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91_SB0319enr
SB319 Enrolled 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
17 medicaid eligible 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
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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, "goods
5 or services furnished to the State" do not include medical
6 assistance provided to public aid recipients and reimbursed
7 from State funds under Articles V, VI, and XII of the
8 Illinois 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
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1 immunizations as required under federal law.
2 (2) Health insurance premiums for children in
3 families whose household income is at or above 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 is at or above 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)
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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 Act Section are 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 Act Section through 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 Act Section is 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.
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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.
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