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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 17medicaideligible 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, "goods5or services furnished to the State" do not include medical6assistance provided to public aid recipients and reimbursed7from State funds under Articles V, VI, and XII of the8Illinois 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 isat orabove 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 isat orabove 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 ActSectionare 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 ActSectionthrough 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 ActSectionis 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.