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91_SB0319sam001
LRB9104281SMdvam01
1 AMENDMENT TO SENATE BILL 319
2 AMENDMENT NO. . Amend Senate Bill 319 by replacing
3 the title with the following:
4 "AN ACT regarding health insurance for children."; and
5 by replacing everything after the enacting clause with the
6 following:
7 "Section 5. The State Finance Act is amended by changing
8 Section 6z-24 as follows:
9 (30 ILCS 105/6z-24) (from Ch. 127, par. 142z-24)
10 Sec. 6z-24. There is created in the State Treasury the
11 Special Education Medicaid Matching Fund. All monies
12 received from the federal government due to
13 educationally-related services authorized under Section 1903
14 of the Social Security Act, as amended and for the
15 administrative costs related thereto shall be deposited in
16 the Special Education Medicaid Matching Fund. The monies in
17 the Special Education Medicaid Matching Fund shall be held
18 subject to appropriation by the General Assembly to the State
19 Board of Education for distribution to school districts for
20 medicaid eligible special education children claims under
21 Titles XIX and XXI of the Social Security Act.
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1 (Source: P.A. 87-641.)
2 Section 10. The State Prompt Payment Act is amended by
3 changing Section 1 as follows:
4 (30 ILCS 540/1) (from Ch. 127, par. 132.401)
5 Sec. 1. This Act applies to any State official or agency
6 authorized to provide for payment from State funds, by virtue
7 of any appropriation of the General Assembly, for goods or
8 services furnished to the State.
9 Except as provided in Section 2.1, for purposes of this
10 Act, "goods or services furnished to the State" include but
11 are not limited to covered health care provided to eligible
12 members and their covered dependents in accordance with the
13 State Employees Group Insurance Act of 1971, including
14 coverage through a physician-owned health maintenance
15 organization under Section 6.1 of that Act; however, "goods
16 or services furnished to the State" do not include medical
17 assistance provided to public aid recipients and reimbursed
18 from State funds under Articles V, VI, and XII of the
19 Illinois Public Aid Code.
20 For the purposes of this Act, "appropriate State official
21 or agency" is defined as the Director or Chief Executive or
22 his designee of that State agency or department or facility
23 of such agency or department. With respect to covered health
24 care provided to eligible members and their dependents in
25 accordance with the State Employees Group Insurance Act of
26 1971, "appropriate State official or agency" also includes an
27 administrator of a program of health benefits under that Act.
28 As used in this Act, "eligible member" means a member who
29 is eligible for health benefits under the State Employees
30 Group Insurance Act of 1971, and "member" and "dependent"
31 have the meanings ascribed to those terms in that Act.
32 (Source: P.A. 88-45; 88-554, eff. 7-26-94; 89-21, eff.
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1 7-1-95.)
2 Section 15. The Children's Health Insurance Program Act
3 is amended by changing Sections 30, 55, and 60 as follows:
4 (215 ILCS 106/30)
5 (Section scheduled to be repealed on June 30, 2001)
6 Sec. 30. Cost sharing.
7 (a) Children enrolled in a health benefits program
8 pursuant to subdivision (a)(2) of Section 25 shall be subject
9 to the following cost sharing requirements:
10 (1) There shall be no co-payment required for
11 well-baby or well-child care, including age-appropriate
12 immunizations as required under federal law.
13 (2) Health insurance premiums for children in
14 families whose household income is at or above 150% of
15 the federal poverty level shall be payable monthly,
16 subject to rules promulgated by the Department for grace
17 periods and advance payments, and shall be as follows:
18 (A) $15 per month for one child.
19 (B) $25 per month for 2 children.
20 (C) $30 per month for 3 or more children.
21 (3) Co-payments for children in families whose
22 income is at or below 150% of the federal poverty level,
23 at a minimum and to the extent permitted under federal
24 law, shall be $2 for all medical visits and prescriptions
25 provided under this Act.
26 (4) Co-payments for children in families whose
27 income is at or above 150% of the federal poverty level,
28 at a minimum and to the extent permitted under federal
29 law shall be as follows:
30 (A) $5 for medical visits.
31 (B) $3 for generic prescriptions and $5 for
32 brand name prescriptions.
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1 (C) $25 for emergency room use for a
2 non-emergency situation as defined by the Department
3 by rule.
4 (5) The maximum amount of out-of-pocket expenses
5 for co-payments shall be $100 per family per year.
6 (b) Individuals enrolled in a privately sponsored health
7 insurance plan pursuant to subdivision (a)(1) of Section 25
8 shall be subject to the cost sharing provisions as stated in
9 the privately sponsored health insurance plan.
10 (Source: P.A. 90-736, eff. 8-12-98.)
11 (215 ILCS 106/55)
12 (Section scheduled to be repealed on June 30, 2001)
13 Sec. 55. Contracts with non-governmental bodies. All
14 contracts with non-governmental bodies that are determined by
15 the Department to be necessary for the implementation of this
16 Act Section are deemed to be purchase of care as defined in
17 the Illinois Procurement Code.
18 (Source: P.A. 90-736, eff. 8-12-98.)
19 (215 ILCS 106/60)
20 (Section scheduled to be repealed on June 30, 2001)
21 Sec. 60. Emergency rulemaking. Prior to June 30, 1999,
22 the Department may adopt rules necessary to establish and
23 implement this Act Section through the use of emergency
24 rulemaking in accordance with Section 5-45 of the Illinois
25 Administrative Procedure Act. For purposes of that Act, the
26 General Assembly finds that the adoption of rules to
27 implement this Act Section is deemed an emergency and
28 necessary for the public interest, safety, and welfare.
29 (Source: P.A. 90-736, eff. 8-12-98.)
30 Section 20. The Illinois Public Aid Code is amended by
31 changing Section 12-10.4 as follows:
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1 (305 ILCS 5/12-10.4)
2 Sec. 12-10.4. Juvenile Rehabilitation Services Medicaid
3 Matching Fund. There is created in the State Treasury the
4 Juvenile Rehabilitation Services Medicaid Matching Fund.
5 Deposits to this Fund shall consist of all moneys received
6 from the federal government for behavioral health services
7 secured by counties under the Medicaid Rehabilitation Option
8 pursuant to Title XIX of the Social Security Act or under the
9 Children's Health Insurance Program pursuant to the
10 Children's Health Insurance Program Act and Title XXI of the
11 Social Security Act for minors who are committed to mental
12 health facilities by the Illinois court system.
13 Disbursements from the Fund shall be made, subject to
14 appropriation, by the Illinois Department of Public Aid for
15 grants to those counties which secure behavioral health
16 services ordered by the courts and which have an interagency
17 agreement with the Department and submit detailed bills
18 according to standards determined by the Department.
19 (Source: P.A. 90-587, eff. 7-1-98.)
20 Section 99. Effective date. This Act takes effect upon
21 becoming law.".