Full Text of SB1256 98th General Assembly
SB1256enr 98TH GENERAL ASSEMBLY |
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| 1 | | AN ACT concerning State government.
| 2 | | Be it enacted by the People of the State of Illinois, | 3 | | represented in the General Assembly:
| 4 | | Section 1. Short title. This Act may be cited as the | 5 | | Executive Order 1 (2012) Implementation Act. | 6 | | Section 5. Effect. This Act, including all of the | 7 | | amendatory provisions of this Act, implements and supersedes | 8 | | Executive Order 1 (2012). | 9 | | Section 10. Revocation of Executive Order 3 (2005). On the | 10 | | date 6 months after the effective date of this Act, Executive | 11 | | Order 3 (2005) is revoked and rescinded with the exception of | 12 | | Section I (renaming the Department of Public Aid as the | 13 | | Department of Healthcare and Family Services), which remains in | 14 | | effect. | 15 | | Section 15. Transfer back of State healthcare purchasing | 16 | | functions transferred by Executive Order 3 (2005). | 17 | | (a) On the date 6 months after the effective date of this | 18 | | Act or as soon thereafter as practical, all of the powers, | 19 | | duties, rights, and responsibilities related to State | 20 | | healthcare purchasing that were transferred from the | 21 | | Department of Central Management Services, the Department of |
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| 1 | | Corrections, the Department of Human Services, and the | 2 | | Department of Veterans' Affairs to the Department of Healthcare | 3 | | and Family Services by Executive Order 3 (2005) are transferred | 4 | | back to the Departments from which those powers, duties, | 5 | | rights, and responsibilities were transferred; however, | 6 | | powers, duties, rights, and responsibilities related to State | 7 | | healthcare purchasing that were exercised by the Department of | 8 | | Corrections before the effective date of Executive Order 3 | 9 | | (2005) but that pertain to individuals resident in facilities | 10 | | operated by the Department of Juvenile Justice are transferred | 11 | | to the Department of Juvenile Justice. | 12 | | (b) The functions associated with State healthcare | 13 | | purchasing that are transferred from the Department of | 14 | | Healthcare and Family Services under this Section include, | 15 | | without limitation, the following: | 16 | | (1) Rate development and negotiation with hospitals, | 17 | | physicians, and managed care providers. | 18 | | (2) Health care procurement development. | 19 | | (3) Contract implementation and fiscal monitoring. | 20 | | (4) Contract amendments. | 21 | | (5) Payment processing. | 22 | | (6) Purchasing aspects of health care plans | 23 | | administered by the State on behalf of the following: | 24 | | (A) State employees. These healthcare purchasing | 25 | | functions include the following health care plans: | 26 | | quality care health plan; managed care health plan; |
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| 1 | | vision plan; pharmacy benefits plan; dental plan; | 2 | | behavioral health plan; employee assistance plan; | 3 | | utilization management plan; and SHIPs and various | 4 | | subrogation agreements. These healthcare purchasing | 5 | | functions also include the purchasing and | 6 | | administration of flu shots, hepatitis B vaccinations, | 7 | | and tuberculosis tests. | 8 | | (B) Persons other than State employees. These | 9 | | healthcare purchasing functions include the following | 10 | | health care plans: the retired teachers' health | 11 | | insurance plan under the State Employees Group | 12 | | Insurance Act of 1971; the local government health | 13 | | insurance plan under the State Employees Group | 14 | | Insurance Act of 1971; the community colleges health | 15 | | insurance plan under the State Employees Group | 16 | | Insurance Act of 1971; the active teacher prescription | 17 | | program; and the Illinois Prescription Drug Discount | 18 | | Program. | 19 | | (C) Residents of State-operated facilities, | 20 | | including (i) correctional and youth facilities | 21 | | operated by the Department of Corrections or the | 22 | | Department of Juvenile Justice, (ii) mental health | 23 | | centers and developmental centers operated by the | 24 | | Department of Human Services, and (iii) veterans homes | 25 | | operated by the Department of Veterans' Affairs. | 26 | | (c) The powers, duties, rights, and responsibilities |
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| 1 | | vested in or associated with State healthcare purchasing are | 2 | | not affected by this Act, except that all management and staff | 3 | | support or other resources necessary to the operation of a | 4 | | State healthcare purchasing function shall be provided by the | 5 | | Department to which that function is transferred under this | 6 | | Act. | 7 | | Section 20. Representation on boards or other entities. | 8 | | When any provision of an Executive Order or Act provides for | 9 | | the membership of the Director of Healthcare and Family | 10 | | Services on any council, commission, board, or other entity | 11 | | that exercises any of the State healthcare purchasing functions | 12 | | transferred by this Act, the Director or Secretary of the | 13 | | Department to which the State healthcare purchasing function is | 14 | | transferred under this Act, or his or her designee, shall serve | 15 | | in the place of the Director of Healthcare and Family Services, | 16 | | but only with regard to the exercise of the function | 17 | | transferred under this Act. If more than one such person is | 18 | | required by law to serve on any council, commission, board, or | 19 | | other entity, then an equivalent number of the representatives | 20 | | of the Department to which the applicable function is | 21 | | transferred under this Act shall so serve. In addition, any | 22 | | statutory mandate that provides for action on the part of the | 23 | | Director of Healthcare and Family Services relating to a State | 24 | | healthcare purchasing function transferred under this Act | 25 | | shall become the responsibility of the Director or Secretary of |
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| 1 | | the Department to which that function is transferred under this | 2 | | Act. | 3 | | Section 25. Personnel transferred. | 4 | | (a) Personnel and positions within the Department of | 5 | | Healthcare and Family Services that are engaged in the | 6 | | performance of State healthcare purchasing functions | 7 | | transferred back to the Department of Central Management | 8 | | Services are transferred to and shall continue their service | 9 | | within the Department of Central Management Services. The | 10 | | status and rights of those employees under the Personnel Code | 11 | | are not affected by this Act. | 12 | | (b) Personnel and positions of the Department of | 13 | | Corrections, the Department of Juvenile Justice, the | 14 | | Department of Human Services, and the Department of Veterans' | 15 | | Affairs were not in fact transferred under Executive Order 3 | 16 | | (2005) and are not affected by this Act. | 17 | | Section 30. Books and records transferred. All books, | 18 | | records, papers, documents, property (real and personal), | 19 | | contracts, and pending business pertaining to the powers, | 20 | | duties, rights, and responsibilities related to any of the | 21 | | State healthcare purchasing functions transferred under this | 22 | | Act from the Department of Healthcare and Family Services to | 23 | | the Department of Central Management Services, the Department | 24 | | of Corrections, the Department of Juvenile Justice, the |
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| 1 | | Department of Human Services, and the Department of Veterans' | 2 | | Affairs, including, but not limited to, material in electronic | 3 | | or magnetic format and necessary computer hardware and | 4 | | software, shall be delivered to the Department to which that | 5 | | State healthcare purchasing function is transferred under this | 6 | | Act, provided that the delivery of that information may not | 7 | | violate any applicable confidentiality constraints. The access | 8 | | by personnel of the Department of Central Management Services, | 9 | | the Department of Corrections, the Department of Juvenile | 10 | | Justice, the Department of Human Services, and the Department | 11 | | of Veterans' Affairs to databases and electronic health | 12 | | information that are currently maintained by the Department of | 13 | | Healthcare and Family Services and that contain data and | 14 | | information necessary to the performance of the State | 15 | | healthcare purchasing functions shall continue in the same | 16 | | manner and level of access as before the effective date of | 17 | | Executive Order 1 (2012). Staff of the Department of Central | 18 | | Management Services, the Department of Corrections, the | 19 | | Department of Juvenile Justice, the Department of Human | 20 | | Services, and the Department of Veterans' Affairs may work with | 21 | | staff of the Department of Healthcare and Family Services to | 22 | | add new information relevant to State healthcare purchasing | 23 | | functions. | 24 | | Section 35. Unexpended moneys transferred. | 25 | | (a) With respect to the State healthcare purchasing |
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| 1 | | functions transferred under this Act, the Department of Central | 2 | | Management Services is the successor agency to the Department | 3 | | of Healthcare and Family Services under the Successor Agency | 4 | | Act and Section 9b of the State Finance Act. All unexpended | 5 | | appropriations and balances and other moneys available for use | 6 | | in connection with any of the State healthcare purchasing | 7 | | functions transferred from the Department of Healthcare and | 8 | | Family Services to the Department of Central Management | 9 | | Services are transferred for use by the Department of Central | 10 | | Management Services for the exercise of those functions | 11 | | pursuant to the direction of the Governor. Unexpended balances | 12 | | so transferred shall be expended only for the purpose for which | 13 | | the appropriations were originally made. | 14 | | (b) Appropriations of the Department of Corrections, the | 15 | | Department of Juvenile Justice, the Department of Human | 16 | | Services, and the Department of Veterans' Affairs were not in | 17 | | fact transferred under Executive Order 3 (2005) and are not | 18 | | affected by this Act. | 19 | | Section 40. Exercise of transferred powers; savings | 20 | | provisions. The powers, duties, rights, and responsibilities | 21 | | related to the State healthcare purchasing functions | 22 | | transferred under this Act are vested in and shall be exercised | 23 | | by the Department to which the applicable function is | 24 | | transferred. Each act done in the exercise of those powers, | 25 | | duties, rights, and responsibilities shall have the same legal |
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| 1 | | effect as if done by the Department of Healthcare and Family | 2 | | Services or its divisions, officers, or employees. | 3 | | Section 45. Rules. | 4 | | (a) Any rules that (i) relate to the Illinois Prescription | 5 | | Drug Discount Program or to any other State healthcare | 6 | | purchasing function or program transferred to the Department of | 7 | | Central Management Services by this Act, (ii) are in full force | 8 | | on the effective date of Executive Order 1 (2012), and (iii) | 9 | | have been duly adopted by the Department of Healthcare and | 10 | | Family Services shall become the rules of the Department of | 11 | | Central Management Services. This Act shall not affect the | 12 | | legality of any such rules in the Illinois Administrative Code. | 13 | | (b) Any proposed rule filed with the Secretary of State by | 14 | | the Department of Healthcare and Family Services that pertains | 15 | | to the Illinois Prescription Drug Discount Program, or to any | 16 | | other State healthcare purchasing function or program | 17 | | transferred to the Department of Central Management Services by | 18 | | this Act, and that is pending in the rulemaking process on the | 19 | | effective date of Executive Order 1 (2012) shall be deemed to | 20 | | have been filed by the Department of Central Management | 21 | | Services. | 22 | | (c) On and after the effective date of Executive Order 1 | 23 | | (2012), the Department of Central Management Services may | 24 | | propose and adopt, under the Illinois Administrative Procedure | 25 | | Act, other rules that relate to the Illinois Prescription Drug |
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| 1 | | Discount Program, or to any other State healthcare purchasing | 2 | | function or program transferred to the Department of Central | 3 | | Management Services by this Act. | 4 | | Section 50. Rights, obligations, and duties unaffected by | 5 | | transfer. The
transfer of
powers, duties, rights, and | 6 | | responsibilities from the Department of Healthcare and Family | 7 | | Services under this Act does not affect any person's rights, | 8 | | obligations, or
duties,
including any civil or criminal | 9 | | penalties applicable thereto, arising out of
those
transferred | 10 | | powers, duties, rights, and responsibilities. | 11 | | Section 55. Agency officers; penalties. Every officer of | 12 | | the Department of Central Management Services, the Department | 13 | | of Corrections, the Department of Juvenile Justice, the | 14 | | Department of Human Services, and the Department of Veterans' | 15 | | Affairs is, for any offense, subject to the same penalty or | 16 | | penalties, civil or criminal, as are prescribed by existing law | 17 | | for the same offense by any officer whose powers or duties are | 18 | | transferred under this Act. | 19 | | Section 60. Reports, notices, or papers. Whenever reports | 20 | | or notices are required to be made or given or papers or | 21 | | documents furnished or served by any person to or upon the | 22 | | Department of Healthcare and Family Services in connection with | 23 | | any State healthcare purchasing function transferred under |
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| 1 | | this Act, the same shall be made, given, furnished, or served | 2 | | in the same manner to or upon the Department to which that | 3 | | State healthcare purchasing function is transferred. | 4 | | Section 65. Interagency agreements. To the extent | 5 | | necessary or prudent to fully implement the intent of this Act, | 6 | | the Department of Central Management Services, the Department | 7 | | of Corrections, the Department of Human Services, the | 8 | | Department of Juvenile Justice, the Department of Veterans' | 9 | | Affairs, and the Department of Healthcare and Family Services | 10 | | may enter into one or more interagency agreements to ensure the | 11 | | full and appropriate transfer of all State healthcare | 12 | | purchasing functions transferred from the Department of | 13 | | Healthcare and Family Services under this Act. | 14 | | Section 70. Acts and actions unaffected by transfer. This | 15 | | Act does not affect any act done, ratified, or canceled, or any | 16 | | right occurring or established, before the effective date of | 17 | | Executive Order 1 (2012), in connection with any State | 18 | | healthcare purchasing function transferred under this Act. | 19 | | This Act does not affect any action or proceeding had or | 20 | | commenced before the effective date of Executive Order 1 (2012) | 21 | | in an administrative, civil, or criminal cause regarding a | 22 | | State healthcare purchasing function transferred from the | 23 | | Department of Healthcare and Family Services under this Act, | 24 | | but any such action or proceeding may be defended, prosecuted, |
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| 1 | | or continued by the Department to which the applicable State | 2 | | healthcare purchasing function is transferred. | 3 | | Section 900. The State Employees Group Insurance Act of | 4 | | 1971 is amended by adding Section 2.5 and changing Sections 3, | 5 | | 6.5, 6.10, 10, and 13.1 as follows: | 6 | | (5 ILCS 375/2.5 new)
| 7 | | Sec. 2.5. State healthcare purchasing. On and after the | 8 | | date 6 months after the effective date of this amendatory Act | 9 | | of the 98th General Assembly, as provided in the Executive | 10 | | Order 1 (2012) Implementation Act, all of the powers, duties, | 11 | | rights, and responsibilities related to State healthcare | 12 | | purchasing under this Act that were transferred from the | 13 | | Department of Central Management Services to the Department of | 14 | | Healthcare and Family Services by Executive Order 3 (2005) are | 15 | | transferred back to the Department.
| 16 | | (5 ILCS 375/3) (from Ch. 127, par. 523)
| 17 | | Sec. 3. Definitions. Unless the context otherwise | 18 | | requires, the
following words and phrases as used in this Act | 19 | | shall have the following
meanings. The Department may define | 20 | | these and other words and phrases
separately for the purpose of | 21 | | implementing specific programs providing benefits
under this | 22 | | Act.
| 23 | | (a) "Administrative service organization" means any |
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| 1 | | person, firm or
corporation experienced in the handling of | 2 | | claims which is
fully qualified, financially sound and capable | 3 | | of meeting the service
requirements of a contract of | 4 | | administration executed with the Department.
| 5 | | (b) "Annuitant" means (1) an employee who retires, or has | 6 | | retired,
on or after January 1, 1966 on an immediate annuity | 7 | | under the provisions
of Articles 2, 14 (including an employee | 8 | | who has elected to receive an alternative retirement | 9 | | cancellation payment under Section 14-108.5 of the Illinois | 10 | | Pension Code in lieu of an annuity), 15 (including an employee | 11 | | who has retired under the optional
retirement program | 12 | | established under Section 15-158.2),
paragraphs (2), (3), or | 13 | | (5) of Section 16-106, or
Article 18 of the Illinois Pension | 14 | | Code; (2) any person who was receiving
group insurance coverage | 15 | | under this Act as of March 31, 1978 by
reason of his status as | 16 | | an annuitant, even though the annuity in relation
to which such | 17 | | coverage was provided is a proportional annuity based on less
| 18 | | than the minimum period of service required for a retirement | 19 | | annuity in
the system involved; (3) any person not otherwise | 20 | | covered by this Act
who has retired as a participating member | 21 | | under Article 2 of the Illinois
Pension Code but is ineligible | 22 | | for the retirement annuity under Section
2-119 of the Illinois | 23 | | Pension Code; (4) the spouse of any person who
is receiving a | 24 | | retirement annuity under Article 18 of the Illinois Pension
| 25 | | Code and who is covered under a group health insurance program | 26 | | sponsored
by a governmental employer other than the State of |
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| 1 | | Illinois and who has
irrevocably elected to waive his or her | 2 | | coverage under this Act and to have
his or her spouse | 3 | | considered as the "annuitant" under this Act and not as
a | 4 | | "dependent"; or (5) an employee who retires, or has retired, | 5 | | from a
qualified position, as determined according to rules | 6 | | promulgated by the
Director, under a qualified local | 7 | | government, a qualified rehabilitation
facility, a qualified | 8 | | domestic violence shelter or service, or a qualified child | 9 | | advocacy center. (For definition
of "retired employee", see (p) | 10 | | post).
| 11 | | (b-5) (Blank).
| 12 | | (b-6) (Blank).
| 13 | | (b-7) (Blank).
| 14 | | (c) "Carrier" means (1) an insurance company, a corporation | 15 | | organized
under the Limited Health Service Organization Act or | 16 | | the Voluntary Health
Services Plan Act, a partnership, or other | 17 | | nongovernmental organization,
which is authorized to do group | 18 | | life or group health insurance business in
Illinois, or (2) the | 19 | | State of Illinois as a self-insurer.
| 20 | | (d) "Compensation" means salary or wages payable on a | 21 | | regular
payroll by the State Treasurer on a warrant of the | 22 | | State Comptroller out
of any State, trust or federal fund, or | 23 | | by the Governor of the State
through a disbursing officer of | 24 | | the State out of a trust or out of
federal funds, or by any | 25 | | Department out of State, trust, federal or
other funds held by | 26 | | the State Treasurer or the Department, to any person
for |
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| 1 | | personal services currently performed, and ordinary or | 2 | | accidental
disability benefits under Articles 2, 14, 15 | 3 | | (including ordinary or accidental
disability benefits under | 4 | | the optional retirement program established under
Section | 5 | | 15-158.2), paragraphs (2), (3), or (5) of
Section 16-106, or | 6 | | Article 18 of the Illinois Pension Code, for disability
| 7 | | incurred after January 1, 1966, or benefits payable under the | 8 | | Workers'
Compensation or Occupational Diseases Act or benefits | 9 | | payable under a sick
pay plan established in accordance with | 10 | | Section 36 of the State Finance Act.
"Compensation" also means | 11 | | salary or wages paid to an employee of any
qualified local | 12 | | government, qualified rehabilitation facility,
qualified | 13 | | domestic violence shelter or service, or qualified child | 14 | | advocacy center.
| 15 | | (e) "Commission" means the State Employees Group Insurance | 16 | | Advisory
Commission authorized by this Act. Commencing July 1, | 17 | | 1984, "Commission"
as used in this Act means the Commission on | 18 | | Government Forecasting and Accountability as
established by | 19 | | the Legislative Commission Reorganization Act of 1984.
| 20 | | (f) "Contributory", when referred to as contributory | 21 | | coverage, shall
mean optional coverages or benefits elected by | 22 | | the member toward the cost of
which such member makes | 23 | | contribution, or which are funded in whole or in part
through | 24 | | the acceptance of a reduction in earnings or the foregoing of | 25 | | an
increase in earnings by an employee, as distinguished from | 26 | | noncontributory
coverage or benefits which are paid entirely by |
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| 1 | | the State of Illinois
without reduction of the member's salary.
| 2 | | (g) "Department" means any department, institution, board,
| 3 | | commission, officer, court or any agency of the State | 4 | | government
receiving appropriations and having power to | 5 | | certify payrolls to the
Comptroller authorizing payments of | 6 | | salary and wages against such
appropriations as are made by the | 7 | | General Assembly from any State fund, or
against trust funds | 8 | | held by the State Treasurer and includes boards of
trustees of | 9 | | the retirement systems created by Articles 2, 14, 15, 16 and
18 | 10 | | of the Illinois Pension Code. "Department" also includes the | 11 | | Illinois
Comprehensive Health Insurance Board, the Board of | 12 | | Examiners established under
the Illinois Public Accounting | 13 | | Act, and the Illinois Finance Authority.
| 14 | | (h) "Dependent", when the term is used in the context of | 15 | | the health
and life plan, means a member's spouse and any child | 16 | | (1) from
birth to age 26 including an adopted child, a child | 17 | | who lives with the
member from the time of the filing of a | 18 | | petition for adoption until entry
of an order of adoption, a | 19 | | stepchild or adjudicated child, or a child who lives with the | 20 | | member
if such member is a court appointed guardian of the | 21 | | child or (2)
age 19 or over who is mentally
or physically | 22 | | disabled from a cause originating prior to the age of 19 (age | 23 | | 26 if enrolled as an adult child dependent). For
the health | 24 | | plan only, the term "dependent" also includes (1) any person
| 25 | | enrolled prior to the effective date of this Section who is | 26 | | dependent upon
the member to the extent that the member may |
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| 1 | | claim such person as a
dependent for income tax deduction | 2 | | purposes and (2) any person who
has received after June 30, | 3 | | 2000 an organ transplant and who is financially
dependent upon | 4 | | the member and eligible to be claimed as a dependent for income
| 5 | | tax purposes. A member requesting to cover any dependent must | 6 | | provide documentation as requested by the Department of Central | 7 | | Management Services and file with the Department any and all | 8 | | forms required by the Department.
| 9 | | (i) "Director" means the Director of the Illinois | 10 | | Department of Central
Management Services or of any successor | 11 | | agency designated to administer this Act .
| 12 | | (j) "Eligibility period" means the period of time a member | 13 | | has to
elect enrollment in programs or to select benefits | 14 | | without regard to
age, sex or health.
| 15 | | (k) "Employee" means and includes each officer or employee | 16 | | in the
service of a department who (1) receives his | 17 | | compensation for
service rendered to the department on a | 18 | | warrant issued pursuant to a payroll
certified by a department | 19 | | or on a warrant or check issued and drawn by a
department upon | 20 | | a trust, federal or other fund or on a warrant issued
pursuant | 21 | | to a payroll certified by an elected or duly appointed officer
| 22 | | of the State or who receives payment of the performance of | 23 | | personal
services on a warrant issued pursuant to a payroll | 24 | | certified by a
Department and drawn by the Comptroller upon the | 25 | | State Treasurer against
appropriations made by the General | 26 | | Assembly from any fund or against
trust funds held by the State |
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| 1 | | Treasurer, and (2) is employed full-time or
part-time in a | 2 | | position normally requiring actual performance of duty
during | 3 | | not less than 1/2 of a normal work period, as established by | 4 | | the
Director in cooperation with each department, except that | 5 | | persons elected
by popular vote will be considered employees | 6 | | during the entire
term for which they are elected regardless of | 7 | | hours devoted to the
service of the State, and (3) except that | 8 | | "employee" does not include any
person who is not eligible by | 9 | | reason of such person's employment to
participate in one of the | 10 | | State retirement systems under Articles 2, 14, 15
(either the | 11 | | regular Article 15 system or the optional retirement program
| 12 | | established under Section 15-158.2) or 18, or under paragraph | 13 | | (2), (3), or
(5) of Section 16-106, of the Illinois
Pension | 14 | | Code, but such term does include persons who are employed | 15 | | during
the 6 month qualifying period under Article 14 of the | 16 | | Illinois Pension
Code. Such term also includes any person who | 17 | | (1) after January 1, 1966,
is receiving ordinary or accidental | 18 | | disability benefits under Articles
2, 14, 15 (including | 19 | | ordinary or accidental disability benefits under the
optional | 20 | | retirement program established under Section 15-158.2), | 21 | | paragraphs
(2), (3), or (5) of Section 16-106, or Article 18 of | 22 | | the
Illinois Pension Code, for disability incurred after | 23 | | January 1, 1966, (2)
receives total permanent or total | 24 | | temporary disability under the Workers'
Compensation Act or | 25 | | Occupational Disease Act as a result of injuries
sustained or | 26 | | illness contracted in the course of employment with the
State |
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| 1 | | of Illinois, or (3) is not otherwise covered under this Act and | 2 | | has
retired as a participating member under Article 2 of the | 3 | | Illinois Pension
Code but is ineligible for the retirement | 4 | | annuity under Section 2-119 of
the Illinois Pension Code. | 5 | | However, a person who satisfies the criteria
of the foregoing | 6 | | definition of "employee" except that such person is made
| 7 | | ineligible to participate in the State Universities Retirement | 8 | | System by
clause (4) of subsection (a) of Section 15-107 of the | 9 | | Illinois Pension
Code is also an "employee" for the purposes of | 10 | | this Act. "Employee" also
includes any person receiving or | 11 | | eligible for benefits under a sick pay
plan established in | 12 | | accordance with Section 36 of the State Finance Act.
"Employee" | 13 | | also includes (i) each officer or employee in the service of a
| 14 | | qualified local government, including persons appointed as | 15 | | trustees of
sanitary districts regardless of hours devoted to | 16 | | the service of the
sanitary district, (ii) each employee in the | 17 | | service of a qualified
rehabilitation facility, (iii) each | 18 | | full-time employee in the service of a
qualified domestic | 19 | | violence shelter or service, and (iv) each full-time employee | 20 | | in the service of a qualified child advocacy center, as | 21 | | determined according to
rules promulgated by the Director.
| 22 | | (l) "Member" means an employee, annuitant, retired | 23 | | employee or survivor. In the case of an annuitant or retired | 24 | | employee who first becomes an annuitant or retired employee on | 25 | | or after the effective date of this amendatory Act of the 97th | 26 | | General Assembly, the individual must meet the minimum vesting |
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| 1 | | requirements of the applicable retirement system in order to be | 2 | | eligible for group insurance benefits under that system. In the | 3 | | case of a survivor who first becomes a survivor on or after the | 4 | | effective date of this amendatory Act of the 97th General | 5 | | Assembly, the deceased employee, annuitant, or retired | 6 | | employee upon whom the annuity is based must have been eligible | 7 | | to participate in the group insurance system under the | 8 | | applicable retirement system in order for the survivor to be | 9 | | eligible for group insurance benefits under that system.
| 10 | | (m) "Optional coverages or benefits" means those coverages | 11 | | or
benefits available to the member on his or her voluntary | 12 | | election, and at
his or her own expense.
| 13 | | (n) "Program" means the group life insurance, health | 14 | | benefits and other
employee benefits designed and contracted | 15 | | for by the Director under this Act.
| 16 | | (o) "Health plan" means a health benefits
program offered
| 17 | | by the State of Illinois for persons eligible for the plan.
| 18 | | (p) "Retired employee" means any person who would be an | 19 | | annuitant as
that term is defined herein but for the fact that | 20 | | such person retired prior to
January 1, 1966. Such term also | 21 | | includes any person formerly employed by
the University of | 22 | | Illinois in the Cooperative Extension Service who would
be an | 23 | | annuitant but for the fact that such person was made ineligible | 24 | | to
participate in the State Universities Retirement System by | 25 | | clause (4) of
subsection (a) of Section 15-107 of the Illinois
| 26 | | Pension Code.
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| 1 | | (q) "Survivor" means a person receiving an annuity as a | 2 | | survivor of an
employee or of an annuitant. "Survivor" also | 3 | | includes: (1) the surviving
dependent of a person who satisfies | 4 | | the definition of "employee" except that
such person is made | 5 | | ineligible to participate in the State Universities
Retirement | 6 | | System by clause (4) of subsection (a)
of Section 15-107 of the | 7 | | Illinois Pension Code; (2) the surviving
dependent of any | 8 | | person formerly employed by the University of Illinois in
the | 9 | | Cooperative Extension Service who would be an annuitant except | 10 | | for the
fact that such person was made ineligible to | 11 | | participate in the State
Universities Retirement System by | 12 | | clause (4) of subsection (a) of Section
15-107 of the Illinois | 13 | | Pension Code; and (3) the surviving dependent of a person who | 14 | | was an annuitant under this Act by virtue of receiving an | 15 | | alternative retirement cancellation payment under Section | 16 | | 14-108.5 of the Illinois Pension Code.
| 17 | | (q-2) "SERS" means the State Employees' Retirement System | 18 | | of Illinois, created under Article 14 of the Illinois Pension | 19 | | Code.
| 20 | | (q-3) "SURS" means the State Universities Retirement | 21 | | System, created under Article 15 of the Illinois Pension Code.
| 22 | | (q-4) "TRS" means the Teachers' Retirement System of the | 23 | | State of Illinois, created under Article 16 of the Illinois | 24 | | Pension Code.
| 25 | | (q-5) (Blank).
| 26 | | (q-6) (Blank).
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| 1 | | (q-7) (Blank).
| 2 | | (r) "Medical services" means the services provided within | 3 | | the scope
of their licenses by practitioners in all categories | 4 | | licensed under the
Medical Practice Act of 1987.
| 5 | | (s) "Unit of local government" means any county, | 6 | | municipality,
township, school district (including a | 7 | | combination of school districts under
the Intergovernmental | 8 | | Cooperation Act), special district or other unit,
designated as | 9 | | a
unit of local government by law, which exercises limited | 10 | | governmental
powers or powers in respect to limited | 11 | | governmental subjects, any
not-for-profit association with a | 12 | | membership that primarily includes
townships and township | 13 | | officials, that has duties that include provision of
research | 14 | | service, dissemination of information, and other acts for the
| 15 | | purpose of improving township government, and that is funded | 16 | | wholly or
partly in accordance with Section 85-15 of the | 17 | | Township Code; any
not-for-profit corporation or association, | 18 | | with a membership consisting
primarily of municipalities, that | 19 | | operates its own utility system, and
provides research, | 20 | | training, dissemination of information, or other acts to
| 21 | | promote cooperation between and among municipalities that | 22 | | provide utility
services and for the advancement of the goals | 23 | | and purposes of its
membership;
the Southern Illinois | 24 | | Collegiate Common Market, which is a consortium of higher
| 25 | | education institutions in Southern Illinois; the Illinois | 26 | | Association of
Park Districts; and any hospital provider that |
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| 1 | | is owned by a county that has 100 or fewer hospital beds and | 2 | | has not already joined the program. "Qualified
local | 3 | | government" means a unit of local government approved by the | 4 | | Director and
participating in a program created under | 5 | | subsection (i) of Section 10 of this
Act.
| 6 | | (t) "Qualified rehabilitation facility" means any | 7 | | not-for-profit
organization that is accredited by the | 8 | | Commission on Accreditation of
Rehabilitation Facilities or | 9 | | certified by the Department
of Human Services (as successor to | 10 | | the Department of Mental Health
and Developmental | 11 | | Disabilities) to provide services to persons with
disabilities
| 12 | | and which receives funds from the State of Illinois for | 13 | | providing those
services, approved by the Director and | 14 | | participating in a program created
under subsection (j) of | 15 | | Section 10 of this Act.
| 16 | | (u) "Qualified domestic violence shelter or service" means | 17 | | any Illinois
domestic violence shelter or service and its | 18 | | administrative offices funded
by the Department of Human | 19 | | Services (as successor to the Illinois Department of
Public | 20 | | Aid),
approved by the Director and
participating in a program | 21 | | created under subsection (k) of Section 10.
| 22 | | (v) "TRS benefit recipient" means a person who:
| 23 | | (1) is not a "member" as defined in this Section; and
| 24 | | (2) is receiving a monthly benefit or retirement | 25 | | annuity
under Article 16 of the Illinois Pension Code; and
| 26 | | (3) either (i) has at least 8 years of creditable |
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| 1 | | service under Article
16 of the Illinois Pension Code, or | 2 | | (ii) was enrolled in the health insurance
program offered | 3 | | under that Article on January 1, 1996, or (iii) is the | 4 | | survivor
of a benefit recipient who had at least 8
years of | 5 | | creditable service under Article 16 of the Illinois Pension | 6 | | Code or
was enrolled in the health insurance program | 7 | | offered under that Article on
the effective date of this | 8 | | amendatory Act of 1995, or (iv) is a recipient or
survivor | 9 | | of a recipient of a disability benefit under Article 16 of | 10 | | the
Illinois Pension Code.
| 11 | | (w) "TRS dependent beneficiary" means a person who:
| 12 | | (1) is not a "member" or "dependent" as defined in this | 13 | | Section; and
| 14 | | (2) is a TRS benefit recipient's: (A) spouse, (B) | 15 | | dependent parent who
is receiving at least half of his or | 16 | | her support from the TRS benefit
recipient, or (C) natural, | 17 | | step, adjudicated, or adopted child who is (i) under age | 18 | | 26, (ii) was, on January 1, 1996, participating as a | 19 | | dependent
beneficiary in the health insurance program | 20 | | offered under Article 16 of the
Illinois Pension Code, or | 21 | | (iii) age 19 or over who is mentally or physically disabled | 22 | | from a cause originating prior to the age of 19 (age 26 if | 23 | | enrolled as an adult child).
| 24 | | "TRS dependent beneficiary" does not include, as indicated | 25 | | under paragraph (2) of this subsection (w), a dependent of the | 26 | | survivor of a TRS benefit recipient who first becomes a |
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| 1 | | dependent of a survivor of a TRS benefit recipient on or after | 2 | | the effective date of this amendatory Act of the 97th General | 3 | | Assembly unless that dependent would have been eligible for | 4 | | coverage as a dependent of the deceased TRS benefit recipient | 5 | | upon whom the survivor benefit is based. | 6 | | (x) "Military leave" refers to individuals in basic
| 7 | | training for reserves, special/advanced training, annual | 8 | | training, emergency
call up, activation by the President of the | 9 | | United States, or any other training or duty in service to the | 10 | | United States Armed Forces.
| 11 | | (y) (Blank).
| 12 | | (z) "Community college benefit recipient" means a person | 13 | | who:
| 14 | | (1) is not a "member" as defined in this Section; and
| 15 | | (2) is receiving a monthly survivor's annuity or | 16 | | retirement annuity
under Article 15 of the Illinois Pension | 17 | | Code; and
| 18 | | (3) either (i) was a full-time employee of a community | 19 | | college district or
an association of community college | 20 | | boards created under the Public Community
College Act | 21 | | (other than an employee whose last employer under Article | 22 | | 15 of the
Illinois Pension Code was a community college | 23 | | district subject to Article VII
of the Public Community | 24 | | College Act) and was eligible to participate in a group
| 25 | | health benefit plan as an employee during the time of | 26 | | employment with a
community college district (other than a |
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| 1 | | community college district subject to
Article VII of the | 2 | | Public Community College Act) or an association of | 3 | | community
college boards, or (ii) is the survivor of a | 4 | | person described in item (i).
| 5 | | (aa) "Community college dependent beneficiary" means a | 6 | | person who:
| 7 | | (1) is not a "member" or "dependent" as defined in this | 8 | | Section; and
| 9 | | (2) is a community college benefit recipient's: (A) | 10 | | spouse, (B) dependent
parent who is receiving at least half | 11 | | of his or her support from the community
college benefit | 12 | | recipient, or (C) natural, step, adjudicated, or adopted | 13 | | child who is (i)
under age 26, or (ii)
age 19 or over and | 14 | | mentally or physically disabled from a cause originating | 15 | | prior to the age of 19 (age 26 if enrolled as an adult | 16 | | child).
| 17 | | "Community college dependent beneficiary" does not | 18 | | include, as indicated under paragraph (2) of this subsection | 19 | | (aa), a dependent of the survivor of a community college | 20 | | benefit recipient who first becomes a dependent of a survivor | 21 | | of a community college benefit recipient on or after the | 22 | | effective date of this amendatory Act of the 97th General | 23 | | Assembly unless that dependent would have been eligible for | 24 | | coverage as a dependent of the deceased community college | 25 | | benefit recipient upon whom the survivor annuity is based. | 26 | | (bb) "Qualified child advocacy center" means any Illinois |
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| 1 | | child advocacy center and its administrative offices funded by | 2 | | the Department of Children and Family Services, as defined by | 3 | | the Children's Advocacy Center Act (55 ILCS 80/), approved by | 4 | | the Director and participating in a program created under | 5 | | subsection (n) of Section 10.
| 6 | | (Source: P.A. 96-756, eff. 1-1-10; 96-1519, eff. 2-4-11; | 7 | | 97-668, eff. 1-13-12; 97-695, eff. 7-1-12.)
| 8 | | (5 ILCS 375/6.5)
| 9 | | Sec. 6.5. Health benefits for TRS benefit recipients and | 10 | | TRS dependent
beneficiaries. | 11 | | (a) Purpose. It is the purpose of this amendatory Act of | 12 | | 1995 to transfer
the administration of the program of health | 13 | | benefits established for benefit
recipients and their | 14 | | dependent beneficiaries under Article 16 of the Illinois
| 15 | | Pension Code to the Department of Central Management Services.
| 16 | | (b) Transition provisions. The Board of Trustees of the | 17 | | Teachers'
Retirement System shall continue to administer the | 18 | | health benefit program
established under Article 16 of the | 19 | | Illinois Pension Code through December 31,
1995. Beginning | 20 | | January 1, 1996, the Department of Central Management Services
| 21 | | shall be responsible for administering a program of health | 22 | | benefits for TRS
benefit recipients and TRS dependent | 23 | | beneficiaries under this Section.
The Department of Central | 24 | | Management Services and the Teachers' Retirement
System shall | 25 | | cooperate in this endeavor and shall coordinate their |
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| 1 | | activities
so as to ensure a smooth transition and | 2 | | uninterrupted health benefit coverage.
| 3 | | (c) Eligibility. All persons who were enrolled in the | 4 | | Article 16 program at
the time of the transfer shall be | 5 | | eligible to participate in the program
established under this | 6 | | Section without any interruption or delay in coverage
or | 7 | | limitation as to pre-existing medical conditions. Eligibility | 8 | | to
participate shall be determined by the Teachers' Retirement | 9 | | System.
Eligibility information shall be communicated to the | 10 | | Department of Central
Management Services in a format | 11 | | acceptable to the Department.
| 12 | | A TRS dependent beneficiary who is a child age 19 or over | 13 | | and
mentally or physically disabled does not become ineligible | 14 | | to participate
by reason of (i) becoming ineligible to be | 15 | | claimed as a dependent for Illinois
or federal income tax | 16 | | purposes or (ii) receiving earned income, so long as
those | 17 | | earnings are insufficient for the child to be fully | 18 | | self-sufficient.
| 19 | | (d) Coverage. The level of health benefits provided under | 20 | | this Section
shall be similar to the level of benefits provided | 21 | | by the
program previously established under Article 16 of the | 22 | | Illinois Pension Code.
| 23 | | Group life insurance benefits are not included in the | 24 | | benefits
to be provided to TRS benefit recipients and TRS | 25 | | dependent beneficiaries under
this Act.
| 26 | | The program of health benefits under this Section may |
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| 1 | | include any or all of
the benefit limitations, including but | 2 | | not limited to a reduction in benefits
based on eligibility for | 3 | | federal medicare benefits, that are provided under
subsection | 4 | | (a) of Section 6 of this Act for other health benefit programs | 5 | | under
this Act.
| 6 | | (e) Insurance rates and premiums. The Director shall | 7 | | determine the
insurance rates and premiums for TRS benefit | 8 | | recipients and TRS dependent
beneficiaries,
and shall present | 9 | | to the Teachers' Retirement System of
the State of Illinois, by | 10 | | April 15 of each calendar year, the rate-setting
methodology | 11 | | (including but not limited to utilization levels and costs) | 12 | | used
to determine the amount of the health care premiums.
| 13 | | For Fiscal Year 1996, the premium shall be equal to the | 14 | | premium actually
charged in Fiscal Year 1995; in subsequent | 15 | | years, the premium shall
never be lower than the premium | 16 | | charged in Fiscal Year 1995. | 17 | | For Fiscal Year
2003, the premium shall not exceed 110% | 18 | | of the premium actually charged in
Fiscal Year 2002. | 19 | | For Fiscal Year 2004, the premium shall not exceed 112% | 20 | | of
the premium actually charged in Fiscal Year 2003.
| 21 | | For Fiscal Year 2005, the premium shall not exceed a | 22 | | weighted average of 106.6% of
the premium actually charged | 23 | | in Fiscal Year 2004.
| 24 | | For Fiscal Year 2006, the premium shall not exceed a | 25 | | weighted average of 109.1% of
the premium actually charged | 26 | | in Fiscal Year 2005.
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| 1 | | For Fiscal Year 2007, the premium shall not exceed a | 2 | | weighted average of 103.9% of
the premium actually charged | 3 | | in Fiscal Year 2006.
| 4 | | For Fiscal Year 2008 and thereafter, the premium in | 5 | | each fiscal year shall not exceed 105% of
the premium | 6 | | actually charged in the previous fiscal year.
| 7 | | Rates and premiums may be based in part on age and | 8 | | eligibility for federal
medicare coverage. However, the cost of | 9 | | participation for a TRS dependent
beneficiary who is an | 10 | | unmarried child age 19 or over and mentally or physically
| 11 | | disabled shall not exceed the cost for a TRS dependent | 12 | | beneficiary who is
an unmarried child under age 19 and | 13 | | participates in the same major medical or
managed care program.
| 14 | | The cost of health benefits under the program shall be paid | 15 | | as follows:
| 16 | | (1) For a TRS benefit recipient selecting a managed | 17 | | care program, up to
75% of the total insurance rate shall | 18 | | be paid from the Teacher Health Insurance
Security Fund. | 19 | | Effective with Fiscal Year 2007 and thereafter, for a TRS | 20 | | benefit recipient selecting a managed care program, 75% of | 21 | | the total insurance rate shall be paid from the Teacher | 22 | | Health Insurance
Security Fund.
| 23 | | (2) For a TRS benefit recipient selecting the major | 24 | | medical coverage
program, up to 50% of the total insurance | 25 | | rate shall be paid from the Teacher
Health Insurance | 26 | | Security Fund if a managed care program is accessible, as
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| 1 | | determined by the Teachers' Retirement System. Effective | 2 | | with Fiscal Year 2007 and thereafter, for a TRS benefit | 3 | | recipient selecting the major medical coverage
program, | 4 | | 50% of the total insurance rate shall be paid from the | 5 | | Teacher
Health Insurance Security Fund if a managed care | 6 | | program is accessible, as
determined by the Department of | 7 | | Central Management Services.
| 8 | | (3) For a TRS benefit recipient selecting the major | 9 | | medical coverage
program, up to 75% of the total insurance | 10 | | rate shall be paid from the Teacher
Health Insurance | 11 | | Security Fund if a managed care program is not accessible, | 12 | | as
determined by the Teachers' Retirement System. | 13 | | Effective with Fiscal Year 2007 and thereafter, for a TRS | 14 | | benefit recipient selecting the major medical coverage
| 15 | | program, 75% of the total insurance rate shall be paid from | 16 | | the Teacher
Health Insurance Security Fund if a managed | 17 | | care program is not accessible, as
determined by the | 18 | | Department of Central Management Services.
| 19 | | (3.1) For a TRS dependent beneficiary who is Medicare | 20 | | primary and enrolled in a managed care plan, or the major | 21 | | medical coverage program if a managed care plan is not | 22 | | available, 25% of the total insurance rate shall be paid | 23 | | from the Teacher Health Security Fund as determined by the | 24 | | Department of Central Management Services. For the purpose | 25 | | of this item (3.1), the term "TRS dependent beneficiary who | 26 | | is Medicare primary" means a TRS dependent beneficiary who |
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| 1 | | is participating in Medicare Parts A and B.
| 2 | | (4) Except as otherwise provided in item (3.1), the
| 3 | | balance of the rate of insurance, including the entire | 4 | | premium of
any coverage for TRS dependent beneficiaries | 5 | | that has been elected, shall be
paid
by deductions | 6 | | authorized by the TRS benefit recipient to be withheld from | 7 | | his
or her monthly annuity or benefit payment from the | 8 | | Teachers' Retirement System;
except that (i) if the balance | 9 | | of the cost of coverage exceeds the amount of
the monthly | 10 | | annuity or benefit payment, the difference shall be paid | 11 | | directly
to the Teachers' Retirement System by the TRS | 12 | | benefit recipient, and (ii) all
or part of the balance of | 13 | | the cost of coverage may, at the school board's
option, be | 14 | | paid to the Teachers' Retirement System by the school board | 15 | | of the
school district from which the TRS benefit recipient | 16 | | retired, in accordance
with Section 10-22.3b of the School | 17 | | Code. The Teachers' Retirement System
shall promptly | 18 | | deposit all moneys withheld by or paid to it under this
| 19 | | subdivision (e)(4) into the Teacher Health Insurance | 20 | | Security Fund. These
moneys shall not be considered assets | 21 | | of the Retirement System.
| 22 | | (f) Financing. Beginning July 1, 1995, all revenues arising | 23 | | from the
administration of the health benefit programs | 24 | | established under Article 16 of
the Illinois Pension Code or | 25 | | this Section shall be deposited into the
Teacher Health | 26 | | Insurance Security Fund, which is hereby created as a
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| 1 | | nonappropriated trust fund to be held outside the State | 2 | | Treasury, with the
State Treasurer as custodian. Any interest | 3 | | earned on moneys in the Teacher
Health Insurance Security Fund | 4 | | shall be deposited into the Fund.
| 5 | | Moneys in the Teacher Health Insurance Security
Fund shall | 6 | | be used only to pay the costs of the health benefit program
| 7 | | established under this Section, including associated | 8 | | administrative costs, and
the costs associated with the health | 9 | | benefit program established under Article
16 of the Illinois | 10 | | Pension Code, as authorized in this Section. Beginning
July 1, | 11 | | 1995, the Department of Central Management Services may make
| 12 | | expenditures from the Teacher Health Insurance Security Fund | 13 | | for those costs.
| 14 | | After other funds authorized for the payment of the costs | 15 | | of the health
benefit program established under Article 16 of | 16 | | the Illinois Pension Code are
exhausted and until January 1, | 17 | | 1996 (or such later date as may be agreed upon
by the Director | 18 | | of Central Management Services and the Secretary of the
| 19 | | Teachers' Retirement System), the Secretary of the Teachers' | 20 | | Retirement System
may make expenditures from the Teacher Health | 21 | | Insurance Security Fund as
necessary to pay up to 75% of the | 22 | | cost of providing health coverage to eligible
benefit | 23 | | recipients (as defined in Sections 16-153.1 and 16-153.3 of the
| 24 | | Illinois Pension Code) who are enrolled in the Article 16 | 25 | | health benefit
program and to facilitate the transfer of | 26 | | administration of the health benefit
program to the Department |
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| 1 | | of Central Management Services.
| 2 | | The Department of Central Management Healthcare and Family | 3 | | Services, or any successor agency designated to procure | 4 | | healthcare contracts pursuant to this Act, is authorized to | 5 | | establish funds, separate accounts provided by any bank or | 6 | | banks as defined by the Illinois Banking Act, or separate | 7 | | accounts provided by any savings and loan association or | 8 | | associations as defined by the Illinois Savings and Loan Act of | 9 | | 1985 to be held by the Director, outside the State treasury, | 10 | | for the purpose of receiving the transfer of moneys from the | 11 | | Teacher Health Insurance Security Fund. The Department may | 12 | | promulgate rules further defining the methodology for the | 13 | | transfers. Any interest earned by moneys in the funds or | 14 | | accounts shall inure to the Teacher Health Insurance Security | 15 | | Fund. The transferred moneys, and interest accrued thereon, | 16 | | shall be used exclusively for transfers to administrative | 17 | | service organizations or their financial institutions for | 18 | | payments of claims to claimants and providers under the | 19 | | self-insurance health plan. The transferred moneys, and | 20 | | interest accrued thereon, shall not be used for any other | 21 | | purpose including, but not limited to, reimbursement of | 22 | | administration fees due the administrative service | 23 | | organization pursuant to its contract or contracts with the | 24 | | Department.
| 25 | | (g) Contract for benefits. The Director shall by contract, | 26 | | self-insurance,
or otherwise make available the program of |
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| 1 | | health benefits for TRS benefit
recipients and their TRS | 2 | | dependent beneficiaries that is provided for in this
Section. | 3 | | The contract or other arrangement for the provision of these | 4 | | health
benefits shall be on terms deemed by the Director to be | 5 | | in the best interest of
the State of Illinois and the TRS | 6 | | benefit recipients based on, but not limited
to, such criteria | 7 | | as administrative cost, service capabilities of the carrier
or | 8 | | other contractor, and the costs of the benefits.
| 9 | | (g-5) Committee. A Teacher Retirement Insurance Program | 10 | | Committee shall be established, to consist of 10 persons | 11 | | appointed by the Governor.
| 12 | | The Committee shall convene at least 4 times each year, and | 13 | | shall consider and make recommendations on issues affecting the | 14 | | program of health benefits provided under this
Section. | 15 | | Recommendations of the Committee shall be based on a consensus | 16 | | of the members of the Committee.
| 17 | | If the Teacher
Health Insurance Security Fund experiences a | 18 | | deficit balance based upon the contribution and subsidy rates | 19 | | established in this Section and Section 6.6 for Fiscal Year | 20 | | 2008 or thereafter, the Committee shall make recommendations | 21 | | for adjustments to the funding sources established under these | 22 | | Sections. | 23 | | In addition, the Committee shall identify proposed | 24 | | solutions to the funding shortfalls that are affecting the | 25 | | Teacher Health Insurance Security Fund, and it shall report | 26 | | those solutions to the Governor and the General Assembly within |
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| 1 | | 6 months after August 15, 2011 (the effective date of Public | 2 | | Act 97-386). | 3 | | (h) Continuation of program. It is the intention of
the | 4 | | General Assembly that the program of health benefits provided | 5 | | under this
Section be maintained on an ongoing, affordable | 6 | | basis.
| 7 | | The program of health benefits provided under this Section | 8 | | may be amended by
the State and is not intended to be a pension | 9 | | or retirement benefit subject to
protection under Article XIII, | 10 | | Section 5 of the Illinois Constitution.
| 11 | | (i) Repeal. (Blank).
| 12 | | (Source: P.A. 96-1519, eff. 2-4-11; 97-386, eff. 8-15-11; | 13 | | 97-813, eff. 7-13-12.)
| 14 | | (5 ILCS 375/6.10)
| 15 | | Sec. 6.10. Contributions to the Community College Health | 16 | | Insurance
Security Fund.
| 17 | | (a) Beginning January 1, 1999, every active contributor of | 18 | | the State
Universities Retirement System (established under | 19 | | Article 15 of the Illinois
Pension Code) who (1) is a full-time | 20 | | employee of a community college district
(other than a | 21 | | community college district subject to Article VII of the Public
| 22 | | Community College Act)
or an association of community college | 23 | | boards and (2) is not an employee as
defined in Section 3 of | 24 | | this Act shall make contributions toward the cost of
community | 25 | | college annuitant and survivor health benefits at the rate of |
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| 1 | | 0.50%
of salary.
| 2 | | These contributions shall be deducted by the employer and | 3 | | paid to the State
Universities Retirement System as service | 4 | | agent for the Department of Central
Management Services. The | 5 | | System may use the same processes for collecting the
| 6 | | contributions required by this subsection that it uses to | 7 | | collect the
contributions received from those employees under | 8 | | Section 15-157 of the
Illinois Pension Code. An employer may | 9 | | agree to pick up or pay the
contributions required under this | 10 | | subsection on behalf of the employee;
such contributions shall | 11 | | be deemed to have been paid by the employee.
| 12 | | The State Universities Retirement System shall promptly | 13 | | deposit all moneys
collected under this subsection (a) into the | 14 | | Community College Health Insurance
Security Fund created in | 15 | | Section 6.9 of this Act. The moneys collected under
this | 16 | | Section shall be used only for the purposes authorized in | 17 | | Section 6.9 of
this Act and shall not be considered to be | 18 | | assets of the State Universities
Retirement System. | 19 | | Contributions made under this Section are not transferable
to | 20 | | other pension funds or retirement systems and are not | 21 | | refundable upon
termination of service.
| 22 | | (b) Beginning January 1, 1999, every community college | 23 | | district
(other than a community college district subject to | 24 | | Article VII of the Public
Community College Act) or association
| 25 | | of community college boards that is an employer under the State | 26 | | Universities
Retirement System shall contribute toward the |
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| 1 | | cost of the community college
health benefits provided under | 2 | | Section 6.9 of this Act an amount equal to 0.50%
of the salary | 3 | | paid to its full-time employees who participate in the State
| 4 | | Universities Retirement System and are not members as defined | 5 | | in Section 3 of
this Act.
| 6 | | These contributions shall be paid by the employer to the | 7 | | State Universities
Retirement System as service agent for the | 8 | | Department of Central Management
Services. The System may use | 9 | | the same processes for collecting the
contributions required by | 10 | | this subsection that it uses to collect the
contributions | 11 | | received from those employers under Section 15-155 of the
| 12 | | Illinois Pension Code.
| 13 | | The State Universities Retirement System shall promptly | 14 | | deposit all moneys
collected under this subsection (b) into the | 15 | | Community College Health Insurance
Security Fund created in | 16 | | Section 6.9 of this Act. The moneys collected under
this | 17 | | Section shall be used only for the purposes authorized in | 18 | | Section 6.9 of
this Act and shall not be considered to be | 19 | | assets of the State Universities
Retirement System. | 20 | | Contributions made under this Section are not transferable
to | 21 | | other pension funds or retirement systems and are not | 22 | | refundable upon
termination of service.
| 23 | | The Department of Central Management Healthcare and Family | 24 | | Services, or any successor agency designated to procure | 25 | | healthcare contracts pursuant to this Act, is authorized to | 26 | | establish funds, separate accounts provided by any bank or |
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| 1 | | banks as defined by the Illinois Banking Act, or separate | 2 | | accounts provided by any savings and loan association or | 3 | | associations as defined by the Illinois Savings and Loan Act of | 4 | | 1985 to be held by the Director, outside the State treasury, | 5 | | for the purpose of receiving the transfer of moneys from the | 6 | | Community College Health Insurance Security Fund. The | 7 | | Department may promulgate rules further defining the | 8 | | methodology for the transfers. Any interest earned by moneys in | 9 | | the funds or accounts shall inure to the Community College | 10 | | Health Insurance Security Fund. The transferred moneys, and | 11 | | interest accrued thereon, shall be used exclusively for | 12 | | transfers to administrative service organizations or their | 13 | | financial institutions for payments of claims to claimants and | 14 | | providers under the self-insurance health plan. The | 15 | | transferred moneys, and interest accrued thereon, shall not be | 16 | | used for any other purpose including, but not limited to, | 17 | | reimbursement of administration fees due the administrative | 18 | | service organization pursuant to its contract or contracts with | 19 | | the Department.
| 20 | | (c) On or before November 15 of each year, the Board of | 21 | | Trustees of the
State Universities Retirement System shall | 22 | | certify to the Governor, the
Director of Central Management | 23 | | Services, and the State
Comptroller its estimate of the total | 24 | | amount of contributions to be paid under
subsection (a) of this | 25 | | Section for the next fiscal year. Beginning in fiscal year | 26 | | 2008, the amount certified shall be decreased or increased each |
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| 1 | | year by the amount that the actual active employee | 2 | | contributions either fell short of or exceeded the estimate | 3 | | used by the Board in making the certification for the previous | 4 | | fiscal year. The State Universities Retirement System shall | 5 | | calculate the amount of actual active employee contributions in | 6 | | fiscal years 1999 through 2005. Based upon this calculation, | 7 | | the fiscal year 2008 certification shall include an amount | 8 | | equal to the cumulative amount that the actual active employee | 9 | | contributions either fell short of or exceeded the estimate | 10 | | used by the Board in making the certification for those fiscal | 11 | | years. The certification
shall include a detailed explanation | 12 | | of the methods and information that the
Board relied upon in | 13 | | preparing its estimate. As soon as possible after the
effective | 14 | | date of this Section, the Board shall submit its estimate for | 15 | | fiscal
year 1999.
| 16 | | (d) Beginning in fiscal year 1999, on the first day of each | 17 | | month, or as
soon thereafter as may be practical, the State | 18 | | Treasurer and the State
Comptroller shall transfer from the | 19 | | General Revenue Fund to the Community
College Health Insurance | 20 | | Security Fund 1/12 of the annual amount appropriated
for that | 21 | | fiscal year to the State Comptroller for deposit into the | 22 | | Community
College Health Insurance Security Fund under Section | 23 | | 1.4 of the State Pension
Funds Continuing Appropriation Act.
| 24 | | (e) Except where otherwise specified in this Section, the | 25 | | definitions
that apply to Article 15 of the Illinois Pension | 26 | | Code apply to this Section.
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| 1 | | (Source: P.A. 94-839, eff. 6-6-06; 95-632, eff. 9-25-07.)
| 2 | | (5 ILCS 375/10) (from Ch. 127, par. 530)
| 3 | | Sec. 10. Contributions by the State and members.
| 4 | | (a) The State shall pay the cost of basic non-contributory | 5 | | group life
insurance and, subject to member paid contributions | 6 | | set by the Department or
required by this Section and except as | 7 | | provided in this Section, the basic program of group health | 8 | | benefits on each
eligible member, except a member, not | 9 | | otherwise
covered by this Act, who has retired as a | 10 | | participating member under Article 2
of the Illinois Pension | 11 | | Code but is ineligible for the retirement annuity under
Section | 12 | | 2-119 of the Illinois Pension Code, and part of each eligible | 13 | | member's
and retired member's premiums for health insurance | 14 | | coverage for enrolled
dependents as provided by Section 9. The | 15 | | State shall pay the cost of the basic
program of group health | 16 | | benefits only after benefits are reduced by the amount
of | 17 | | benefits covered by Medicare for all members and dependents
who | 18 | | are eligible for benefits under Social Security or
the Railroad | 19 | | Retirement system or who had sufficient Medicare-covered
| 20 | | government employment, except that such reduction in benefits | 21 | | shall apply only
to those members and dependents who (1) first | 22 | | become eligible
for such Medicare coverage on or after July 1, | 23 | | 1992; or (2) are
Medicare-eligible members or dependents of a | 24 | | local government unit which began
participation in the program | 25 | | on or after July 1, 1992; or (3) remain eligible
for, but no |
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| 1 | | longer receive Medicare coverage which they had been receiving | 2 | | on
or after July 1, 1992. The Department may determine the | 3 | | aggregate level of the
State's contribution on the basis of | 4 | | actual cost of medical services adjusted
for age, sex or | 5 | | geographic or other demographic characteristics which affect
| 6 | | the costs of such programs.
| 7 | | The cost of participation in the basic program of group | 8 | | health benefits
for the dependent or survivor of a living or | 9 | | deceased retired employee who was
formerly employed by the | 10 | | University of Illinois in the Cooperative Extension
Service and | 11 | | would be an annuitant but for the fact that he or she was made
| 12 | | ineligible to participate in the State Universities Retirement | 13 | | System by clause
(4) of subsection (a) of Section 15-107 of the | 14 | | Illinois Pension Code shall not
be greater than the cost of | 15 | | participation that would otherwise apply to that
dependent or | 16 | | survivor if he or she were the dependent or survivor of an
| 17 | | annuitant under the State Universities Retirement System.
| 18 | | (a-1) (Blank).
| 19 | | (a-2) (Blank).
| 20 | | (a-3) (Blank).
| 21 | | (a-4) (Blank).
| 22 | | (a-5) (Blank).
| 23 | | (a-6) (Blank).
| 24 | | (a-7) (Blank).
| 25 | | (a-8) Any annuitant, survivor, or retired employee may | 26 | | waive or terminate coverage in
the program of group health |
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| 1 | | benefits. Any such annuitant, survivor, or retired employee
who | 2 | | has waived or terminated coverage may enroll or re-enroll in | 3 | | the
program of group health benefits only during the annual | 4 | | benefit choice period,
as determined by the Director; except | 5 | | that in the event of termination of
coverage due to nonpayment | 6 | | of premiums, the annuitant, survivor, or retired employee
may | 7 | | not re-enroll in the program.
| 8 | | (a-8.5) Beginning on the effective date of this amendatory | 9 | | Act of the 97th General Assembly, the Director of Central | 10 | | Management Services shall, on an annual basis, determine the | 11 | | amount that the State shall contribute toward the basic program | 12 | | of group health benefits on behalf of annuitants (including | 13 | | individuals who (i) participated in the General Assembly | 14 | | Retirement System, the State Employees' Retirement System of | 15 | | Illinois, the State Universities Retirement System, the | 16 | | Teachers' Retirement System of the State of Illinois, or the | 17 | | Judges Retirement System of Illinois and (ii) qualify as | 18 | | annuitants under subsection (b) of Section 3 of this Act), | 19 | | survivors (including individuals who (i) receive an annuity as | 20 | | a survivor of an individual who participated in the General | 21 | | Assembly Retirement System, the State Employees' Retirement | 22 | | System of Illinois, the State Universities Retirement System, | 23 | | the Teachers' Retirement System of the State of Illinois, or | 24 | | the Judges Retirement System of Illinois and (ii) qualify as | 25 | | survivors under subsection (q) of Section 3 of this Act), and | 26 | | retired employees (as defined in subsection (p) of Section 3 of |
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| 1 | | this Act). The remainder of the cost of coverage for each | 2 | | annuitant, survivor, or retired employee, as determined by the | 3 | | Director of Central Management Services, shall be the | 4 | | responsibility of that annuitant, survivor, or retired | 5 | | employee. | 6 | | Contributions required of annuitants, survivors, and | 7 | | retired employees shall be the same for all retirement systems | 8 | | and shall also be based on whether an individual has made an | 9 | | election under Section 15-135.1 of the Illinois Pension Code. | 10 | | Contributions may be based on annuitants', survivors', or | 11 | | retired employees' Medicare eligibility, but may not be based | 12 | | on Social Security eligibility. | 13 | | (a-9) No later than May 1 of each calendar year, the | 14 | | Director
of Central Management Services shall certify in | 15 | | writing to the Executive
Secretary of the State Employees' | 16 | | Retirement System of Illinois the amounts
of the Medicare | 17 | | supplement health care premiums and the amounts of the
health | 18 | | care premiums for all other retirees who are not Medicare | 19 | | eligible.
| 20 | | A separate calculation of the premiums based upon the | 21 | | actual cost of each
health care plan shall be so certified.
| 22 | | The Director of Central Management Services shall provide | 23 | | to the
Executive Secretary of the State Employees' Retirement | 24 | | System of
Illinois such information, statistics, and other data | 25 | | as he or she
may require to review the premium amounts | 26 | | certified by the Director
of Central Management Services.
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| 1 | | The Department of Central Management Healthcare and Family | 2 | | Services, or any successor agency designated to procure | 3 | | healthcare contracts pursuant to this Act, is authorized to | 4 | | establish funds, separate accounts provided by any bank or | 5 | | banks as defined by the Illinois Banking Act, or separate | 6 | | accounts provided by any savings and loan association or | 7 | | associations as defined by the Illinois Savings and Loan Act of | 8 | | 1985 to be held by the Director, outside the State treasury, | 9 | | for the purpose of receiving the transfer of moneys from the | 10 | | Local Government Health Insurance Reserve Fund. The Department | 11 | | may promulgate rules further defining the methodology for the | 12 | | transfers. Any interest earned by moneys in the funds or | 13 | | accounts shall inure to the Local Government Health Insurance | 14 | | Reserve Fund. The transferred moneys, and interest accrued | 15 | | thereon, shall be used exclusively for transfers to | 16 | | administrative service organizations or their financial | 17 | | institutions for payments of claims to claimants and providers | 18 | | under the self-insurance health plan. The transferred moneys, | 19 | | and interest accrued thereon, shall not be used for any other | 20 | | purpose including, but not limited to, reimbursement of | 21 | | administration fees due the administrative service | 22 | | organization pursuant to its contract or contracts with the | 23 | | Department.
| 24 | | (b) State employees who become eligible for this program on | 25 | | or after January
1, 1980 in positions normally requiring actual | 26 | | performance of duty not less
than 1/2 of a normal work period |
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| 1 | | but not equal to that of a normal work period,
shall be given | 2 | | the option of participating in the available program. If the
| 3 | | employee elects coverage, the State shall contribute on behalf | 4 | | of such employee
to the cost of the employee's benefit and any | 5 | | applicable dependent supplement,
that sum which bears the same | 6 | | percentage as that percentage of time the
employee regularly | 7 | | works when compared to normal work period.
| 8 | | (c) The basic non-contributory coverage from the basic | 9 | | program of
group health benefits shall be continued for each | 10 | | employee not in pay status or
on active service by reason of | 11 | | (1) leave of absence due to illness or injury,
(2) authorized | 12 | | educational leave of absence or sabbatical leave, or (3)
| 13 | | military leave. This coverage shall continue until
expiration | 14 | | of authorized leave and return to active service, but not to | 15 | | exceed
24 months for leaves under item (1) or (2). This | 16 | | 24-month limitation and the
requirement of returning to active | 17 | | service shall not apply to persons receiving
ordinary or | 18 | | accidental disability benefits or retirement benefits through | 19 | | the
appropriate State retirement system or benefits under the | 20 | | Workers' Compensation
or Occupational Disease Act.
| 21 | | (d) The basic group life insurance coverage shall continue, | 22 | | with
full State contribution, where such person is (1) absent | 23 | | from active
service by reason of disability arising from any | 24 | | cause other than
self-inflicted, (2) on authorized educational | 25 | | leave of absence or
sabbatical leave, or (3) on military leave.
| 26 | | (e) Where the person is in non-pay status for a period in |
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| 1 | | excess of
30 days or on leave of absence, other than by reason | 2 | | of disability,
educational or sabbatical leave, or military | 3 | | leave, such
person may continue coverage only by making | 4 | | personal
payment equal to the amount normally contributed by | 5 | | the State on such person's
behalf. Such payments and coverage | 6 | | may be continued: (1) until such time as
the person returns to | 7 | | a status eligible for coverage at State expense, but not
to | 8 | | exceed 24 months or (2) until such person's employment or | 9 | | annuitant status
with the State is terminated (exclusive of any | 10 | | additional service imposed pursuant to law).
| 11 | | (f) The Department shall establish by rule the extent to | 12 | | which other
employee benefits will continue for persons in | 13 | | non-pay status or who are
not in active service.
| 14 | | (g) The State shall not pay the cost of the basic | 15 | | non-contributory
group life insurance, program of health | 16 | | benefits and other employee benefits
for members who are | 17 | | survivors as defined by paragraphs (1) and (2) of
subsection | 18 | | (q) of Section 3 of this Act. The costs of benefits for these
| 19 | | survivors shall be paid by the survivors or by the University | 20 | | of Illinois
Cooperative Extension Service, or any combination | 21 | | thereof.
However, the State shall pay the amount of the | 22 | | reduction in the cost of
participation, if any, resulting from | 23 | | the amendment to subsection (a) made
by this amendatory Act of | 24 | | the 91st General Assembly.
| 25 | | (h) Those persons occupying positions with any department | 26 | | as a result
of emergency appointments pursuant to Section 8b.8 |
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| 1 | | of the Personnel Code
who are not considered employees under | 2 | | this Act shall be given the option
of participating in the | 3 | | programs of group life insurance, health benefits and
other | 4 | | employee benefits. Such persons electing coverage may | 5 | | participate only
by making payment equal to the amount normally | 6 | | contributed by the State for
similarly situated employees. Such | 7 | | amounts shall be determined by the
Director. Such payments and | 8 | | coverage may be continued until such time as the
person becomes | 9 | | an employee pursuant to this Act or such person's appointment | 10 | | is
terminated.
| 11 | | (i) Any unit of local government within the State of | 12 | | Illinois
may apply to the Director to have its employees, | 13 | | annuitants, and their
dependents provided group health | 14 | | coverage under this Act on a non-insured
basis. To participate, | 15 | | a unit of local government must agree to enroll
all of its | 16 | | employees, who may select coverage under either the State group
| 17 | | health benefits plan or a health maintenance organization that | 18 | | has
contracted with the State to be available as a health care | 19 | | provider for
employees as defined in this Act. A unit of local | 20 | | government must remit the
entire cost of providing coverage | 21 | | under the State group health benefits plan
or, for coverage | 22 | | under a health maintenance organization, an amount determined
| 23 | | by the Director based on an analysis of the sex, age, | 24 | | geographic location, or
other relevant demographic variables | 25 | | for its employees, except that the unit of
local government | 26 | | shall not be required to enroll those of its employees who are
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| 1 | | covered spouses or dependents under this plan or another group | 2 | | policy or plan
providing health benefits as long as (1) an | 3 | | appropriate official from the unit
of local government attests | 4 | | that each employee not enrolled is a covered spouse
or | 5 | | dependent under this plan or another group policy or plan, and | 6 | | (2) at least
50% of the employees are enrolled and the unit of | 7 | | local government remits
the entire cost of providing coverage | 8 | | to those employees, except that a
participating school district | 9 | | must have enrolled at least 50% of its full-time
employees who | 10 | | have not waived coverage under the district's group health
plan | 11 | | by participating in a component of the district's cafeteria | 12 | | plan. A
participating school district is not required to enroll | 13 | | a full-time employee
who has waived coverage under the | 14 | | district's health plan, provided that an
appropriate official | 15 | | from the participating school district attests that the
| 16 | | full-time employee has waived coverage by participating in a | 17 | | component of the
district's cafeteria plan. For the purposes of | 18 | | this subsection, "participating
school district" includes a | 19 | | unit of local government whose primary purpose is
education as | 20 | | defined by the Department's rules.
| 21 | | Employees of a participating unit of local government who | 22 | | are not enrolled
due to coverage under another group health | 23 | | policy or plan may enroll in
the event of a qualifying change | 24 | | in status, special enrollment, special
circumstance as defined | 25 | | by the Director, or during the annual Benefit Choice
Period. A | 26 | | participating unit of local government may also elect to cover |
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| 1 | | its
annuitants. Dependent coverage shall be offered on an | 2 | | optional basis, with the
costs paid by the unit of local | 3 | | government, its employees, or some combination
of the two as | 4 | | determined by the unit of local government. The unit of local
| 5 | | government shall be responsible for timely collection and | 6 | | transmission of
dependent premiums.
| 7 | | The Director shall annually determine monthly rates of | 8 | | payment, subject
to the following constraints:
| 9 | | (1) In the first year of coverage, the rates shall be | 10 | | equal to the
amount normally charged to State employees for | 11 | | elected optional coverages
or for enrolled dependents | 12 | | coverages or other contributory coverages, or
contributed | 13 | | by the State for basic insurance coverages on behalf of its
| 14 | | employees, adjusted for differences between State | 15 | | employees and employees
of the local government in age, | 16 | | sex, geographic location or other relevant
demographic | 17 | | variables, plus an amount sufficient to pay for the | 18 | | additional
administrative costs of providing coverage to | 19 | | employees of the unit of
local government and their | 20 | | dependents.
| 21 | | (2) In subsequent years, a further adjustment shall be | 22 | | made to reflect
the actual prior years' claims experience | 23 | | of the employees of the unit of
local government.
| 24 | | In the case of coverage of local government employees under | 25 | | a health
maintenance organization, the Director shall annually | 26 | | determine for each
participating unit of local government the |
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| 1 | | maximum monthly amount the unit
may contribute toward that | 2 | | coverage, based on an analysis of (i) the age,
sex, geographic | 3 | | location, and other relevant demographic variables of the
| 4 | | unit's employees and (ii) the cost to cover those employees | 5 | | under the State
group health benefits plan. The Director may | 6 | | similarly determine the
maximum monthly amount each unit of | 7 | | local government may contribute toward
coverage of its | 8 | | employees' dependents under a health maintenance organization.
| 9 | | Monthly payments by the unit of local government or its | 10 | | employees for
group health benefits plan or health maintenance | 11 | | organization coverage shall
be deposited in the Local | 12 | | Government Health Insurance Reserve Fund.
| 13 | | The Local Government Health Insurance Reserve Fund is | 14 | | hereby created as a nonappropriated trust fund to be held | 15 | | outside the State Treasury, with the State Treasurer as | 16 | | custodian. The Local Government Health Insurance Reserve Fund | 17 | | shall be a continuing
fund not subject to fiscal year | 18 | | limitations. The Local Government Health Insurance Reserve | 19 | | Fund is not subject to administrative charges or charge-backs, | 20 | | including but not limited to those authorized under Section 8h | 21 | | of the State Finance Act. All revenues arising from the | 22 | | administration of the health benefits program established | 23 | | under this Section shall be deposited into the Local Government | 24 | | Health Insurance Reserve Fund. Any interest earned on moneys in | 25 | | the Local Government Health Insurance Reserve Fund shall be | 26 | | deposited into the Fund. All expenditures from this Fund
shall |
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| 1 | | be used for payments for health care benefits for local | 2 | | government and rehabilitation facility
employees, annuitants, | 3 | | and dependents, and to reimburse the Department or
its | 4 | | administrative service organization for all expenses incurred | 5 | | in the
administration of benefits. No other State funds may be | 6 | | used for these
purposes.
| 7 | | A local government employer's participation or desire to | 8 | | participate
in a program created under this subsection shall | 9 | | not limit that employer's
duty to bargain with the | 10 | | representative of any collective bargaining unit
of its | 11 | | employees.
| 12 | | (j) Any rehabilitation facility within the State of | 13 | | Illinois may apply
to the Director to have its employees, | 14 | | annuitants, and their eligible
dependents provided group | 15 | | health coverage under this Act on a non-insured
basis. To | 16 | | participate, a rehabilitation facility must agree to enroll all
| 17 | | of its employees and remit the entire cost of providing such | 18 | | coverage for
its employees, except that the rehabilitation | 19 | | facility shall not be
required to enroll those of its employees | 20 | | who are covered spouses or
dependents under this plan or | 21 | | another group policy or plan providing health
benefits as long | 22 | | as (1) an appropriate official from the rehabilitation
facility | 23 | | attests that each employee not enrolled is a covered spouse or
| 24 | | dependent under this plan or another group policy or plan, and | 25 | | (2) at least
50% of the employees are enrolled and the | 26 | | rehabilitation facility remits
the entire cost of providing |
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| 1 | | coverage to those employees. Employees of a
participating | 2 | | rehabilitation facility who are not enrolled due to coverage
| 3 | | under another group health policy or plan may enroll
in the | 4 | | event of a qualifying change in status, special enrollment, | 5 | | special
circumstance as defined by the Director, or during the | 6 | | annual Benefit Choice
Period. A participating rehabilitation | 7 | | facility may also elect
to cover its annuitants. Dependent | 8 | | coverage shall be offered on an optional
basis, with the costs | 9 | | paid by the rehabilitation facility, its employees, or
some | 10 | | combination of the 2 as determined by the rehabilitation | 11 | | facility. The
rehabilitation facility shall be responsible for | 12 | | timely collection and
transmission of dependent premiums.
| 13 | | The Director shall annually determine quarterly rates of | 14 | | payment, subject
to the following constraints:
| 15 | | (1) In the first year of coverage, the rates shall be | 16 | | equal to the amount
normally charged to State employees for | 17 | | elected optional coverages or for
enrolled dependents | 18 | | coverages or other contributory coverages on behalf of
its | 19 | | employees, adjusted for differences between State | 20 | | employees and
employees of the rehabilitation facility in | 21 | | age, sex, geographic location
or other relevant | 22 | | demographic variables, plus an amount sufficient to pay
for | 23 | | the additional administrative costs of providing coverage | 24 | | to employees
of the rehabilitation facility and their | 25 | | dependents.
| 26 | | (2) In subsequent years, a further adjustment shall be |
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| 1 | | made to reflect
the actual prior years' claims experience | 2 | | of the employees of the
rehabilitation facility.
| 3 | | Monthly payments by the rehabilitation facility or its | 4 | | employees for
group health benefits shall be deposited in the | 5 | | Local Government Health
Insurance Reserve Fund.
| 6 | | (k) Any domestic violence shelter or service within the | 7 | | State of Illinois
may apply to the Director to have its | 8 | | employees, annuitants, and their
dependents provided group | 9 | | health coverage under this Act on a non-insured
basis. To | 10 | | participate, a domestic violence shelter or service must agree | 11 | | to
enroll all of its employees and pay the entire cost of | 12 | | providing such coverage
for its employees. The domestic | 13 | | violence shelter shall not be required to enroll those of its | 14 | | employees who are covered spouses or dependents under this plan | 15 | | or another group policy or plan providing health benefits as | 16 | | long as (1) an appropriate official from the domestic violence | 17 | | shelter attests that each employee not enrolled is a covered | 18 | | spouse or dependent under this plan or another group policy or | 19 | | plan and (2) at least 50% of the employees are enrolled and the | 20 | | domestic violence shelter remits the entire cost of providing | 21 | | coverage to those employees. Employees of a participating | 22 | | domestic violence shelter who are not enrolled due to coverage | 23 | | under another group health policy or plan may enroll in the | 24 | | event of a qualifying change in status, special enrollment, or | 25 | | special circumstance as defined by the Director or during the | 26 | | annual Benefit Choice Period. A participating domestic |
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| 1 | | violence shelter may also elect
to cover its annuitants. | 2 | | Dependent coverage shall be offered on an optional
basis, with
| 3 | | employees, or some combination of the 2 as determined by the | 4 | | domestic violence
shelter or service. The domestic violence | 5 | | shelter or service shall be
responsible for timely collection | 6 | | and transmission of dependent premiums.
| 7 | | The Director shall annually determine rates of payment,
| 8 | | subject to the following constraints:
| 9 | | (1) In the first year of coverage, the rates shall be | 10 | | equal to the
amount normally charged to State employees for | 11 | | elected optional coverages
or for enrolled dependents | 12 | | coverages or other contributory coverages on
behalf of its | 13 | | employees, adjusted for differences between State | 14 | | employees and
employees of the domestic violence shelter or | 15 | | service in age, sex, geographic
location or other relevant | 16 | | demographic variables, plus an amount sufficient
to pay for | 17 | | the additional administrative costs of providing coverage | 18 | | to
employees of the domestic violence shelter or service | 19 | | and their dependents.
| 20 | | (2) In subsequent years, a further adjustment shall be | 21 | | made to reflect
the actual prior years' claims experience | 22 | | of the employees of the domestic
violence shelter or | 23 | | service.
| 24 | | Monthly payments by the domestic violence shelter or | 25 | | service or its employees
for group health insurance shall be | 26 | | deposited in the Local Government Health
Insurance Reserve |
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| 1 | | Fund.
| 2 | | (l) A public community college or entity organized pursuant | 3 | | to the
Public Community College Act may apply to the Director | 4 | | initially to have
only annuitants not covered prior to July 1, | 5 | | 1992 by the district's health
plan provided health coverage | 6 | | under this Act on a non-insured basis. The
community college | 7 | | must execute a 2-year contract to participate in the
Local | 8 | | Government Health Plan.
Any annuitant may enroll in the event | 9 | | of a qualifying change in status, special
enrollment, special | 10 | | circumstance as defined by the Director, or during the
annual | 11 | | Benefit Choice Period.
| 12 | | The Director shall annually determine monthly rates of | 13 | | payment subject to
the following constraints: for those | 14 | | community colleges with annuitants
only enrolled, first year | 15 | | rates shall be equal to the average cost to cover
claims for a | 16 | | State member adjusted for demographics, Medicare
| 17 | | participation, and other factors; and in the second year, a | 18 | | further adjustment
of rates shall be made to reflect the actual | 19 | | first year's claims experience
of the covered annuitants.
| 20 | | (l-5) The provisions of subsection (l) become inoperative | 21 | | on July 1, 1999.
| 22 | | (m) The Director shall adopt any rules deemed necessary for
| 23 | | implementation of this amendatory Act of 1989 (Public Act | 24 | | 86-978).
| 25 | | (n) Any child advocacy center within the State of Illinois | 26 | | may apply to the Director to have its employees, annuitants, |
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| 1 | | and their dependents provided group health coverage under this | 2 | | Act on a non-insured basis. To participate, a child advocacy | 3 | | center must agree to enroll all of its employees and pay the | 4 | | entire cost of providing coverage for its employees. The child
| 5 | | advocacy center shall not be required to enroll those of its
| 6 | | employees who are covered spouses or dependents under this plan
| 7 | | or another group policy or plan providing health benefits as
| 8 | | long as (1) an appropriate official from the child advocacy
| 9 | | center attests that each employee not enrolled is a covered
| 10 | | spouse or dependent under this plan or another group policy or
| 11 | | plan and (2) at least 50% of the employees are enrolled and the | 12 | | child advocacy center remits the entire cost of providing | 13 | | coverage to those employees. Employees of a participating child | 14 | | advocacy center who are not enrolled due to coverage under | 15 | | another group health policy or plan may enroll in the event of | 16 | | a qualifying change in status, special enrollment, or special | 17 | | circumstance as defined by the Director or during the annual | 18 | | Benefit Choice Period. A participating child advocacy center | 19 | | may also elect to cover its annuitants. Dependent coverage | 20 | | shall be offered on an optional basis, with the costs paid by | 21 | | the child advocacy center, its employees, or some combination | 22 | | of the 2 as determined by the child advocacy center. The child | 23 | | advocacy center shall be responsible for timely collection and | 24 | | transmission of dependent premiums. | 25 | | The Director shall annually determine rates of payment, | 26 | | subject to the following constraints: |
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| 1 | | (1) In the first year of coverage, the rates shall be | 2 | | equal to the amount normally charged to State employees for | 3 | | elected optional coverages or for enrolled dependents | 4 | | coverages or other contributory coverages on behalf of its | 5 | | employees, adjusted for differences between State | 6 | | employees and employees of the child advocacy center in | 7 | | age, sex, geographic location, or other relevant | 8 | | demographic variables, plus an amount sufficient to pay for | 9 | | the additional administrative costs of providing coverage | 10 | | to employees of the child advocacy center and their | 11 | | dependents. | 12 | | (2) In subsequent years, a further adjustment shall be | 13 | | made to reflect the actual prior years' claims experience | 14 | | of the employees of the child advocacy center. | 15 | | Monthly payments by the child advocacy center or its | 16 | | employees for group health insurance shall be deposited into | 17 | | the Local Government Health Insurance Reserve Fund. | 18 | | (Source: P.A. 96-756, eff. 1-1-10; 96-1232, eff. 7-23-10; | 19 | | 96-1519, eff. 2-4-11; 97-695, eff. 7-1-12.)
| 20 | | (5 ILCS 375/13.1) (from Ch. 127, par. 533.1)
| 21 | | Sec. 13.1. (a) All contributions, appropriations, | 22 | | interest, and dividend
payments to fund the program of health | 23 | | benefits and other employee benefits, and all other revenues | 24 | | arising from the administration of any employee health benefits | 25 | | program,
shall be deposited in a trust fund outside the State |
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| 1 | | Treasury, with the State
Treasurer as ex-officio custodian, to | 2 | | be known as the Health Insurance Reserve
Fund.
| 3 | | (b) Upon the adoption of a self-insurance health plan, any | 4 | | monies
attributable to the group health insurance program shall | 5 | | be deposited in or
transferred to the Health Insurance Reserve | 6 | | Fund for use by the Department.
As of the effective date of | 7 | | this amendatory Act of 1986, the Department
shall certify to | 8 | | the Comptroller the amount of money in the Group Insurance
| 9 | | Premium Fund attributable to the State group health insurance | 10 | | program and the
Comptroller shall transfer such money from the | 11 | | Group Insurance Premium Fund
to the Health Insurance Reserve | 12 | | Fund. Contributions by the State to the
Health Insurance | 13 | | Reserve Fund to meet the requirements of this Act, as
| 14 | | established by the Director, from the General Revenue Fund and | 15 | | the Road
Fund to the Health Insurance Reserve Fund shall be by | 16 | | annual
appropriations, and all other contributions to meet the | 17 | | requirements of the
programs of health benefits or other | 18 | | employee benefits shall be deposited
in the Health Insurance | 19 | | Reserve Fund. The Department shall draw the
appropriation from | 20 | | the General Revenue Fund and the Road Fund from time to
time as | 21 | | necessary to make expenditures authorized under this Act.
| 22 | | The Director may employ such assistance and services and | 23 | | may purchase
such goods as may be necessary for the proper | 24 | | development and
administration of any of the benefit programs | 25 | | authorized by this Act. The
Director may promulgate rules and | 26 | | regulations in regard to the
administration of these programs.
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| 1 | | All monies received by the Department for deposit in or | 2 | | transfer to the
Health Insurance Reserve Fund, through | 3 | | appropriation or otherwise, shall be
used to provide for the | 4 | | making of payments to claimants and providers and
to reimburse | 5 | | the Department for all expenses directly incurred relating to
| 6 | | Department development and administration of the program of | 7 | | health benefits
and other employee benefits.
| 8 | | Any administrative service organization administering any | 9 | | self-insurance
health plan and paying claims and benefits under | 10 | | authority of this Act may
receive, pursuant to written | 11 | | authorization and direction of the Director,
an initial | 12 | | transfer and periodic transfers of funds from the Health
| 13 | | Insurance Reserve Fund in amounts determined by the Director | 14 | | who may
consider the amount recommended by the administrative | 15 | | service organization.
Notwithstanding any other statute, such | 16 | | transferred funds shall be
retained by the administrative | 17 | | service organization in a separate
account provided by any bank | 18 | | as defined by the Illinois Banking
Act. The Department may | 19 | | promulgate regulations further defining the banks
authorized | 20 | | to accept such funds and all methodology for transfer of such
| 21 | | funds. Any interest earned by monies in such
account shall | 22 | | inure to the Health Insurance Reserve Fund, shall remain
in | 23 | | such account and shall be used exclusively to pay claims and | 24 | | benefits
under this Act. Such transferred funds shall be used | 25 | | exclusively for
administrative service organization payment of | 26 | | claims to claimants and
providers under the self-insurance |
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| 1 | | health plan by the drawing of checks
against such account. The | 2 | | administrative service organization may not use
such | 3 | | transferred funds, or interest accrued thereon, for any other | 4 | | purpose
including, but not limited to, reimbursement of | 5 | | administrative expenses or
payments of administration fees due | 6 | | the organization pursuant to its
contract or contracts with the | 7 | | Department of Central Management Services.
| 8 | | The account of the administrative service organization | 9 | | established under
this Section, any transfers from the Health | 10 | | Insurance Reserve Fund to
such account and the use of such | 11 | | account and funds shall be subject
to (1) audit by the | 12 | | Department or private contractor authorized by the
Department | 13 | | to conduct audits, and (2) post audit pursuant to the
Illinois | 14 | | State Auditing Act.
| 15 | | The Department of Central Management Healthcare and Family | 16 | | Services, or any successor agency designated to procure | 17 | | healthcare contracts pursuant to this Act, is authorized to | 18 | | establish funds, separate accounts provided by any bank or | 19 | | banks as defined by the Illinois Banking Act, or separate | 20 | | accounts provided by any savings and loan association or | 21 | | associations as defined by the Illinois Savings and Loan Act of | 22 | | 1985 to be held by the Director, outside the State treasury, | 23 | | for the purpose of receiving the transfer of moneys from the | 24 | | Health Insurance Reserve Fund. The Department may promulgate | 25 | | rules further defining the methodology for the transfers. Any | 26 | | interest earned by monies in the funds or accounts shall inure |
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| 1 | | to the Health Insurance Reserve Fund. The transferred moneys, | 2 | | and interest accrued thereon, shall be used exclusively for | 3 | | transfers to administrative service organizations or their | 4 | | financial institutions for payments of claims to claimants and | 5 | | providers under the self-insurance health plan. The | 6 | | transferred moneys, and interest accrued thereon, shall not be | 7 | | used for any other purpose including, but not limited to, | 8 | | reimbursement of administration fees due the administrative | 9 | | service organization pursuant to its contract or contracts with | 10 | | the Department.
| 11 | | (c) The Director, with the advice and consent of the | 12 | | Commission, shall
establish premiums for optional coverage for | 13 | | dependents of eligible members
for the health plans. The | 14 | | eligible members
shall be responsible for their portion of such | 15 | | optional
premium. The State shall
contribute an amount per | 16 | | month for each eligible member who has
enrolled one or more | 17 | | dependents under the health plans. Such contribution
shall be | 18 | | made directly to the Health Insurance
Reserve Fund. Those | 19 | | employees described in subsection (b) of Section 9 of this
Act | 20 | | shall be allowed to continue in the health plan by
making | 21 | | personal payments with the premiums to be deposited
in the | 22 | | Health Insurance Reserve Fund.
| 23 | | (d) The Health Insurance Reserve Fund shall be a continuing | 24 | | fund not subject
to fiscal year limitations. All expenditures | 25 | | from that fund shall be at
the direction of the Director and | 26 | | shall be only for the purpose of:
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| 1 | | (1) the payment of administrative expenses incurred by | 2 | | the Department
for the program of health benefits or other | 3 | | employee benefit programs,
including but not limited to the | 4 | | costs of audits or actuarial
consultations, professional | 5 | | and contractual services, electronic data
processing | 6 | | systems and services, and expenses in connection with the
| 7 | | development and administration of such programs;
| 8 | | (2) the payment of administrative expenses incurred by | 9 | | the Administrative
Service Organization;
| 10 | | (3) the payment of health benefits;
| 11 | | (3.5) the payment of medical expenses incurred by the | 12 | | Department for the treatment of employees who suffer | 13 | | accidental injury or death within the scope of their | 14 | | employment;
| 15 | | (4) refunds to employees for erroneous payments of | 16 | | their selected
dependent coverage;
| 17 | | (5) payment of premium for stop-loss or re-insurance;
| 18 | | (6) payment of premium to health maintenance | 19 | | organizations pursuant to
Section 6.1 of this Act;
| 20 | | (7) payment of adoption program benefits; and
| 21 | | (8) payment of other benefits offered to members and | 22 | | dependents under
this Act.
| 23 | | (Source: P.A. 94-839, eff. 6-6-06; 95-632, eff. 9-25-07; | 24 | | 95-744, eff. 7-18-08.)
| 25 | | Section 905. The Department of Central Management Services |
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| 1 | | Law of the
Civil Administrative Code of Illinois is amended by | 2 | | adding Section 405-520 as follows: | 3 | | (20 ILCS 405/405-520 new) | 4 | | Sec. 405-520. State healthcare purchasing. On and after the | 5 | | date 6 months after the effective date of this amendatory Act | 6 | | of the 98th General Assembly, as provided in the Executive | 7 | | Order 1 (2012) Implementation Act, all of the powers, duties, | 8 | | rights, and responsibilities related to State healthcare | 9 | | purchasing under this Law that were transferred from the | 10 | | Department to the Department of Healthcare and Family Services | 11 | | by Executive Order 3 (2005) are transferred back to the | 12 | | Department. | 13 | | Section 910. The Department of Human Services Act is | 14 | | amended by changing Section 1-20 as follows:
| 15 | | (20 ILCS 1305/1-20)
| 16 | | Sec. 1-20. General powers and duties.
| 17 | | (a) The Department shall exercise the rights, powers, | 18 | | duties, and functions
provided by law, including (but not | 19 | | limited to) the rights, powers, duties, and
functions | 20 | | transferred to the Department under Article 80 and Article 90 | 21 | | of this
Act.
| 22 | | (b) The Department may employ personnel (in accordance with | 23 | | the Personnel
Code), provide facilities, contract for goods and |
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| 1 | | services, and adopt rules as
necessary to carry out its | 2 | | functions and purposes, all in accordance with
applicable State | 3 | | and federal law.
| 4 | | (c) On and after the date 6 months after the effective date | 5 | | of this amendatory Act of the 98th General Assembly, as | 6 | | provided in the Executive Order 1 (2012) Implementation Act, | 7 | | all of the powers, duties, rights, and responsibilities related | 8 | | to State healthcare purchasing under this Act that were | 9 | | transferred from the Department to the Department of Healthcare | 10 | | and Family Services by Executive Order 3 (2005) are transferred | 11 | | back to the Department. | 12 | | (Source: P.A. 89-507, eff. 7-3-96.)
| 13 | | Section 915. The Department of Healthcare and Family | 14 | | Services Law of the
Civil Administrative Code of Illinois is | 15 | | amended by adding Section 2205-20 as follows: | 16 | | (20 ILCS 2205/2205-20 new) | 17 | | Sec. 2205-20. State healthcare purchasing. On and after the | 18 | | date 6 months after the effective date of this amendatory Act | 19 | | of the 98th General Assembly, as provided in the Executive | 20 | | Order 1 (2012) Implementation Act, all of the powers, duties, | 21 | | rights, and responsibilities related to State healthcare | 22 | | purchasing under this Law that were transferred to the | 23 | | Department of Healthcare and Family Services by Executive Order | 24 | | 3 (2005) are transferred back to the Departments from which |
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| 1 | | those powers, duties, rights, and responsibilities were | 2 | | transferred; however, powers, duties, rights, and | 3 | | responsibilities related to State healthcare purchasing under | 4 | | this Law that were exercised by the Department of Corrections | 5 | | before the effective date of Executive Order 3 (2005) but that | 6 | | pertain to individuals resident in facilities operated by the | 7 | | Department of Juvenile Justice shall be transferred to the | 8 | | Department of Juvenile Justice. | 9 | | Section 920. The Department of Veterans Affairs Act is | 10 | | amended by adding Section 2.08 as follows: | 11 | | (20 ILCS 2805/2.08 new) | 12 | | Sec. 2.08. State healthcare purchasing. On and after the | 13 | | date 6 months after the effective date of this amendatory Act | 14 | | of the 98th General Assembly, as provided in the Executive | 15 | | Order 1 (2012) Implementation Act, all of the powers, duties, | 16 | | rights, and responsibilities related to State healthcare | 17 | | purchasing under this Act that were transferred from the | 18 | | Department to the Department of Healthcare and Family Services | 19 | | by Executive Order 3 (2005) are transferred back to the | 20 | | Department. | 21 | | Section 925. The School Employee Benefit Act is amended by | 22 | | adding Section 7 as follows: |
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| 1 | | (105 ILCS 55/7 new) | 2 | | Sec. 7. State healthcare purchasing. On and after the date | 3 | | 6 months after the effective date of this amendatory Act of the | 4 | | 98th General Assembly, as provided in the Executive Order 1 | 5 | | (2012) Implementation Act, all of the powers, duties, rights, | 6 | | and responsibilities related to State healthcare purchasing | 7 | | under this Act that were transferred from the Department to the | 8 | | Department of Healthcare and Family Services by Executive Order | 9 | | 3 (2005) are transferred back to the Department. | 10 | | Section 930. The Illinois Prescription Drug Discount | 11 | | Program Act is amended by changing Sections 10 and 15 and by | 12 | | adding Section 2 as follows: | 13 | | (320 ILCS 55/2 new) | 14 | | Sec. 2. State healthcare purchasing. On and after the date | 15 | | 6 months after the effective date of this amendatory Act of the | 16 | | 98th General Assembly, as provided in the Executive Order 1 | 17 | | (2012) Implementation Act, all of the powers, duties, rights, | 18 | | and responsibilities related to State healthcare purchasing | 19 | | under this Act that were transferred from the Department of | 20 | | Central Management Services to the Department of Healthcare and | 21 | | Family Services by Executive Order 3 (2005) are transferred | 22 | | back to the Department of Central Management Services.
| 23 | | (320 ILCS 55/10)
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| 1 | | Sec. 10. Purpose. The purpose of this program is to require | 2 | | the
Department
of Central Management
Healthcare and Family
| 3 | | Services to establish and administer a program that will
enable
| 4 | | eligible Illinois residents to purchase prescription drugs at
| 5 | | discounted
prices.
| 6 | | (Source: P.A. 93-18, eff. 7-1-03; 94-86, eff. 1-1-06.)
| 7 | | (320 ILCS 55/15)
| 8 | | Sec. 15. Definitions. As used in this Act:
| 9 | | "Authorized pharmacy" means any pharmacy registered in | 10 | | this State under the
Pharmacy Practice Act or approved by the | 11 | | Department of Financial and Professional Regulation and | 12 | | approved by the Department or its program
administrator.
| 13 | | "AWP" or "average wholesale price" means the amount | 14 | | determined from the
latest publication of the Red Book, a | 15 | | universally subscribed pharmacist
reference guide
annually | 16 | | published by the Hearst Corporation. "AWP" or "average | 17 | | wholesale
price"
may also be derived electronically from the | 18 | | drug pricing database synonymous
with the
latest publication of | 19 | | the Red Book and furnished in the National Drug Data File
| 20 | | (NDDF)
by First Data Bank (FDB), a service of the Hearst | 21 | | Corporation.
| 22 | | "Covered medication" means any medication included in the | 23 | | Illinois Prescription Drug Discount Program.
| 24 | | "Department" means the Department of Central Management | 25 | | Healthcare and Family Services.
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| 1 | | "Director" means the Director of Central Management | 2 | | Healthcare and Family Services.
| 3 | | "Drug manufacturer" means any entity (1) that is located | 4 | | within or outside
Illinois
that is engaged in (i) the | 5 | | production, preparation, propagation, compounding,
conversion,
| 6 | | or processing of prescription drug products covered under the | 7 | | program, either
directly or
indirectly by extraction from | 8 | | substances of natural origin, independently by
means of
| 9 | | chemical synthesis, or by a combination of extraction and | 10 | | chemical synthesis or
(ii) the
packaging, repackaging, | 11 | | leveling, labeling, or distribution of prescription
drug | 12 | | products
covered under the program and (2) that elects to | 13 | | provide prescription drugs
either directly
or under contract | 14 | | with any entity providing prescription drug services on
behalf | 15 | | of the
State of Illinois. "Drug manufacturer", however, does | 16 | | not include a wholesale
distributor
of drugs or a retail | 17 | | pharmacy licensed under Illinois law.
| 18 | | "Federal Poverty Limit" or "FPL" means the Federal Poverty | 19 | | Income Guidelines published annually in the Federal Register.
| 20 | | "Prescription drug" means any prescribed drug that may be | 21 | | legally dispensed
by
an authorized pharmacy.
| 22 | | "Program" means the Illinois Prescription Drug
Discount | 23 | | Program created
under this Act.
| 24 | | "Program administrator" means the entity that is chosen by | 25 | | the Department to
administer the program. The program | 26 | | administrator may, in this case, be the
Director or
a Pharmacy |
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| 1 | | Benefits Manager (PBM) chosen to subcontract with the Director.
| 2 | | "Rules" includes rules adopted and forms prescribed by the | 3 | | Department.
| 4 | | (Source: P.A. 94-86, eff. 1-1-06; 95-689, eff. 10-29-07.)
| 5 | | Section 935. The Unified Code of Corrections is amended by | 6 | | changing Sections 3-2-2 and 3-2.5-20 as follows:
| 7 | | (730 ILCS 5/3-2-2) (from Ch. 38, par. 1003-2-2)
| 8 | | Sec. 3-2-2. Powers and Duties of the Department.
| 9 | | (1) In addition to the powers, duties and responsibilities | 10 | | which are
otherwise provided by law, the Department shall have | 11 | | the following powers:
| 12 | | (a) To accept persons committed to it by the courts of | 13 | | this State for
care, custody, treatment and | 14 | | rehabilitation, and to accept federal prisoners and aliens | 15 | | over whom the Office of the Federal Detention Trustee is | 16 | | authorized to exercise the federal detention function for | 17 | | limited purposes and periods of time.
| 18 | | (b) To develop and maintain reception and evaluation | 19 | | units for purposes
of analyzing the custody and | 20 | | rehabilitation needs of persons committed to
it and to | 21 | | assign such persons to institutions and programs under its | 22 | | control
or transfer them to other appropriate agencies. In | 23 | | consultation with the
Department of Alcoholism and | 24 | | Substance Abuse (now the Department of Human
Services), the |
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| 1 | | Department of Corrections
shall develop a master plan for | 2 | | the screening and evaluation of persons
committed to its | 3 | | custody who have alcohol or drug abuse problems, and for
| 4 | | making appropriate treatment available to such persons; | 5 | | the Department
shall report to the General Assembly on such | 6 | | plan not later than April 1,
1987. The maintenance and | 7 | | implementation of such plan shall be contingent
upon the | 8 | | availability of funds.
| 9 | | (b-1) To create and implement, on January 1, 2002, a | 10 | | pilot
program to
establish the effectiveness of | 11 | | pupillometer technology (the measurement of the
pupil's
| 12 | | reaction to light) as an alternative to a urine test for | 13 | | purposes of screening
and evaluating
persons committed to | 14 | | its custody who have alcohol or drug problems. The
pilot | 15 | | program shall require the pupillometer technology to be | 16 | | used in at
least one Department of
Corrections facility. | 17 | | The Director may expand the pilot program to include an
| 18 | | additional facility or
facilities as he or she deems | 19 | | appropriate.
A minimum of 4,000 tests shall be included in | 20 | | the pilot program.
The
Department must report to the
| 21 | | General Assembly on the
effectiveness of the program by | 22 | | January 1, 2003.
| 23 | | (b-5) To develop, in consultation with the Department | 24 | | of State Police, a
program for tracking and evaluating each | 25 | | inmate from commitment through release
for recording his or | 26 | | her gang affiliations, activities, or ranks.
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| 1 | | (c) To maintain and administer all State correctional | 2 | | institutions and
facilities under its control and to | 3 | | establish new ones as needed. Pursuant
to its power to | 4 | | establish new institutions and facilities, the Department
| 5 | | may, with the written approval of the Governor, authorize | 6 | | the Department of
Central Management Services to enter into | 7 | | an agreement of the type
described in subsection (d) of | 8 | | Section 405-300 of the
Department
of Central Management | 9 | | Services Law (20 ILCS 405/405-300). The Department shall
| 10 | | designate those institutions which
shall constitute the | 11 | | State Penitentiary System.
| 12 | | Pursuant to its power to establish new institutions and | 13 | | facilities, the
Department may authorize the Department of | 14 | | Central Management Services to
accept bids from counties | 15 | | and municipalities for the construction,
remodeling or | 16 | | conversion of a structure to be leased to the Department of
| 17 | | Corrections for the purposes of its serving as a | 18 | | correctional institution
or facility. Such construction, | 19 | | remodeling or conversion may be financed
with revenue bonds | 20 | | issued pursuant to the Industrial Building Revenue Bond
Act | 21 | | by the municipality or county. The lease specified in a bid | 22 | | shall be
for a term of not less than the time needed to | 23 | | retire any revenue bonds
used to finance the project, but | 24 | | not to exceed 40 years. The lease may
grant to the State | 25 | | the option to purchase the structure outright.
| 26 | | Upon receipt of the bids, the Department may certify |
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| 1 | | one or more of the
bids and shall submit any such bids to | 2 | | the General Assembly for approval.
Upon approval of a bid | 3 | | by a constitutional majority of both houses of the
General | 4 | | Assembly, pursuant to joint resolution, the Department of | 5 | | Central
Management Services may enter into an agreement | 6 | | with the county or
municipality pursuant to such bid.
| 7 | | (c-5) To build and maintain regional juvenile | 8 | | detention centers and to
charge a per diem to the counties | 9 | | as established by the Department to defray
the costs of | 10 | | housing each minor in a center. In this subsection (c-5),
| 11 | | "juvenile
detention center" means a facility to house | 12 | | minors during pendency of trial who
have been transferred | 13 | | from proceedings under the Juvenile Court Act of 1987 to
| 14 | | prosecutions under the criminal laws of this State in | 15 | | accordance with Section
5-805 of the Juvenile Court Act of | 16 | | 1987, whether the transfer was by operation
of
law or | 17 | | permissive under that Section. The Department shall | 18 | | designate the
counties to be served by each regional | 19 | | juvenile detention center.
| 20 | | (d) To develop and maintain programs of control, | 21 | | rehabilitation and
employment of committed persons within | 22 | | its institutions.
| 23 | | (d-5) To provide a pre-release job preparation program | 24 | | for inmates at Illinois adult correctional centers.
| 25 | | (e) To establish a system of supervision and guidance | 26 | | of committed persons
in the community.
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| 1 | | (f) To establish in cooperation with the Department of | 2 | | Transportation
to supply a sufficient number of prisoners | 3 | | for use by the Department of
Transportation to clean up the | 4 | | trash and garbage along State, county,
township, or | 5 | | municipal highways as designated by the Department of
| 6 | | Transportation. The Department of Corrections, at the | 7 | | request of the
Department of Transportation, shall furnish | 8 | | such prisoners at least
annually for a period to be agreed | 9 | | upon between the Director of
Corrections and the Director | 10 | | of Transportation. The prisoners used on this
program shall | 11 | | be selected by the Director of Corrections on whatever | 12 | | basis
he deems proper in consideration of their term, | 13 | | behavior and earned eligibility
to participate in such | 14 | | program - where they will be outside of the prison
facility | 15 | | but still in the custody of the Department of Corrections. | 16 | | Prisoners
convicted of first degree murder, or a Class X | 17 | | felony, or armed violence, or
aggravated kidnapping, or | 18 | | criminal sexual assault, aggravated criminal sexual
abuse | 19 | | or a subsequent conviction for criminal sexual abuse, or | 20 | | forcible
detention, or arson, or a prisoner adjudged a | 21 | | Habitual Criminal shall not be
eligible for selection to | 22 | | participate in such program. The prisoners shall
remain as | 23 | | prisoners in the custody of the Department of Corrections | 24 | | and such
Department shall furnish whatever security is | 25 | | necessary. The Department of
Transportation shall furnish | 26 | | trucks and equipment for the highway cleanup
program and |
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| 1 | | personnel to supervise and direct the program. Neither the
| 2 | | Department of Corrections nor the Department of | 3 | | Transportation shall replace
any regular employee with a | 4 | | prisoner.
| 5 | | (g) To maintain records of persons committed to it and | 6 | | to establish
programs of research, statistics and | 7 | | planning.
| 8 | | (h) To investigate the grievances of any person | 9 | | committed to the
Department, to inquire into any alleged | 10 | | misconduct by employees
or committed persons, and to | 11 | | investigate the assets
of committed persons to implement | 12 | | Section 3-7-6 of this Code; and for
these purposes it may | 13 | | issue subpoenas and compel the attendance of witnesses
and | 14 | | the production of writings and papers, and may examine | 15 | | under oath any
witnesses who may appear before it; to also | 16 | | investigate alleged violations
of a parolee's or | 17 | | releasee's conditions of parole or release; and for this
| 18 | | purpose it may issue subpoenas and compel the attendance of | 19 | | witnesses and
the production of documents only if there is | 20 | | reason to believe that such
procedures would provide | 21 | | evidence that such violations have occurred.
| 22 | | If any person fails to obey a subpoena issued under | 23 | | this subsection,
the Director may apply to any circuit | 24 | | court to secure compliance with the
subpoena. The failure | 25 | | to comply with the order of the court issued in
response | 26 | | thereto shall be punishable as contempt of court.
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| 1 | | (i) To appoint and remove the chief administrative | 2 | | officers, and
administer
programs of training and | 3 | | development of personnel of the Department. Personnel
| 4 | | assigned by the Department to be responsible for the
| 5 | | custody and control of committed persons or to investigate | 6 | | the alleged
misconduct of committed persons or employees or | 7 | | alleged violations of a
parolee's or releasee's conditions | 8 | | of parole shall be conservators of the peace
for those | 9 | | purposes, and shall have the full power of peace officers | 10 | | outside
of the facilities of the Department in the | 11 | | protection, arrest, retaking
and reconfining of committed | 12 | | persons or where the exercise of such power
is necessary to | 13 | | the investigation of such misconduct or violations.
| 14 | | (j) To cooperate with other departments and agencies | 15 | | and with local
communities for the development of standards | 16 | | and programs for better
correctional services in this | 17 | | State.
| 18 | | (k) To administer all moneys and properties of the | 19 | | Department.
| 20 | | (l) To report annually to the Governor on the committed
| 21 | | persons, institutions and programs of the Department.
| 22 | | (l-5) (Blank).
| 23 | | (m) To make all rules and regulations and exercise all | 24 | | powers and duties
vested by law in the Department.
| 25 | | (n) To establish rules and regulations for | 26 | | administering a system of
sentence credits, established in |
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| 1 | | accordance with Section 3-6-3, subject
to review by the | 2 | | Prisoner Review Board.
| 3 | | (o) To administer the distribution of funds
from the | 4 | | State Treasury to reimburse counties where State penal
| 5 | | institutions are located for the payment of assistant | 6 | | state's attorneys'
salaries under Section 4-2001 of the | 7 | | Counties Code.
| 8 | | (p) To exchange information with the Department of | 9 | | Human Services and the
Department of Healthcare and Family | 10 | | Services
for the purpose of verifying living arrangements | 11 | | and for other purposes
directly connected with the | 12 | | administration of this Code and the Illinois
Public Aid | 13 | | Code.
| 14 | | (q) To establish a diversion program.
| 15 | | The program shall provide a structured environment for | 16 | | selected
technical parole or mandatory supervised release | 17 | | violators and committed
persons who have violated the rules | 18 | | governing their conduct while in work
release. This program | 19 | | shall not apply to those persons who have committed
a new | 20 | | offense while serving on parole or mandatory supervised | 21 | | release or
while committed to work release.
| 22 | | Elements of the program shall include, but shall not be | 23 | | limited to, the
following:
| 24 | | (1) The staff of a diversion facility shall provide | 25 | | supervision in
accordance with required objectives set | 26 | | by the facility.
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| 1 | | (2) Participants shall be required to maintain | 2 | | employment.
| 3 | | (3) Each participant shall pay for room and board | 4 | | at the facility on a
sliding-scale basis according to | 5 | | the participant's income.
| 6 | | (4) Each participant shall:
| 7 | | (A) provide restitution to victims in | 8 | | accordance with any court order;
| 9 | | (B) provide financial support to his | 10 | | dependents; and
| 11 | | (C) make appropriate payments toward any other | 12 | | court-ordered
obligations.
| 13 | | (5) Each participant shall complete community | 14 | | service in addition to
employment.
| 15 | | (6) Participants shall take part in such | 16 | | counseling, educational and
other programs as the | 17 | | Department may deem appropriate.
| 18 | | (7) Participants shall submit to drug and alcohol | 19 | | screening.
| 20 | | (8) The Department shall promulgate rules | 21 | | governing the administration
of the program.
| 22 | | (r) To enter into intergovernmental cooperation | 23 | | agreements under which
persons in the custody of the | 24 | | Department may participate in a county impact
| 25 | | incarceration program established under Section 3-6038 or | 26 | | 3-15003.5 of the
Counties Code.
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| 1 | | (r-5) (Blank).
| 2 | | (r-10) To systematically and routinely identify with | 3 | | respect to each
streetgang active within the correctional | 4 | | system: (1) each active gang; (2)
every existing inter-gang | 5 | | affiliation or alliance; and (3) the current leaders
in | 6 | | each gang. The Department shall promptly segregate leaders | 7 | | from inmates who
belong to their gangs and allied gangs. | 8 | | "Segregate" means no physical contact
and, to the extent | 9 | | possible under the conditions and space available at the
| 10 | | correctional facility, prohibition of visual and sound | 11 | | communication. For the
purposes of this paragraph (r-10), | 12 | | "leaders" means persons who:
| 13 | | (i) are members of a criminal streetgang;
| 14 | | (ii) with respect to other individuals within the | 15 | | streetgang, occupy a
position of organizer, | 16 | | supervisor, or other position of management or
| 17 | | leadership; and
| 18 | | (iii) are actively and personally engaged in | 19 | | directing, ordering,
authorizing, or requesting | 20 | | commission of criminal acts by others, which are
| 21 | | punishable as a felony, in furtherance of streetgang | 22 | | related activity both
within and outside of the | 23 | | Department of Corrections.
| 24 | | "Streetgang", "gang", and "streetgang related" have the | 25 | | meanings ascribed to
them in Section 10 of the Illinois | 26 | | Streetgang Terrorism Omnibus Prevention
Act.
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| 1 | | (s) To operate a super-maximum security institution, | 2 | | in order to
manage and
supervise inmates who are disruptive | 3 | | or dangerous and provide for the safety
and security of the | 4 | | staff and the other inmates.
| 5 | | (t) To monitor any unprivileged conversation or any | 6 | | unprivileged
communication, whether in person or by mail, | 7 | | telephone, or other means,
between an inmate who, before | 8 | | commitment to the Department, was a member of an
organized | 9 | | gang and any other person without the need to show cause or | 10 | | satisfy
any other requirement of law before beginning the | 11 | | monitoring, except as
constitutionally required. The | 12 | | monitoring may be by video, voice, or other
method of | 13 | | recording or by any other means. As used in this | 14 | | subdivision (1)(t),
"organized gang" has the meaning | 15 | | ascribed to it in Section 10 of the Illinois
Streetgang | 16 | | Terrorism Omnibus Prevention Act.
| 17 | | As used in this subdivision (1)(t), "unprivileged | 18 | | conversation" or
"unprivileged communication" means a | 19 | | conversation or communication that is not
protected by any | 20 | | privilege recognized by law or by decision, rule, or order | 21 | | of
the Illinois Supreme Court.
| 22 | | (u) To establish a Women's and Children's Pre-release | 23 | | Community
Supervision
Program for the purpose of providing | 24 | | housing and services to eligible female
inmates, as | 25 | | determined by the Department, and their newborn and young
| 26 | | children.
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| 1 | | (u-5) To issue an order, whenever a person committed to | 2 | | the Department absconds or absents himself or herself, | 3 | | without authority to do so, from any facility or program to | 4 | | which he or she is assigned. The order shall be certified | 5 | | by the Director, the Supervisor of the Apprehension Unit, | 6 | | or any person duly designated by the Director, with the | 7 | | seal of the Department affixed. The order shall be directed | 8 | | to all sheriffs, coroners, and police officers, or to any | 9 | | particular person named in the order. Any order issued | 10 | | pursuant to this subdivision (1) (u-5) shall be sufficient | 11 | | warrant for the officer or person named in the order to | 12 | | arrest and deliver the committed person to the proper | 13 | | correctional officials and shall be executed the same as | 14 | | criminal process.
| 15 | | (v) To do all other acts necessary to carry out the | 16 | | provisions
of this Chapter.
| 17 | | (2) The Department of Corrections shall by January 1, 1998, | 18 | | consider
building and operating a correctional facility within | 19 | | 100 miles of a county of
over 2,000,000 inhabitants, especially | 20 | | a facility designed to house juvenile
participants in the | 21 | | impact incarceration program.
| 22 | | (3) When the Department lets bids for contracts for medical
| 23 | | services to be provided to persons committed to Department | 24 | | facilities by
a health maintenance organization, medical | 25 | | service corporation, or other
health care provider, the bid may | 26 | | only be let to a health care provider
that has obtained an |
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| 1 | | irrevocable letter of credit or performance bond
issued by a | 2 | | company whose bonds have an investment grade or higher rating | 3 | | by a bond rating
organization.
| 4 | | (4) When the Department lets bids for
contracts for food or | 5 | | commissary services to be provided to
Department facilities, | 6 | | the bid may only be let to a food or commissary
services | 7 | | provider that has obtained an irrevocable letter of
credit or | 8 | | performance bond issued by a company whose bonds have an | 9 | | investment grade or higher rating by a bond rating | 10 | | organization.
| 11 | | (5) On and after the date 6 months after the effective date | 12 | | of this amendatory Act of the 98th General Assembly, as | 13 | | provided in the Executive Order 1 (2012) Implementation Act, | 14 | | all of the powers, duties, rights, and responsibilities related | 15 | | to State healthcare purchasing under this Code that were | 16 | | transferred from the Department of Corrections to the | 17 | | Department of Healthcare and Family Services by Executive Order | 18 | | 3 (2005) are transferred back to the Department of Corrections; | 19 | | however, powers, duties, rights, and responsibilities related | 20 | | to State healthcare purchasing under this Code that were | 21 | | exercised by the Department of Corrections before the effective | 22 | | date of Executive Order 3 (2005) but that pertain to | 23 | | individuals resident in facilities operated by the Department | 24 | | of Juvenile Justice are transferred to the Department of | 25 | | Juvenile Justice. | 26 | | (Source: P.A. 96-1265, eff. 7-26-10; 97-697, eff. 6-22-12; |
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| 1 | | 97-800, eff. 7-13-12; 97-802, eff. 7-13-12; revised 7-23-12.)
| 2 | | (730 ILCS 5/3-2.5-20)
| 3 | | Sec. 3-2.5-20. General powers and duties. | 4 | | (a) In addition to the powers, duties, and responsibilities | 5 | | which are otherwise provided by law or transferred to the | 6 | | Department as a result of this Article, the Department, as | 7 | | determined by the Director, shall have, but are not limited to, | 8 | | the following rights, powers, functions and duties: | 9 | | (1) To accept juveniles committed to it by the courts | 10 | | of this State for care, custody, treatment, and | 11 | | rehabilitation. | 12 | | (2) To maintain and administer all State juvenile | 13 | | correctional institutions previously under the control of | 14 | | the Juvenile and Women's & Children Divisions of the | 15 | | Department of Corrections, and to establish and maintain | 16 | | institutions as needed to meet the needs of the youth | 17 | | committed to its care. | 18 | | (3) To identify the need for and recommend the funding | 19 | | and implementation of an appropriate mix of programs and | 20 | | services within the juvenile justice continuum, including | 21 | | but not limited to prevention, nonresidential and | 22 | | residential commitment programs, day treatment, and | 23 | | conditional release programs and services, with the | 24 | | support of educational, vocational, alcohol, drug abuse, | 25 | | and mental health services where appropriate. |
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| 1 | | (4) To establish and provide transitional and | 2 | | post-release treatment programs for juveniles committed to | 3 | | the Department. Services shall include but are not limited | 4 | | to: | 5 | | (i) family and individual counseling and treatment | 6 | | placement; | 7 | | (ii) referral services to any other State or local | 8 | | agencies; | 9 | | (iii) mental health services; | 10 | | (iv) educational services; | 11 | | (v) family counseling services; and | 12 | | (vi) substance abuse services. | 13 | | (5) To access vital records of juveniles for the | 14 | | purposes of providing necessary documentation for | 15 | | transitional services such as obtaining identification, | 16 | | educational enrollment, employment, and housing. | 17 | | (6) To develop staffing and workload standards and | 18 | | coordinate staff development and training appropriate for | 19 | | juvenile populations. | 20 | | (7) To develop, with the approval of the Office of the | 21 | | Governor and the Governor's Office of Management and | 22 | | Budget, annual budget requests.
| 23 | | (8) To administer the Interstate Compact for | 24 | | Juveniles, with respect to all juveniles under its | 25 | | jurisdiction, and to cooperate with the Department of Human | 26 | | Services with regard to all non-offender juveniles subject |
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| 1 | | to the Interstate Compact for Juveniles.
| 2 | | (b) The Department may employ personnel in accordance with | 3 | | the Personnel Code and Section 3-2.5-15 of this Code, provide | 4 | | facilities, contract for goods and services, and adopt rules as | 5 | | necessary to carry out its functions and purposes, all in | 6 | | accordance with applicable State and federal law.
| 7 | | (c) On and after the date 6 months after the effective date | 8 | | of this amendatory Act of the 98th General Assembly, as | 9 | | provided in the Executive Order 1 (2012) Implementation Act, | 10 | | all of the powers, duties, rights, and responsibilities related | 11 | | to State healthcare purchasing under this Code that were | 12 | | transferred from the Department of Corrections to the | 13 | | Department of Healthcare and Family Services by Executive Order | 14 | | 3 (2005) are transferred back to the Department of Corrections; | 15 | | however, powers, duties, rights, and responsibilities related | 16 | | to State healthcare purchasing under this Code that were | 17 | | exercised by the Department of Corrections before the effective | 18 | | date of Executive Order 3 (2005) but that pertain to | 19 | | individuals resident in facilities operated by the Department | 20 | | of Juvenile Justice are transferred to the Department of | 21 | | Juvenile Justice. | 22 | | (Source: P.A. 94-696, eff. 6-1-06; 95-937, eff. 8-26-08.) | 23 | | Section 997. Severability. The provisions of this Act are | 24 | | severable under Section 1.31 of the Statute on Statutes.
| 25 | | Section 999. Effective date. This Act takes effect upon |
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| 1 | | becoming law.
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