100TH GENERAL ASSEMBLY
State of Illinois
2017 and 2018
HB4736
 
Introduced , by Rep. Fred Crespo
 
SYNOPSIS AS INTRODUCED:
 

 
305 ILCS 5/5-2b

     Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that notwithstanding any other provision of law, the Department of Healthcare and Family Services shall not require children made eligible for medical assistance through any home and community-based services waiver program for medically fragile and technology dependent children authorized under the Social Security Act to enroll in or transition to the State's managed care medical assistance program. Provides that any medically fragile and technology dependent child who is enrolled in the State's managed care medical assistance program on or before the effective date of the amendatory Act shall be given the option to disenroll from the State's managed care medical assistance program and receive medical assistance coverage under the State's traditional fee-for-service program.
  


LRB100 17508 KTG 32677 b

FISCAL NOTE ACT MAY APPLY
 
 
A BILL FOR
 

  
HB4736LRB100 17508 KTG 32677 b


  
1    AN ACT concerning public aid.
  
 
2    Be it enacted by the People of the State of Illinois,
 
3represented in the General Assembly:
  
 
 
4    Section 5. The Illinois Public Aid Code is amended  by 
5changing Section 5-2b as follows:
 
6    (305 ILCS 5/5-2b)
7    Sec. 5-2b. Medically fragile and technology dependent 
8children eligibility and program.  
9    (a) Notwithstanding any other provision of law, on and 
10after September 1, 2012, subject to federal approval, medical 
11assistance under this Article shall be available to children 
12who qualify as persons with a disability, as defined under the 
13federal Supplemental Security Income program and who are 
14medically fragile and technology dependent. The program shall 
15allow eligible children to receive the medical assistance 
16provided under this Article in the community and must maximize, 
17to the fullest extent permissible under federal law, federal 
18reimbursement and family cost-sharing, including co-pays, 
19premiums, or any other family contributions, except that the 
20Department shall be permitted to incentivize the utilization of 
21selected services through the use of cost-sharing adjustments. 
22The Department shall establish the policies, procedures, 
23standards, services, and criteria for this program by rule.

 
 
HB4736- 2 -LRB100 17508 KTG 32677 b

1    (b) Notwithstanding any other provision of law, the 
2Department shall not require children made eligible for medical 
3assistance through any home and community-based services 
4waiver program for medically fragile and technology dependent 
5children authorized under Section 1915(c) of the Social 
6Security Act to enroll in or transition to the State's managed 
7care medical assistance program. Any medically fragile and 
8technology dependent child who is enrolled in the State's 
9managed care medical assistance program on or before the 
10effective date of this amendatory Act of the 100th General 
11Assembly shall be given the option to disenroll from the 
12State's managed care medical assistance program and receive 
13medical assistance coverage under the State's traditional 
14fee-for-service program. 
15(Source: P.A. 97-689, eff. 6-14-12; 98-104, eff. 7-22-13.)