Health and Human Services.

Section 5. The Illinois Insurance Code is amended by adding Section 356z.29 as follows:

(215 ILCS 5/356z.29 new)

Sec. 356z.29. Waiver application prohibitions. Notwithstanding any other law to the contrary, the State may not apply for any federal waiver that, if granted, would permit an individual or group health insurance plan to reduce or eliminate any protection or coverage required under the Patient Protection and Affordable Care Act (Public Law 111-148) that was in effect on January 1, 2017, including, but not limited to, any protection for persons with pre-existing conditions and coverage for services identified as essential health benefits under the Patient Protection and Affordable Care Act. The State may apply for such a waiver only if the General Assembly, by joint resolution approved by a majority of each chamber, authorizes the State or an agency of the executive branch to apply for a federal waiver prior to the submission of the waiver application to the U.S. Department of Health and Human Services.

Section 10. The Illinois Public Aid Code is amended by adding Section 5-36 as follows:

(305 ILCS 5/5-36 new)

Sec. 5-36. Waiver application prohibitions. Notwithstanding any other law to the contrary, the State may not apply for any waiver of federal Medicaid requirements that, if granted, would reduce or eliminate any protection or coverage required under the Patient Protection and Affordable Care Act (Public Law 111-148) that was in effect on January 1, 2017. The State may apply for such a waiver only if the General Assembly, by joint resolution approved by a majority of each chamber, authorizes the State or an agency of the executive branch to apply for a federal waiver prior to the submission of the waiver application to the U.S. Department of Health and Human Services.

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