Full Text of SB1256 98th General Assembly
SB1256sam001 98TH GENERAL ASSEMBLY | Sen. William R. Haine Filed: 3/14/2013
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| 1 | | AMENDMENT TO SENATE BILL 1256
| 2 | | AMENDMENT NO. ______. Amend Senate Bill 1256 by replacing | 3 | | everything after the enacting clause with the following:
| 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 On the | 10 | | date 6 months after the effective date of this Act, Executive | 11 | | Order 3 (2005) is revoked and rescinded with the exception of | 12 | | Section I (renaming the Department of Public Aid as the | 13 | | Department of Healthcare and Family Services), which remains in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. |
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| 1 | | Section 15. Transfer back of State healthcare purchasing | 2 | | functions transferred by Executive Order 3 (2005). | 3 | | (a) On the date 6 months after the effective date of this | 4 | | Act or as soon thereafter as practical, all of the powers, | 5 | | duties, rights, and responsibilities related to State | 6 | | healthcare purchasing that were transferred from the | 7 | | Department of Central Management Services, the Department of | 8 | | Corrections, the Department of Human Services, and the | 9 | | Department of Veterans' Affairs to the Department of Healthcare | 10 | | and Family Services by Executive Order 3 (2005) are transferred | 11 | | back to the Departments from which those powers, duties, | 12 | | rights, and responsibilities were transferred; however, | 13 | | powers, duties, rights, and responsibilities related to State | 14 | | healthcare purchasing that were exercised by the Department of | 15 | | Corrections before the effective date of Executive Order 3 | 16 | | (2005) but that pertain to individuals resident in facilities | 17 | | operated by the Department of Juvenile Justice are transferred | 18 | | to the Department of Juvenile Justice. | 19 | | (b) The functions associated with State healthcare | 20 | | purchasing that are transferred from the Department of | 21 | | Healthcare and Family Services under this Section include, | 22 | | without limitation, the following: | 23 | | (1) Rate development and negotiation with hospitals, | 24 | | physicians, and managed care providers. | 25 | | (2) Health care procurement development. | 26 | | (3) Contract implementation and fiscal monitoring. |
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| 1 | | (4) Contract amendments. | 2 | | (5) Payment processing. | 3 | | (6) Purchasing aspects of health care plans | 4 | | administered by the State on behalf of the following: | 5 | | (A) State employees. These healthcare purchasing | 6 | | functions include the following health care plans: | 7 | | quality care health plan; managed care health plan; | 8 | | vision plan; pharmacy benefits plan; dental plan; | 9 | | behavioral health plan; employee assistance plan; | 10 | | utilization management plan; and SHIPs and various | 11 | | subrogation agreements. These healthcare purchasing | 12 | | functions also include the purchasing and | 13 | | administration of flu shots, hepatitis B vaccinations, | 14 | | and tuberculosis tests. | 15 | | (B) Persons other than State employees. These | 16 | | healthcare purchasing functions include the following | 17 | | health care plans: the retired teachers' health | 18 | | insurance plan under the State Employees Group | 19 | | Insurance Act of 1971; the local government health | 20 | | insurance plan under the State Employees Group | 21 | | Insurance Act of 1971; the community colleges health | 22 | | insurance plan under the State Employees Group | 23 | | Insurance Act of 1971; the active teacher prescription | 24 | | program; and the Illinois Prescription Drug Discount | 25 | | Program. | 26 | | (C) Residents of State-operated facilities, |
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| 1 | | including (i) correctional and youth facilities | 2 | | operated by the Department of Corrections or the | 3 | | Department of Juvenile Justice, (ii) mental health | 4 | | centers and developmental centers operated by the | 5 | | Department of Human Services, and (iii) veterans homes | 6 | | operated by the Department of Veterans' Affairs. | 7 | | (c) The powers, duties, rights, and responsibilities | 8 | | vested in or associated with State healthcare purchasing are | 9 | | not affected by this Act, except that all management and staff | 10 | | support or other resources necessary to the operation of a | 11 | | State healthcare purchasing function shall be provided by the | 12 | | Department to which that function is transferred under this | 13 | | Act. | 14 | | Section 20. Representation on boards or other entities. | 15 | | When any provision of an Executive Order or Act provides for | 16 | | the membership of the Director of Healthcare and Family | 17 | | Services on any council, commission, board, or other entity | 18 | | that exercises any of the State healthcare purchasing functions | 19 | | transferred by this Act, the Director or Secretary of the | 20 | | Department to which the State healthcare purchasing function is | 21 | | transferred under this Act, or his or her designee, shall serve | 22 | | in the place of the Director of Healthcare and Family Services, | 23 | | but only with regard to the exercise of the function | 24 | | transferred under this Act. If more than one such person is | 25 | | required by law to serve on any council, commission, board, or |
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| 1 | | other entity, then an equivalent number of the representatives | 2 | | of the Department to which the applicable function is | 3 | | transferred under this Act shall so serve. In addition, any | 4 | | statutory mandate that provides for action on the part of the | 5 | | Director of Healthcare and Family Services relating to a State | 6 | | healthcare purchasing function transferred under this Act | 7 | | shall become the responsibility of the Director or Secretary of | 8 | | the Department to which that function is transferred under this | 9 | | Act. | 10 | | Section 25. Personnel transferred. | 11 | | (a) Personnel and positions within the Department of | 12 | | Healthcare and Family Services that are engaged in the | 13 | | performance of State healthcare purchasing functions | 14 | | transferred back to the Department of Central Management | 15 | | Services are transferred to and shall continue their service | 16 | | within the Department of Central Management Services. The | 17 | | status and rights of those employees under the Personnel Code | 18 | | are not affected by this Act. | 19 | | (b) Personnel and positions of the Department of | 20 | | Corrections, the Department of Juvenile Justice, the | 21 | | Department of Human Services, and the Department of Veterans' | 22 | | Affairs were not in fact transferred under Executive Order 3 | 23 | | (2005) and are not affected by this Act. | 24 | | Section 30. Books and records transferred. All books, |
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| 1 | | records, papers, documents, property (real and personal), | 2 | | contracts, and pending business pertaining to the powers, | 3 | | duties, rights, and responsibilities related to any of the | 4 | | State healthcare purchasing functions transferred under this | 5 | | Act from the Department of Healthcare and Family Services to | 6 | | the Department of Central Management Services, the Department | 7 | | of Corrections, the Department of Juvenile Justice, the | 8 | | Department of Human Services, and the Department of Veterans' | 9 | | Affairs, including, but not limited to, material in electronic | 10 | | or magnetic format and necessary computer hardware and | 11 | | software, shall be delivered to the Department to which that | 12 | | State healthcare purchasing function is transferred under this | 13 | | Act, provided that the delivery of that information may not | 14 | | violate any applicable confidentiality constraints. The access | 15 | | by personnel of the Department of Central Management Services, | 16 | | the Department of Corrections, the Department of Juvenile | 17 | | Justice, the Department of Human Services, and the Department | 18 | | of Veterans' Affairs to databases and electronic health | 19 | | information that are currently maintained by the Department of | 20 | | Healthcare and Family Services and that contain data and | 21 | | information necessary to the performance of the State | 22 | | healthcare purchasing functions shall continue in the same | 23 | | manner and level of access as before the effective date of | 24 | | Executive Order 1 (2012). Staff of the Department of Central | 25 | | Management Services, the Department of Corrections, the | 26 | | Department of Juvenile Justice, the Department of Human |
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| 1 | | Services, and the Department of Veterans' Affairs may work with | 2 | | staff of the Department of Healthcare and Family Services to | 3 | | add new information relevant to State healthcare purchasing | 4 | | functions. | 5 | | Section 35. Unexpended moneys transferred. | 6 | | (a) With respect to the State healthcare purchasing | 7 | | functions transferred under this Act, the Department of Central | 8 | | Management Services is the successor agency to the Department | 9 | | of Healthcare and Family Services under the Successor Agency | 10 | | Act and Section 9b of the State Finance Act. All unexpended | 11 | | appropriations and balances and other moneys available for use | 12 | | in connection with any of the State healthcare purchasing | 13 | | functions transferred from the Department of Healthcare and | 14 | | Family Services to the Department of Central Management | 15 | | Services are transferred for use by the Department of Central | 16 | | Management Services for the exercise of those functions | 17 | | pursuant to the direction of the Governor. Unexpended balances | 18 | | so transferred shall be expended only for the purpose for which | 19 | | the appropriations were originally made. | 20 | | (b) Appropriations of the Department of Corrections, the | 21 | | Department of Juvenile Justice, the Department of Human | 22 | | Services, and the Department of Veterans' Affairs were not in | 23 | | fact transferred under Executive Order 3 (2005) and are not | 24 | | affected by this Act. |
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| 1 | | Section 40. Exercise of transferred powers; savings | 2 | | provisions. The powers, duties, rights, and responsibilities | 3 | | related to the State healthcare purchasing functions | 4 | | transferred under this Act are vested in and shall be exercised | 5 | | by the Department to which the applicable function is | 6 | | transferred. Each act done in the exercise of those powers, | 7 | | duties, rights, and responsibilities shall have the same legal | 8 | | effect as if done by the Department of Healthcare and Family | 9 | | Services or its divisions, officers, or employees. | 10 | | Section 45. Rules. | 11 | | (a) Any rules that (i) relate to the Illinois Prescription | 12 | | Drug Discount Program or to any other State healthcare | 13 | | purchasing function or program transferred to the Department of | 14 | | Central Management Services by this Act, (ii) are in full force | 15 | | on the effective date of Executive Order 1 (2012), and (iii) | 16 | | have been duly adopted by the Department of Healthcare and | 17 | | Family Services shall become the rules of the Department of | 18 | | Central Management Services. This Act shall not affect the | 19 | | legality of any such rules in the Illinois Administrative Code. | 20 | | (b) Any proposed rule filed with the Secretary of State by | 21 | | the Department of Healthcare and Family Services that pertains | 22 | | to the Illinois Prescription Drug Discount Program, or to any | 23 | | other State healthcare purchasing function or program | 24 | | transferred to the Department of Central Management Services by | 25 | | this Act, and that is pending in the rulemaking process on the |
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| 1 | | effective date of Executive Order 1 (2012) shall be deemed to | 2 | | have been filed by the Department of Central Management | 3 | | Services. | 4 | | (c) On and after the effective date of Executive Order 1 | 5 | | (2012), the Department of Central Management Services may | 6 | | propose and adopt, under the Illinois Administrative Procedure | 7 | | Act, other rules that relate to the Illinois Prescription Drug | 8 | | Discount Program, or to any other State healthcare purchasing | 9 | | function or program transferred to the Department of Central | 10 | | Management Services by this Act. | 11 | | Section 50. Rights, obligations, and duties unaffected by | 12 | | transfer. The
transfer of
powers, duties, rights, and | 13 | | responsibilities from the Department of Healthcare and Family | 14 | | Services under this Act does not affect any person's rights, | 15 | | obligations, or
duties,
including any civil or criminal | 16 | | penalties applicable thereto, arising out of
those
transferred | 17 | | powers, duties, rights, and responsibilities. | 18 | | Section 55. Agency officers; penalties. Every officer of | 19 | | the Department of Central Management Services, the Department | 20 | | of Corrections, the Department of Juvenile Justice, the | 21 | | Department of Human Services, and the Department of Veterans' | 22 | | Affairs is, for any offense, subject to the same penalty or | 23 | | penalties, civil or criminal, as are prescribed by existing law | 24 | | for the same offense by any officer whose powers or duties are |
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| 1 | | transferred under this Act. | 2 | | Section 60. Reports, notices, or papers. Whenever reports | 3 | | or notices are required to be made or given or papers or | 4 | | documents furnished or served by any person to or upon the | 5 | | Department of Healthcare and Family Services in connection with | 6 | | any State healthcare purchasing function transferred under | 7 | | this Act, the same shall be made, given, furnished, or served | 8 | | in the same manner to or upon the Department to which that | 9 | | State healthcare purchasing function is transferred. | 10 | | Section 65. Interagency agreements. To the extent | 11 | | necessary or prudent to fully implement the intent of this Act, | 12 | | the Department of Central Management Services, the Department | 13 | | of Corrections, the Department of Human Services, the | 14 | | Department of Juvenile Justice, the Department of Veterans' | 15 | | Affairs, and the Department of Healthcare and Family Services | 16 | | may enter into one or more interagency agreements to ensure the | 17 | | full and appropriate transfer of all State healthcare | 18 | | purchasing functions transferred from the Department of | 19 | | Healthcare and Family Services under this Act. | 20 | | Section 70. Acts and actions unaffected by transfer. This | 21 | | Act does not affect any act done, ratified, or canceled, or any | 22 | | right occurring or established, before the effective date of | 23 | | Executive Order 1 (2012), in connection with any State |
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| 1 | | healthcare purchasing function transferred under this Act. | 2 | | This Act does not affect any action or proceeding had or | 3 | | commenced before the effective date of Executive Order 1 (2012) | 4 | | in an administrative, civil, or criminal cause regarding a | 5 | | State healthcare purchasing function transferred from the | 6 | | Department of Healthcare and Family Services under this Act, | 7 | | but any such action or proceeding may be defended, prosecuted, | 8 | | or continued by the Department to which the applicable State | 9 | | healthcare purchasing function is transferred. | 10 | | Section 900. The State Employees Group Insurance Act of | 11 | | 1971 is amended by adding Section 2.5 and changing Sections 3, | 12 | | 6.5, 6.10, 10, and 13.1 as follows: | 13 | | (5 ILCS 375/2.5 new)
| 14 | | Sec. 2.5. State healthcare purchasing. On and after the | 15 | | date 6 months after the effective date of this amendatory Act | 16 | | of the 98th General Assembly, as provided in the Executive | 17 | | Order 1 (2012) Implementation Act, all of the powers, duties, | 18 | | rights, and responsibilities related to State healthcare | 19 | | purchasing under this Act that were transferred from the | 20 | | Department of Central Management Services to the Department of | 21 | | Healthcare and Family Services by Executive Order 3 (2005) are | 22 | | transferred back to the Department.
| 23 | | (5 ILCS 375/3) (from Ch. 127, par. 523)
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| 1 | | Sec. 3. Definitions. Unless the context otherwise | 2 | | requires, the
following words and phrases as used in this Act | 3 | | shall have the following
meanings. The Department may define | 4 | | these and other words and phrases
separately for the purpose of | 5 | | implementing specific programs providing benefits
under this | 6 | | Act.
| 7 | | (a) "Administrative service organization" means any | 8 | | person, firm or
corporation experienced in the handling of | 9 | | claims which is
fully qualified, financially sound and capable | 10 | | of meeting the service
requirements of a contract of | 11 | | administration executed with the Department.
| 12 | | (b) "Annuitant" means (1) an employee who retires, or has | 13 | | retired,
on or after January 1, 1966 on an immediate annuity | 14 | | under the provisions
of Articles 2, 14 (including an employee | 15 | | who has elected to receive an alternative retirement | 16 | | cancellation payment under Section 14-108.5 of the Illinois | 17 | | Pension Code in lieu of an annuity), 15 (including an employee | 18 | | who has retired under the optional
retirement program | 19 | | established under Section 15-158.2),
paragraphs (2), (3), or | 20 | | (5) of Section 16-106, or
Article 18 of the Illinois Pension | 21 | | Code; (2) any person who was receiving
group insurance coverage | 22 | | under this Act as of March 31, 1978 by
reason of his status as | 23 | | an annuitant, even though the annuity in relation
to which such | 24 | | coverage was provided is a proportional annuity based on less
| 25 | | than the minimum period of service required for a retirement | 26 | | annuity in
the system involved; (3) any person not otherwise |
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| 1 | | covered by this Act
who has retired as a participating member | 2 | | under Article 2 of the Illinois
Pension Code but is ineligible | 3 | | for the retirement annuity under Section
2-119 of the Illinois | 4 | | Pension Code; (4) the spouse of any person who
is receiving a | 5 | | retirement annuity under Article 18 of the Illinois Pension
| 6 | | Code and who is covered under a group health insurance program | 7 | | sponsored
by a governmental employer other than the State of | 8 | | Illinois and who has
irrevocably elected to waive his or her | 9 | | coverage under this Act and to have
his or her spouse | 10 | | considered as the "annuitant" under this Act and not as
a | 11 | | "dependent"; or (5) an employee who retires, or has retired, | 12 | | from a
qualified position, as determined according to rules | 13 | | promulgated by the
Director, under a qualified local | 14 | | government, a qualified rehabilitation
facility, a qualified | 15 | | domestic violence shelter or service, or a qualified child | 16 | | advocacy center. (For definition
of "retired employee", see (p) | 17 | | post).
| 18 | | (b-5) (Blank).
| 19 | | (b-6) (Blank).
| 20 | | (b-7) (Blank).
| 21 | | (c) "Carrier" means (1) an insurance company, a corporation | 22 | | organized
under the Limited Health Service Organization Act or | 23 | | the Voluntary Health
Services Plan Act, a partnership, or other | 24 | | nongovernmental organization,
which is authorized to do group | 25 | | life or group health insurance business in
Illinois, or (2) the | 26 | | State of Illinois as a self-insurer.
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| 1 | | (d) "Compensation" means salary or wages payable on a | 2 | | regular
payroll by the State Treasurer on a warrant of the | 3 | | State Comptroller out
of any State, trust or federal fund, or | 4 | | by the Governor of the State
through a disbursing officer of | 5 | | the State out of a trust or out of
federal funds, or by any | 6 | | Department out of State, trust, federal or
other funds held by | 7 | | the State Treasurer or the Department, to any person
for | 8 | | personal services currently performed, and ordinary or | 9 | | accidental
disability benefits under Articles 2, 14, 15 | 10 | | (including ordinary or accidental
disability benefits under | 11 | | the optional retirement program established under
Section | 12 | | 15-158.2), paragraphs (2), (3), or (5) of
Section 16-106, or | 13 | | Article 18 of the Illinois Pension Code, for disability
| 14 | | incurred after January 1, 1966, or benefits payable under the | 15 | | Workers'
Compensation or Occupational Diseases Act or benefits | 16 | | payable under a sick
pay plan established in accordance with | 17 | | Section 36 of the State Finance Act.
"Compensation" also means | 18 | | salary or wages paid to an employee of any
qualified local | 19 | | government, qualified rehabilitation facility,
qualified | 20 | | domestic violence shelter or service, or qualified child | 21 | | advocacy center.
| 22 | | (e) "Commission" means the State Employees Group Insurance | 23 | | Advisory
Commission authorized by this Act. Commencing July 1, | 24 | | 1984, "Commission"
as used in this Act means the Commission on | 25 | | Government Forecasting and Accountability as
established by | 26 | | the Legislative Commission Reorganization Act of 1984.
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| 1 | | (f) "Contributory", when referred to as contributory | 2 | | coverage, shall
mean optional coverages or benefits elected by | 3 | | the member toward the cost of
which such member makes | 4 | | contribution, or which are funded in whole or in part
through | 5 | | the acceptance of a reduction in earnings or the foregoing of | 6 | | an
increase in earnings by an employee, as distinguished from | 7 | | noncontributory
coverage or benefits which are paid entirely by | 8 | | the State of Illinois
without reduction of the member's salary.
| 9 | | (g) "Department" means any department, institution, board,
| 10 | | commission, officer, court or any agency of the State | 11 | | government
receiving appropriations and having power to | 12 | | certify payrolls to the
Comptroller authorizing payments of | 13 | | salary and wages against such
appropriations as are made by the | 14 | | General Assembly from any State fund, or
against trust funds | 15 | | held by the State Treasurer and includes boards of
trustees of | 16 | | the retirement systems created by Articles 2, 14, 15, 16 and
18 | 17 | | of the Illinois Pension Code. "Department" also includes the | 18 | | Illinois
Comprehensive Health Insurance Board, the Board of | 19 | | Examiners established under
the Illinois Public Accounting | 20 | | Act, and the Illinois Finance Authority.
| 21 | | (h) "Dependent", when the term is used in the context of | 22 | | the health
and life plan, means a member's spouse and any child | 23 | | (1) from
birth to age 26 including an adopted child, a child | 24 | | who lives with the
member from the time of the filing of a | 25 | | petition for adoption until entry
of an order of adoption, a | 26 | | stepchild or adjudicated child, or a child who lives with the |
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| 1 | | member
if such member is a court appointed guardian of the | 2 | | child or (2)
age 19 or over who is mentally
or physically | 3 | | disabled from a cause originating prior to the age of 19 (age | 4 | | 26 if enrolled as an adult child dependent). For
the health | 5 | | plan only, the term "dependent" also includes (1) any person
| 6 | | enrolled prior to the effective date of this Section who is | 7 | | dependent upon
the member to the extent that the member may | 8 | | claim such person as a
dependent for income tax deduction | 9 | | purposes and (2) any person who
has received after June 30, | 10 | | 2000 an organ transplant and who is financially
dependent upon | 11 | | the member and eligible to be claimed as a dependent for income
| 12 | | tax purposes. A member requesting to cover any dependent must | 13 | | provide documentation as requested by the Department of Central | 14 | | Management Services and file with the Department any and all | 15 | | forms required by the Department.
| 16 | | (i) "Director" means the Director of the Illinois | 17 | | Department of Central
Management Services or of any successor | 18 | | agency designated to administer this Act .
| 19 | | (j) "Eligibility period" means the period of time a member | 20 | | has to
elect enrollment in programs or to select benefits | 21 | | without regard to
age, sex or health.
| 22 | | (k) "Employee" means and includes each officer or employee | 23 | | in the
service of a department who (1) receives his | 24 | | compensation for
service rendered to the department on a | 25 | | warrant issued pursuant to a payroll
certified by a department | 26 | | or on a warrant or check issued and drawn by a
department upon |
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| 1 | | a trust, federal or other fund or on a warrant issued
pursuant | 2 | | to a payroll certified by an elected or duly appointed officer
| 3 | | of the State or who receives payment of the performance of | 4 | | personal
services on a warrant issued pursuant to a payroll | 5 | | certified by a
Department and drawn by the Comptroller upon the | 6 | | State Treasurer against
appropriations made by the General | 7 | | Assembly from any fund or against
trust funds held by the State | 8 | | Treasurer, and (2) is employed full-time or
part-time in a | 9 | | position normally requiring actual performance of duty
during | 10 | | not less than 1/2 of a normal work period, as established by | 11 | | the
Director in cooperation with each department, except that | 12 | | persons elected
by popular vote will be considered employees | 13 | | during the entire
term for which they are elected regardless of | 14 | | hours devoted to the
service of the State, and (3) except that | 15 | | "employee" does not include any
person who is not eligible by | 16 | | reason of such person's employment to
participate in one of the | 17 | | State retirement systems under Articles 2, 14, 15
(either the | 18 | | regular Article 15 system or the optional retirement program
| 19 | | established under Section 15-158.2) or 18, or under paragraph | 20 | | (2), (3), or
(5) of Section 16-106, of the Illinois
Pension | 21 | | Code, but such term does include persons who are employed | 22 | | during
the 6 month qualifying period under Article 14 of the | 23 | | Illinois Pension
Code. Such term also includes any person who | 24 | | (1) after January 1, 1966,
is receiving ordinary or accidental | 25 | | disability benefits under Articles
2, 14, 15 (including | 26 | | ordinary or accidental disability benefits under the
optional |
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| 1 | | retirement program established under Section 15-158.2), | 2 | | paragraphs
(2), (3), or (5) of Section 16-106, or Article 18 of | 3 | | the
Illinois Pension Code, for disability incurred after | 4 | | January 1, 1966, (2)
receives total permanent or total | 5 | | temporary disability under the Workers'
Compensation Act or | 6 | | Occupational Disease Act as a result of injuries
sustained or | 7 | | illness contracted in the course of employment with the
State | 8 | | of Illinois, or (3) is not otherwise covered under this Act and | 9 | | has
retired as a participating member under Article 2 of the | 10 | | Illinois Pension
Code but is ineligible for the retirement | 11 | | annuity under Section 2-119 of
the Illinois Pension Code. | 12 | | However, a person who satisfies the criteria
of the foregoing | 13 | | definition of "employee" except that such person is made
| 14 | | ineligible to participate in the State Universities Retirement | 15 | | System by
clause (4) of subsection (a) of Section 15-107 of the | 16 | | Illinois Pension
Code is also an "employee" for the purposes of | 17 | | this Act. "Employee" also
includes any person receiving or | 18 | | eligible for benefits under a sick pay
plan established in | 19 | | accordance with Section 36 of the State Finance Act.
"Employee" | 20 | | also includes (i) each officer or employee in the service of a
| 21 | | qualified local government, including persons appointed as | 22 | | trustees of
sanitary districts regardless of hours devoted to | 23 | | the service of the
sanitary district, (ii) each employee in the | 24 | | service of a qualified
rehabilitation facility, (iii) each | 25 | | full-time employee in the service of a
qualified domestic | 26 | | violence shelter or service, and (iv) each full-time employee |
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| 1 | | in the service of a qualified child advocacy center, as | 2 | | determined according to
rules promulgated by the Director.
| 3 | | (l) "Member" means an employee, annuitant, retired | 4 | | employee or survivor. In the case of an annuitant or retired | 5 | | employee who first becomes an annuitant or retired employee on | 6 | | or after the effective date of this amendatory Act of the 97th | 7 | | General Assembly, the individual must meet the minimum vesting | 8 | | requirements of the applicable retirement system in order to be | 9 | | eligible for group insurance benefits under that system. In the | 10 | | case of a survivor who first becomes a survivor on or after the | 11 | | effective date of this amendatory Act of the 97th General | 12 | | Assembly, the deceased employee, annuitant, or retired | 13 | | employee upon whom the annuity is based must have been eligible | 14 | | to participate in the group insurance system under the | 15 | | applicable retirement system in order for the survivor to be | 16 | | eligible for group insurance benefits under that system.
| 17 | | (m) "Optional coverages or benefits" means those coverages | 18 | | or
benefits available to the member on his or her voluntary | 19 | | election, and at
his or her own expense.
| 20 | | (n) "Program" means the group life insurance, health | 21 | | benefits and other
employee benefits designed and contracted | 22 | | for by the Director under this Act.
| 23 | | (o) "Health plan" means a health benefits
program offered
| 24 | | by the State of Illinois for persons eligible for the plan.
| 25 | | (p) "Retired employee" means any person who would be an | 26 | | annuitant as
that term is defined herein but for the fact that |
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| 1 | | such person retired prior to
January 1, 1966. Such term also | 2 | | includes any person formerly employed by
the University of | 3 | | Illinois in the Cooperative Extension Service who would
be an | 4 | | annuitant but for the fact that such person was made ineligible | 5 | | to
participate in the State Universities Retirement System by | 6 | | clause (4) of
subsection (a) of Section 15-107 of the Illinois
| 7 | | Pension Code.
| 8 | | (q) "Survivor" means a person receiving an annuity as a | 9 | | survivor of an
employee or of an annuitant. "Survivor" also | 10 | | includes: (1) the surviving
dependent of a person who satisfies | 11 | | the definition of "employee" except that
such person is 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; (2) the surviving
dependent of any | 15 | | person formerly employed by the University of Illinois in
the | 16 | | Cooperative Extension Service who would be an annuitant except | 17 | | for the
fact that such person was made ineligible to | 18 | | participate in the State
Universities Retirement System by | 19 | | clause (4) of subsection (a) of Section
15-107 of the Illinois | 20 | | Pension Code; and (3) the surviving dependent of a person who | 21 | | was an annuitant under this Act by virtue of receiving an | 22 | | alternative retirement cancellation payment under Section | 23 | | 14-108.5 of the Illinois Pension Code.
| 24 | | (q-2) "SERS" means the State Employees' Retirement System | 25 | | of Illinois, created under Article 14 of the Illinois Pension | 26 | | Code.
|
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| 1 | | (q-3) "SURS" means the State Universities Retirement | 2 | | System, created under Article 15 of the Illinois Pension Code.
| 3 | | (q-4) "TRS" means the Teachers' Retirement System of the | 4 | | State of Illinois, created under Article 16 of the Illinois | 5 | | Pension Code.
| 6 | | (q-5) (Blank).
| 7 | | (q-6) (Blank).
| 8 | | (q-7) (Blank).
| 9 | | (r) "Medical services" means the services provided within | 10 | | the scope
of their licenses by practitioners in all categories | 11 | | licensed under the
Medical Practice Act of 1987.
| 12 | | (s) "Unit of local government" means any county, | 13 | | municipality,
township, school district (including a | 14 | | combination of school districts under
the Intergovernmental | 15 | | Cooperation Act), special district or other unit,
designated as | 16 | | a
unit of local government by law, which exercises limited | 17 | | governmental
powers or powers in respect to limited | 18 | | governmental subjects, any
not-for-profit association with a | 19 | | membership that primarily includes
townships and township | 20 | | officials, that has duties that include provision of
research | 21 | | service, dissemination of information, and other acts for the
| 22 | | purpose of improving township government, and that is funded | 23 | | wholly or
partly in accordance with Section 85-15 of the | 24 | | Township Code; any
not-for-profit corporation or association, | 25 | | with a membership consisting
primarily of municipalities, that | 26 | | operates its own utility system, and
provides research, |
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| 1 | | training, dissemination of information, or other acts to
| 2 | | promote cooperation between and among municipalities that | 3 | | provide utility
services and for the advancement of the goals | 4 | | and purposes of its
membership;
the Southern Illinois | 5 | | Collegiate Common Market, which is a consortium of higher
| 6 | | education institutions in Southern Illinois; the Illinois | 7 | | Association of
Park Districts; and any hospital provider that | 8 | | is owned by a county that has 100 or fewer hospital beds and | 9 | | has not already joined the program. "Qualified
local | 10 | | government" means a unit of local government approved by the | 11 | | Director and
participating in a program created under | 12 | | subsection (i) of Section 10 of this
Act.
| 13 | | (t) "Qualified rehabilitation facility" means any | 14 | | not-for-profit
organization that is accredited by the | 15 | | Commission on Accreditation of
Rehabilitation Facilities or | 16 | | certified by the Department
of Human Services (as successor to | 17 | | the Department of Mental Health
and Developmental | 18 | | Disabilities) to provide services to persons with
disabilities
| 19 | | and which receives funds from the State of Illinois for | 20 | | providing those
services, approved by the Director and | 21 | | participating in a program created
under subsection (j) of | 22 | | Section 10 of this Act.
| 23 | | (u) "Qualified domestic violence shelter or service" means | 24 | | any Illinois
domestic violence shelter or service and its | 25 | | administrative offices funded
by the Department of Human | 26 | | Services (as successor to the Illinois Department of
Public |
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| 1 | | Aid),
approved by the Director and
participating in a program | 2 | | created under subsection (k) of Section 10.
| 3 | | (v) "TRS benefit recipient" means a person who:
| 4 | | (1) is not a "member" as defined in this Section; and
| 5 | | (2) is receiving a monthly benefit or retirement | 6 | | annuity
under Article 16 of the Illinois Pension Code; and
| 7 | | (3) either (i) has at least 8 years of creditable | 8 | | service under Article
16 of the Illinois Pension Code, or | 9 | | (ii) was enrolled in the health insurance
program offered | 10 | | under that Article on January 1, 1996, or (iii) is the | 11 | | survivor
of a benefit recipient who had at least 8
years of | 12 | | creditable service under Article 16 of the Illinois Pension | 13 | | Code or
was enrolled in the health insurance program | 14 | | offered under that Article on
the effective date of this | 15 | | amendatory Act of 1995, or (iv) is a recipient or
survivor | 16 | | of a recipient of a disability benefit under Article 16 of | 17 | | the
Illinois Pension Code.
| 18 | | (w) "TRS dependent beneficiary" means a person who:
| 19 | | (1) is not a "member" or "dependent" as defined in this | 20 | | Section; and
| 21 | | (2) is a TRS benefit recipient's: (A) spouse, (B) | 22 | | dependent parent who
is receiving at least half of his or | 23 | | her support from the TRS benefit
recipient, or (C) natural, | 24 | | step, adjudicated, or adopted child who is (i) under age | 25 | | 26, (ii) was, on January 1, 1996, participating as a | 26 | | dependent
beneficiary in the health insurance program |
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| 1 | | offered under Article 16 of the
Illinois Pension Code, or | 2 | | (iii) age 19 or over who is mentally or physically disabled | 3 | | from a cause originating prior to the age of 19 (age 26 if | 4 | | enrolled as an adult child).
| 5 | | "TRS dependent beneficiary" does not include, as indicated | 6 | | under paragraph (2) of this subsection (w), a dependent of the | 7 | | survivor of a TRS benefit recipient who first becomes a | 8 | | dependent of a survivor of a TRS benefit recipient on or after | 9 | | the effective date of this amendatory Act of the 97th General | 10 | | Assembly unless that dependent would have been eligible for | 11 | | coverage as a dependent of the deceased TRS benefit recipient | 12 | | upon whom the survivor benefit is based. | 13 | | (x) "Military leave" refers to individuals in basic
| 14 | | training for reserves, special/advanced training, annual | 15 | | training, emergency
call up, activation by the President of the | 16 | | United States, or any other training or duty in service to the | 17 | | United States Armed Forces.
| 18 | | (y) (Blank).
| 19 | | (z) "Community college benefit recipient" means a person | 20 | | who:
| 21 | | (1) is not a "member" as defined in this Section; and
| 22 | | (2) is receiving a monthly survivor's annuity or | 23 | | retirement annuity
under Article 15 of the Illinois Pension | 24 | | Code; and
| 25 | | (3) either (i) was a full-time employee of a community | 26 | | college district or
an association of community college |
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| 1 | | boards created under the Public Community
College Act | 2 | | (other than an employee whose last employer under Article | 3 | | 15 of the
Illinois Pension Code was a community college | 4 | | district subject to Article VII
of the Public Community | 5 | | College Act) and was eligible to participate in a group
| 6 | | health benefit plan as an employee during the time of | 7 | | employment with a
community college district (other than a | 8 | | community college district subject to
Article VII of the | 9 | | Public Community College Act) or an association of | 10 | | community
college boards, or (ii) is the survivor of a | 11 | | person described in item (i).
| 12 | | (aa) "Community college dependent beneficiary" means a | 13 | | person who:
| 14 | | (1) is not a "member" or "dependent" as defined in this | 15 | | Section; and
| 16 | | (2) is a community college benefit recipient's: (A) | 17 | | spouse, (B) dependent
parent who is receiving at least half | 18 | | of his or her support from the community
college benefit | 19 | | recipient, or (C) natural, step, adjudicated, or adopted | 20 | | child who is (i)
under age 26, or (ii)
age 19 or over and | 21 | | mentally or physically disabled from a cause originating | 22 | | prior to the age of 19 (age 26 if enrolled as an adult | 23 | | child).
| 24 | | "Community college dependent beneficiary" does not | 25 | | include, as indicated under paragraph (2) of this subsection | 26 | | (aa), a dependent of the survivor of a community college |
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| 1 | | benefit recipient who first becomes a dependent of a survivor | 2 | | of a community college benefit recipient on or after the | 3 | | effective date of this amendatory Act of the 97th General | 4 | | Assembly unless that dependent would have been eligible for | 5 | | coverage as a dependent of the deceased community college | 6 | | benefit recipient upon whom the survivor annuity is based. | 7 | | (bb) "Qualified child advocacy center" means any Illinois | 8 | | child advocacy center and its administrative offices funded by | 9 | | the Department of Children and Family Services, as defined by | 10 | | the Children's Advocacy Center Act (55 ILCS 80/), approved by | 11 | | the Director and participating in a program created under | 12 | | subsection (n) of Section 10.
| 13 | | (Source: P.A. 96-756, eff. 1-1-10; 96-1519, eff. 2-4-11; | 14 | | 97-668, eff. 1-13-12; 97-695, eff. 7-1-12.)
| 15 | | (5 ILCS 375/6.5)
| 16 | | Sec. 6.5. Health benefits for TRS benefit recipients and | 17 | | TRS dependent
beneficiaries. | 18 | | (a) Purpose. It is the purpose of this amendatory Act of | 19 | | 1995 to transfer
the administration of the program of health | 20 | | benefits established for benefit
recipients and their | 21 | | dependent beneficiaries under Article 16 of the Illinois
| 22 | | Pension Code to the Department of Central Management Services.
| 23 | | (b) Transition provisions. The Board of Trustees of the | 24 | | Teachers'
Retirement System shall continue to administer the | 25 | | health benefit program
established under Article 16 of the |
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| 1 | | Illinois Pension Code through December 31,
1995. Beginning | 2 | | January 1, 1996, the Department of Central Management Services
| 3 | | shall be responsible for administering a program of health | 4 | | benefits for TRS
benefit recipients and TRS dependent | 5 | | beneficiaries under this Section.
The Department of Central | 6 | | Management Services and the Teachers' Retirement
System shall | 7 | | cooperate in this endeavor and shall coordinate their | 8 | | activities
so as to ensure a smooth transition and | 9 | | uninterrupted health benefit coverage.
| 10 | | (c) Eligibility. All persons who were enrolled in the | 11 | | Article 16 program at
the time of the transfer shall be | 12 | | eligible to participate in the program
established under this | 13 | | Section without any interruption or delay in coverage
or | 14 | | limitation as to pre-existing medical conditions. Eligibility | 15 | | to
participate shall be determined by the Teachers' Retirement | 16 | | System.
Eligibility information shall be communicated to the | 17 | | Department of Central
Management Services in a format | 18 | | acceptable to the Department.
| 19 | | A TRS dependent beneficiary who is a child age 19 or over | 20 | | and
mentally or physically disabled does not become ineligible | 21 | | to participate
by reason of (i) becoming ineligible to be | 22 | | claimed as a dependent for Illinois
or federal income tax | 23 | | purposes or (ii) receiving earned income, so long as
those | 24 | | earnings are insufficient for the child to be fully | 25 | | self-sufficient.
| 26 | | (d) Coverage. The level of health benefits provided under |
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| 1 | | this Section
shall be similar to the level of benefits provided | 2 | | by the
program previously established under Article 16 of the | 3 | | Illinois Pension Code.
| 4 | | Group life insurance benefits are not included in the | 5 | | benefits
to be provided to TRS benefit recipients and TRS | 6 | | dependent beneficiaries under
this Act.
| 7 | | The program of health benefits under this Section may | 8 | | include any or all of
the benefit limitations, including but | 9 | | not limited to a reduction in benefits
based on eligibility for | 10 | | federal medicare benefits, that are provided under
subsection | 11 | | (a) of Section 6 of this Act for other health benefit programs | 12 | | under
this Act.
| 13 | | (e) Insurance rates and premiums. The Director shall | 14 | | determine the
insurance rates and premiums for TRS benefit | 15 | | recipients and TRS dependent
beneficiaries,
and shall present | 16 | | to the Teachers' Retirement System of
the State of Illinois, by | 17 | | April 15 of each calendar year, the rate-setting
methodology | 18 | | (including but not limited to utilization levels and costs) | 19 | | used
to determine the amount of the health care premiums.
| 20 | | For Fiscal Year 1996, the premium shall be equal to the | 21 | | premium actually
charged in Fiscal Year 1995; in subsequent | 22 | | years, the premium shall
never be lower than the premium | 23 | | charged in Fiscal Year 1995. | 24 | | For Fiscal Year
2003, the premium shall not exceed 110% | 25 | | of the premium actually charged in
Fiscal Year 2002. | 26 | | For Fiscal Year 2004, the premium shall not exceed 112% |
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| 1 | | of
the premium actually charged in Fiscal Year 2003.
| 2 | | For Fiscal Year 2005, the premium shall not exceed a | 3 | | weighted average of 106.6% of
the premium actually charged | 4 | | in Fiscal Year 2004.
| 5 | | For Fiscal Year 2006, the premium shall not exceed a | 6 | | weighted average of 109.1% of
the premium actually charged | 7 | | in Fiscal Year 2005.
| 8 | | For Fiscal Year 2007, the premium shall not exceed a | 9 | | weighted average of 103.9% of
the premium actually charged | 10 | | in Fiscal Year 2006.
| 11 | | For Fiscal Year 2008 and thereafter, the premium in | 12 | | each fiscal year shall not exceed 105% of
the premium | 13 | | actually charged in the previous fiscal year.
| 14 | | Rates and premiums may be based in part on age and | 15 | | eligibility for federal
medicare coverage. However, the cost of | 16 | | participation for a TRS dependent
beneficiary who is an | 17 | | unmarried child age 19 or over and mentally or physically
| 18 | | disabled shall not exceed the cost for a TRS dependent | 19 | | beneficiary who is
an unmarried child under age 19 and | 20 | | participates in the same major medical or
managed care program.
| 21 | | The cost of health benefits under the program shall be paid | 22 | | as follows:
| 23 | | (1) For a TRS benefit recipient selecting a managed | 24 | | care program, up to
75% of the total insurance rate shall | 25 | | be paid from the Teacher Health Insurance
Security Fund. | 26 | | Effective with Fiscal Year 2007 and thereafter, for a TRS |
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| 1 | | benefit recipient selecting a managed care program, 75% of | 2 | | the total insurance rate shall be paid from the Teacher | 3 | | Health Insurance
Security Fund.
| 4 | | (2) For a TRS benefit recipient selecting the major | 5 | | medical coverage
program, up to 50% of the total insurance | 6 | | rate shall be paid from the Teacher
Health Insurance | 7 | | Security Fund if a managed care program is accessible, as
| 8 | | determined by the Teachers' Retirement System. Effective | 9 | | with Fiscal Year 2007 and thereafter, for a TRS benefit | 10 | | recipient selecting the major medical coverage
program, | 11 | | 50% of the total insurance rate shall be paid from the | 12 | | Teacher
Health Insurance Security Fund if a managed care | 13 | | program is accessible, as
determined by the Department of | 14 | | Central Management Services.
| 15 | | (3) For a TRS benefit recipient selecting the major | 16 | | medical coverage
program, up to 75% of the total insurance | 17 | | rate shall be paid from the Teacher
Health Insurance | 18 | | Security Fund if a managed care program is not accessible, | 19 | | as
determined by the Teachers' Retirement System. | 20 | | Effective with Fiscal Year 2007 and thereafter, for a TRS | 21 | | benefit recipient selecting the major medical coverage
| 22 | | program, 75% of the total insurance rate shall be paid from | 23 | | the Teacher
Health Insurance Security Fund if a managed | 24 | | care program is not accessible, as
determined by the | 25 | | Department of Central Management Services.
| 26 | | (3.1) For a TRS dependent beneficiary who is Medicare |
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| 1 | | primary and enrolled in a managed care plan, or the major | 2 | | medical coverage program if a managed care plan is not | 3 | | available, 25% of the total insurance rate shall be paid | 4 | | from the Teacher Health Security Fund as determined by the | 5 | | Department of Central Management Services. For the purpose | 6 | | of this item (3.1), the term "TRS dependent beneficiary who | 7 | | is Medicare primary" means a TRS dependent beneficiary who | 8 | | is participating in Medicare Parts A and B.
| 9 | | (4) Except as otherwise provided in item (3.1), the
| 10 | | balance of the rate of insurance, including the entire | 11 | | premium of
any coverage for TRS dependent beneficiaries | 12 | | that has been elected, shall be
paid
by deductions | 13 | | authorized by the TRS benefit recipient to be withheld from | 14 | | his
or her monthly annuity or benefit payment from the | 15 | | Teachers' Retirement System;
except that (i) if the balance | 16 | | of the cost of coverage exceeds the amount of
the monthly | 17 | | annuity or benefit payment, the difference shall be paid | 18 | | directly
to the Teachers' Retirement System by the TRS | 19 | | benefit recipient, and (ii) all
or part of the balance of | 20 | | the cost of coverage may, at the school board's
option, be | 21 | | paid to the Teachers' Retirement System by the school board | 22 | | of the
school district from which the TRS benefit recipient | 23 | | retired, in accordance
with Section 10-22.3b of the School | 24 | | Code. The Teachers' Retirement System
shall promptly | 25 | | deposit all moneys withheld by or paid to it under this
| 26 | | subdivision (e)(4) into the Teacher Health Insurance |
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| 1 | | Security Fund. These
moneys shall not be considered assets | 2 | | of the Retirement System.
| 3 | | (f) Financing. Beginning July 1, 1995, all revenues arising | 4 | | from the
administration of the health benefit programs | 5 | | established under Article 16 of
the Illinois Pension Code or | 6 | | this Section shall be deposited into the
Teacher Health | 7 | | Insurance Security Fund, which is hereby created as a
| 8 | | nonappropriated trust fund to be held outside the State | 9 | | Treasury, with the
State Treasurer as custodian. Any interest | 10 | | earned on moneys in the Teacher
Health Insurance Security Fund | 11 | | shall be deposited into the Fund.
| 12 | | Moneys in the Teacher Health Insurance Security
Fund shall | 13 | | be used only to pay the costs of the health benefit program
| 14 | | established under this Section, including associated | 15 | | administrative costs, and
the costs associated with the health | 16 | | benefit program established under Article
16 of the Illinois | 17 | | Pension Code, as authorized in this Section. Beginning
July 1, | 18 | | 1995, the Department of Central Management Services may make
| 19 | | expenditures from the Teacher Health Insurance Security Fund | 20 | | for those costs.
| 21 | | After other funds authorized for the payment of the costs | 22 | | of the health
benefit program established under Article 16 of | 23 | | the Illinois Pension Code are
exhausted and until January 1, | 24 | | 1996 (or such later date as may be agreed upon
by the Director | 25 | | of Central Management Services and the Secretary of the
| 26 | | Teachers' Retirement System), the Secretary of the Teachers' |
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| 1 | | Retirement System
may make expenditures from the Teacher Health | 2 | | Insurance Security Fund as
necessary to pay up to 75% of the | 3 | | cost of providing health coverage to eligible
benefit | 4 | | recipients (as defined in Sections 16-153.1 and 16-153.3 of the
| 5 | | Illinois Pension Code) who are enrolled in the Article 16 | 6 | | health benefit
program and to facilitate the transfer of | 7 | | administration of the health benefit
program to the Department | 8 | | of Central Management Services.
| 9 | | The Department of Central Management Healthcare and Family | 10 | | Services, or any successor agency designated to procure | 11 | | healthcare contracts pursuant to this Act, is authorized to | 12 | | establish funds, separate accounts provided by any bank or | 13 | | banks as defined by the Illinois Banking Act, or separate | 14 | | accounts provided by any savings and loan association or | 15 | | associations as defined by the Illinois Savings and Loan Act of | 16 | | 1985 to be held by the Director, outside the State treasury, | 17 | | for the purpose of receiving the transfer of moneys from the | 18 | | Teacher Health Insurance Security Fund. The Department may | 19 | | promulgate rules further defining the methodology for the | 20 | | transfers. Any interest earned by moneys in the funds or | 21 | | accounts shall inure to the Teacher Health Insurance Security | 22 | | Fund. The transferred moneys, and interest accrued thereon, | 23 | | shall be used exclusively for transfers to administrative | 24 | | service organizations or their financial institutions for | 25 | | payments of claims to claimants and providers under the | 26 | | self-insurance health plan. The transferred moneys, and |
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| 1 | | interest accrued thereon, shall not be used for any other | 2 | | purpose including, but not limited to, reimbursement of | 3 | | administration fees due the administrative service | 4 | | organization pursuant to its contract or contracts with the | 5 | | Department.
| 6 | | (g) Contract for benefits. The Director shall by contract, | 7 | | self-insurance,
or otherwise make available the program of | 8 | | health benefits for TRS benefit
recipients and their TRS | 9 | | dependent beneficiaries that is provided for in this
Section. | 10 | | The contract or other arrangement for the provision of these | 11 | | health
benefits shall be on terms deemed by the Director to be | 12 | | in the best interest of
the State of Illinois and the TRS | 13 | | benefit recipients based on, but not limited
to, such criteria | 14 | | as administrative cost, service capabilities of the carrier
or | 15 | | other contractor, and the costs of the benefits.
| 16 | | (g-5) Committee. A Teacher Retirement Insurance Program | 17 | | Committee shall be established, to consist of 10 persons | 18 | | appointed by the Governor.
| 19 | | The Committee shall convene at least 4 times each year, and | 20 | | shall consider and make recommendations on issues affecting the | 21 | | program of health benefits provided under this
Section. | 22 | | Recommendations of the Committee shall be based on a consensus | 23 | | of the members of the Committee.
| 24 | | If the Teacher
Health Insurance Security Fund experiences a | 25 | | deficit balance based upon the contribution and subsidy rates | 26 | | established in this Section and Section 6.6 for Fiscal Year |
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| 1 | | 2008 or thereafter, the Committee shall make recommendations | 2 | | for adjustments to the funding sources established under these | 3 | | Sections. | 4 | | In addition, the Committee shall identify proposed | 5 | | solutions to the funding shortfalls that are affecting the | 6 | | Teacher Health Insurance Security Fund, and it shall report | 7 | | those solutions to the Governor and the General Assembly within | 8 | | 6 months after August 15, 2011 (the effective date of Public | 9 | | Act 97-386). | 10 | | (h) Continuation of program. It is the intention of
the | 11 | | General Assembly that the program of health benefits provided | 12 | | under this
Section be maintained on an ongoing, affordable | 13 | | basis.
| 14 | | The program of health benefits provided under this Section | 15 | | may be amended by
the State and is not intended to be a pension | 16 | | or retirement benefit subject to
protection under Article XIII, | 17 | | Section 5 of the Illinois Constitution.
| 18 | | (i) Repeal. (Blank).
| 19 | | (Source: P.A. 96-1519, eff. 2-4-11; 97-386, eff. 8-15-11; | 20 | | 97-813, eff. 7-13-12.)
| 21 | | (5 ILCS 375/6.10)
| 22 | | Sec. 6.10. Contributions to the Community College Health | 23 | | Insurance
Security Fund.
| 24 | | (a) Beginning January 1, 1999, every active contributor of | 25 | | the State
Universities Retirement System (established under |
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| 1 | | Article 15 of the Illinois
Pension Code) who (1) is a full-time | 2 | | employee of a community college district
(other than a | 3 | | community college district subject to Article VII of the Public
| 4 | | Community College Act)
or an association of community college | 5 | | boards and (2) is not an employee as
defined in Section 3 of | 6 | | this Act shall make contributions toward the cost of
community | 7 | | college annuitant and survivor health benefits at the rate of | 8 | | 0.50%
of salary.
| 9 | | These contributions shall be deducted by the employer and | 10 | | paid to the State
Universities Retirement System as service | 11 | | agent for the Department of Central
Management Services. The | 12 | | System may use the same processes for collecting the
| 13 | | contributions required by this subsection that it uses to | 14 | | collect the
contributions received from those employees under | 15 | | Section 15-157 of the
Illinois Pension Code. An employer may | 16 | | agree to pick up or pay the
contributions required under this | 17 | | subsection on behalf of the employee;
such contributions shall | 18 | | be deemed to have been paid by the employee.
| 19 | | The State Universities Retirement System shall promptly | 20 | | deposit all moneys
collected under this subsection (a) into the | 21 | | Community College Health Insurance
Security Fund created in | 22 | | Section 6.9 of this Act. The moneys collected under
this | 23 | | Section shall be used only for the purposes authorized in | 24 | | Section 6.9 of
this Act and shall not be considered to be | 25 | | assets of the State Universities
Retirement System. | 26 | | Contributions made under this Section are not transferable
to |
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| 1 | | other pension funds or retirement systems and are not | 2 | | refundable upon
termination of service.
| 3 | | (b) Beginning January 1, 1999, every community college | 4 | | district
(other than a community college district subject to | 5 | | Article VII of the Public
Community College Act) or association
| 6 | | of community college boards that is an employer under the State | 7 | | Universities
Retirement System shall contribute toward the | 8 | | cost of the community college
health benefits provided under | 9 | | Section 6.9 of this Act an amount equal to 0.50%
of the salary | 10 | | paid to its full-time employees who participate in the State
| 11 | | Universities Retirement System and are not members as defined | 12 | | in Section 3 of
this Act.
| 13 | | These contributions shall be paid by the employer to the | 14 | | State Universities
Retirement System as service agent for the | 15 | | Department of Central Management
Services. The System may use | 16 | | the same processes for collecting the
contributions required by | 17 | | this subsection that it uses to collect the
contributions | 18 | | received from those employers under Section 15-155 of the
| 19 | | Illinois Pension Code.
| 20 | | The State Universities Retirement System shall promptly | 21 | | deposit all moneys
collected under this subsection (b) into the | 22 | | Community College Health Insurance
Security Fund created in | 23 | | Section 6.9 of this Act. The moneys collected under
this | 24 | | Section shall be used only for the purposes authorized in | 25 | | Section 6.9 of
this Act and shall not be considered to be | 26 | | assets of the State Universities
Retirement System. |
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| 1 | | Contributions made under this Section are not transferable
to | 2 | | other pension funds or retirement systems and are not | 3 | | refundable upon
termination of service.
| 4 | | The Department of Central Management Healthcare and Family | 5 | | Services, or any successor agency designated to procure | 6 | | healthcare contracts pursuant to this Act, is authorized to | 7 | | establish funds, separate accounts provided by any bank or | 8 | | banks as defined by the Illinois Banking Act, or separate | 9 | | accounts provided by any savings and loan association or | 10 | | associations as defined by the Illinois Savings and Loan Act of | 11 | | 1985 to be held by the Director, outside the State treasury, | 12 | | for the purpose of receiving the transfer of moneys from the | 13 | | Community College Health Insurance Security Fund. The | 14 | | Department may promulgate rules further defining the | 15 | | methodology for the transfers. Any interest earned by moneys in | 16 | | the funds or accounts shall inure to the Community College | 17 | | Health Insurance Security Fund. The transferred moneys, and | 18 | | interest accrued thereon, shall be used exclusively for | 19 | | transfers to administrative service organizations or their | 20 | | financial institutions for payments of claims to claimants and | 21 | | providers under the self-insurance health plan. The | 22 | | transferred moneys, and interest accrued thereon, shall not be | 23 | | used for any other purpose including, but not limited to, | 24 | | reimbursement of administration fees due the administrative | 25 | | service organization pursuant to its contract or contracts with | 26 | | the Department.
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| 1 | | (c) On or before November 15 of each year, the Board of | 2 | | Trustees of the
State Universities Retirement System shall | 3 | | certify to the Governor, the
Director of Central Management | 4 | | Services, and the State
Comptroller its estimate of the total | 5 | | amount of contributions to be paid under
subsection (a) of this | 6 | | Section for the next fiscal year. Beginning in fiscal year | 7 | | 2008, the amount certified shall be decreased or increased each | 8 | | year by the 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 the previous | 11 | | fiscal year. The State Universities Retirement System shall | 12 | | calculate the amount of actual active employee contributions in | 13 | | fiscal years 1999 through 2005. Based upon this calculation, | 14 | | the fiscal year 2008 certification shall include an amount | 15 | | equal to the cumulative amount that the actual active employee | 16 | | contributions either fell short of or exceeded the estimate | 17 | | used by the Board in making the certification for those fiscal | 18 | | years. The certification
shall include a detailed explanation | 19 | | of the methods and information that the
Board relied upon in | 20 | | preparing its estimate. As soon as possible after the
effective | 21 | | date of this Section, the Board shall submit its estimate for | 22 | | fiscal
year 1999.
| 23 | | (d) Beginning in fiscal year 1999, on the first day of each | 24 | | month, or as
soon thereafter as may be practical, the State | 25 | | Treasurer and the State
Comptroller shall transfer from the | 26 | | General Revenue Fund to the Community
College Health Insurance |
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| 1 | | Security Fund 1/12 of the annual amount appropriated
for that | 2 | | fiscal year to the State Comptroller for deposit into the | 3 | | Community
College Health Insurance Security Fund under Section | 4 | | 1.4 of the State Pension
Funds Continuing Appropriation Act.
| 5 | | (e) Except where otherwise specified in this Section, the | 6 | | definitions
that apply to Article 15 of the Illinois Pension | 7 | | Code apply to this Section.
| 8 | | (Source: P.A. 94-839, eff. 6-6-06; 95-632, eff. 9-25-07.)
| 9 | | (5 ILCS 375/10) (from Ch. 127, par. 530)
| 10 | | Sec. 10. Contributions by the State and members.
| 11 | | (a) The State shall pay the cost of basic non-contributory | 12 | | group life
insurance and, subject to member paid contributions | 13 | | set by the Department or
required by this Section and except as | 14 | | provided in this Section, the basic program of group health | 15 | | benefits on each
eligible member, except a member, not | 16 | | otherwise
covered by this Act, who has retired as a | 17 | | participating member under Article 2
of the Illinois Pension | 18 | | Code but is ineligible for the retirement annuity under
Section | 19 | | 2-119 of the Illinois Pension Code, and part of each eligible | 20 | | member's
and retired member's premiums for health insurance | 21 | | coverage for enrolled
dependents as provided by Section 9. The | 22 | | State shall pay the cost of the basic
program of group health | 23 | | benefits only after benefits are reduced by the amount
of | 24 | | benefits covered by Medicare for all members and dependents
who | 25 | | are eligible for benefits under Social Security or
the Railroad |
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| 1 | | Retirement system or who had sufficient Medicare-covered
| 2 | | government employment, except that such reduction in benefits | 3 | | shall apply only
to those members and dependents who (1) first | 4 | | become eligible
for such Medicare coverage on or after July 1, | 5 | | 1992; or (2) are
Medicare-eligible members or dependents of a | 6 | | local government unit which began
participation in the program | 7 | | on or after July 1, 1992; or (3) remain eligible
for, but no | 8 | | longer receive Medicare coverage which they had been receiving | 9 | | on
or after July 1, 1992. The Department may determine the | 10 | | aggregate level of the
State's contribution on the basis of | 11 | | actual cost of medical services adjusted
for age, sex or | 12 | | geographic or other demographic characteristics which affect
| 13 | | the costs of such programs.
| 14 | | The cost of participation in the basic program of group | 15 | | health benefits
for the dependent or survivor of a living or | 16 | | deceased retired employee who was
formerly employed by the | 17 | | University of Illinois in the Cooperative Extension
Service and | 18 | | would be an annuitant but for the fact that he or she was made
| 19 | | ineligible to participate in the State Universities Retirement | 20 | | System by clause
(4) of subsection (a) of Section 15-107 of the | 21 | | Illinois Pension Code shall not
be greater than the cost of | 22 | | participation that would otherwise apply to that
dependent or | 23 | | survivor if he or she were the dependent or survivor of an
| 24 | | annuitant under the State Universities Retirement System.
| 25 | | (a-1) (Blank).
| 26 | | (a-2) (Blank).
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| 1 | | (a-3) (Blank).
| 2 | | (a-4) (Blank).
| 3 | | (a-5) (Blank).
| 4 | | (a-6) (Blank).
| 5 | | (a-7) (Blank).
| 6 | | (a-8) Any annuitant, survivor, or retired employee may | 7 | | waive or terminate coverage in
the program of group health | 8 | | benefits. Any such annuitant, survivor, or retired employee
who | 9 | | has waived or terminated coverage may enroll or re-enroll in | 10 | | the
program of group health benefits only during the annual | 11 | | benefit choice period,
as determined by the Director; except | 12 | | that in the event of termination of
coverage due to nonpayment | 13 | | of premiums, the annuitant, survivor, or retired employee
may | 14 | | not re-enroll in the program.
| 15 | | (a-8.5) Beginning on the effective date of this amendatory | 16 | | Act of the 97th General Assembly, the Director of Central | 17 | | Management Services shall, on an annual basis, determine the | 18 | | amount that the State shall contribute toward the basic program | 19 | | of group health benefits on behalf of annuitants (including | 20 | | individuals who (i) participated in the General Assembly | 21 | | Retirement System, the State Employees' Retirement System of | 22 | | Illinois, the State Universities Retirement System, the | 23 | | Teachers' Retirement System of the State of Illinois, or the | 24 | | Judges Retirement System of Illinois and (ii) qualify as | 25 | | annuitants under subsection (b) of Section 3 of this Act), | 26 | | survivors (including individuals who (i) receive an annuity as |
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| 1 | | a survivor of an individual who participated in the General | 2 | | Assembly Retirement System, the State Employees' Retirement | 3 | | System of Illinois, the State Universities Retirement System, | 4 | | the Teachers' Retirement System of the State of Illinois, or | 5 | | the Judges Retirement System of Illinois and (ii) qualify as | 6 | | survivors under subsection (q) of Section 3 of this Act), and | 7 | | retired employees (as defined in subsection (p) of Section 3 of | 8 | | this Act). The remainder of the cost of coverage for each | 9 | | annuitant, survivor, or retired employee, as determined by the | 10 | | Director of Central Management Services, shall be the | 11 | | responsibility of that annuitant, survivor, or retired | 12 | | employee. | 13 | | Contributions required of annuitants, survivors, and | 14 | | retired employees shall be the same for all retirement systems | 15 | | and shall also be based on whether an individual has made an | 16 | | election under Section 15-135.1 of the Illinois Pension Code. | 17 | | Contributions may be based on annuitants', survivors', or | 18 | | retired employees' Medicare eligibility, but may not be based | 19 | | on Social Security eligibility. | 20 | | (a-9) No later than May 1 of each calendar year, the | 21 | | Director
of Central Management Services shall certify in | 22 | | writing to the Executive
Secretary of the State Employees' | 23 | | Retirement System of Illinois the amounts
of the Medicare | 24 | | supplement health care premiums and the amounts of the
health | 25 | | care premiums for all other retirees who are not Medicare | 26 | | eligible.
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| 1 | | A separate calculation of the premiums based upon the | 2 | | actual cost of each
health care plan shall be so certified.
| 3 | | The Director of Central Management Services shall provide | 4 | | to the
Executive Secretary of the State Employees' Retirement | 5 | | System of
Illinois such information, statistics, and other data | 6 | | as he or she
may require to review the premium amounts | 7 | | certified by the Director
of Central Management Services.
| 8 | | The Department of Central Management Healthcare and Family | 9 | | Services, or any successor agency designated to procure | 10 | | healthcare contracts pursuant to this Act, is authorized to | 11 | | establish funds, separate accounts provided by any bank or | 12 | | banks as defined by the Illinois Banking Act, or separate | 13 | | accounts provided by any savings and loan association or | 14 | | associations as defined by the Illinois Savings and Loan Act of | 15 | | 1985 to be held by the Director, outside the State treasury, | 16 | | for the purpose of receiving the transfer of moneys from the | 17 | | Local Government Health Insurance Reserve Fund. The Department | 18 | | may promulgate rules further defining the methodology for the | 19 | | transfers. Any interest earned by moneys in the funds or | 20 | | accounts shall inure to the Local Government Health Insurance | 21 | | Reserve Fund. The transferred moneys, and interest accrued | 22 | | thereon, shall be used exclusively for transfers to | 23 | | administrative service organizations or their financial | 24 | | institutions for payments of claims to claimants and providers | 25 | | under the self-insurance health plan. The transferred moneys, | 26 | | and interest accrued thereon, shall not be used for any other |
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| 1 | | purpose including, but not limited to, reimbursement of | 2 | | administration fees due the administrative service | 3 | | organization pursuant to its contract or contracts with the | 4 | | Department.
| 5 | | (b) State employees who become eligible for this program on | 6 | | or after January
1, 1980 in positions normally requiring actual | 7 | | performance of duty not less
than 1/2 of a normal work period | 8 | | but not equal to that of a normal work period,
shall be given | 9 | | the option of participating in the available program. If the
| 10 | | employee elects coverage, the State shall contribute on behalf | 11 | | of such employee
to the cost of the employee's benefit and any | 12 | | applicable dependent supplement,
that sum which bears the same | 13 | | percentage as that percentage of time the
employee regularly | 14 | | works when compared to normal work period.
| 15 | | (c) The basic non-contributory coverage from the basic | 16 | | program of
group health benefits shall be continued for each | 17 | | employee not in pay status or
on active service by reason of | 18 | | (1) leave of absence due to illness or injury,
(2) authorized | 19 | | educational leave of absence or sabbatical leave, or (3)
| 20 | | military leave. This coverage shall continue until
expiration | 21 | | of authorized leave and return to active service, but not to | 22 | | exceed
24 months for leaves under item (1) or (2). This | 23 | | 24-month limitation and the
requirement of returning to active | 24 | | service shall not apply to persons receiving
ordinary or | 25 | | accidental disability benefits or retirement benefits through | 26 | | the
appropriate State retirement system or benefits under the |
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| 1 | | Workers' Compensation
or Occupational Disease Act.
| 2 | | (d) The basic group life insurance coverage shall continue, | 3 | | with
full State contribution, where such person is (1) absent | 4 | | from active
service by reason of disability arising from any | 5 | | cause other than
self-inflicted, (2) on authorized educational | 6 | | leave of absence or
sabbatical leave, or (3) on military leave.
| 7 | | (e) Where the person is in non-pay status for a period in | 8 | | excess of
30 days or on leave of absence, other than by reason | 9 | | of disability,
educational or sabbatical leave, or military | 10 | | leave, such
person may continue coverage only by making | 11 | | personal
payment equal to the amount normally contributed by | 12 | | the State on such person's
behalf. Such payments and coverage | 13 | | may be continued: (1) until such time as
the person returns to | 14 | | a status eligible for coverage at State expense, but not
to | 15 | | exceed 24 months or (2) until such person's employment or | 16 | | annuitant status
with the State is terminated (exclusive of any | 17 | | additional service imposed pursuant to law).
| 18 | | (f) The Department shall establish by rule the extent to | 19 | | which other
employee benefits will continue for persons in | 20 | | non-pay status or who are
not in active service.
| 21 | | (g) The State shall not pay the cost of the basic | 22 | | non-contributory
group life insurance, program of health | 23 | | benefits and other employee benefits
for members who are | 24 | | survivors as defined by paragraphs (1) and (2) of
subsection | 25 | | (q) of Section 3 of this Act. The costs of benefits for these
| 26 | | survivors shall be paid by the survivors or by the University |
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| 1 | | of Illinois
Cooperative Extension Service, or any combination | 2 | | thereof.
However, the State shall pay the amount of the | 3 | | reduction in the cost of
participation, if any, resulting from | 4 | | the amendment to subsection (a) made
by this amendatory Act of | 5 | | the 91st General Assembly.
| 6 | | (h) Those persons occupying positions with any department | 7 | | as a result
of emergency appointments pursuant to Section 8b.8 | 8 | | of the Personnel Code
who are not considered employees under | 9 | | this Act shall be given the option
of participating in the | 10 | | programs of group life insurance, health benefits and
other | 11 | | employee benefits. Such persons electing coverage may | 12 | | participate only
by making payment equal to the amount normally | 13 | | contributed by the State for
similarly situated employees. Such | 14 | | amounts shall be determined by the
Director. Such payments and | 15 | | coverage may be continued until such time as the
person becomes | 16 | | an employee pursuant to this Act or such person's appointment | 17 | | is
terminated.
| 18 | | (i) Any unit of local government within the State of | 19 | | Illinois
may apply to the Director to have its employees, | 20 | | annuitants, and their
dependents provided group health | 21 | | coverage under this Act on a non-insured
basis. To participate, | 22 | | a unit of local government must agree to enroll
all of its | 23 | | employees, who may select coverage under either the State group
| 24 | | health benefits plan or a health maintenance organization that | 25 | | has
contracted with the State to be available as a health care | 26 | | provider for
employees as defined in this Act. A unit of local |
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| 1 | | government must remit the
entire cost of providing coverage | 2 | | under the State group health benefits plan
or, for coverage | 3 | | under a health maintenance organization, an amount determined
| 4 | | by the Director based on an analysis of the sex, age, | 5 | | geographic location, or
other relevant demographic variables | 6 | | for its employees, except that the unit of
local government | 7 | | shall not be required to enroll those of its employees who are
| 8 | | covered spouses or dependents under this plan or another group | 9 | | policy or plan
providing health benefits as long as (1) an | 10 | | appropriate official from the unit
of local government attests | 11 | | that each employee not enrolled is a covered spouse
or | 12 | | dependent under this plan or another group policy or plan, and | 13 | | (2) at least
50% of the employees are enrolled and the unit of | 14 | | local government remits
the entire cost of providing coverage | 15 | | to those employees, except that a
participating school district | 16 | | must have enrolled at least 50% of its full-time
employees who | 17 | | have not waived coverage under the district's group health
plan | 18 | | by participating in a component of the district's cafeteria | 19 | | plan. A
participating school district is not required to enroll | 20 | | a full-time employee
who has waived coverage under the | 21 | | district's health plan, provided that an
appropriate official | 22 | | from the participating school district attests that the
| 23 | | full-time employee has waived coverage by participating in a | 24 | | component of the
district's cafeteria plan. For the purposes of | 25 | | this subsection, "participating
school district" includes a | 26 | | unit of local government whose primary purpose is
education as |
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| 1 | | defined by the Department's rules.
| 2 | | Employees of a participating unit of local government who | 3 | | are not enrolled
due to coverage under another group health | 4 | | policy or plan may enroll in
the event of a qualifying change | 5 | | in status, special enrollment, special
circumstance as defined | 6 | | by the Director, or during the annual Benefit Choice
Period. A | 7 | | participating unit of local government may also elect to cover | 8 | | its
annuitants. Dependent coverage shall be offered on an | 9 | | optional basis, with the
costs paid by the unit of local | 10 | | government, its employees, or some combination
of the two as | 11 | | determined by the unit of local government. The unit of local
| 12 | | government shall be responsible for timely collection and | 13 | | transmission of
dependent premiums.
| 14 | | The Director shall annually determine monthly rates of | 15 | | payment, subject
to the following constraints:
| 16 | | (1) In the first year of coverage, the rates shall be | 17 | | equal to the
amount normally charged to State employees for | 18 | | elected optional coverages
or for enrolled dependents | 19 | | coverages or other contributory coverages, or
contributed | 20 | | by the State for basic insurance coverages on behalf of its
| 21 | | employees, adjusted for differences between State | 22 | | employees and employees
of the local government in age, | 23 | | sex, geographic location or other relevant
demographic | 24 | | variables, plus an amount sufficient to pay for the | 25 | | additional
administrative costs of providing coverage to | 26 | | employees of the unit of
local government and their |
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| 1 | | dependents.
| 2 | | (2) In subsequent years, a further adjustment shall be | 3 | | made to reflect
the actual prior years' claims experience | 4 | | of the employees of the unit of
local government.
| 5 | | In the case of coverage of local government employees under | 6 | | a health
maintenance organization, the Director shall annually | 7 | | determine for each
participating unit of local government the | 8 | | maximum monthly amount the unit
may contribute toward that | 9 | | coverage, based on an analysis of (i) the age,
sex, geographic | 10 | | location, and other relevant demographic variables of the
| 11 | | unit's employees and (ii) the cost to cover those employees | 12 | | under the State
group health benefits plan. The Director may | 13 | | similarly determine the
maximum monthly amount each unit of | 14 | | local government may contribute toward
coverage of its | 15 | | employees' dependents under a health maintenance organization.
| 16 | | Monthly payments by the unit of local government or its | 17 | | employees for
group health benefits plan or health maintenance | 18 | | organization coverage shall
be deposited in the Local | 19 | | Government Health Insurance Reserve Fund.
| 20 | | The Local Government Health Insurance Reserve Fund is | 21 | | hereby created as a nonappropriated trust fund to be held | 22 | | outside the State Treasury, with the State Treasurer as | 23 | | custodian. The Local Government Health Insurance Reserve Fund | 24 | | shall be a continuing
fund not subject to fiscal year | 25 | | limitations. The Local Government Health Insurance Reserve | 26 | | Fund is not subject to administrative charges or charge-backs, |
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| 1 | | including but not limited to those authorized under Section 8h | 2 | | of the State Finance Act. All revenues arising from the | 3 | | administration of the health benefits program established | 4 | | under this Section shall be deposited into the Local Government | 5 | | Health Insurance Reserve Fund. Any interest earned on moneys in | 6 | | the Local Government Health Insurance Reserve Fund shall be | 7 | | deposited into the Fund. All expenditures from this Fund
shall | 8 | | be used for payments for health care benefits for local | 9 | | government and rehabilitation facility
employees, annuitants, | 10 | | and dependents, and to reimburse the Department or
its | 11 | | administrative service organization for all expenses incurred | 12 | | in the
administration of benefits. No other State funds may be | 13 | | used for these
purposes.
| 14 | | A local government employer's participation or desire to | 15 | | participate
in a program created under this subsection shall | 16 | | not limit that employer's
duty to bargain with the | 17 | | representative of any collective bargaining unit
of its | 18 | | employees.
| 19 | | (j) Any rehabilitation facility within the State of | 20 | | Illinois may apply
to the Director to have its employees, | 21 | | annuitants, and their eligible
dependents provided group | 22 | | health coverage under this Act on a non-insured
basis. To | 23 | | participate, a rehabilitation facility must agree to enroll all
| 24 | | of its employees and remit the entire cost of providing such | 25 | | coverage for
its employees, except that the rehabilitation | 26 | | facility shall not be
required to enroll those of its employees |
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| 1 | | who are covered spouses or
dependents under this plan or | 2 | | another group policy or plan providing health
benefits as long | 3 | | as (1) an appropriate official from the rehabilitation
facility | 4 | | attests 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 | 7 | | rehabilitation facility remits
the entire cost of providing | 8 | | coverage to those employees. Employees of a
participating | 9 | | rehabilitation facility who are not enrolled due to coverage
| 10 | | under another group health policy or plan may enroll
in the | 11 | | event of a qualifying change in status, special enrollment, | 12 | | special
circumstance as defined by the Director, or during the | 13 | | annual Benefit Choice
Period. A participating rehabilitation | 14 | | facility may also elect
to cover its annuitants. Dependent | 15 | | coverage shall be offered on an optional
basis, with the costs | 16 | | paid by the rehabilitation facility, its employees, or
some | 17 | | combination of the 2 as determined by the rehabilitation | 18 | | facility. The
rehabilitation facility shall be responsible for | 19 | | timely collection and
transmission of dependent premiums.
| 20 | | The Director shall annually determine quarterly rates of | 21 | | payment, subject
to the following constraints:
| 22 | | (1) In the first year of coverage, the rates shall be | 23 | | equal to the amount
normally charged to State employees for | 24 | | elected optional coverages or for
enrolled dependents | 25 | | coverages or other contributory coverages on behalf of
its | 26 | | employees, adjusted for differences between State |
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| 1 | | employees and
employees of the rehabilitation facility in | 2 | | age, sex, geographic location
or other relevant | 3 | | demographic variables, plus an amount sufficient to pay
for | 4 | | the additional administrative costs of providing coverage | 5 | | to employees
of the rehabilitation facility and their | 6 | | dependents.
| 7 | | (2) In subsequent years, a further adjustment shall be | 8 | | made to reflect
the actual prior years' claims experience | 9 | | of the employees of the
rehabilitation facility.
| 10 | | Monthly payments by the rehabilitation facility or its | 11 | | employees for
group health benefits shall be deposited in the | 12 | | Local Government Health
Insurance Reserve Fund.
| 13 | | (k) Any domestic violence shelter or service within the | 14 | | State of Illinois
may apply to the Director to have its | 15 | | employees, annuitants, and their
dependents provided group | 16 | | health coverage under this Act on a non-insured
basis. To | 17 | | participate, a domestic violence shelter or service must agree | 18 | | to
enroll all of its employees and pay the entire cost of | 19 | | providing such coverage
for its employees. The domestic | 20 | | violence shelter shall not be required to enroll those of its | 21 | | employees who are covered spouses or dependents under this plan | 22 | | or another group policy or plan providing health benefits as | 23 | | long as (1) an appropriate official from the domestic violence | 24 | | shelter attests that each employee not enrolled is a covered | 25 | | spouse or dependent under this plan or another group policy or | 26 | | plan and (2) at least 50% of the employees are enrolled and the |
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| 1 | | domestic violence shelter remits the entire cost of providing | 2 | | coverage to those employees. Employees of a participating | 3 | | domestic violence shelter who are not enrolled due to coverage | 4 | | under another group health policy or plan may enroll in the | 5 | | event of a qualifying change in status, special enrollment, or | 6 | | special circumstance as defined by the Director or during the | 7 | | annual Benefit Choice Period. A participating domestic | 8 | | violence shelter may also elect
to cover its annuitants. | 9 | | Dependent coverage shall be offered on an optional
basis, with
| 10 | | employees, or some combination of the 2 as determined by the | 11 | | domestic violence
shelter or service. The domestic violence | 12 | | shelter or service shall be
responsible for timely collection | 13 | | and transmission of dependent premiums.
| 14 | | The Director shall annually determine rates of payment,
| 15 | | subject to the following constraints:
| 16 | | (1) In the first year of coverage, the rates shall be | 17 | | equal to the
amount normally charged to State employees for | 18 | | elected optional coverages
or for enrolled dependents | 19 | | coverages or other contributory coverages on
behalf of its | 20 | | employees, adjusted for differences between State | 21 | | employees and
employees of the domestic violence shelter or | 22 | | service in age, sex, geographic
location or other relevant | 23 | | demographic variables, plus an amount sufficient
to pay for | 24 | | the additional administrative costs of providing coverage | 25 | | to
employees of the domestic violence shelter or service | 26 | | and their dependents.
|
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| 1 | | (2) In subsequent years, a further adjustment shall be | 2 | | made to reflect
the actual prior years' claims experience | 3 | | of the employees of the domestic
violence shelter or | 4 | | service.
| 5 | | Monthly payments by the domestic violence shelter or | 6 | | service or its employees
for group health insurance shall be | 7 | | deposited in the Local Government Health
Insurance Reserve | 8 | | Fund.
| 9 | | (l) A public community college or entity organized pursuant | 10 | | to the
Public Community College Act may apply to the Director | 11 | | initially to have
only annuitants not covered prior to July 1, | 12 | | 1992 by the district's health
plan provided health coverage | 13 | | under this Act on a non-insured basis. The
community college | 14 | | must execute a 2-year contract to participate in the
Local | 15 | | Government Health Plan.
Any annuitant may enroll in the event | 16 | | of a qualifying change in status, special
enrollment, special | 17 | | circumstance as defined by the Director, or during the
annual | 18 | | Benefit Choice Period.
| 19 | | The Director shall annually determine monthly rates of | 20 | | payment subject to
the following constraints: for those | 21 | | community colleges with annuitants
only enrolled, first year | 22 | | rates shall be equal to the average cost to cover
claims for a | 23 | | State member adjusted for demographics, Medicare
| 24 | | participation, and other factors; and in the second year, a | 25 | | further adjustment
of rates shall be made to reflect the actual | 26 | | first year's claims experience
of the covered annuitants.
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| 1 | | (l-5) The provisions of subsection (l) become inoperative | 2 | | on July 1, 1999.
| 3 | | (m) The Director shall adopt any rules deemed necessary for
| 4 | | implementation of this amendatory Act of 1989 (Public Act | 5 | | 86-978).
| 6 | | (n) Any child advocacy center within the State of Illinois | 7 | | may apply to the Director to have its employees, annuitants, | 8 | | and their dependents provided group health coverage under this | 9 | | Act on a non-insured basis. To participate, a child advocacy | 10 | | center must agree to enroll all of its employees and pay the | 11 | | entire cost of providing coverage for its employees. The child
| 12 | | advocacy center shall not be required to enroll those of its
| 13 | | employees who are covered spouses or dependents under this plan
| 14 | | or another group policy or plan providing health benefits as
| 15 | | long as (1) an appropriate official from the child advocacy
| 16 | | center attests that each employee not enrolled is a covered
| 17 | | spouse or dependent under this plan or another group policy or
| 18 | | plan and (2) at least 50% of the employees are enrolled and the | 19 | | child advocacy center remits the entire cost of providing | 20 | | coverage to those employees. Employees of a participating child | 21 | | advocacy center who are not enrolled due to coverage under | 22 | | another group health policy or plan may enroll in the event of | 23 | | a qualifying change in status, special enrollment, or special | 24 | | circumstance as defined by the Director or during the annual | 25 | | Benefit Choice Period. A participating child advocacy center | 26 | | may also elect to cover its annuitants. Dependent coverage |
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| 1 | | shall be offered on an optional basis, with the costs paid by | 2 | | the child advocacy center, its employees, or some combination | 3 | | of the 2 as determined by the child advocacy center. The child | 4 | | advocacy center shall be responsible for timely collection and | 5 | | transmission of dependent premiums. | 6 | | The Director shall annually determine rates of payment, | 7 | | subject to the following constraints: | 8 | | (1) In the first year of coverage, the rates shall be | 9 | | equal to the amount normally charged to State employees for | 10 | | elected optional coverages or for enrolled dependents | 11 | | coverages or other contributory coverages on behalf of its | 12 | | employees, adjusted for differences between State | 13 | | employees and employees of the child advocacy center in | 14 | | age, sex, geographic location, or other relevant | 15 | | demographic variables, plus an amount sufficient to pay for | 16 | | the additional administrative costs of providing coverage | 17 | | to employees of the child advocacy center and their | 18 | | dependents. | 19 | | (2) In subsequent years, a further adjustment shall be | 20 | | made to reflect the actual prior years' claims experience | 21 | | of the employees of the child advocacy center. | 22 | | Monthly payments by the child advocacy center or its | 23 | | employees for group health insurance shall be deposited into | 24 | | the Local Government Health Insurance Reserve Fund. | 25 | | (Source: P.A. 96-756, eff. 1-1-10; 96-1232, eff. 7-23-10; | 26 | | 96-1519, eff. 2-4-11; 97-695, eff. 7-1-12.)
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| 1 | | (5 ILCS 375/13.1) (from Ch. 127, par. 533.1)
| 2 | | Sec. 13.1. (a) All contributions, appropriations, | 3 | | interest, and dividend
payments to fund the program of health | 4 | | benefits and other employee benefits, and all other revenues | 5 | | arising from the administration of any employee health benefits | 6 | | program,
shall be deposited in a trust fund outside the State | 7 | | Treasury, with the State
Treasurer as ex-officio custodian, to | 8 | | be known as the Health Insurance Reserve
Fund.
| 9 | | (b) Upon the adoption of a self-insurance health plan, any | 10 | | monies
attributable to the group health insurance program shall | 11 | | be deposited in or
transferred to the Health Insurance Reserve | 12 | | Fund for use by the Department.
As of the effective date of | 13 | | this amendatory Act of 1986, the Department
shall certify to | 14 | | the Comptroller the amount of money in the Group Insurance
| 15 | | Premium Fund attributable to the State group health insurance | 16 | | program and the
Comptroller shall transfer such money from the | 17 | | Group Insurance Premium Fund
to the Health Insurance Reserve | 18 | | Fund. Contributions by the State to the
Health Insurance | 19 | | Reserve Fund to meet the requirements of this Act, as
| 20 | | established by the Director, from the General Revenue Fund and | 21 | | the Road
Fund to the Health Insurance Reserve Fund shall be by | 22 | | annual
appropriations, and all other contributions to meet the | 23 | | requirements of the
programs of health benefits or other | 24 | | employee benefits shall be deposited
in the Health Insurance | 25 | | Reserve Fund. The Department shall draw the
appropriation from |
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| 1 | | the General Revenue Fund and the Road Fund from time to
time as | 2 | | necessary to make expenditures authorized under this Act.
| 3 | | The Director may employ such assistance and services and | 4 | | may purchase
such goods as may be necessary for the proper | 5 | | development and
administration of any of the benefit programs | 6 | | authorized by this Act. The
Director may promulgate rules and | 7 | | regulations in regard to the
administration of these programs.
| 8 | | All monies received by the Department for deposit in or | 9 | | transfer to the
Health Insurance Reserve Fund, through | 10 | | appropriation or otherwise, shall be
used to provide for the | 11 | | making of payments to claimants and providers and
to reimburse | 12 | | the Department for all expenses directly incurred relating to
| 13 | | Department development and administration of the program of | 14 | | health benefits
and other employee benefits.
| 15 | | Any administrative service organization administering any | 16 | | self-insurance
health plan and paying claims and benefits under | 17 | | authority of this Act may
receive, pursuant to written | 18 | | authorization and direction of the Director,
an initial | 19 | | transfer and periodic transfers of funds from the Health
| 20 | | Insurance Reserve Fund in amounts determined by the Director | 21 | | who may
consider the amount recommended by the administrative | 22 | | service organization.
Notwithstanding any other statute, such | 23 | | transferred funds shall be
retained by the administrative | 24 | | service organization in a separate
account provided by any bank | 25 | | as defined by the Illinois Banking
Act. The Department may | 26 | | promulgate regulations further defining the banks
authorized |
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| 1 | | to accept such funds and all methodology for transfer of such
| 2 | | funds. Any interest earned by monies in such
account shall | 3 | | inure to the Health Insurance Reserve Fund, shall remain
in | 4 | | such account and shall be used exclusively to pay claims and | 5 | | benefits
under this Act. Such transferred funds shall be used | 6 | | exclusively for
administrative service organization payment of | 7 | | claims to claimants and
providers under the self-insurance | 8 | | health plan by the drawing of checks
against such account. The | 9 | | administrative service organization may not use
such | 10 | | transferred funds, or interest accrued thereon, for any other | 11 | | purpose
including, but not limited to, reimbursement of | 12 | | administrative expenses or
payments of administration fees due | 13 | | the organization pursuant to its
contract or contracts with the | 14 | | Department of Central Management Services.
| 15 | | The account of the administrative service organization | 16 | | established under
this Section, any transfers from the Health | 17 | | Insurance Reserve Fund to
such account and the use of such | 18 | | account and funds shall be subject
to (1) audit by the | 19 | | Department or private contractor authorized by the
Department | 20 | | to conduct audits, and (2) post audit pursuant to the
Illinois | 21 | | State Auditing Act.
| 22 | | The Department of Central Management Healthcare and Family | 23 | | Services, or any successor agency designated to procure | 24 | | healthcare contracts pursuant to this Act, is authorized to | 25 | | establish funds, separate accounts provided by any bank or | 26 | | banks as defined by the Illinois Banking Act, or separate |
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| 1 | | accounts provided by any savings and loan association or | 2 | | associations as defined by the Illinois Savings and Loan Act of | 3 | | 1985 to be held by the Director, outside the State treasury, | 4 | | for the purpose of receiving the transfer of moneys from the | 5 | | Health Insurance Reserve Fund. The Department may promulgate | 6 | | rules further defining the methodology for the transfers. Any | 7 | | interest earned by monies in the funds or accounts shall inure | 8 | | to the Health Insurance Reserve Fund. The transferred moneys, | 9 | | and interest accrued thereon, shall be used exclusively for | 10 | | transfers to administrative service organizations or their | 11 | | financial institutions for payments of claims to claimants and | 12 | | providers under the self-insurance health plan. The | 13 | | transferred moneys, and interest accrued thereon, shall not be | 14 | | used for any other purpose including, but not limited to, | 15 | | reimbursement of administration fees due the administrative | 16 | | service organization pursuant to its contract or contracts with | 17 | | the Department.
| 18 | | (c) The Director, with the advice and consent of the | 19 | | Commission, shall
establish premiums for optional coverage for | 20 | | dependents of eligible members
for the health plans. The | 21 | | eligible members
shall be responsible for their portion of such | 22 | | optional
premium. The State shall
contribute an amount per | 23 | | month for each eligible member who has
enrolled one or more | 24 | | dependents under the health plans. Such contribution
shall be | 25 | | made directly to the Health Insurance
Reserve Fund. Those | 26 | | employees described in subsection (b) of Section 9 of this
Act |
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| 1 | | shall be allowed to continue in the health plan by
making | 2 | | personal payments with the premiums to be deposited
in the | 3 | | Health Insurance Reserve Fund.
| 4 | | (d) The Health Insurance Reserve Fund shall be a continuing | 5 | | fund not subject
to fiscal year limitations. All expenditures | 6 | | from that fund shall be at
the direction of the Director and | 7 | | shall be only for the purpose of:
| 8 | | (1) the payment of administrative expenses incurred by | 9 | | the Department
for the program of health benefits or other | 10 | | employee benefit programs,
including but not limited to the | 11 | | costs of audits or actuarial
consultations, professional | 12 | | and contractual services, electronic data
processing | 13 | | systems and services, and expenses in connection with the
| 14 | | development and administration of such programs;
| 15 | | (2) the payment of administrative expenses incurred by | 16 | | the Administrative
Service Organization;
| 17 | | (3) the payment of health benefits;
| 18 | | (3.5) the payment of medical expenses incurred by the | 19 | | Department for the treatment of employees who suffer | 20 | | accidental injury or death within the scope of their | 21 | | employment;
| 22 | | (4) refunds to employees for erroneous payments of | 23 | | their selected
dependent coverage;
| 24 | | (5) payment of premium for stop-loss or re-insurance;
| 25 | | (6) payment of premium to health maintenance | 26 | | organizations pursuant to
Section 6.1 of this Act;
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| 1 | | (7) payment of adoption program benefits; and
| 2 | | (8) payment of other benefits offered to members and | 3 | | dependents under
this Act.
| 4 | | (Source: P.A. 94-839, eff. 6-6-06; 95-632, eff. 9-25-07; | 5 | | 95-744, eff. 7-18-08.)
| 6 | | Section 905. The Department of Central Management Services | 7 | | Law of the
Civil Administrative Code of Illinois is amended by | 8 | | adding Section 405-520 as follows: | 9 | | (20 ILCS 405/405-520 new) | 10 | | Sec. 405-520. State healthcare purchasing. On and after the | 11 | | date 6 months after the effective date of this amendatory Act | 12 | | of the 98th General Assembly, as provided in the Executive | 13 | | Order 1 (2012) Implementation Act, all of the powers, duties, | 14 | | rights, and responsibilities related to State healthcare | 15 | | purchasing under this Law that were transferred from the | 16 | | Department to the Department of Healthcare and Family Services | 17 | | by Executive Order 3 (2005) are transferred back to the | 18 | | Department. | 19 | | Section 910. The Department of Human Services Act is | 20 | | amended by changing Section 1-20 as follows:
| 21 | | (20 ILCS 1305/1-20)
| 22 | | Sec. 1-20. General powers and duties.
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| 1 | | (a) The Department shall exercise the rights, powers, | 2 | | duties, and functions
provided by law, including (but not | 3 | | limited to) the rights, powers, duties, and
functions | 4 | | transferred to the Department under Article 80 and Article 90 | 5 | | of this
Act.
| 6 | | (b) The Department may employ personnel (in accordance with | 7 | | the Personnel
Code), provide facilities, contract for goods and | 8 | | services, and adopt rules as
necessary to carry out its | 9 | | functions and purposes, all in accordance with
applicable State | 10 | | and federal law.
| 11 | | (c) 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 Act that were | 16 | | transferred from the Department to the Department of Healthcare | 17 | | and Family Services by Executive Order 3 (2005) are transferred | 18 | | back to the Department. | 19 | | (Source: P.A. 89-507, eff. 7-3-96.)
| 20 | | Section 915. The Department of Healthcare and Family | 21 | | Services Law of the
Civil Administrative Code of Illinois is | 22 | | amended by adding Section 2205-20 as follows: | 23 | | (20 ILCS 2205/2205-20 new) | 24 | | Sec. 2205-20. State healthcare purchasing. On and after the |
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| 1 | | date 6 months after the effective date of this amendatory Act | 2 | | of the 98th General Assembly, as provided in the Executive | 3 | | Order 1 (2012) Implementation Act, all of the powers, duties, | 4 | | rights, and responsibilities related to State healthcare | 5 | | purchasing under this Law that were transferred to the | 6 | | Department of Healthcare and Family Services by Executive Order | 7 | | 3 (2005) are transferred back to the Departments from which | 8 | | those powers, duties, rights, and responsibilities were | 9 | | transferred; however, powers, duties, rights, and | 10 | | responsibilities related to State healthcare purchasing under | 11 | | this Law that were exercised by the Department of Corrections | 12 | | before the effective date of Executive Order 3 (2005) but that | 13 | | pertain to individuals resident in facilities operated by | 14 | | Department of Juvenile Justice shall be transferred to the | 15 | | Department of Juvenile Justice. | 16 | | Section 920. The Department of Veterans Affairs Act is | 17 | | amended by adding Section 2.08 as follows: | 18 | | (20 ILCS 2805/2.08 new) | 19 | | Sec. 2.08. State Healthcare purchasing. On and after the | 20 | | date 6 months after the effective date of this amendatory Act | 21 | | of the 98th General Assembly, as provided in the Executive | 22 | | Order 1 (2012) Implementation Act, all of the powers, duties, | 23 | | rights, and responsibilities related to State healthcare | 24 | | purchasing under this Act that were transferred from the |
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| 1 | | Department to the Department of Healthcare and Family Services | 2 | | by Executive Order 3 (2005) are transferred back to the | 3 | | Department. | 4 | | Section 925. The School Employee Benefit Act is amended by | 5 | | adding Section 7 as follows: | 6 | | (105 ILCS 55/7 new) | 7 | | Sec. 7. State healthcare purchasing. On and after the date | 8 | | 6 months after the effective date of this amendatory Act of the | 9 | | 98th General Assembly, as provided in the Executive Order 1 | 10 | | (2012) Implementation Act, all of the powers, duties, rights, | 11 | | and responsibilities related to State healthcare purchasing | 12 | | under this Act that were transferred from the Department to the | 13 | | Department of Healthcare and Family Services by Executive Order | 14 | | 3 (2005) are transferred back to the Department. | 15 | | Section 930. The Illinois Prescription Drug Discount | 16 | | Program Act is amended by changing Sections 10 and 15 and by | 17 | | adding Section 2 as follows: | 18 | | (320 ILCS 55/2 new) | 19 | | Sec. 2. State healthcare purchasing. On and after the date | 20 | | 6 months after the effective date of this amendatory Act of the | 21 | | 98th General Assembly, as provided in the Executive Order 1 | 22 | | (2012) Implementation Act, all of the powers, duties, rights, |
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| 1 | | and responsibilities related to State healthcare purchasing | 2 | | under this Act that were transferred from the Department of | 3 | | Central Management Services to the Department of Healthcare and | 4 | | Family Services by Executive Order 3 (2005) are transferred | 5 | | back to the Department of Central Management Services.
| 6 | | (320 ILCS 55/10)
| 7 | | Sec. 10. Purpose. The purpose of this program is to require | 8 | | the
Department
of Central Management
Healthcare and Family
| 9 | | Services to establish and administer a program that will
enable
| 10 | | eligible Illinois residents to purchase prescription drugs at
| 11 | | discounted
prices.
| 12 | | (Source: P.A. 93-18, eff. 7-1-03; 94-86, eff. 1-1-06.)
| 13 | | (320 ILCS 55/15)
| 14 | | Sec. 15. Definitions. As used in this Act:
| 15 | | "Authorized pharmacy" means any pharmacy registered in | 16 | | this State under the
Pharmacy Practice Act or approved by the | 17 | | Department of Financial and Professional Regulation and | 18 | | approved by the Department or its program
administrator.
| 19 | | "AWP" or "average wholesale price" means the amount | 20 | | determined from the
latest publication of the Red Book, a | 21 | | universally subscribed pharmacist
reference guide
annually | 22 | | published by the Hearst Corporation. "AWP" or "average | 23 | | wholesale
price"
may also be derived electronically from the | 24 | | drug pricing database synonymous
with the
latest publication of |
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| 1 | | the Red Book and furnished in the National Drug Data File
| 2 | | (NDDF)
by First Data Bank (FDB), a service of the Hearst | 3 | | Corporation.
| 4 | | "Covered medication" means any medication included in the | 5 | | Illinois Prescription Drug Discount Program.
| 6 | | "Department" means the Department of Central Management | 7 | | Healthcare and Family Services.
| 8 | | "Director" means the Director of Central Management | 9 | | Healthcare and Family Services.
| 10 | | "Drug manufacturer" means any entity (1) that is located | 11 | | within or outside
Illinois
that is engaged in (i) the | 12 | | production, preparation, propagation, compounding,
conversion,
| 13 | | or processing of prescription drug products covered under the | 14 | | program, either
directly or
indirectly by extraction from | 15 | | substances of natural origin, independently by
means of
| 16 | | chemical synthesis, or by a combination of extraction and | 17 | | chemical synthesis or
(ii) the
packaging, repackaging, | 18 | | leveling, labeling, or distribution of prescription
drug | 19 | | products
covered under the program and (2) that elects to | 20 | | provide prescription drugs
either directly
or under contract | 21 | | with any entity providing prescription drug services on
behalf | 22 | | of the
State of Illinois. "Drug manufacturer", however, does | 23 | | not include a wholesale
distributor
of drugs or a retail | 24 | | pharmacy licensed under Illinois law.
| 25 | | "Federal Poverty Limit" or "FPL" means the Federal Poverty | 26 | | Income Guidelines published annually in the Federal Register.
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| 1 | | "Prescription drug" means any prescribed drug that may be | 2 | | legally dispensed
by
an authorized pharmacy.
| 3 | | "Program" means the Illinois Prescription Drug
Discount | 4 | | Program created
under this Act.
| 5 | | "Program administrator" means the entity that is chosen by | 6 | | the Department to
administer the program. The program | 7 | | administrator may, in this case, be the
Director or
a Pharmacy | 8 | | Benefits Manager (PBM) chosen to subcontract with the Director.
| 9 | | "Rules" includes rules adopted and forms prescribed by the | 10 | | Department.
| 11 | | (Source: P.A. 94-86, eff. 1-1-06; 95-689, eff. 10-29-07.)
| 12 | | Section 935. The Unified Code of Corrections is amended by | 13 | | changing Sections 3-2-2 and 3-2.5-20 as follows:
| 14 | | (730 ILCS 5/3-2-2) (from Ch. 38, par. 1003-2-2)
| 15 | | Sec. 3-2-2. Powers and Duties of the Department.
| 16 | | (1) In addition to the powers, duties and responsibilities | 17 | | which are
otherwise provided by law, the Department shall have | 18 | | the following powers:
| 19 | | (a) To accept persons committed to it by the courts of | 20 | | this State for
care, custody, treatment and | 21 | | rehabilitation, and to accept federal prisoners and aliens | 22 | | over whom the Office of the Federal Detention Trustee is | 23 | | authorized to exercise the federal detention function for | 24 | | limited purposes and periods of time.
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| 1 | | (b) To develop and maintain reception and evaluation | 2 | | units for purposes
of analyzing the custody and | 3 | | rehabilitation needs of persons committed to
it and to | 4 | | assign such persons to institutions and programs under its | 5 | | control
or transfer them to other appropriate agencies. In | 6 | | consultation with the
Department of Alcoholism and | 7 | | Substance Abuse (now the Department of Human
Services), the | 8 | | Department of Corrections
shall develop a master plan for | 9 | | the screening and evaluation of persons
committed to its | 10 | | custody who have alcohol or drug abuse problems, and for
| 11 | | making appropriate treatment available to such persons; | 12 | | the Department
shall report to the General Assembly on such | 13 | | plan not later than April 1,
1987. The maintenance and | 14 | | implementation of such plan shall be contingent
upon the | 15 | | availability of funds.
| 16 | | (b-1) To create and implement, on January 1, 2002, a | 17 | | pilot
program to
establish the effectiveness of | 18 | | pupillometer technology (the measurement of the
pupil's
| 19 | | reaction to light) as an alternative to a urine test for | 20 | | purposes of screening
and evaluating
persons committed to | 21 | | its custody who have alcohol or drug problems. The
pilot | 22 | | program shall require the pupillometer technology to be | 23 | | used in at
least one Department of
Corrections facility. | 24 | | The Director may expand the pilot program to include an
| 25 | | additional facility or
facilities as he or she deems | 26 | | appropriate.
A minimum of 4,000 tests shall be included in |
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| 1 | | the pilot program.
The
Department must report to the
| 2 | | General Assembly on the
effectiveness of the program by | 3 | | January 1, 2003.
| 4 | | (b-5) To develop, in consultation with the Department | 5 | | of State Police, a
program for tracking and evaluating each | 6 | | inmate from commitment through release
for recording his or | 7 | | her gang affiliations, activities, or ranks.
| 8 | | (c) To maintain and administer all State correctional | 9 | | institutions and
facilities under its control and to | 10 | | establish new ones as needed. Pursuant
to its power to | 11 | | establish new institutions and facilities, the Department
| 12 | | may, with the written approval of the Governor, authorize | 13 | | the Department of
Central Management Services to enter into | 14 | | an agreement of the type
described in subsection (d) of | 15 | | Section 405-300 of the
Department
of Central Management | 16 | | Services Law (20 ILCS 405/405-300). The Department shall
| 17 | | designate those institutions which
shall constitute the | 18 | | State Penitentiary System.
| 19 | | Pursuant to its power to establish new institutions and | 20 | | facilities, the
Department may authorize the Department of | 21 | | Central Management Services to
accept bids from counties | 22 | | and municipalities for the construction,
remodeling or | 23 | | conversion of a structure to be leased to the Department of
| 24 | | Corrections for the purposes of its serving as a | 25 | | correctional institution
or facility. Such construction, | 26 | | remodeling or conversion may be financed
with revenue bonds |
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| 1 | | issued pursuant to the Industrial Building Revenue Bond
Act | 2 | | by the municipality or county. The lease specified in a bid | 3 | | shall be
for a term of not less than the time needed to | 4 | | retire any revenue bonds
used to finance the project, but | 5 | | not to exceed 40 years. The lease may
grant to the State | 6 | | the option to purchase the structure outright.
| 7 | | Upon receipt of the bids, the Department may certify | 8 | | one or more of the
bids and shall submit any such bids to | 9 | | the General Assembly for approval.
Upon approval of a bid | 10 | | by a constitutional majority of both houses of the
General | 11 | | Assembly, pursuant to joint resolution, the Department of | 12 | | Central
Management Services may enter into an agreement | 13 | | with the county or
municipality pursuant to such bid.
| 14 | | (c-5) To build and maintain regional juvenile | 15 | | detention centers and to
charge a per diem to the counties | 16 | | as established by the Department to defray
the costs of | 17 | | housing each minor in a center. In this subsection (c-5),
| 18 | | "juvenile
detention center" means a facility to house | 19 | | minors during pendency of trial who
have been transferred | 20 | | from proceedings under the Juvenile Court Act of 1987 to
| 21 | | prosecutions under the criminal laws of this State in | 22 | | accordance with Section
5-805 of the Juvenile Court Act of | 23 | | 1987, whether the transfer was by operation
of
law or | 24 | | permissive under that Section. The Department shall | 25 | | designate the
counties to be served by each regional | 26 | | juvenile detention center.
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| 1 | | (d) To develop and maintain programs of control, | 2 | | rehabilitation and
employment of committed persons within | 3 | | its institutions.
| 4 | | (d-5) To provide a pre-release job preparation program | 5 | | for inmates at Illinois adult correctional centers.
| 6 | | (e) To establish a system of supervision and guidance | 7 | | of committed persons
in the community.
| 8 | | (f) To establish in cooperation with the Department of | 9 | | Transportation
to supply a sufficient number of prisoners | 10 | | for use by the Department of
Transportation to clean up the | 11 | | trash and garbage along State, county,
township, or | 12 | | municipal highways as designated by the Department of
| 13 | | Transportation. The Department of Corrections, at the | 14 | | request of the
Department of Transportation, shall furnish | 15 | | such prisoners at least
annually for a period to be agreed | 16 | | upon between the Director of
Corrections and the Director | 17 | | of Transportation. The prisoners used on this
program shall | 18 | | be selected by the Director of Corrections on whatever | 19 | | basis
he deems proper in consideration of their term, | 20 | | behavior and earned eligibility
to participate in such | 21 | | program - where they will be outside of the prison
facility | 22 | | but still in the custody of the Department of Corrections. | 23 | | Prisoners
convicted of first degree murder, or a Class X | 24 | | felony, or armed violence, or
aggravated kidnapping, or | 25 | | criminal sexual assault, aggravated criminal sexual
abuse | 26 | | or a subsequent conviction for criminal sexual abuse, or |
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| 1 | | forcible
detention, or arson, or a prisoner adjudged a | 2 | | Habitual Criminal shall not be
eligible for selection to | 3 | | participate in such program. The prisoners shall
remain as | 4 | | prisoners in the custody of the Department of Corrections | 5 | | and such
Department shall furnish whatever security is | 6 | | necessary. The Department of
Transportation shall furnish | 7 | | trucks and equipment for the highway cleanup
program and | 8 | | personnel to supervise and direct the program. Neither the
| 9 | | Department of Corrections nor the Department of | 10 | | Transportation shall replace
any regular employee with a | 11 | | prisoner.
| 12 | | (g) To maintain records of persons committed to it and | 13 | | to establish
programs of research, statistics and | 14 | | planning.
| 15 | | (h) To investigate the grievances of any person | 16 | | committed to the
Department, to inquire into any alleged | 17 | | misconduct by employees
or committed persons, and to | 18 | | investigate the assets
of committed persons to implement | 19 | | Section 3-7-6 of this Code; and for
these purposes it may | 20 | | issue subpoenas and compel the attendance of witnesses
and | 21 | | the production of writings and papers, and may examine | 22 | | under oath any
witnesses who may appear before it; to also | 23 | | investigate alleged violations
of a parolee's or | 24 | | releasee's conditions of parole or release; and for this
| 25 | | purpose it may issue subpoenas and compel the attendance of | 26 | | witnesses and
the production of documents only if there is |
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| 1 | | reason to believe that such
procedures would provide | 2 | | evidence that such violations have occurred.
| 3 | | If any person fails to obey a subpoena issued under | 4 | | this subsection,
the Director may apply to any circuit | 5 | | court to secure compliance with the
subpoena. The failure | 6 | | to comply with the order of the court issued in
response | 7 | | thereto shall be punishable as contempt of court.
| 8 | | (i) To appoint and remove the chief administrative | 9 | | officers, and
administer
programs of training and | 10 | | development of personnel of the Department. Personnel
| 11 | | assigned by the Department to be responsible for the
| 12 | | custody and control of committed persons or to investigate | 13 | | the alleged
misconduct of committed persons or employees or | 14 | | alleged violations of a
parolee's or releasee's conditions | 15 | | of parole shall be conservators of the peace
for those | 16 | | purposes, and shall have the full power of peace officers | 17 | | outside
of the facilities of the Department in the | 18 | | protection, arrest, retaking
and reconfining of committed | 19 | | persons or where the exercise of such power
is necessary to | 20 | | the investigation of such misconduct or violations.
| 21 | | (j) To cooperate with other departments and agencies | 22 | | and with local
communities for the development of standards | 23 | | and programs for better
correctional services in this | 24 | | State.
| 25 | | (k) To administer all moneys and properties of the | 26 | | Department.
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| 1 | | (l) To report annually to the Governor on the committed
| 2 | | persons, institutions and programs of the Department.
| 3 | | (l-5) (Blank).
| 4 | | (m) To make all rules and regulations and exercise all | 5 | | powers and duties
vested by law in the Department.
| 6 | | (n) To establish rules and regulations for | 7 | | administering a system of
sentence credits, established in | 8 | | accordance with Section 3-6-3, subject
to review by the | 9 | | Prisoner Review Board.
| 10 | | (o) To administer the distribution of funds
from the | 11 | | State Treasury to reimburse counties where State penal
| 12 | | institutions are located for the payment of assistant | 13 | | state's attorneys'
salaries under Section 4-2001 of the | 14 | | Counties Code.
| 15 | | (p) To exchange information with the Department of | 16 | | Human Services and the
Department of Healthcare and Family | 17 | | Services
for the purpose of verifying living arrangements | 18 | | and for other purposes
directly connected with the | 19 | | administration of this Code and the Illinois
Public Aid | 20 | | Code.
| 21 | | (q) To establish a diversion program.
| 22 | | The program shall provide a structured environment for | 23 | | selected
technical parole or mandatory supervised release | 24 | | violators and committed
persons who have violated the rules | 25 | | governing their conduct while in work
release. This program | 26 | | shall not apply to those persons who have committed
a new |
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| 1 | | offense while serving on parole or mandatory supervised | 2 | | release or
while committed to work release.
| 3 | | Elements of the program shall include, but shall not be | 4 | | limited to, the
following:
| 5 | | (1) The staff of a diversion facility shall provide | 6 | | supervision in
accordance with required objectives set | 7 | | by the facility.
| 8 | | (2) Participants shall be required to maintain | 9 | | employment.
| 10 | | (3) Each participant shall pay for room and board | 11 | | at the facility on a
sliding-scale basis according to | 12 | | the participant's income.
| 13 | | (4) Each participant shall:
| 14 | | (A) provide restitution to victims in | 15 | | accordance with any court order;
| 16 | | (B) provide financial support to his | 17 | | dependents; and
| 18 | | (C) make appropriate payments toward any other | 19 | | court-ordered
obligations.
| 20 | | (5) Each participant shall complete community | 21 | | service in addition to
employment.
| 22 | | (6) Participants shall take part in such | 23 | | counseling, educational and
other programs as the | 24 | | Department may deem appropriate.
| 25 | | (7) Participants shall submit to drug and alcohol | 26 | | screening.
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| 1 | | (8) The Department shall promulgate rules | 2 | | governing the administration
of the program.
| 3 | | (r) To enter into intergovernmental cooperation | 4 | | agreements under which
persons in the custody of the | 5 | | Department may participate in a county impact
| 6 | | incarceration program established under Section 3-6038 or | 7 | | 3-15003.5 of the
Counties Code.
| 8 | | (r-5) (Blank).
| 9 | | (r-10) To systematically and routinely identify with | 10 | | respect to each
streetgang active within the correctional | 11 | | system: (1) each active gang; (2)
every existing inter-gang | 12 | | affiliation or alliance; and (3) the current leaders
in | 13 | | each gang. The Department shall promptly segregate leaders | 14 | | from inmates who
belong to their gangs and allied gangs. | 15 | | "Segregate" means no physical contact
and, to the extent | 16 | | possible under the conditions and space available at the
| 17 | | correctional facility, prohibition of visual and sound | 18 | | communication. For the
purposes of this paragraph (r-10), | 19 | | "leaders" means persons who:
| 20 | | (i) are members of a criminal streetgang;
| 21 | | (ii) with respect to other individuals within the | 22 | | streetgang, occupy a
position of organizer, | 23 | | supervisor, or other position of management or
| 24 | | leadership; and
| 25 | | (iii) are actively and personally engaged in | 26 | | directing, ordering,
authorizing, or requesting |
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| 1 | | commission of criminal acts by others, which are
| 2 | | punishable as a felony, in furtherance of streetgang | 3 | | related activity both
within and outside of the | 4 | | Department of Corrections.
| 5 | | "Streetgang", "gang", and "streetgang related" have the | 6 | | meanings ascribed to
them in Section 10 of the Illinois | 7 | | Streetgang Terrorism Omnibus Prevention
Act.
| 8 | | (s) To operate a super-maximum security institution, | 9 | | in order to
manage and
supervise inmates who are disruptive | 10 | | or dangerous and provide for the safety
and security of the | 11 | | staff and the other inmates.
| 12 | | (t) To monitor any unprivileged conversation or any | 13 | | unprivileged
communication, whether in person or by mail, | 14 | | telephone, or other means,
between an inmate who, before | 15 | | commitment to the Department, was a member of an
organized | 16 | | gang and any other person without the need to show cause or | 17 | | satisfy
any other requirement of law before beginning the | 18 | | monitoring, except as
constitutionally required. The | 19 | | monitoring may be by video, voice, or other
method of | 20 | | recording or by any other means. As used in this | 21 | | subdivision (1)(t),
"organized gang" has the meaning | 22 | | ascribed to it in Section 10 of the Illinois
Streetgang | 23 | | Terrorism Omnibus Prevention Act.
| 24 | | As used in this subdivision (1)(t), "unprivileged | 25 | | conversation" or
"unprivileged communication" means a | 26 | | conversation or communication that is not
protected by any |
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| 1 | | privilege recognized by law or by decision, rule, or order | 2 | | of
the Illinois Supreme Court.
| 3 | | (u) To establish a Women's and Children's Pre-release | 4 | | Community
Supervision
Program for the purpose of providing | 5 | | housing and services to eligible female
inmates, as | 6 | | determined by the Department, and their newborn and young
| 7 | | children.
| 8 | | (u-5) To issue an order, whenever a person committed to | 9 | | the Department absconds or absents himself or herself, | 10 | | without authority to do so, from any facility or program to | 11 | | which he or she is assigned. The order shall be certified | 12 | | by the Director, the Supervisor of the Apprehension Unit, | 13 | | or any person duly designated by the Director, with the | 14 | | seal of the Department affixed. The order shall be directed | 15 | | to all sheriffs, coroners, and police officers, or to any | 16 | | particular person named in the order. Any order issued | 17 | | pursuant to this subdivision (1) (u-5) shall be sufficient | 18 | | warrant for the officer or person named in the order to | 19 | | arrest and deliver the committed person to the proper | 20 | | correctional officials and shall be executed the same as | 21 | | criminal process.
| 22 | | (v) To do all other acts necessary to carry out the | 23 | | provisions
of this Chapter.
| 24 | | (2) The Department of Corrections shall by January 1, 1998, | 25 | | consider
building and operating a correctional facility within | 26 | | 100 miles of a county of
over 2,000,000 inhabitants, especially |
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| 1 | | a facility designed to house juvenile
participants in the | 2 | | impact incarceration program.
| 3 | | (3) When the Department lets bids for contracts for medical
| 4 | | services to be provided to persons committed to Department | 5 | | facilities by
a health maintenance organization, medical | 6 | | service corporation, or other
health care provider, the bid may | 7 | | only be let to a health care provider
that has obtained an | 8 | | irrevocable letter of credit or performance bond
issued by a | 9 | | company whose bonds have an investment grade or higher rating | 10 | | by a bond rating
organization.
| 11 | | (4) When the Department lets bids for
contracts for food or | 12 | | commissary services to be provided to
Department facilities, | 13 | | the bid may only be let to a food or commissary
services | 14 | | provider that has obtained an irrevocable letter of
credit or | 15 | | performance bond issued by a company whose bonds have an | 16 | | investment grade or higher rating by a bond rating | 17 | | organization.
| 18 | | (5) On and after the date 6 months after the effective date | 19 | | of this amendatory Act of the 98th General Assembly, as | 20 | | provided in the Executive Order 1 (2012) Implementation Act, | 21 | | all of the powers, duties, rights, and responsibilities related | 22 | | to State healthcare purchasing under this Code that were | 23 | | transferred from the Department of Corrections to the | 24 | | Department of Healthcare and Family Services by Executive Order | 25 | | 3 (2005) are transferred back to the Department of Corrections; | 26 | | however, powers, duties, rights, and responsibilities related |
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| 1 | | to State healthcare purchasing under this Code that were | 2 | | exercised by the Department of Corrections before the effective | 3 | | date of Executive Order 3 (2005) but that pertain to | 4 | | individuals resident in facilities operated by the Department | 5 | | of Juvenile Justice are transferred to the Department of | 6 | | Juvenile Justice. | 7 | | (Source: P.A. 96-1265, eff. 7-26-10; 97-697, eff. 6-22-12; | 8 | | 97-800, eff. 7-13-12; 97-802, eff. 7-13-12; revised 7-23-12.)
| 9 | | (730 ILCS 5/3-2.5-20)
| 10 | | Sec. 3-2.5-20. General powers and duties. | 11 | | (a) In addition to the powers, duties, and responsibilities | 12 | | which are otherwise provided by law or transferred to the | 13 | | Department as a result of this Article, the Department, as | 14 | | determined by the Director, shall have, but are not limited to, | 15 | | the following rights, powers, functions and duties: | 16 | | (1) To accept juveniles committed to it by the courts | 17 | | of this State for care, custody, treatment, and | 18 | | rehabilitation. | 19 | | (2) To maintain and administer all State juvenile | 20 | | correctional institutions previously under the control of | 21 | | the Juvenile and Women's & Children Divisions of the | 22 | | Department of Corrections, and to establish and maintain | 23 | | institutions as needed to meet the needs of the youth | 24 | | committed to its care. | 25 | | (3) To identify the need for and recommend the funding |
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| 1 | | and implementation of an appropriate mix of programs and | 2 | | services within the juvenile justice continuum, including | 3 | | but not limited to prevention, nonresidential and | 4 | | residential commitment programs, day treatment, and | 5 | | conditional release programs and services, with the | 6 | | support of educational, vocational, alcohol, drug abuse, | 7 | | and mental health services where appropriate. | 8 | | (4) To establish and provide transitional and | 9 | | post-release treatment programs for juveniles committed to | 10 | | the Department. Services shall include but are not limited | 11 | | to: | 12 | | (i) family and individual counseling and treatment | 13 | | placement; | 14 | | (ii) referral services to any other State or local | 15 | | agencies; | 16 | | (iii) mental health services; | 17 | | (iv) educational services; | 18 | | (v) family counseling services; and | 19 | | (vi) substance abuse services. | 20 | | (5) To access vital records of juveniles for the | 21 | | purposes of providing necessary documentation for | 22 | | transitional services such as obtaining identification, | 23 | | educational enrollment, employment, and housing. | 24 | | (6) To develop staffing and workload standards and | 25 | | coordinate staff development and training appropriate for | 26 | | juvenile populations. |
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| 1 | | (7) To develop, with the approval of the Office of the | 2 | | Governor and the Governor's Office of Management and | 3 | | Budget, annual budget requests.
| 4 | | (8) To administer the Interstate Compact for | 5 | | Juveniles, with respect to all juveniles under its | 6 | | jurisdiction, and to cooperate with the Department of Human | 7 | | Services with regard to all non-offender juveniles subject | 8 | | to the Interstate Compact for Juveniles.
| 9 | | (b) The Department may employ personnel in accordance with | 10 | | the Personnel Code and Section 3-2.5-15 of this Code, provide | 11 | | facilities, contract for goods and services, and adopt rules as | 12 | | necessary to carry out its functions and purposes, all in | 13 | | accordance with applicable State and federal law.
| 14 | | (c) On and after the date 6 months after the effective date | 15 | | of this amendatory Act of the 98th General Assembly, as | 16 | | provided in the Executive Order 1 (2012) Implementation Act, | 17 | | all of the powers, duties, rights, and responsibilities related | 18 | | to State healthcare purchasing under this Code that were | 19 | | transferred from the Department of Corrections to the | 20 | | Department of Healthcare and Family Services by Executive Order | 21 | | 3 (2005) are transferred back to the Department of Corrections; | 22 | | however, powers, duties, rights, and responsibilities related | 23 | | to State healthcare purchasing under this Code that were | 24 | | exercised by the Department of Corrections before the effective | 25 | | date of Executive Order 3 (2005) but that pertain to | 26 | | individuals resident in facilities operated by the Department |
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| 1 | | of Juvenile Justice are transferred to the Department of | 2 | | Juvenile Justice. | 3 | | (Source: P.A. 94-696, eff. 6-1-06; 95-937, eff. 8-26-08.) | 4 | | Section 997. Severability. The provisions of this Act are | 5 | | severable under Section 1.31 of the Statute on Statutes.
| 6 | | Section 999. Effective date. This Act takes effect upon | 7 | | becoming law.".
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