Illinois General Assembly - Full Text of HB0579
Illinois General Assembly

  Bills & Resolutions  
  Compiled Statutes  
  Public Acts  
  Legislative Reports  
  IL Constitution  
  Legislative Guide  
  Legislative Glossary  

 Search By Number
 (example: HB0001)
Search Tips

Search By Keyword

Full Text of HB0579  103rd General Assembly

HB0579ham004 103RD GENERAL ASSEMBLY

Rep. Robyn Gabel

Filed: 5/4/2023

 

 


 

 


 
10300HB0579ham004LRB103 04164 BMS 61465 a

1
AMENDMENT TO HOUSE BILL 579

2    AMENDMENT NO. ______. Amend House Bill 579 by replacing
3everything after the enacting clause with the following:
 
4    "Section 5. The Department of Insurance Law is amended by
5adding Section 1405-50 as follows:
 
6    (20 ILCS 1405/1405-50 new)
7    Sec. 1405-50. Marketplace Director of the Illinois Health
8Benefits Exchange. The Governor shall appoint a person within
9the Department of Insurance to serve as the Marketplace
10Director of the Illinois Health Benefits Exchange. This person
11may be an existing employee with other duties. The Marketplace
12Director shall receive an annual salary as set by the Governor
13and shall be paid out of the appropriations to the Department.
14The Marketplace Director shall not be subject to the Personnel
15Code. The Marketplace Director, under the direction of the
16Director, shall manage the operations and staff of the

 

 

10300HB0579ham004- 2 -LRB103 04164 BMS 61465 a

1Illinois Health Benefits Exchange to ensure optimal exchange
2performance.
 
3    Section 10. The State Finance Act is amended by adding
4Section 5.990 as follows:
 
5    (30 ILCS 105/5.990 new)
6    Sec. 5.990. The Illinois Health Benefits Exchange Fund.
 
7    Section 15. The Illinois Procurement Code is amended by
8changing Section 1-10 as follows:
 
9    (30 ILCS 500/1-10)
10    Sec. 1-10. Application.
11    (a) This Code applies only to procurements for which
12bidders, offerors, potential contractors, or contractors were
13first solicited on or after July 1, 1998. This Code shall not
14be construed to affect or impair any contract, or any
15provision of a contract, entered into based on a solicitation
16prior to the implementation date of this Code as described in
17Article 99, including, but not limited to, any covenant
18entered into with respect to any revenue bonds or similar
19instruments. All procurements for which contracts are
20solicited between the effective date of Articles 50 and 99 and
21July 1, 1998 shall be substantially in accordance with this
22Code and its intent.

 

 

10300HB0579ham004- 3 -LRB103 04164 BMS 61465 a

1    (b) This Code shall apply regardless of the source of the
2funds with which the contracts are paid, including federal
3assistance moneys. This Code shall not apply to:
4        (1) Contracts between the State and its political
5    subdivisions or other governments, or between State
6    governmental bodies, except as specifically provided in
7    this Code.
8        (2) Grants, except for the filing requirements of
9    Section 20-80.
10        (3) Purchase of care, except as provided in Section
11    5-30.6 of the Illinois Public Aid Code and this Section.
12        (4) Hiring of an individual as an employee and not as
13    an independent contractor, whether pursuant to an
14    employment code or policy or by contract directly with
15    that individual.
16        (5) Collective bargaining contracts.
17        (6) Purchase of real estate, except that notice of
18    this type of contract with a value of more than $25,000
19    must be published in the Procurement Bulletin within 10
20    calendar days after the deed is recorded in the county of
21    jurisdiction. The notice shall identify the real estate
22    purchased, the names of all parties to the contract, the
23    value of the contract, and the effective date of the
24    contract.
25        (7) Contracts necessary to prepare for anticipated
26    litigation, enforcement actions, or investigations,

 

 

10300HB0579ham004- 4 -LRB103 04164 BMS 61465 a

1    provided that the chief legal counsel to the Governor
2    shall give his or her prior approval when the procuring
3    agency is one subject to the jurisdiction of the Governor,
4    and provided that the chief legal counsel of any other
5    procuring entity subject to this Code shall give his or
6    her prior approval when the procuring entity is not one
7    subject to the jurisdiction of the Governor.
8        (8) (Blank).
9        (9) Procurement expenditures by the Illinois
10    Conservation Foundation when only private funds are used.
11        (10) (Blank).
12        (11) Public-private agreements entered into according
13    to the procurement requirements of Section 20 of the
14    Public-Private Partnerships for Transportation Act and
15    design-build agreements entered into according to the
16    procurement requirements of Section 25 of the
17    Public-Private Partnerships for Transportation Act.
18        (12) (A) Contracts for legal, financial, and other
19    professional and artistic services entered into by the
20    Illinois Finance Authority in which the State of Illinois
21    is not obligated. Such contracts shall be awarded through
22    a competitive process authorized by the members of the
23    Illinois Finance Authority and are subject to Sections
24    5-30, 20-160, 50-13, 50-20, 50-35, and 50-37 of this Code,
25    as well as the final approval by the members of the
26    Illinois Finance Authority of the terms of the contract.

 

 

10300HB0579ham004- 5 -LRB103 04164 BMS 61465 a

1        (B) Contracts for legal and financial services entered
2    into by the Illinois Housing Development Authority in
3    connection with the issuance of bonds in which the State
4    of Illinois is not obligated. Such contracts shall be
5    awarded through a competitive process authorized by the
6    members of the Illinois Housing Development Authority and
7    are subject to Sections 5-30, 20-160, 50-13, 50-20, 50-35,
8    and 50-37 of this Code, as well as the final approval by
9    the members of the Illinois Housing Development Authority
10    of the terms of the contract.
11        (13) Contracts for services, commodities, and
12    equipment to support the delivery of timely forensic
13    science services in consultation with and subject to the
14    approval of the Chief Procurement Officer as provided in
15    subsection (d) of Section 5-4-3a of the Unified Code of
16    Corrections, except for the requirements of Sections
17    20-60, 20-65, 20-70, and 20-160 and Article 50 of this
18    Code; however, the Chief Procurement Officer may, in
19    writing with justification, waive any certification
20    required under Article 50 of this Code. For any contracts
21    for services which are currently provided by members of a
22    collective bargaining agreement, the applicable terms of
23    the collective bargaining agreement concerning
24    subcontracting shall be followed.
25        On and after January 1, 2019, this paragraph (13),
26    except for this sentence, is inoperative.

 

 

10300HB0579ham004- 6 -LRB103 04164 BMS 61465 a

1        (14) Contracts for participation expenditures required
2    by a domestic or international trade show or exhibition of
3    an exhibitor, member, or sponsor.
4        (15) Contracts with a railroad or utility that
5    requires the State to reimburse the railroad or utilities
6    for the relocation of utilities for construction or other
7    public purpose. Contracts included within this paragraph
8    (15) shall include, but not be limited to, those
9    associated with: relocations, crossings, installations,
10    and maintenance. For the purposes of this paragraph (15),
11    "railroad" means any form of non-highway ground
12    transportation that runs on rails or electromagnetic
13    guideways and "utility" means: (1) public utilities as
14    defined in Section 3-105 of the Public Utilities Act, (2)
15    telecommunications carriers as defined in Section 13-202
16    of the Public Utilities Act, (3) electric cooperatives as
17    defined in Section 3.4 of the Electric Supplier Act, (4)
18    telephone or telecommunications cooperatives as defined in
19    Section 13-212 of the Public Utilities Act, (5) rural
20    water or waste water systems with 10,000 connections or
21    less, (6) a holder as defined in Section 21-201 of the
22    Public Utilities Act, and (7) municipalities owning or
23    operating utility systems consisting of public utilities
24    as that term is defined in Section 11-117-2 of the
25    Illinois Municipal Code.
26        (16) Procurement expenditures necessary for the

 

 

10300HB0579ham004- 7 -LRB103 04164 BMS 61465 a

1    Department of Public Health to provide the delivery of
2    timely newborn screening services in accordance with the
3    Newborn Metabolic Screening Act.
4        (17) Procurement expenditures necessary for the
5    Department of Agriculture, the Department of Financial and
6    Professional Regulation, the Department of Human Services,
7    and the Department of Public Health to implement the
8    Compassionate Use of Medical Cannabis Program and Opioid
9    Alternative Pilot Program requirements and ensure access
10    to medical cannabis for patients with debilitating medical
11    conditions in accordance with the Compassionate Use of
12    Medical Cannabis Program Act.
13        (18) This Code does not apply to any procurements
14    necessary for the Department of Agriculture, the
15    Department of Financial and Professional Regulation, the
16    Department of Human Services, the Department of Commerce
17    and Economic Opportunity, and the Department of Public
18    Health to implement the Cannabis Regulation and Tax Act if
19    the applicable agency has made a good faith determination
20    that it is necessary and appropriate for the expenditure
21    to fall within this exemption and if the process is
22    conducted in a manner substantially in accordance with the
23    requirements of Sections 20-160, 25-60, 30-22, 50-5,
24    50-10, 50-10.5, 50-12, 50-13, 50-15, 50-20, 50-21, 50-35,
25    50-36, 50-37, 50-38, and 50-50 of this Code; however, for
26    Section 50-35, compliance applies only to contracts or

 

 

10300HB0579ham004- 8 -LRB103 04164 BMS 61465 a

1    subcontracts over $100,000. Notice of each contract
2    entered into under this paragraph (18) that is related to
3    the procurement of goods and services identified in
4    paragraph (1) through (9) of this subsection shall be
5    published in the Procurement Bulletin within 14 calendar
6    days after contract execution. The Chief Procurement
7    Officer shall prescribe the form and content of the
8    notice. Each agency shall provide the Chief Procurement
9    Officer, on a monthly basis, in the form and content
10    prescribed by the Chief Procurement Officer, a report of
11    contracts that are related to the procurement of goods and
12    services identified in this subsection. At a minimum, this
13    report shall include the name of the contractor, a
14    description of the supply or service provided, the total
15    amount of the contract, the term of the contract, and the
16    exception to this Code utilized. A copy of any or all of
17    these contracts shall be made available to the Chief
18    Procurement Officer immediately upon request. The Chief
19    Procurement Officer shall submit a report to the Governor
20    and General Assembly no later than November 1 of each year
21    that includes, at a minimum, an annual summary of the
22    monthly information reported to the Chief Procurement
23    Officer. This exemption becomes inoperative 5 years after
24    June 25, 2019 (the effective date of Public Act 101-27).
25        (19) Acquisition of modifications or adjustments,
26    limited to assistive technology devices and assistive

 

 

10300HB0579ham004- 9 -LRB103 04164 BMS 61465 a

1    technology services, adaptive equipment, repairs, and
2    replacement parts to provide reasonable accommodations (i)
3    that enable a qualified applicant with a disability to
4    complete the job application process and be considered for
5    the position such qualified applicant desires, (ii) that
6    modify or adjust the work environment to enable a
7    qualified current employee with a disability to perform
8    the essential functions of the position held by that
9    employee, (iii) to enable a qualified current employee
10    with a disability to enjoy equal benefits and privileges
11    of employment as are enjoyed by other similarly situated
12    employees without disabilities, and (iv) that allow a
13    customer, client, claimant, or member of the public
14    seeking State services full use and enjoyment of and
15    access to its programs, services, or benefits.
16        For purposes of this paragraph (19):
17        "Assistive technology devices" means any item, piece
18    of equipment, or product system, whether acquired
19    commercially off the shelf, modified, or customized, that
20    is used to increase, maintain, or improve functional
21    capabilities of individuals with disabilities.
22        "Assistive technology services" means any service that
23    directly assists an individual with a disability in
24    selection, acquisition, or use of an assistive technology
25    device.
26        "Qualified" has the same meaning and use as provided

 

 

10300HB0579ham004- 10 -LRB103 04164 BMS 61465 a

1    under the federal Americans with Disabilities Act when
2    describing an individual with a disability.
3        (20) Procurement expenditures necessary for the
4    Illinois Commerce Commission to hire third-party
5    facilitators pursuant to Sections 16-105.17 and 16-108.18
6    of the Public Utilities Act or an ombudsman pursuant to
7    Section 16-107.5 of the Public Utilities Act, a
8    facilitator pursuant to Section 16-105.17 of the Public
9    Utilities Act, or a grid auditor pursuant to Section
10    16-105.10 of the Public Utilities Act.
11        (21) Procurement expenditures for the purchase,
12    renewal, and expansion of software, software licenses, or
13    software maintenance agreements that support the efforts
14    of the Illinois State Police to enforce, regulate, and
15    administer the Firearm Owners Identification Card Act, the
16    Firearm Concealed Carry Act, the Firearms Restraining
17    Order Act, the Firearm Dealer License Certification Act,
18    the Law Enforcement Agencies Data System (LEADS), the
19    Uniform Crime Reporting Act, the Criminal Identification
20    Act, the Uniform Conviction Information Act, and the Gun
21    Trafficking Information Act, or establish or maintain
22    record management systems necessary to conduct human
23    trafficking investigations or gun trafficking or other
24    stolen firearm investigations. This paragraph (21) applies
25    to contracts entered into on or after the effective date
26    of this amendatory Act of the 102nd General Assembly and

 

 

10300HB0579ham004- 11 -LRB103 04164 BMS 61465 a

1    the renewal of contracts that are in effect on the
2    effective date of this amendatory Act of the 102nd General
3    Assembly.
4        (22) Procurements necessary for the Department of
5    Insurance to implement the Illinois Health Benefits
6    Exchange Law if the Department of Insurance has made a
7    good faith determination that it is necessary and
8    appropriate for the expenditure to fall within this
9    exemption. The procurement process shall be conducted in a
10    manner substantially in accordance with the requirements
11    of Sections 20-160 and 25-60 and Article 50 of this Code. A
12    copy of these contracts shall be made available to the
13    Chief Procurement Officer immediately upon request. This
14    paragraph is inoperative 5 years after the effective date
15    of this amendatory Act of the 103rd General Assembly.
16    Notwithstanding any other provision of law, for contracts
17with an annual value of more than $100,000 entered into on or
18after October 1, 2017 under an exemption provided in any
19paragraph of this subsection (b), except paragraph (1), (2),
20or (5), each State agency shall post to the appropriate
21procurement bulletin the name of the contractor, a description
22of the supply or service provided, the total amount of the
23contract, the term of the contract, and the exception to the
24Code utilized. The chief procurement officer shall submit a
25report to the Governor and General Assembly no later than
26November 1 of each year that shall include, at a minimum, an

 

 

10300HB0579ham004- 12 -LRB103 04164 BMS 61465 a

1annual summary of the monthly information reported to the
2chief procurement officer.
3    (c) This Code does not apply to the electric power
4procurement process provided for under Section 1-75 of the
5Illinois Power Agency Act and Section 16-111.5 of the Public
6Utilities Act.
7    (d) Except for Section 20-160 and Article 50 of this Code,
8and as expressly required by Section 9.1 of the Illinois
9Lottery Law, the provisions of this Code do not apply to the
10procurement process provided for under Section 9.1 of the
11Illinois Lottery Law.
12    (e) This Code does not apply to the process used by the
13Capital Development Board to retain a person or entity to
14assist the Capital Development Board with its duties related
15to the determination of costs of a clean coal SNG brownfield
16facility, as defined by Section 1-10 of the Illinois Power
17Agency Act, as required in subsection (h-3) of Section 9-220
18of the Public Utilities Act, including calculating the range
19of capital costs, the range of operating and maintenance
20costs, or the sequestration costs or monitoring the
21construction of clean coal SNG brownfield facility for the
22full duration of construction.
23    (f) (Blank).
24    (g) (Blank).
25    (h) This Code does not apply to the process to procure or
26contracts entered into in accordance with Sections 11-5.2 and

 

 

10300HB0579ham004- 13 -LRB103 04164 BMS 61465 a

111-5.3 of the Illinois Public Aid Code.
2    (i) Each chief procurement officer may access records
3necessary to review whether a contract, purchase, or other
4expenditure is or is not subject to the provisions of this
5Code, unless such records would be subject to attorney-client
6privilege.
7    (j) This Code does not apply to the process used by the
8Capital Development Board to retain an artist or work or works
9of art as required in Section 14 of the Capital Development
10Board Act.
11    (k) This Code does not apply to the process to procure
12contracts, or contracts entered into, by the State Board of
13Elections or the State Electoral Board for hearing officers
14appointed pursuant to the Election Code.
15    (l) This Code does not apply to the processes used by the
16Illinois Student Assistance Commission to procure supplies and
17services paid for from the private funds of the Illinois
18Prepaid Tuition Fund. As used in this subsection (l), "private
19funds" means funds derived from deposits paid into the
20Illinois Prepaid Tuition Trust Fund and the earnings thereon.
21    (m) This Code shall apply regardless of the source of
22funds with which contracts are paid, including federal
23assistance moneys. Except as specifically provided in this
24Code, this Code shall not apply to procurement expenditures
25necessary for the Department of Public Health to conduct the
26Healthy Illinois Survey in accordance with Section 2310-431 of

 

 

10300HB0579ham004- 14 -LRB103 04164 BMS 61465 a

1the Department of Public Health Powers and Duties Law of the
2Civil Administrative Code of Illinois.
3(Source: P.A. 101-27, eff. 6-25-19; 101-81, eff. 7-12-19;
4101-363, eff. 8-9-19; 102-175, eff. 7-29-21; 102-483, eff
51-1-22; 102-558, eff. 8-20-21; 102-600, eff. 8-27-21; 102-662,
6eff. 9-15-21; 102-721, eff. 1-1-23; 102-813, eff. 5-13-22;
7102-1116, eff. 1-10-23.)
 
8    Section 20. The Illinois Health Benefits Exchange Law is
9amended by changing Section 5-5 and by adding Sections 5-21,
105-22, 5-23, and 5-24 as follows:
 
11    (215 ILCS 122/5-5)
12    Sec. 5-5. State health benefits exchange. It is declared
13that this State, beginning October 1, 2013, in accordance with
14Section 1311 of the federal Patient Protection and Affordable
15Care Act, shall establish a State health benefits exchange to
16be known as the Illinois Health Benefits Exchange in order to
17help individuals and small employers with no more than 50
18employees shop for, select, and enroll in qualified,
19affordable private health plans that fit their needs at
20competitive prices. The Exchange shall separate coverage pools
21for individuals and small employers and shall supplement and
22not supplant any existing private health insurance market for
23individuals and small employers. The Department of Insurance
24shall operate the Illinois Health Benefits Exchange as a

 

 

10300HB0579ham004- 15 -LRB103 04164 BMS 61465 a

1State-based exchange using the federal platform by plan year
22025 and as a State-based exchange by plan year 2026. The
3Director of Insurance may require that all plans in the
4individual and small group markets, other than grandfathered
5health plans, be made available for comparison on the Illinois
6Health Benefits Exchange, but may not require that all plans
7in the individual and small group markets be purchased
8exclusively on the Illinois Health Benefits Exchange. The
9Director of Insurance may require that plans offered on the
10exchange conform with standardized plan designs that provide
11for standardized cost sharing for covered health services.
12Except when it is inconsistent with State law, the Department
13of Insurance shall enforce the coverage requirements under the
14federal Patient Protection and Affordable Care Act, including
15the coverage of all United States Preventive Services Task
16Force Grade A and B preventive services without cost sharing
17notwithstanding any federal overturning or repeal of 42 U.S.C.
18300gg-13(a)(1), that apply to the individual and small group
19markets. The Director of Insurance may elect to add a small
20business health options program to the Illinois Health
21Benefits Exchange to help small employers enroll their
22employees in qualified health plans in the small group market.
23The General Assembly shall appropriate funds to establish the
24Illinois Health Benefits Exchange.
25(Source: P.A. 97-142, eff. 7-14-11.)
 

 

 

10300HB0579ham004- 16 -LRB103 04164 BMS 61465 a

1    (215 ILCS 122/5-21 new)
2    Sec. 5-21. Monthly assessments.
3    (a) The Director of Insurance may apply a monthly
4assessment to each health benefits plan sold on the Illinois
5Health Benefits Exchange. The assessment shall be paid by the
6issuer and to the Department of Insurance and shall be used
7only for the purpose of supporting the exchange through
8exchange operations, outreach, enrollment, and other means of
9supporting the exchange, including any efforts that may result
10in a benefit to policyholders. The assessment may be applied
11at a rate of:
12        (1) 0.5% of the total monthly premium charged by an
13    issuer for each health benefits plan during any period
14    that the State is on a State-based exchange using the
15    federal platform; or
16        (2) 2.75% of the total monthly premium charged by an
17    issuer for each health benefits plan during any period
18    that the State is on the State-based exchange. The
19    Director of Insurance shall adjust this rate to ensure
20    that the Illinois Health Benefits Exchange is fully
21    funded, but in no case shall the assessment be applied at a
22    rate that exceeds 4% of the total monthly premium charged
23    by a carrier. If the Director determines it is necessary
24    to adjust the rate pursuant to this paragraph, the
25    Director shall, in advance of the adjustment, post on the
26    Department's website a report describing the reasons and

 

 

10300HB0579ham004- 17 -LRB103 04164 BMS 61465 a

1    justifications for the adjustment, which shall be
2    consistent with the purposes of supporting the Illinois
3    Health Benefits Exchange as provided in this Section, at
4    least 120 days before the implementation of the rate
5    adjustment.
6    (b) The Director of Insurance shall notify an issuer 120
7days before the implementation of its assessment rate for the
8subsequent year. Issuers must remit the assessment due in
9monthly installments to the Department of Insurance.
10    (c) The assessment described in this Section shall be
11considered a special purpose obligation and may not be applied
12by issuers to vary premium rates at the plan level.
13    (d) There is created a special fund within the State
14treasury to be known as the Illinois Health Benefits Exchange
15Fund. The Illinois Health Benefits Exchange Fund shall be the
16repository for moneys collected pursuant to fees or
17assessments on exchange issuers, federal financial
18participation as appropriate, and other moneys received as
19grants or otherwise appropriated for the purposes of
20supporting health insurance outreach, enrollment efforts, and
21plan management operations through an exchange. All moneys in
22the Fund shall be used, subject to appropriation, only for the
23purpose of supporting the exchange through exchange
24operations, outreach, enrollment, and other means of
25supporting the exchange, including any efforts that may result
26in a benefit to policyholders.
 

 

 

10300HB0579ham004- 18 -LRB103 04164 BMS 61465 a

1    (215 ILCS 122/5-22 new)
2    Sec. 5-22. State medical assistance program coordination.
3    (a) The Department of Insurance and the Department of
4Healthcare and Family Services shall coordinate the operations
5of the exchange with the operations of State medical
6assistance programs. The Department of Healthcare and Family
7Services shall oversee and operate the exchange eligibility
8rules engine to ensure accurate assessments and determinations
9of exchange and State medical assistance program eligibility.
10    (b) The exchange may determine eligibility for State
11medical assistance programs that use the modified adjusted
12gross income methodology.
13    (c) The exchange may be used for enrollment into State
14medical assistance program health plans.
15    (d) The Department of Healthcare and Family Services shall
16request federal financial participation funds from the Centers
17for Medicare and Medicaid Services for any integrated
18eligibility and enrollment functions of the exchange.
 
19    (215 ILCS 122/5-23 new)
20    Sec. 5-23. Department of Insurance and Department of
21Healthcare and Family Services authority.
22    (a) The Department of Insurance and the Department of
23Healthcare and Family Services, in addition to the powers
24granted under the Illinois Insurance Code and the Illinois

 

 

10300HB0579ham004- 19 -LRB103 04164 BMS 61465 a

1Public Aid Code, have the power necessary to establish and
2operate the Illinois Health Benefits Exchange, including, but
3not limited to, the authority to:
4        (1) adopt rules deemed necessary by the departments to
5    implement this Law;
6        (2) employ or retain sufficient personnel to provide
7    administration, staffing, and necessary related support
8    required to adequately discharge the duties described in
9    this Law from funds held in the Illinois Health Benefits
10    Exchange Fund;
11        (3) procure services, including a call center, and
12    goods for the purpose of establishing the Illinois Health
13    Benefits Exchange, including, but not limited to,
14    procurements in conformance with paragraph (22) of
15    subsection (b) of Section 1-10 of the Illinois Procurement
16    Code; and
17        (4) require any exchange vendor to have experience
18    operating a State-based exchange in another state.
19    (b) The Department of Insurance has the authority to
20employ a Marketplace Director of the Illinois Health Benefits
21Exchange.
 
22    (215 ILCS 122/5-24 new)
23    Sec. 5-24. Illinois Health Benefits Exchange Advisory
24Committee.
25    (a) The Director of Insurance shall establish the Illinois

 

 

10300HB0579ham004- 20 -LRB103 04164 BMS 61465 a

1Health Benefits Exchange Advisory Committee no later than
2December 31, 2023. The Illinois Health Benefits Exchange
3Advisory Committee shall be tasked with making recommendations
4to the Marketplace Director of the Illinois Health Benefits
5Exchange concerning the operation of the exchange, and the
6Committee shall hold its first meeting no later than 90 days
7following the establishment of the Committee and shall meet
8quarterly thereafter. The Marketplace Director shall make a
9quarterly report to the Committee.
10    (b) The Department of Insurance shall present regular and
11timely reports to the Illinois Health Benefits Exchange
12Advisory Committee regarding the progress in the development
13and ongoing operations of the Illinois Health Benefits
14Exchange before its establishment by plan year 2026. The
15reports shall be posted to the Department of Insurance's
16website and include information on the Department of
17Insurance's progress toward establishing and maintaining the
18Illinois Health Benefits Exchange with the goal of ensuring an
19effective and efficient transition from the federal platform
20to the State-based exchange for individuals, employers, and
21health insurance issuers while mitigating loss of health
22insurance coverage for any potential consumer. The Department
23of Insurance's progress reports shall provide information
24including, but not limited to, transparency, user
25understandability, plan compliance, outreach and education,
26systems operations, and annual fiscal projections. The

 

 

10300HB0579ham004- 21 -LRB103 04164 BMS 61465 a

1Department of Insurance shall gather stakeholder input in
2developing operational plans and preparing the reports for the
3Illinois Health Benefits Exchange Advisory Committee.
4    (c) The Illinois Health Benefits Exchange Advisory
5Committee shall include the following members:
6        (1) The Director of Insurance, or the Director's
7    designee, who shall serve ex officio and as co-chair;
8        (2) The Director of Healthcare and Family Services, or
9    the Director's designee, who shall serve ex officio and as
10    co-chair;
11        (3) The Secretary of Human Services, or the
12    Secretary's designee, who shall serve ex officio; and
13        (4) 10 public members, who shall be residents of this
14    State, appointed by the Director of Insurance. The
15    Director shall consider the diversity of this State in the
16    selection of the committee members. The public members
17    shall include:
18            (A) one representative of a statewide organization
19        representing a majority of Illinois hospitals;
20            (B) one representative of a statewide insurance
21        producer professional trade association whose
22        membership is primarily composed of individuals
23        licensed under the Illinois Insurance Code;
24            (C) 2 representatives of a health insurance
25        consumer advocacy group;
26            (D) one representative with expertise in

 

 

10300HB0579ham004- 22 -LRB103 04164 BMS 61465 a

1        enrollment and consumer assistance;
2            (E) 2 representatives of health insurance issuers
3        or issuer trade associations, at least one of which
4        represents a State-domiciled mutual health insurance
5        company, with a demonstrated expertise in the business
6        of health insurance or health benefits administration;
7            (F) one representative of a statewide association
8        representing small business owners;
9            (G) one representative of a statewide organization
10        representing physicians; and
11            (H) one academic or research professional with
12        expertise in health insurance.
13    (d) Members of the Illinois Health Benefits Exchange
14Advisory Committee shall serve for a term of 2 years, shall
15serve without compensation, and shall not be entitled to
16reimbursement. The Department of Insurance shall provide
17administrative support to the Illinois Health Benefits
18Exchange Advisory Committee.
19    (e) The Committee's quarterly meetings shall be open to
20the public and subject to the Open Meetings Act.
 
21    Section 99. Effective date. This Act takes effect upon
22becoming law.".