HB1764 - 104th General Assembly
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| 1 | AN ACT concerning aging. | |||||||||||||||||||
| 2 | Be it enacted by the People of the State of Illinois, | |||||||||||||||||||
| 3 | represented in the General Assembly: | |||||||||||||||||||
| 4 | Section 5. The Senior Citizens and Persons with | |||||||||||||||||||
| 5 | Disabilities Property Tax Relief Act is amended by changing | |||||||||||||||||||
| 6 | Section 4 as follows: | |||||||||||||||||||
| 7 | (320 ILCS 25/4) (from Ch. 67 1/2, par. 404) | |||||||||||||||||||
| 8 | Sec. 4. Amount of Grant. | |||||||||||||||||||
| 9 | (a) In general. Any individual 65 years or older or any | |||||||||||||||||||
| 10 | individual who will become 65 years old during the calendar | |||||||||||||||||||
| 11 | year in which a claim is filed, and any surviving spouse of | |||||||||||||||||||
| 12 | such a claimant, who at the time of death received or was | |||||||||||||||||||
| 13 | entitled to receive a grant pursuant to this Section, which | |||||||||||||||||||
| 14 | surviving spouse will become 65 years of age within the 24 | |||||||||||||||||||
| 15 | months immediately following the death of such claimant and | |||||||||||||||||||
| 16 | which surviving spouse but for his or her age is otherwise | |||||||||||||||||||
| 17 | qualified to receive a grant pursuant to this Section, and any | |||||||||||||||||||
| 18 | person with a disability whose annual household income is less | |||||||||||||||||||
| 19 | than the income eligibility limitation, as defined in | |||||||||||||||||||
| 20 | subsection (a-5) and whose household is liable for payment of | |||||||||||||||||||
| 21 | property taxes accrued or has paid rent constituting property | |||||||||||||||||||
| 22 | taxes accrued and is domiciled in this State at the time he or | |||||||||||||||||||
| 23 | she files his or her claim is entitled to claim a grant under | |||||||||||||||||||
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| 1 | this Act. With respect to claims filed by individuals who will | ||||||
| 2 | become 65 years old during the calendar year in which a claim | ||||||
| 3 | is filed, the amount of any grant to which that household is | ||||||
| 4 | entitled shall be an amount equal to 1/12 of the amount to | ||||||
| 5 | which the claimant would otherwise be entitled as provided in | ||||||
| 6 | this Section, multiplied by the number of months in which the | ||||||
| 7 | claimant was 65 in the calendar year in which the claim is | ||||||
| 8 | filed. | ||||||
| 9 | (a-5) Income eligibility limitation. For purposes of this | ||||||
| 10 | Section, "income eligibility limitation" means an amount for | ||||||
| 11 | grant years 2008 through 2019: | ||||||
| 12 | (1) less than $22,218 for a household containing one | ||||||
| 13 | person; | ||||||
| 14 | (2) less than $29,480 for a household containing 2 | ||||||
| 15 | persons; or | ||||||
| 16 | (3) less than $36,740 for a household containing 3 or | ||||||
| 17 | more persons. | ||||||
| 18 | For grant years 2020 and thereafter: | ||||||
| 19 | (1) less than $33,562 for a household containing one | ||||||
| 20 | person; | ||||||
| 21 | (2) less than $44,533 for a household containing 2 | ||||||
| 22 | persons; or | ||||||
| 23 | (3) less than $55,500 for a household containing 3 or | ||||||
| 24 | more persons. | ||||||
| 25 | For 2009 claim year applications submitted during calendar | ||||||
| 26 | year 2010, a household must have annual household income of | ||||||
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| 1 | less than $27,610 for a household containing one person; less | ||||||
| 2 | than $36,635 for a household containing 2 persons; or less | ||||||
| 3 | than $45,657 for a household containing 3 or more persons. | ||||||
| 4 | The Department on Aging shall may adopt rules such that on | ||||||
| 5 | January 1, 2026 2011, and thereafter, the foregoing household | ||||||
| 6 | income eligibility limits shall may be changed to reflect the | ||||||
| 7 | annual cost of living adjustment in Social Security and | ||||||
| 8 | Supplemental Security Income benefits that are applicable to | ||||||
| 9 | the year for which those benefits are being reported as income | ||||||
| 10 | on an application. | ||||||
| 11 | If a person files as a surviving spouse, then only his or | ||||||
| 12 | her income shall be counted in determining his or her | ||||||
| 13 | household income. | ||||||
| 14 | (b) Limitation. Except as otherwise provided in | ||||||
| 15 | subsections (a) and (f) of this Section, the maximum amount of | ||||||
| 16 | grant which a claimant is entitled to claim is the amount by | ||||||
| 17 | which the property taxes accrued which were paid or payable | ||||||
| 18 | during the last preceding tax year or rent constituting | ||||||
| 19 | property taxes accrued upon the claimant's residence for the | ||||||
| 20 | last preceding taxable year exceeds 3 1/2% of the claimant's | ||||||
| 21 | household income for that year but in no event is the grant to | ||||||
| 22 | exceed (i) $700 less 4.5% of household income for that year for | ||||||
| 23 | those with a household income of $14,000 or less or (ii) $70 if | ||||||
| 24 | household income for that year is more than $14,000. | ||||||
| 25 | (c) Public aid recipients. If household income in one or | ||||||
| 26 | more months during a year includes cash assistance in excess | ||||||
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| 1 | of $55 per month from the Department of Healthcare and Family | ||||||
| 2 | Services or the Department of Human Services (acting as | ||||||
| 3 | successor to the Department of Public Aid under the Department | ||||||
| 4 | of Human Services Act) which was determined under regulations | ||||||
| 5 | of that Department on a measure of need that included an | ||||||
| 6 | allowance for actual rent or property taxes paid by the | ||||||
| 7 | recipient of that assistance, the amount of grant to which | ||||||
| 8 | that household is entitled, except as otherwise provided in | ||||||
| 9 | subsection (a), shall be the product of (1) the maximum amount | ||||||
| 10 | computed as specified in subsection (b) of this Section and | ||||||
| 11 | (2) the ratio of the number of months in which household income | ||||||
| 12 | did not include such cash assistance over $55 to the number | ||||||
| 13 | twelve. If household income did not include such cash | ||||||
| 14 | assistance over $55 for any months during the year, the amount | ||||||
| 15 | of the grant to which the household is entitled shall be the | ||||||
| 16 | maximum amount computed as specified in subsection (b) of this | ||||||
| 17 | Section. For purposes of this paragraph (c), "cash assistance" | ||||||
| 18 | does not include any amount received under the federal | ||||||
| 19 | Supplemental Security Income (SSI) program. | ||||||
| 20 | (d) Joint ownership. If title to the residence is held | ||||||
| 21 | jointly by the claimant with a person who is not a member of | ||||||
| 22 | his or her household, the amount of property taxes accrued | ||||||
| 23 | used in computing the amount of grant to which he or she is | ||||||
| 24 | entitled shall be the same percentage of property taxes | ||||||
| 25 | accrued as is the percentage of ownership held by the claimant | ||||||
| 26 | in the residence. | ||||||
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| 1 | (e) More than one residence. If a claimant has occupied | ||||||
| 2 | more than one residence in the taxable year, he or she may | ||||||
| 3 | claim only one residence for any part of a month. In the case | ||||||
| 4 | of property taxes accrued, he or she shall prorate 1/12 of the | ||||||
| 5 | total property taxes accrued on his or her residence to each | ||||||
| 6 | month that he or she owned and occupied that residence; and, in | ||||||
| 7 | the case of rent constituting property taxes accrued, shall | ||||||
| 8 | prorate each month's rent payments to the residence actually | ||||||
| 9 | occupied during that month. | ||||||
| 10 | (f) (Blank). | ||||||
| 11 | (g) Effective January 1, 2006, there is hereby established | ||||||
| 12 | a program of pharmaceutical assistance to the aged and to | ||||||
| 13 | persons with disabilities, entitled the Illinois Seniors and | ||||||
| 14 | Disabled Drug Coverage Program, which shall be administered by | ||||||
| 15 | the Department of Healthcare and Family Services and the | ||||||
| 16 | Department on Aging in accordance with this subsection, to | ||||||
| 17 | consist of coverage of specified prescription drugs on behalf | ||||||
| 18 | of beneficiaries of the program as set forth in this | ||||||
| 19 | subsection. Notwithstanding any provisions of this Act to the | ||||||
| 20 | contrary, on and after July 1, 2012, pharmaceutical assistance | ||||||
| 21 | under this Act shall no longer be provided, and on July 1, 2012 | ||||||
| 22 | the Illinois Senior Citizens and Disabled Persons | ||||||
| 23 | Pharmaceutical Assistance Program shall terminate. The | ||||||
| 24 | following provisions that concern the Illinois Senior Citizens | ||||||
| 25 | and Disabled Persons Pharmaceutical Assistance Program shall | ||||||
| 26 | continue to apply on and after July 1, 2012 to the extent | ||||||
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| 1 | necessary to pursue any actions authorized by subsection (d) | ||||||
| 2 | of Section 9 of this Act with respect to acts which took place | ||||||
| 3 | prior to July 1, 2012. | ||||||
| 4 | To become a beneficiary under the program established | ||||||
| 5 | under this subsection, a person must: | ||||||
| 6 | (1) be (i) 65 years of age or older or (ii) a person | ||||||
| 7 | with a disability; and | ||||||
| 8 | (2) be domiciled in this State; and | ||||||
| 9 | (3) enroll with a qualified Medicare Part D | ||||||
| 10 | Prescription Drug Plan if eligible and apply for all | ||||||
| 11 | available subsidies under Medicare Part D; and | ||||||
| 12 | (4) for the 2006 and 2007 claim years, have a maximum | ||||||
| 13 | household income of (i) less than $21,218 for a household | ||||||
| 14 | containing one person, (ii) less than $28,480 for a | ||||||
| 15 | household containing 2 persons, or (iii) less than $35,740 | ||||||
| 16 | for a household containing 3 or more persons; and | ||||||
| 17 | (5) for the 2008 claim year, have a maximum household | ||||||
| 18 | income of (i) less than $22,218 for a household containing | ||||||
| 19 | one person, (ii) $29,480 for a household containing 2 | ||||||
| 20 | persons, or (iii) $36,740 for a household containing 3 or | ||||||
| 21 | more persons; and | ||||||
| 22 | (6) for 2009 claim year applications submitted during | ||||||
| 23 | calendar year 2010, have annual household income of less | ||||||
| 24 | than (i) $27,610 for a household containing one person; | ||||||
| 25 | (ii) less than $36,635 for a household containing 2 | ||||||
| 26 | persons; or (iii) less than $45,657 for a household | ||||||
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| 1 | containing 3 or more persons; and | ||||||
| 2 | (7) as of September 1, 2011, have a maximum household | ||||||
| 3 | income at or below 200% of the federal poverty level. | ||||||
| 4 | All individuals enrolled as of December 31, 2005, in the | ||||||
| 5 | pharmaceutical assistance program operated pursuant to | ||||||
| 6 | subsection (f) of this Section and all individuals enrolled as | ||||||
| 7 | of December 31, 2005, in the SeniorCare Medicaid waiver | ||||||
| 8 | program operated pursuant to Section 5-5.12a of the Illinois | ||||||
| 9 | Public Aid Code shall be automatically enrolled in the program | ||||||
| 10 | established by this subsection for the first year of operation | ||||||
| 11 | without the need for further application, except that they | ||||||
| 12 | must apply for Medicare Part D and the Low Income Subsidy under | ||||||
| 13 | Medicare Part D. A person enrolled in the pharmaceutical | ||||||
| 14 | assistance program operated pursuant to subsection (f) of this | ||||||
| 15 | Section as of December 31, 2005, shall not lose eligibility in | ||||||
| 16 | future years due only to the fact that they have not reached | ||||||
| 17 | the age of 65. | ||||||
| 18 | To the extent permitted by federal law, the Department may | ||||||
| 19 | act as an authorized representative of a beneficiary in order | ||||||
| 20 | to enroll the beneficiary in a Medicare Part D Prescription | ||||||
| 21 | Drug Plan if the beneficiary has failed to choose a plan and, | ||||||
| 22 | where possible, to enroll beneficiaries in the low-income | ||||||
| 23 | subsidy program under Medicare Part D or assist them in | ||||||
| 24 | enrolling in that program. | ||||||
| 25 | Beneficiaries under the program established under this | ||||||
| 26 | subsection shall be divided into the following 4 eligibility | ||||||
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| 1 | groups: | ||||||
| 2 | (A) Eligibility Group 1 shall consist of beneficiaries | ||||||
| 3 | who are not eligible for Medicare Part D coverage and who | ||||||
| 4 | are: | ||||||
| 5 | (i) a person with a disability and under age 65; or | ||||||
| 6 | (ii) age 65 or older, with incomes over 200% of the | ||||||
| 7 | Federal Poverty Level; or | ||||||
| 8 | (iii) age 65 or older, with incomes at or below | ||||||
| 9 | 200% of the Federal Poverty Level and not eligible for | ||||||
| 10 | federally funded means-tested benefits due to | ||||||
| 11 | immigration status. | ||||||
| 12 | (B) Eligibility Group 2 shall consist of beneficiaries | ||||||
| 13 | who are eligible for Medicare Part D coverage. | ||||||
| 14 | (C) Eligibility Group 3 shall consist of beneficiaries | ||||||
| 15 | age 65 or older, with incomes at or below 200% of the | ||||||
| 16 | Federal Poverty Level, who are not barred from receiving | ||||||
| 17 | federally funded means-tested benefits due to immigration | ||||||
| 18 | status and are not eligible for Medicare Part D coverage. | ||||||
| 19 | If the State applies and receives federal approval for | ||||||
| 20 | a waiver under Title XIX of the Social Security Act, | ||||||
| 21 | persons in Eligibility Group 3 shall continue to receive | ||||||
| 22 | benefits through the approved waiver, and Eligibility | ||||||
| 23 | Group 3 may be expanded to include persons with | ||||||
| 24 | disabilities who are under age 65 with incomes under 200% | ||||||
| 25 | of the Federal Poverty Level who are not eligible for | ||||||
| 26 | Medicare and who are not barred from receiving federally | ||||||
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| 1 | funded means-tested benefits due to immigration status. | ||||||
| 2 | (D) Eligibility Group 4 shall consist of beneficiaries | ||||||
| 3 | who are otherwise described in Eligibility Group 2 who | ||||||
| 4 | have a diagnosis of HIV or AIDS. | ||||||
| 5 | The program established under this subsection shall cover | ||||||
| 6 | the cost of covered prescription drugs in excess of the | ||||||
| 7 | beneficiary cost-sharing amounts set forth in this paragraph | ||||||
| 8 | that are not covered by Medicare. The Department of Healthcare | ||||||
| 9 | and Family Services may establish by emergency rule changes in | ||||||
| 10 | cost-sharing necessary to conform the cost of the program to | ||||||
| 11 | the amounts appropriated for State fiscal year 2012 and future | ||||||
| 12 | fiscal years except that the 24-month limitation on the | ||||||
| 13 | adoption of emergency rules and the provisions of Sections | ||||||
| 14 | 5-115 and 5-125 of the Illinois Administrative Procedure Act | ||||||
| 15 | shall not apply to rules adopted under this subsection (g). | ||||||
| 16 | The adoption of emergency rules authorized by this subsection | ||||||
| 17 | (g) shall be deemed to be necessary for the public interest, | ||||||
| 18 | safety, and welfare. | ||||||
| 19 | For purposes of the program established under this | ||||||
| 20 | subsection, the term "covered prescription drug" has the | ||||||
| 21 | following meanings: | ||||||
| 22 | For Eligibility Group 1, "covered prescription drug" | ||||||
| 23 | means: (1) any cardiovascular agent or drug; (2) any | ||||||
| 24 | insulin or other prescription drug used in the treatment | ||||||
| 25 | of diabetes, including syringe and needles used to | ||||||
| 26 | administer the insulin; (3) any prescription drug used in | ||||||
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| 1 | the treatment of arthritis; (4) any prescription drug used | ||||||
| 2 | in the treatment of cancer; (5) any prescription drug used | ||||||
| 3 | in the treatment of Alzheimer's disease; (6) any | ||||||
| 4 | prescription drug used in the treatment of Parkinson's | ||||||
| 5 | disease; (7) any prescription drug used in the treatment | ||||||
| 6 | of glaucoma; (8) any prescription drug used in the | ||||||
| 7 | treatment of lung disease and smoking-related illnesses; | ||||||
| 8 | (9) any prescription drug used in the treatment of | ||||||
| 9 | osteoporosis; and (10) any prescription drug used in the | ||||||
| 10 | treatment of multiple sclerosis. The Department may add | ||||||
| 11 | additional therapeutic classes by rule. The Department may | ||||||
| 12 | adopt a preferred drug list within any of the classes of | ||||||
| 13 | drugs described in items (1) through (10) of this | ||||||
| 14 | paragraph. The specific drugs or therapeutic classes of | ||||||
| 15 | covered prescription drugs shall be indicated by rule. | ||||||
| 16 | For Eligibility Group 2, "covered prescription drug" | ||||||
| 17 | means those drugs covered by the Medicare Part D | ||||||
| 18 | Prescription Drug Plan in which the beneficiary is | ||||||
| 19 | enrolled. | ||||||
| 20 | For Eligibility Group 3, "covered prescription drug" | ||||||
| 21 | means those drugs covered by the Medical Assistance | ||||||
| 22 | Program under Article V of the Illinois Public Aid Code. | ||||||
| 23 | For Eligibility Group 4, "covered prescription drug" | ||||||
| 24 | means those drugs covered by the Medicare Part D | ||||||
| 25 | Prescription Drug Plan in which the beneficiary is | ||||||
| 26 | enrolled. | ||||||
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| 1 | Any person otherwise eligible for pharmaceutical | ||||||
| 2 | assistance under this subsection whose covered drugs are | ||||||
| 3 | covered by any public program is ineligible for assistance | ||||||
| 4 | under this subsection to the extent that the cost of those | ||||||
| 5 | drugs is covered by the other program. | ||||||
| 6 | The Department of Healthcare and Family Services shall | ||||||
| 7 | establish by rule the methods by which it will provide for the | ||||||
| 8 | coverage called for in this subsection. Those methods may | ||||||
| 9 | include direct reimbursement to pharmacies or the payment of a | ||||||
| 10 | capitated amount to Medicare Part D Prescription Drug Plans. | ||||||
| 11 | For a pharmacy to be reimbursed under the program | ||||||
| 12 | established under this subsection, it must comply with rules | ||||||
| 13 | adopted by the Department of Healthcare and Family Services | ||||||
| 14 | regarding coordination of benefits with Medicare Part D | ||||||
| 15 | Prescription Drug Plans. A pharmacy may not charge a | ||||||
| 16 | Medicare-enrolled beneficiary of the program established under | ||||||
| 17 | this subsection more for a covered prescription drug than the | ||||||
| 18 | appropriate Medicare cost-sharing less any payment from or on | ||||||
| 19 | behalf of the Department of Healthcare and Family Services. | ||||||
| 20 | The Department of Healthcare and Family Services or the | ||||||
| 21 | Department on Aging, as appropriate, may adopt rules regarding | ||||||
| 22 | applications, counting of income, proof of Medicare status, | ||||||
| 23 | mandatory generic policies, and pharmacy reimbursement rates | ||||||
| 24 | and any other rules necessary for the cost-efficient operation | ||||||
| 25 | of the program established under this subsection. | ||||||
| 26 | (h) A qualified individual is not entitled to duplicate | ||||||
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| 1 | benefits in a coverage period as a result of the changes made | ||||||
| 2 | by this amendatory Act of the 96th General Assembly. | ||||||
| 3 | (Source: P.A. 101-10, eff. 6-5-19.) | ||||||
| 4 | Section 99. Effective date. This Act takes effect upon | ||||||
| 5 | becoming law. | ||||||
