Rep. Robyn Gabel

Filed: 4/19/2023

 

 


 

 


 
10300HB0579ham003LRB103 04164 BMS 60666 a

1
AMENDMENT TO HOUSE BILL 579

2    AMENDMENT NO. ______. Amend House Bill 579 by replacing
3everything after the enacting clause with the following:
 
4    "Section 5. The Department of Insurance Law is amended by
5adding Section 1405-50 as follows:
 
6    (20 ILCS 1405/1405-50 new)
7    Sec. 1405-50. Marketplace Director of the Illinois Health
8Benefits Exchange. The Governor shall appoint a person within
9the Department of Insurance to serve as the Marketplace
10Director of the Illinois Health Benefits Exchange. This person
11may be an existing employee with other duties. The Marketplace
12Director shall receive an annual salary as set by the Governor
13and shall be paid out of the appropriations to the Department.
14The Marketplace Director shall not be subject to the Personnel
15Code. The Marketplace Director, under the direction of the
16Director, shall manage the operations and staff of the

 

 

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1Illinois Health Benefits Exchange to ensure optimal exchange
2performance.
 
3    Section 10. The State Finance Act is amended by adding
4Section 5.990 as follows:
 
5    (30 ILCS 105/5.990 new)
6    Sec. 5.990. The Illinois Health Benefits Exchange Fund.
 
7    Section 15. The Illinois Procurement Code is amended by
8changing Section 1-10 as follows:
 
9    (30 ILCS 500/1-10)
10    Sec. 1-10. Application.
11    (a) This Code applies only to procurements for which
12bidders, offerors, potential contractors, or contractors were
13first solicited on or after July 1, 1998. This Code shall not
14be construed to affect or impair any contract, or any
15provision of a contract, entered into based on a solicitation
16prior to the implementation date of this Code as described in
17Article 99, including, but not limited to, any covenant
18entered into with respect to any revenue bonds or similar
19instruments. All procurements for which contracts are
20solicited between the effective date of Articles 50 and 99 and
21July 1, 1998 shall be substantially in accordance with this
22Code and its intent.

 

 

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1    (b) This Code shall apply regardless of the source of the
2funds with which the contracts are paid, including federal
3assistance moneys. This Code shall not apply to:
4        (1) Contracts between the State and its political
5    subdivisions or other governments, or between State
6    governmental bodies, except as specifically provided in
7    this Code.
8        (2) Grants, except for the filing requirements of
9    Section 20-80.
10        (3) Purchase of care, except as provided in Section
11    5-30.6 of the Illinois Public Aid Code and this Section.
12        (4) Hiring of an individual as an employee and not as
13    an independent contractor, whether pursuant to an
14    employment code or policy or by contract directly with
15    that individual.
16        (5) Collective bargaining contracts.
17        (6) Purchase of real estate, except that notice of
18    this type of contract with a value of more than $25,000
19    must be published in the Procurement Bulletin within 10
20    calendar days after the deed is recorded in the county of
21    jurisdiction. The notice shall identify the real estate
22    purchased, the names of all parties to the contract, the
23    value of the contract, and the effective date of the
24    contract.
25        (7) Contracts necessary to prepare for anticipated
26    litigation, enforcement actions, or investigations,

 

 

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1    provided that the chief legal counsel to the Governor
2    shall give his or her prior approval when the procuring
3    agency is one subject to the jurisdiction of the Governor,
4    and provided that the chief legal counsel of any other
5    procuring entity subject to this Code shall give his or
6    her prior approval when the procuring entity is not one
7    subject to the jurisdiction of the Governor.
8        (8) (Blank).
9        (9) Procurement expenditures by the Illinois
10    Conservation Foundation when only private funds are used.
11        (10) (Blank).
12        (11) Public-private agreements entered into according
13    to the procurement requirements of Section 20 of the
14    Public-Private Partnerships for Transportation Act and
15    design-build agreements entered into according to the
16    procurement requirements of Section 25 of the
17    Public-Private Partnerships for Transportation Act.
18        (12) (A) Contracts for legal, financial, and other
19    professional and artistic services entered into by the
20    Illinois Finance Authority in which the State of Illinois
21    is not obligated. Such contracts shall be awarded through
22    a competitive process authorized by the members of the
23    Illinois Finance Authority and are subject to Sections
24    5-30, 20-160, 50-13, 50-20, 50-35, and 50-37 of this Code,
25    as well as the final approval by the members of the
26    Illinois Finance Authority of the terms of the contract.

 

 

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1        (B) Contracts for legal and financial services entered
2    into by the Illinois Housing Development Authority in
3    connection with the issuance of bonds in which the State
4    of Illinois is not obligated. Such contracts shall be
5    awarded through a competitive process authorized by the
6    members of the Illinois Housing Development Authority and
7    are subject to Sections 5-30, 20-160, 50-13, 50-20, 50-35,
8    and 50-37 of this Code, as well as the final approval by
9    the members of the Illinois Housing Development Authority
10    of the terms of the contract.
11        (13) Contracts for services, commodities, and
12    equipment to support the delivery of timely forensic
13    science services in consultation with and subject to the
14    approval of the Chief Procurement Officer as provided in
15    subsection (d) of Section 5-4-3a of the Unified Code of
16    Corrections, except for the requirements of Sections
17    20-60, 20-65, 20-70, and 20-160 and Article 50 of this
18    Code; however, the Chief Procurement Officer may, in
19    writing with justification, waive any certification
20    required under Article 50 of this Code. For any contracts
21    for services which are currently provided by members of a
22    collective bargaining agreement, the applicable terms of
23    the collective bargaining agreement concerning
24    subcontracting shall be followed.
25        On and after January 1, 2019, this paragraph (13),
26    except for this sentence, is inoperative.

 

 

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1        (14) Contracts for participation expenditures required
2    by a domestic or international trade show or exhibition of
3    an exhibitor, member, or sponsor.
4        (15) Contracts with a railroad or utility that
5    requires the State to reimburse the railroad or utilities
6    for the relocation of utilities for construction or other
7    public purpose. Contracts included within this paragraph
8    (15) shall include, but not be limited to, those
9    associated with: relocations, crossings, installations,
10    and maintenance. For the purposes of this paragraph (15),
11    "railroad" means any form of non-highway ground
12    transportation that runs on rails or electromagnetic
13    guideways and "utility" means: (1) public utilities as
14    defined in Section 3-105 of the Public Utilities Act, (2)
15    telecommunications carriers as defined in Section 13-202
16    of the Public Utilities Act, (3) electric cooperatives as
17    defined in Section 3.4 of the Electric Supplier Act, (4)
18    telephone or telecommunications cooperatives as defined in
19    Section 13-212 of the Public Utilities Act, (5) rural
20    water or waste water systems with 10,000 connections or
21    less, (6) a holder as defined in Section 21-201 of the
22    Public Utilities Act, and (7) municipalities owning or
23    operating utility systems consisting of public utilities
24    as that term is defined in Section 11-117-2 of the
25    Illinois Municipal Code.
26        (16) Procurement expenditures necessary for the

 

 

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1    Department of Public Health to provide the delivery of
2    timely newborn screening services in accordance with the
3    Newborn Metabolic Screening Act.
4        (17) Procurement expenditures necessary for the
5    Department of Agriculture, the Department of Financial and
6    Professional Regulation, the Department of Human Services,
7    and the Department of Public Health to implement the
8    Compassionate Use of Medical Cannabis Program and Opioid
9    Alternative Pilot Program requirements and ensure access
10    to medical cannabis for patients with debilitating medical
11    conditions in accordance with the Compassionate Use of
12    Medical Cannabis Program Act.
13        (18) This Code does not apply to any procurements
14    necessary for the Department of Agriculture, the
15    Department of Financial and Professional Regulation, the
16    Department of Human Services, the Department of Commerce
17    and Economic Opportunity, and the Department of Public
18    Health to implement the Cannabis Regulation and Tax Act if
19    the applicable agency has made a good faith determination
20    that it is necessary and appropriate for the expenditure
21    to fall within this exemption and if the process is
22    conducted in a manner substantially in accordance with the
23    requirements of Sections 20-160, 25-60, 30-22, 50-5,
24    50-10, 50-10.5, 50-12, 50-13, 50-15, 50-20, 50-21, 50-35,
25    50-36, 50-37, 50-38, and 50-50 of this Code; however, for
26    Section 50-35, compliance applies only to contracts or

 

 

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1    subcontracts over $100,000. Notice of each contract
2    entered into under this paragraph (18) that is related to
3    the procurement of goods and services identified in
4    paragraph (1) through (9) of this subsection shall be
5    published in the Procurement Bulletin within 14 calendar
6    days after contract execution. The Chief Procurement
7    Officer shall prescribe the form and content of the
8    notice. Each agency shall provide the Chief Procurement
9    Officer, on a monthly basis, in the form and content
10    prescribed by the Chief Procurement Officer, a report of
11    contracts that are related to the procurement of goods and
12    services identified in this subsection. At a minimum, this
13    report shall include the name of the contractor, a
14    description of the supply or service provided, the total
15    amount of the contract, the term of the contract, and the
16    exception to this Code utilized. A copy of any or all of
17    these contracts shall be made available to the Chief
18    Procurement Officer immediately upon request. The Chief
19    Procurement Officer shall submit a report to the Governor
20    and General Assembly no later than November 1 of each year
21    that includes, at a minimum, an annual summary of the
22    monthly information reported to the Chief Procurement
23    Officer. This exemption becomes inoperative 5 years after
24    June 25, 2019 (the effective date of Public Act 101-27).
25        (19) Acquisition of modifications or adjustments,
26    limited to assistive technology devices and assistive

 

 

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1    technology services, adaptive equipment, repairs, and
2    replacement parts to provide reasonable accommodations (i)
3    that enable a qualified applicant with a disability to
4    complete the job application process and be considered for
5    the position such qualified applicant desires, (ii) that
6    modify or adjust the work environment to enable a
7    qualified current employee with a disability to perform
8    the essential functions of the position held by that
9    employee, (iii) to enable a qualified current employee
10    with a disability to enjoy equal benefits and privileges
11    of employment as are enjoyed by other similarly situated
12    employees without disabilities, and (iv) that allow a
13    customer, client, claimant, or member of the public
14    seeking State services full use and enjoyment of and
15    access to its programs, services, or benefits.
16        For purposes of this paragraph (19):
17        "Assistive technology devices" means any item, piece
18    of equipment, or product system, whether acquired
19    commercially off the shelf, modified, or customized, that
20    is used to increase, maintain, or improve functional
21    capabilities of individuals with disabilities.
22        "Assistive technology services" means any service that
23    directly assists an individual with a disability in
24    selection, acquisition, or use of an assistive technology
25    device.
26        "Qualified" has the same meaning and use as provided

 

 

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1    under the federal Americans with Disabilities Act when
2    describing an individual with a disability.
3        (20) Procurement expenditures necessary for the
4    Illinois Commerce Commission to hire third-party
5    facilitators pursuant to Sections 16-105.17 and 16-108.18
6    of the Public Utilities Act or an ombudsman pursuant to
7    Section 16-107.5 of the Public Utilities Act, a
8    facilitator pursuant to Section 16-105.17 of the Public
9    Utilities Act, or a grid auditor pursuant to Section
10    16-105.10 of the Public Utilities Act.
11        (21) Procurement expenditures for the purchase,
12    renewal, and expansion of software, software licenses, or
13    software maintenance agreements that support the efforts
14    of the Illinois State Police to enforce, regulate, and
15    administer the Firearm Owners Identification Card Act, the
16    Firearm Concealed Carry Act, the Firearms Restraining
17    Order Act, the Firearm Dealer License Certification Act,
18    the Law Enforcement Agencies Data System (LEADS), the
19    Uniform Crime Reporting Act, the Criminal Identification
20    Act, the Uniform Conviction Information Act, and the Gun
21    Trafficking Information Act, or establish or maintain
22    record management systems necessary to conduct human
23    trafficking investigations or gun trafficking or other
24    stolen firearm investigations. This paragraph (21) applies
25    to contracts entered into on or after the effective date
26    of this amendatory Act of the 102nd General Assembly and

 

 

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1    the renewal of contracts that are in effect on the
2    effective date of this amendatory Act of the 102nd General
3    Assembly.
4        (22) This Code does not apply to any procurements
5    necessary for the Department of Insurance to implement the
6    Illinois Health Benefits Exchange Law if the Department of
7    Insurance has made a good faith determination that it is
8    necessary and appropriate for the expenditure to fall
9    within this exemption and if the process is conducted in a
10    manner substantially in accordance with the requirements
11    of Sections 20-160, 25-60, 30-22, 50-5, 50-10, 50-10.5,
12    50-12, 50-13, 50-15, 50-20, 50-21, 50-35, 50-36, 50-37,
13    50-38, and 50-50 of this Code; however, for Section 50-35,
14    compliance applies only to contracts or subcontracts over
15    $100,000. The requirements of the Business Enterprise for
16    Minorities, Women, and Persons with Disabilities Act shall
17    apply to any procurements conducted by the Department of
18    Insurance under this exemption. Notice of each contract
19    entered into under this paragraph (22) that is related to
20    the procurement of goods and services identified in
21    paragraph (1) through (9) of this subsection shall be
22    published in the Procurement Bulletin within 14 calendar
23    days after contract execution. The Chief Procurement
24    Officer shall prescribe the form and content of the
25    notice. The Department of Insurance shall provide the
26    Chief Procurement Officer, on a monthly basis, in the form

 

 

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1    and content prescribed by the Chief Procurement Officer, a
2    report of contracts that are related to the procurement of
3    goods and services identified in this subsection. At a
4    minimum, this report shall include the name of the
5    contractor, a description of the supply or service
6    provided, the total amount of the contract, the term of
7    the contract, and the exception to this Code utilized. A
8    copy of any of these contracts shall be made available to
9    the Chief Procurement Officer immediately upon request.
10    The Chief Procurement Officer shall submit a report to the
11    Governor and General Assembly no later than November 1 of
12    each year that includes, at a minimum, an annual summary
13    of the monthly information reported to the Chief
14    Procurement Officer. This paragraph is inoperative 5 years
15    after the effective date of this amendatory Act of the
16    103rd General Assembly.
17    Notwithstanding any other provision of law, for contracts
18with an annual value of more than $100,000 entered into on or
19after October 1, 2017 under an exemption provided in any
20paragraph of this subsection (b), except paragraph (1), (2),
21or (5), each State agency shall post to the appropriate
22procurement bulletin the name of the contractor, a description
23of the supply or service provided, the total amount of the
24contract, the term of the contract, and the exception to the
25Code utilized. The chief procurement officer shall submit a
26report to the Governor and General Assembly no later than

 

 

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1November 1 of each year that shall include, at a minimum, an
2annual summary of the monthly information reported to the
3chief procurement officer.
4    (c) This Code does not apply to the electric power
5procurement process provided for under Section 1-75 of the
6Illinois Power Agency Act and Section 16-111.5 of the Public
7Utilities Act.
8    (d) Except for Section 20-160 and Article 50 of this Code,
9and as expressly required by Section 9.1 of the Illinois
10Lottery Law, the provisions of this Code do not apply to the
11procurement process provided for under Section 9.1 of the
12Illinois Lottery Law.
13    (e) This Code does not apply to the process used by the
14Capital Development Board to retain a person or entity to
15assist the Capital Development Board with its duties related
16to the determination of costs of a clean coal SNG brownfield
17facility, as defined by Section 1-10 of the Illinois Power
18Agency Act, as required in subsection (h-3) of Section 9-220
19of the Public Utilities Act, including calculating the range
20of capital costs, the range of operating and maintenance
21costs, or the sequestration costs or monitoring the
22construction of clean coal SNG brownfield facility for the
23full duration of construction.
24    (f) (Blank).
25    (g) (Blank).
26    (h) This Code does not apply to the process to procure or

 

 

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1contracts entered into in accordance with Sections 11-5.2 and
211-5.3 of the Illinois Public Aid Code.
3    (i) Each chief procurement officer may access records
4necessary to review whether a contract, purchase, or other
5expenditure is or is not subject to the provisions of this
6Code, unless such records would be subject to attorney-client
7privilege.
8    (j) This Code does not apply to the process used by the
9Capital Development Board to retain an artist or work or works
10of art as required in Section 14 of the Capital Development
11Board Act.
12    (k) This Code does not apply to the process to procure
13contracts, or contracts entered into, by the State Board of
14Elections or the State Electoral Board for hearing officers
15appointed pursuant to the Election Code.
16    (l) This Code does not apply to the processes used by the
17Illinois Student Assistance Commission to procure supplies and
18services paid for from the private funds of the Illinois
19Prepaid Tuition Fund. As used in this subsection (l), "private
20funds" means funds derived from deposits paid into the
21Illinois Prepaid Tuition Trust Fund and the earnings thereon.
22    (m) This Code shall apply regardless of the source of
23funds with which contracts are paid, including federal
24assistance moneys. Except as specifically provided in this
25Code, this Code shall not apply to procurement expenditures
26necessary for the Department of Public Health to conduct the

 

 

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1Healthy Illinois Survey in accordance with Section 2310-431 of
2the Department of Public Health Powers and Duties Law of the
3Civil Administrative Code of Illinois.
4(Source: P.A. 101-27, eff. 6-25-19; 101-81, eff. 7-12-19;
5101-363, eff. 8-9-19; 102-175, eff. 7-29-21; 102-483, eff
61-1-22; 102-558, eff. 8-20-21; 102-600, eff. 8-27-21; 102-662,
7eff. 9-15-21; 102-721, eff. 1-1-23; 102-813, eff. 5-13-22;
8102-1116, eff. 1-10-23.)
 
9    Section 20. The Illinois Health Benefits Exchange Law is
10amended by changing Section 5-5 and by adding Sections 5-21,
115-22, 5-23, and 5-24 as follows:
 
12    (215 ILCS 122/5-5)
13    Sec. 5-5. State health benefits exchange. It is declared
14that this State, beginning October 1, 2013, in accordance with
15Section 1311 of the federal Patient Protection and Affordable
16Care Act, shall establish a State health benefits exchange to
17be known as the Illinois Health Benefits Exchange in order to
18help individuals and small employers with no more than 50
19employees shop for, select, and enroll in qualified,
20affordable private health plans that fit their needs at
21competitive prices. The Exchange shall separate coverage pools
22for individuals and small employers and shall supplement and
23not supplant any existing private health insurance market for
24individuals and small employers. The Department of Insurance

 

 

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1shall operate the Illinois Health Benefits Exchange as a
2State-based exchange using the federal platform by plan year
32025 and as a State-based exchange by plan year 2026. The
4Director of Insurance may require that all plans in the
5individual and small group markets, other than grandfathered
6health plans, be made available for comparison on the Illinois
7Health Benefits Exchange, but may not require that all plans
8in the individual and small group markets be purchased
9exclusively on the Illinois Health Benefits Exchange. The
10Director of Insurance may require that plans offered on the
11exchange conform with standardized plan designs that provide
12for standardized cost sharing for covered health services.
13Except when it is inconsistent with State law, the Department
14of Insurance shall enforce the coverage requirements under the
15federal Patient Protection and Affordable Care Act, including
16the coverage of all United States Preventive Services Task
17Force Grade A and B preventive services without cost sharing
18notwithstanding any federal overturning or repeal of 42 U.S.C.
19300gg-13(a)(1), that apply to the individual and small group
20markets. The Director of Insurance may elect to add a small
21business health options program to the Illinois Health
22Benefits Exchange to help small employers enroll their
23employees in qualified health plans in the small group market.
24The General Assembly shall appropriate funds to establish the
25Illinois Health Benefits Exchange.
26(Source: P.A. 97-142, eff. 7-14-11.)
 

 

 

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1    (215 ILCS 122/5-21 new)
2    Sec. 5-21. Monthly assessments.
3    (a) The Director of Insurance may apply a monthly
4assessment to each health benefits plan sold on the Illinois
5Health Benefits Exchange. The assessment shall be paid by the
6issuer and to the Department of Insurance and shall be used
7only for the purpose of supporting the exchange through
8exchange operations, outreach, enrollment, and other means of
9supporting the exchange, including any efforts that may result
10in a benefit to policyholders. The assessment may be applied
11at a rate of:
12        (1) 0.5% of the total monthly premium charged by an
13    issuer for each health benefits plan during any period
14    that the State is on a State-based exchange using the
15    federal platform; or
16        (2) 2.75% of the total monthly premium charged by an
17    issuer for each health benefits plan during any period
18    that the State is on the State-based exchange. The
19    Director of Insurance shall adjust this rate to ensure
20    that the Illinois Health Benefits Exchange is fully
21    funded, but in no case shall the assessment be applied at a
22    rate that exceeds 4% of the total monthly premium charged
23    by a carrier. If the Director determines it is necessary
24    to adjust the rate pursuant to this paragraph, the
25    Director shall, in advance of the adjustment, post on the

 

 

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1    Department's website a report describing the reasons and
2    justifications for the adjustment, which shall be
3    consistent with the purposes of supporting the Illinois
4    Health Benefits Exchange as provided in this Section, at
5    least 120 days before the implementation of the rate
6    adjustment.
7    (b) The Director of Insurance shall notify an issuer 120
8days before the implementation of its assessment rate for the
9subsequent year. Issuers must remit the assessment due in
10monthly installments to the Department of Insurance.
11    (c) The assessment described in this Section shall be
12considered a special purpose obligation and may not be applied
13by issuers to vary premium rates at the plan level.
14    (d) There is created a special fund within the State
15treasury to be known as the Illinois Health Benefits Exchange
16Fund. The Illinois Health Benefits Exchange Fund shall be the
17repository for moneys collected pursuant to fees or
18assessments on exchange issuers, federal financial
19participation as appropriate, and other moneys received as
20grants or otherwise appropriated for the purposes of
21supporting health insurance outreach, enrollment efforts, and
22plan management operations through an exchange. All moneys in
23the Fund shall be used, subject to appropriation, only for the
24purpose of supporting the exchange through exchange
25operations, outreach, enrollment, and other means of
26supporting the exchange, including any efforts that may result

 

 

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1in a benefit to policyholders.
 
2    (215 ILCS 122/5-22 new)
3    Sec. 5-22. State medical assistance program coordination.
4    (a) The Department of Insurance and the Department of
5Healthcare and Family Services shall coordinate the operations
6of the exchange with the operations of State medical
7assistance programs. The Department of Healthcare and Family
8Services shall oversee and operate the exchange eligibility
9rules engine to ensure accurate assessments and determinations
10of exchange and State medical assistance program eligibility.
11    (b) The exchange may determine eligibility for State
12medical assistance programs that use the modified adjusted
13gross income methodology.
14    (c) The exchange may be used for enrollment into State
15medical assistance program health plans.
16    (d) The Department of Healthcare and Family Services shall
17request federal financial participation funds from the Centers
18for Medicare and Medicaid Services for any integrated
19eligibility and enrollment functions of the exchange.
 
20    (215 ILCS 122/5-23 new)
21    Sec. 5-23. Department of Insurance and Department of
22Healthcare and Family Services authority.
23    (a) The Department of Insurance and the Department of
24Healthcare and Family Services, in addition to the powers

 

 

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1granted under the Illinois Insurance Code and the Illinois
2Public Aid Code, have the power necessary to establish and
3operate the Illinois Health Benefits Exchange, including, but
4not limited to, the authority to:
5        (1) adopt rules deemed necessary by the departments to
6    implement this Law;
7        (2) employ or retain sufficient personnel to provide
8    administration, staffing, and necessary related support
9    required to adequately discharge the duties described in
10    this Law from funds held in the Illinois Health Benefits
11    Exchange Fund;
12        (3) procure services, including a call center, and
13    goods for the purpose of establishing the Illinois Health
14    Benefits Exchange, including, but not limited to,
15    procurements in conformance with paragraph (22) of
16    subsection (b) of Section 1-10 of the Illinois Procurement
17    Code; and
18        (4) require any exchange vendor to have experience
19    operating a State-based exchange in another state.
20    (b) The Department of Insurance has the authority to
21employ a Marketplace Director of the Illinois Health Benefits
22Exchange.
 
23    (215 ILCS 122/5-24 new)
24    Sec. 5-24. Illinois Health Benefits Exchange Advisory
25Committee.

 

 

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1    (a) The Director of Insurance shall establish the Illinois
2Health Benefits Exchange Advisory Committee no later than
3December 31, 2023. The Illinois Health Benefits Exchange
4Advisory Committee shall be tasked with making recommendations
5to the Marketplace Director of the Illinois Health Benefits
6Exchange concerning the operation of the exchange, and the
7Committee shall hold its first meeting no later than 90 days
8following the establishment of the Committee and shall meet
9quarterly thereafter. The Marketplace Director shall make a
10quarterly report to the Committee.
11    (b) The Department of Insurance shall present regular and
12timely reports to the Illinois Health Benefits Exchange
13Advisory Committee regarding the progress in the development
14and ongoing operations of the Illinois Health Benefits
15Exchange before its establishment by plan year 2026. The
16reports shall be posted to the Department of Insurance's
17website and include information on the Department of
18Insurance's progress toward establishing and maintaining the
19Illinois Health Benefits Exchange with the goal of ensuring an
20effective and efficient transition from the federal platform
21to the State-based exchange for individuals, employers, and
22health insurance issuers while mitigating loss of health
23insurance coverage for any potential consumer. The Department
24of Insurance's progress reports shall provide information
25including, but not limited to, transparency, user
26understandability, plan compliance, outreach and education,

 

 

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1systems operations, and annual fiscal projections. The
2Department of Insurance shall gather stakeholder input in
3developing operational plans and preparing the reports for the
4Illinois Health Benefits Exchange Advisory Committee.
5    (c) The Illinois Health Benefits Exchange Advisory
6Committee shall include the following members:
7        (1) The Director of Insurance, or the Director's
8    designee, who shall serve ex officio and as co-chair;
9        (2) The Director of Healthcare and Family Services, or
10    the Director's designee, who shall serve ex officio and as
11    co-chair;
12        (3) The Secretary of Human Services, or the
13    Secretary's designee, who shall serve ex officio; and
14        (4) 10 public members, who shall be residents of this
15    State, appointed by the Director of Insurance. The
16    Director shall consider the diversity of this State in the
17    selection of the committee members. The public members
18    shall include:
19            (A) one representative of a statewide organization
20        representing a majority of Illinois hospitals;
21            (B) one representative of a statewide insurance
22        producer professional trade association whose
23        membership is primarily composed of individuals
24        licensed under the Illinois Insurance Code;
25            (C) 2 representatives of a health insurance
26        consumer advocacy group;

 

 

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1            (D) one representative with expertise in
2        enrollment and consumer assistance;
3            (E) 2 representatives of health insurance issuers
4        or issuer trade associations, at least one of which
5        represents a State-domiciled mutual health insurance
6        company, with a demonstrated expertise in the business
7        of health insurance or health benefits administration;
8            (F) one representative of a statewide association
9        representing small business owners;
10            (G) one representative of a statewide organization
11        representing physicians; and
12            (H) one academic or research professional with
13        expertise in health insurance.
14    (d) Members of the Illinois Health Benefits Exchange
15Advisory Committee shall serve for a term of 2 years, shall
16serve without compensation, and shall not be entitled to
17reimbursement. The Department of Insurance shall provide
18administrative support to the Illinois Health Benefits
19Exchange Advisory Committee.
20    (e) The Committee's quarterly meetings shall be open to
21the public and subject to the Open Meetings Act.
 
22    Section 99. Effective date. This Act takes effect upon
23becoming law.".