Illinois General Assembly - Bill Status for SB1925

Amends the Illinois Public Aid Code. Provides for Medicaid eligibility for all persons who are not otherwise eligible for medical assistance under any other provision and who have income, as determined by the Department of Healthcare and Family Services, that is equal to or less than 100% of the Federal Poverty Level, or is equal to or less than 100% of the Federal Poverty Level by disregarding the maximum earned income as determined by the Department. Provides that the medical assistance for which such persons are eligible shall be no less than the covered benefits available to persons eligible under a provision covering persons otherwise eligible for basic maintenance under the AABD or TANF programs but who fail to qualify thereunder on the basis of need, and who have insufficient income and resources to meet the costs of necessary medical care.

Replaces everything after the enacting clause with provisions amending the Illinois Public Aid Code that are similar to the provisions of the bill, providing for medical assistance coverage for persons who have income, as determined by the Department of Healthcare and Family Services, that is equal to or less than 100% of the Federal Poverty Level or is equal to or less than 100% of the Federal Poverty Level by disregarding the maximum earned income as determined by the Department. Also provides that such persons must be U.S. citizens, lawfully present in the U.S., or permanently residing in the U.S. under color of law. Provides that such persons must choose a medical home and primary care provider through the Illinois Health Connect Primary Care Case Management Program or any subsequent Illinois Department of Healthcare and Family Services primary care case management program.

Replaces everything after the enacting clause. Amends the Illinois Public Aid Code by adding provisions concerning the eligibility of certain persons for medical assistance substantially similar to the provisions of the bill as amended by Senate Amendment No. 1, but with changes that include the following: (1) provides that persons must be at least age 19 and younger than 65 and must be uninsured; (2) provides that persons may (instead of shall) be required to choose a medical home and a primary care provider, and eliminates a reference to case management programs; (3) provides that eligible non-citizens may qualify regardless of when they entered the United States; (4) provides that long-term care services shall not be covered; and (5) provides that for services provided to persons for whom federal matching funds are not available, the Department of Healthcare and Family Services may establish rates of reimbursement for and make payments to providers that are owned or operated by a State agency, a State university, or a county with a population of 3,000,000 or more that differ from rates otherwise established under the Code.

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