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91_SB0544sam001
LRB9104280SMdvam01
1 AMENDMENT TO SENATE BILL 544
2 AMENDMENT NO. . Amend Senate Bill 544 by replacing
3 the title with the following:
4 "AN ACT to amend the Children's Health Insurance Program
5 Act by changing Sections 30, 55, and 60."; and
6 by replacing everything after the enacting clause with the
7 following:
8 "Section 5. The Children's Health Insurance Program Act
9 is amended by changing Sections 30, 55, and 60 as follows:
10 (215 ILCS 106/30)
11 (Section scheduled to be repealed on June 30, 2001)
12 Sec. 30. Cost sharing.
13 (a) Children enrolled in a health benefits program
14 pursuant to subdivision (a)(2) of Section 25 shall be subject
15 to the following cost sharing requirements:
16 (1) There shall be no co-payment required for
17 well-baby or well-child care, including age-appropriate
18 immunizations as required under federal law.
19 (2) Health insurance premiums for children in
20 families whose household income is at or above 150% of
21 the federal poverty level shall be payable monthly,
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1 subject to rules promulgated by the Department for grace
2 periods and advance payments, and shall be as follows:
3 (A) $15 per month for one child.
4 (B) $25 per month for 2 children.
5 (C) $30 per month for 3 or more children.
6 (3) Co-payments for children in families whose
7 income is at or below 150% of the federal poverty level,
8 at a minimum and to the extent permitted under federal
9 law, shall be $2 for all medical visits and prescriptions
10 provided under this Act.
11 (4) Co-payments for children in families whose
12 income is at or above 150% of the federal poverty level,
13 at a minimum and to the extent permitted under federal
14 law shall be as follows:
15 (A) $5 for medical visits.
16 (B) $3 for generic prescriptions and $5 for
17 brand name prescriptions.
18 (C) $25 for emergency room use for a
19 non-emergency situation as defined by the Department
20 by rule.
21 (5) The maximum amount of out-of-pocket expenses
22 for co-payments shall be $100 per family per year.
23 (b) Individuals enrolled in a privately sponsored health
24 insurance plan pursuant to subdivision (a)(1) of Section 25
25 shall be subject to the cost sharing provisions as stated in
26 the privately sponsored health insurance plan.
27 (Source: P.A. 90-736, eff. 8-12-98.)
28 (215 ILCS 106/55)
29 (Section scheduled to be repealed on June 30, 2001)
30 Sec. 55. Contracts with non-governmental bodies. All
31 contracts with non-governmental bodies that are determined by
32 the Department to be necessary for the implementation of this
33 Act Section are deemed to be purchase of care as defined in
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1 the Illinois Procurement Code.
2 (Source: P.A. 90-736, eff. 8-12-98.)
3 (215 ILCS 106/60)
4 (Section scheduled to be repealed on June 30, 2001)
5 Sec. 60. Emergency rulemaking. Prior to June 30, 1999,
6 the Department may adopt rules necessary to establish and
7 implement this Act Section through the use of emergency
8 rulemaking in accordance with Section 5-45 of the Illinois
9 Administrative Procedure Act. For purposes of that Act, the
10 General Assembly finds that the adoption of rules to
11 implement this Act Section is deemed an emergency and
12 necessary for the public interest, safety, and welfare.
13 (Source: P.A. 90-736, eff. 8-12-98.)
14 Section 99. Effective date. This Act takes effect upon
15 becoming law.".