SB3912 103RD GENERAL ASSEMBLY

LRB103 37069 RPS 67187 b

103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024
SB3912

Introduced 3/7/2024, by Sen. Cristina Castro

SYNOPSIS AS INTRODUCED:

215 ILCS 122/5-22

Amends the Illinois Health Benefits Exchange Law. Provides that the Director of Insurance shall have the authority to apply for and implement programs that increase the affordability of or access to health insurance coverage, including for populations currently not eligible to enroll in the Illinois Health Benefits Exchange, through federal 1332 waivers, 1331 authority, or other available federal waivers and authorities.

A BILL FOR

AN ACT concerning regulation.

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

Section 5. The Illinois Health Benefits Exchange Law is amended by changing Section 5-22 as follows:

(215 ILCS 122/5-22)

Sec. 5-22. State medical assistance program coordination.

(a) The Department of Insurance and the Department of Healthcare and Family Services shall coordinate the operations of the exchange with the operations of State medical assistance programs. The Department of Healthcare and Family Services shall oversee and operate the exchange eligibility rules engine to ensure accurate assessments and determinations of exchange and State medical assistance program eligibility.

(b) The exchange may determine eligibility for State medical assistance programs that use the modified adjusted gross income methodology.

(c) The exchange may be used for enrollment into State medical assistance program health plans.

(d) The Department of Healthcare and Family Services shall request federal financial participation funds from the Centers for Medicare and Medicaid Services for any integrated eligibility and enrollment functions of the exchange.

(e) The Director of Insurance shall have the authority to apply for and implement programs that increase the affordability of or access to health insurance coverage, including for populations currently not eligible to enroll in the Illinois Health Benefits Exchange, through federal 1332 waivers, 1331 authority, or other available federal waivers and authorities.

(Source: P.A. 103-103, eff. 6-27-23.)