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91_HB1649 LRB9105314SMdvA 1 AN ACT to amend the Illinois Public Aid Code by changing 2 Section 5-4. 3 Be it enacted by the People of the State of Illinois, 4 represented in the General Assembly: 5 Section 5. The Illinois Public Aid Code is amended by 6 changing Section 5-4 as follows: 7 (305 ILCS 5/5-4) (from Ch. 23, par. 5-4) 8 Sec. 5-4. Amount and nature of medical assistance. The 9 amount and nature of medical assistance shall be determined 10 by the County Departments in accordance with the standards, 11 rules, and regulations of theIllinoisDepartment of Public 12 Aid, with due regard to the requirements and conditions in 13 each case, including contributions available from legally 14 responsible relatives. However, the amount and nature of 15 such medical assistance shall not be affected by the payment 16 of any grant under the Senior Citizens and Disabled Persons 17 Property Tax Relief and Pharmaceutical Assistance Act. The 18 amount and nature of medical assistance shall not be affected 19 by the receipt of donations or benefits from fundraisers in 20 cases of serious illness, as long as neither the person nor 21 members of the person's family have actual control over the 22 donations or benefits or the disbursement of the donations or 23 benefits. 24 In determining the income and assets available to the 25 institutionalized spouse and to the community spouse, the 26IllinoisDepartment of Public Aid shall follow the procedures 27 established by federal law. The community spouse resource 28 allowance shall be established and maintained at the maximum 29 level permitted pursuant to Section 1924(f)(2) of the Social 30 Security Act, as now or hereafter amended, or an amount set 31 after a fair hearing, whichever is greater. The monthly -2- LRB9105314SMdvA 1 maintenance allowance for the community spouse shall be 2 established and maintained at the maximum level permitted 3 pursuant to Section 1924(d)(3)(C) of the Social Security Act, 4 as now or hereafter amended. Subject to the approval of the 5 Secretary of the United States Department of Health and Human 6 Services, the provisions of this Section shall be extended to 7 persons who but for the provision of home or community-based 8 services under Section 4.02 of the Illinois Act on the Aging, 9 would require the level of care provided in an institution, 10 as is provided for in federal law. 11 The Department of Human Services shall notify in writing 12 each institutionalized spouse who is a recipient of medical 13 assistance under this Article, and each such person's 14 community spouse, of the changes in treatment of income and 15 resources, including provisions for protecting income for a 16 community spouse and permitting the transfer of resources to 17 a community spouse, required by enactment of the federal 18 Medicare Catastrophic Coverage Act of 1988 (Public Law 19 100-360). The notification shall be in language likely to be 20 easily understood by those persons. The Department of Human 21 Services also shall reassess the amount of medical assistance 22 for which each such recipient is eligible as a result of the 23 enactment of that federal Act, whether or not a recipient 24 requests such a reassessment. 25 (Source: P.A. 89-507, eff. 7-1-97; 90-655, eff. 7-30-98.)