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91_SB0544eng SB544 Engrossed LRB9104280SMdv 1 AN ACT to amend the Children's Health Insurance Program 2 Act by changing Sections 30, 55, and 60. 3 Be it enacted by the People of the State of Illinois, 4 represented in the General Assembly: 5 Section 5. The Children's Health Insurance Program Act 6 is amended by changing Sections 30, 55, and 60 as follows: 7 (215 ILCS 106/30) 8 (Section scheduled to be repealed on June 30, 2001) 9 Sec. 30. Cost sharing. 10 (a) Children enrolled in a health benefits program 11 pursuant to subdivision (a)(2) of Section 25 shall be subject 12 to the following cost sharing requirements: 13 (1) There shall be no co-payment required for 14 well-baby or well-child care, including age-appropriate 15 immunizations as required under federal law. 16 (2) Health insurance premiums for children in 17 families whose household income isat orabove 150% of 18 the federal poverty level shall be payable monthly, 19 subject to rules promulgated by the Department for grace 20 periods and advance payments, and shall be as follows: 21 (A) $15 per month for one child. 22 (B) $25 per month for 2 children. 23 (C) $30 per month for 3 or more children. 24 (3) Co-payments for children in families whose 25 income is at or below 150% of the federal poverty level, 26 at a minimum and to the extent permitted under federal 27 law, shall be $2 for all medical visits and prescriptions 28 provided under this Act. 29 (4) Co-payments for children in families whose 30 income isat orabove 150% of the federal poverty level, 31 at a minimum and to the extent permitted under federal SB544 Engrossed -2- LRB9104280SMdv 1 law shall be as follows: 2 (A) $5 for medical visits. 3 (B) $3 for generic prescriptions and $5 for 4 brand name prescriptions. 5 (C) $25 for emergency room use for a 6 non-emergency situation as defined by the Department 7 by rule. 8 (5) The maximum amount of out-of-pocket expenses 9 for co-payments shall be $100 per family per year. 10 (b) Individuals enrolled in a privately sponsored health 11 insurance plan pursuant to subdivision (a)(1) of Section 25 12 shall be subject to the cost sharing provisions as stated in 13 the privately sponsored health insurance plan. 14 (Source: P.A. 90-736, eff. 8-12-98.) 15 (215 ILCS 106/55) 16 (Section scheduled to be repealed on June 30, 2001) 17 Sec. 55. Contracts with non-governmental bodies. All 18 contracts with non-governmental bodies that are determined by 19 the Department to be necessary for the implementation of this 20 ActSectionare deemed to be purchase of care as defined in 21 the Illinois Procurement Code. 22 (Source: P.A. 90-736, eff. 8-12-98.) 23 (215 ILCS 106/60) 24 (Section scheduled to be repealed on June 30, 2001) 25 Sec. 60. Emergency rulemaking. Prior to June 30, 1999, 26 the Department may adopt rules necessary to establish and 27 implement this ActSectionthrough the use of emergency 28 rulemaking in accordance with Section 5-45 of the Illinois 29 Administrative Procedure Act. For purposes of that Act, the 30 General Assembly finds that the adoption of rules to 31 implement this ActSectionis deemed an emergency and 32 necessary for the public interest, safety, and welfare. SB544 Engrossed -3- LRB9104280SMdv 1 (Source: P.A. 90-736, eff. 8-12-98.) 2 Section 99. Effective date. This Act takes effect upon 3 becoming law.