93RD GENERAL ASSEMBLY
State of Illinois
2003 and 2004
SB2711


 
Introduced 2/4/2004, by Martin A. Sandoval
 
SYNOPSIS AS INTRODUCED:
 		













215 ILCS 106/20









    Amends the Children's Health Insurance Program Act.  Makes technical changes
in
a Section concerning eligibility for the program.



















LRB093 20436 SAS 46219 b




















 


 


A BILL FOR









 














SB2711

LRB093 20436 SAS 46219 b









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    AN ACT in relation to insurance. 

 
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    Be it enacted by the People of the State of Illinois, 
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represented in the General Assembly: 


 
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    Section 5. The Children's Health Insurance Program Act is 
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amended by
changing
Section 20 as follows:


 
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    (215 ILCS 106/20)

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    Sec. 20. Eligibility.


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    (a) To be eligible for this Program, a person must be a 
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person who
has a child eligible under this Act and who is 
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eligible under a waiver
of federal requirements pursuant to an 
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application made under
pursuant
to
subdivision (a)(1) of 
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Section 40 of this Act or who is a child who:


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        (1) is a child who is not eligible for medical 
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    assistance;


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        (2) is a child whose annual household income, as 
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    determined by the
Department, is above 133% of the federal 
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    poverty level and at or below
200%
of the federal poverty 
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    level;


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        (3) is a  resident of the State of Illinois; and


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        (4) is a child who is either a United States citizen or 
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    included in one
of the following categories of 
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    non-citizens:


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            (A) unmarried dependent children of either a 
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        United States Veteran
honorably discharged or a person 
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        on active military duty;


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            (B) refugees under Section 207 of the Immigration 
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        and
Nationality Act;


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            (C) asylees under Section 208 of the Immigration 
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        and
Nationality Act;


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            (D) persons for whom deportation has been withheld 
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        under
Section 243(h) of the Immigration and 
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        Nationality Act;


 


 









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            (E) persons granted conditional entry under 
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        Section 203(a)(7) of the
Immigration and Nationality 
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        Act as in effect prior to April 1, 1980;


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            (F) persons lawfully admitted for permanent 
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        residence under
the Immigration and Nationality Act; 
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        and


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            (G) parolees, for at least one year, under Section 
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        212(d)(5)
of the Immigration and Nationality Act.


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    Those children who are in the categories set forth in 
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subdivisions
(4)(F) and (4)(G) of this subsection, who enter 
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the United States on or
after August 22, 1996, shall not be 
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eligible for 5 years beginning on the
date the child entered 
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the United States.


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    (b) A child who is determined to be eligible for assistance 
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may remain
eligible for 12 months, provided the child maintains 
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his or
her residence in the State, has not yet attained 19 
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years of age, and is not
excluded pursuant to subsection (c).  A 
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child who has been determined to
be eligible for assistance 
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must reapply or otherwise establish eligibility
at least 
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annually.
An eligible child shall be required, as determined by 
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the
Department by rule, to report promptly those changes in 
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income and other
circumstances that affect eligibility.  The 
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eligibility of a child may be
redetermined based on the 
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information reported or may be terminated based on
the failure 
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to report or failure to report accurately.  A child's 
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responsible
relative or caretaker may also be held liable to 
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the Department for any
payments made by the Department on such 
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child's behalf that were inappropriate.
An applicant shall be 
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provided with notice of these obligations.


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    (c) A child shall not be eligible for coverage under this 
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Program if:


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        (1) the premium required pursuant to
Section 30 of this 
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    Act has not been paid.  If the
required premiums are not 
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    paid the liability of the Program
shall be limited to 
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    benefits incurred under the
Program for the time period for 
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    which premiums had been paid.  If
the required monthly 
 


 









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    premium is not paid, the child shall be ineligible for

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    re-enrollment for a minimum period of 3 months.  
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    Re-enrollment shall be
completed prior to the next covered 
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    medical visit and the first month's
required premium shall 
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    be paid in advance of the next covered medical visit.
The 
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    Department shall promulgate rules regarding grace periods, 
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    notice
requirements, and hearing procedures pursuant to 
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    this subsection;


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        (2) the child is an inmate of a public institution or a 
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    patient in an
institution for mental diseases; or


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        (3) the child is a member of a family that is eligible 
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    for health benefits
covered under the State of Illinois 
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    health benefits plan on the basis of a
member's employment 
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    with a public agency.


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(Source: P.A. 92-597, eff. 6-28-02; 93-63, eff. 6-30-03.)