State of Illinois
91st General Assembly
Legislation

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[ Introduced ][ Enrolled ][ Senate Amendment 001 ]

91_SB0319eng

 
SB319 Engrossed                                LRB9104281SMdv

 1        AN ACT regarding health insurance for children.

 2        Be it enacted by the People of  the  State  of  Illinois,
 3    represented in the General Assembly:

 4        Section  5.  The State Finance Act is amended by changing
 5    Section 6z-24 as follows:

 6        (30 ILCS 105/6z-24) (from Ch. 127, par. 142z-24)
 7        Sec. 6z-24.  There is created in the State  Treasury  the
 8    Special   Education   Medicaid  Matching  Fund.   All  monies
 9    received    from    the    federal    government    due    to
10    educationally-related services authorized under Section  1903
11    of   the   Social  Security  Act,  as  amended  and  for  the
12    administrative costs related thereto shall  be  deposited  in
13    the  Special  Education Medicaid Matching Fund. The monies in
14    the Special Education Medicaid Matching Fund  shall  be  held
15    subject to appropriation by the General Assembly to the State
16    Board  of  Education for distribution to school districts for
17    medicaid eligible special  education  children  claims  under
18    Titles XIX and XXI of the Social Security Act.
19    (Source: P.A. 87-641.)

20        Section  10.   The State Prompt Payment Act is amended by
21    changing Section 1 as follows:

22        (30 ILCS 540/1) (from Ch. 127, par. 132.401)
23        Sec. 1.  This Act applies to any State official or agency
24    authorized to provide for payment from State funds, by virtue
25    of any appropriation of the General Assembly,  for  goods  or
26    services furnished to the State.
27        Except  as  provided in Section 2.1, for purposes of this
28    Act, "goods or services furnished to the State"  include  but
29    are  not  limited to covered health care provided to eligible
 
SB319 Engrossed             -2-                LRB9104281SMdv
 1    members and their covered dependents in accordance  with  the
 2    State  Employees  Group  Insurance  Act  of  1971,  including
 3    coverage   through   a   physician-owned  health  maintenance
 4    organization under Section 6.1 of that Act;  however,  "goods
 5    or  services  furnished  to the State" do not include medical
 6    assistance provided to public aid recipients  and  reimbursed
 7    from  State  funds  under  Articles  V,  VI,  and  XII of the
 8    Illinois Public Aid Code.
 9        For the purposes of this Act, "appropriate State official
10    or agency" is defined as the Director or Chief  Executive  or
11    his  designee  of that State agency or department or facility
12    of such agency or department. With respect to covered  health
13    care  provided  to  eligible  members and their dependents in
14    accordance with the State Employees Group  Insurance  Act  of
15    1971, "appropriate State official or agency" also includes an
16    administrator of a program of health benefits under that Act.
17        As used in this Act, "eligible member" means a member who
18    is  eligible  for  health  benefits under the State Employees
19    Group Insurance Act of 1971,  and  "member"  and  "dependent"
20    have the meanings ascribed to those terms in that Act.
21    (Source: P.A.   88-45;  88-554,  eff.  7-26-94;  89-21,  eff.
22    7-1-95.)

23        Section 15.  The Children's Health Insurance Program  Act
24    is amended by changing Sections 30, 55, and 60 as follows:

25        (215 ILCS 106/30)
26        (Section scheduled to be repealed on June 30, 2001)
27        Sec. 30.  Cost sharing.
28        (a)  Children  enrolled  in  a  health  benefits  program
29    pursuant to subdivision (a)(2) of Section 25 shall be subject
30    to the following cost sharing requirements:
31             (1)  There  shall  be  no  co-payment  required  for
32        well-baby  or  well-child care, including age-appropriate
 
SB319 Engrossed             -3-                LRB9104281SMdv
 1        immunizations as required under federal law.
 2             (2)  Health  insurance  premiums  for  children   in
 3        families  whose  household  income is at or above 150% of
 4        the federal  poverty  level  shall  be  payable  monthly,
 5        subject  to rules promulgated by the Department for grace
 6        periods and advance payments, and shall be as follows:
 7                  (A)  $15 per month for one child.
 8                  (B)  $25 per month for 2 children.
 9                  (C)  $30 per month for 3 or more children.
10             (3)  Co-payments  for  children  in  families  whose
11        income is at or below 150% of the federal poverty  level,
12        at  a  minimum  and to the extent permitted under federal
13        law, shall be $2 for all medical visits and prescriptions
14        provided under this Act.
15             (4)  Co-payments  for  children  in  families  whose
16        income is at or above 150% of the federal poverty  level,
17        at  a  minimum  and to the extent permitted under federal
18        law shall be as follows:
19                  (A)  $5 for medical visits.
20                  (B)  $3 for generic prescriptions  and  $5  for
21             brand name prescriptions.
22                  (C)  $25   for   emergency   room   use  for  a
23             non-emergency situation as defined by the Department
24             by rule.
25             (5)  The maximum amount  of  out-of-pocket  expenses
26        for co-payments shall be $100 per family per year.
27        (b)  Individuals enrolled in a privately sponsored health
28    insurance  plan  pursuant to subdivision (a)(1) of Section 25
29    shall be subject to the cost sharing provisions as stated  in
30    the privately sponsored health insurance plan.
31    (Source: P.A. 90-736, eff. 8-12-98.)

32        (215 ILCS 106/55)
33        (Section scheduled to be repealed on June 30, 2001)
 
SB319 Engrossed             -4-                LRB9104281SMdv
 1        Sec.  55.   Contracts  with non-governmental bodies.  All
 2    contracts with non-governmental bodies that are determined by
 3    the Department to be necessary for the implementation of this
 4    Act Section are deemed to be purchase of care as  defined  in
 5    the Illinois Procurement Code.
 6    (Source: P.A. 90-736, eff. 8-12-98.)

 7        (215 ILCS 106/60)
 8        (Section scheduled to be repealed on June 30, 2001)
 9        Sec.  60.  Emergency rulemaking.  Prior to June 30, 1999,
10    the Department may adopt rules  necessary  to  establish  and
11    implement  this  Act  Section  through  the  use of emergency
12    rulemaking in accordance with Section 5-45  of  the  Illinois
13    Administrative  Procedure Act.  For purposes of that Act, the
14    General  Assembly  finds  that  the  adoption  of  rules   to
15    implement  this  Act  Section  is  deemed  an  emergency  and
16    necessary for the public interest, safety, and welfare.
17    (Source: P.A. 90-736, eff. 8-12-98.)

18        Section  20.   The Illinois Public Aid Code is amended by
19    changing Section 12-10.4 as follows:

20        (305 ILCS 5/12-10.4)
21        Sec. 12-10.4. Juvenile Rehabilitation  Services  Medicaid
22    Matching  Fund.    There is created in the State Treasury the
23    Juvenile  Rehabilitation  Services  Medicaid  Matching  Fund.
24    Deposits to this Fund shall consist of  all  moneys  received
25    from  the  federal  government for behavioral health services
26    secured by counties under the Medicaid Rehabilitation  Option
27    pursuant to Title XIX of the Social Security Act or under the
28    Children's   Health   Insurance   Program   pursuant  to  the
29    Children's Health Insurance Program Act and Title XXI of  the
30    Social  Security  Act  for minors who are committed to mental
31    health facilities by the Illinois court system.
 
SB319 Engrossed             -5-                LRB9104281SMdv
 1        Disbursements from the Fund shall  be  made,  subject  to
 2    appropriation,  by  the Illinois Department of Public Aid for
 3    grants to  those  counties  which  secure  behavioral  health
 4    services  ordered by the courts and which have an interagency
 5    agreement with  the  Department  and  submit  detailed  bills
 6    according to standards determined by the Department.
 7    (Source: P.A. 90-587, eff. 7-1-98.)

 8        Section  99.  Effective date.  This Act takes effect upon
 9    becoming law.

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