HB4165 EnrolledLRB100 15528 KTG 30575 b

1    AN ACT concerning health care.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 1. The State Employees Group Insurance Act of 1971
5is amended by adding Section 6.16 as follows:
 
6    (5 ILCS 375/6.16 new)
7    Sec. 6.16. Waiver application prohibitions.
8    (a) Notwithstanding any other law to the contrary, except
9as specified in subsection (b), the State shall not apply for
10any federal waiver that would reduce or eliminate any
11protection or coverage required under the Patient Protection
12and Affordable Care Act (Public Law 111-148) that was in effect
13on January 1, 2017, including, but not limited to, any
14protection for persons with pre-existing conditions and
15coverage for services identified as essential health benefits
16under the Patient Protection and Affordable Care Act.
17    (b) The State or an agency of the executive branch may
18apply for such a waiver only if the General Assembly, by joint
19resolution approved by a majority of each chamber prior to the
20submission of such a waiver application to the U.S. Department
21of Health and Human Services, authorizes the State or an agency
22of the executive branch to apply for such a federal waiver.
 

 

 

HB4165 Enrolled- 2 -LRB100 15528 KTG 30575 b

1    Section 5. The Illinois Insurance Code is amended by adding
2Section 356z.29 as follows:
 
3    (215 ILCS 5/356z.29 new)
4    Sec. 356z.29. Waiver application prohibitions.
5    (a) Notwithstanding any other law to the contrary, except
6as specified in subsection (b), the State shall not apply for
7any federal waiver that would permit an individual or group
8health insurance plan to reduce or eliminate any protection or
9coverage required under the Patient Protection and Affordable
10Care Act (Public Law 111-148) that was in effect on January 1,
112017, including, but not limited to, any protection for persons
12with pre-existing conditions and coverage for services
13identified as essential health benefits under the Patient
14Protection and Affordable Care Act.
15    (b) The State or an agency of the executive branch may
16apply for such a waiver only if the General Assembly, by joint
17resolution approved by a majority of each chamber prior to the
18submission of such a waiver application to the U.S. Department
19of Health and Human Services, authorizes the State or an agency
20of the executive branch to apply for such a federal waiver.
 
21    Section 10. The Illinois Public Aid Code is amended by
22adding Section 5-36 as follows:
 
23    (305 ILCS 5/5-36 new)

 

 

HB4165 Enrolled- 3 -LRB100 15528 KTG 30575 b

1    Sec. 5-36. Waiver application prohibitions.
2    (a) Notwithstanding any other law, except as specified in
3subsection (b), the State or an agency of the executive branch
4shall not apply for any federal Medicaid waiver that would
5result in more restrictive standards, methodologies,
6procedures, or other requirements than those that were in
7effect in Illinois as of January 1, 2017 for: (i) the Medical
8Assistance Program, as authorized under this Code and Title XIX
9of the Social Security Act; (ii) the Children's Health
10Insurance Program, as authorized under the Children's Health
11Insurance Program Act and Title XXI of the Social Security Act;
12or (iii) any other medical assistance program in Illinois that
13is operating under any existing federal waiver authorized under
14Section 1115 or Section 1915 of the Social Security Act.
15    (b) The State or an agency of the executive branch may
16apply for such a waiver only if the General Assembly, by joint
17resolution approved by a majority of each chamber prior to the
18submission of such a waiver application to the U.S. Department
19of Health and Human Services, authorizes the State or an agency
20of the executive branch to apply for such a federal waiver.
 
21    Section 99. Effective date. This Act takes effect upon
22becoming law.