100TH GENERAL ASSEMBLY
State of Illinois
2017 and 2018
HB4736

 

Introduced , by Rep. Fred Crespo

 

SYNOPSIS AS INTRODUCED:
 
305 ILCS 5/5-2b

    Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that notwithstanding any other provision of law, the Department of Healthcare and Family Services shall not require children made eligible for medical assistance through any home and community-based services waiver program for medically fragile and technology dependent children authorized under the Social Security Act to enroll in or transition to the State's managed care medical assistance program. Provides that any medically fragile and technology dependent child who is enrolled in the State's managed care medical assistance program on or before the effective date of the amendatory Act shall be given the option to disenroll from the State's managed care medical assistance program and receive medical assistance coverage under the State's traditional fee-for-service program.


LRB100 17508 KTG 32677 b

FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

HB4736LRB100 17508 KTG 32677 b

1    AN ACT concerning public aid.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Illinois Public Aid Code is amended by
5changing Section 5-2b as follows:
 
6    (305 ILCS 5/5-2b)
7    Sec. 5-2b. Medically fragile and technology dependent
8children eligibility and program.
9    (a) Notwithstanding any other provision of law, on and
10after September 1, 2012, subject to federal approval, medical
11assistance under this Article shall be available to children
12who qualify as persons with a disability, as defined under the
13federal Supplemental Security Income program and who are
14medically fragile and technology dependent. The program shall
15allow eligible children to receive the medical assistance
16provided under this Article in the community and must maximize,
17to the fullest extent permissible under federal law, federal
18reimbursement and family cost-sharing, including co-pays,
19premiums, or any other family contributions, except that the
20Department shall be permitted to incentivize the utilization of
21selected services through the use of cost-sharing adjustments.
22The Department shall establish the policies, procedures,
23standards, services, and criteria for this program by rule.

 

 

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1    (b) Notwithstanding any other provision of law, the
2Department shall not require children made eligible for medical
3assistance through any home and community-based services
4waiver program for medically fragile and technology dependent
5children authorized under Section 1915(c) of the Social
6Security Act to enroll in or transition to the State's managed
7care medical assistance program. Any medically fragile and
8technology dependent child who is enrolled in the State's
9managed care medical assistance program on or before the
10effective date of this amendatory Act of the 100th General
11Assembly shall be given the option to disenroll from the
12State's managed care medical assistance program and receive
13medical assistance coverage under the State's traditional
14fee-for-service program.
15(Source: P.A. 97-689, eff. 6-14-12; 98-104, eff. 7-22-13.)