HB6058 96TH GENERAL ASSEMBLY

LRB096 18352 KTG 33729 b

96TH GENERAL ASSEMBLY
State of Illinois
2009 and 2010
HB6058

Introduced 2/11/2010, by Rep. Rosemary Mulligan

SYNOPSIS AS INTRODUCED:

305 ILCS 5/3-6

from Ch. 23, par. 3-6

Amends the Aid to the Aged, Blind, or Disabled Article of the Illinois Public Aid Code. Requires a mechanism to exist which will allow certain medical assistance recipients required to receive care administered through an entity licensed under the Health Maintenance Organization Act or a third party administrator paid through a capitated payment rate, to opt out of such coverage and enroll in a fee-for-service based coverage, if certain conditions apply. Effective July 1, 2010.

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 3-6 as follows:

(305 ILCS 5/3-6) (from Ch. 23, par. 3-6)

Sec. 3-6. Entitlement to medical assistance.

(a) Persons qualified for financial aid for basic maintenance shall be entitled to receive, under Article V, all necessary medical assistance.

(b) If any persons entitled to receive medical assistance under this Section are required to receive care administered through an entity licensed under the Health Maintenance Organization Act or a third party administrator paid through a capitated payment rate at the same time that other persons covered under this Section or Article V of this Code, or the Children's Health Insurance Program Act or the Covering ALL KIDS Health Insurance Act are able to access care through a fee-for-service based system, then a mechanism shall exist which allows such persons to opt out of the capitated or HMO based coverage and to enroll in a fee-for-service based coverage.

(Source: Laws 1967, p. 122.)

Section 99. Effective date. This Act takes effect July 1, 2010.