Full Text of SB2069 96th General Assembly
SB2069sam001 96TH GENERAL ASSEMBLY
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Sen. Toi W. Hutchinson
Filed: 3/25/2009
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| AMENDMENT TO SENATE BILL 2069
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| AMENDMENT NO. ______. Amend Senate Bill 2069 by replacing | 3 |
| everything after the enacting clause with the following:
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| "Section 5. The Mobile Home Local Services Tax Act is | 5 |
| amended by changing Section 7 as follows:
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| (35 ILCS 515/7) (from Ch. 120, par. 1207)
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| Sec. 7.
The local services tax for owners of mobile homes | 8 |
| who (a) are
actually residing in such mobile homes, (b) hold | 9 |
| title to such mobile
home as provided in the " Illinois Vehicle | 10 |
| Code ", approved September 29,
1969, as amended , and (c) are 65 | 11 |
| years of age or older or are disabled
persons within the | 12 |
| meaning of Section 3.14 of the "Senior Citizens and
Disabled | 13 |
| Persons Property Tax Relief and Pharmaceutical Assistance Act"
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| on the annual billing date
shall be reduced to 80 percent of | 15 |
| the tax provided for in Section 3 of
this Act. Proof that a | 16 |
| claimant has been issued an Illinois Disabled
Person |
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| Identification Card stating that the claimant is under a Class | 2 |
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disability, as provided in Section 4A of the The Illinois | 3 |
| Identification Card
Act, shall constitute proof that the person | 4 |
| thereon named is a disabled
person within the meaning of this | 5 |
| Act. An application for reduction of
the tax shall be filed | 6 |
| with
the county clerk by the individuals who are entitled to | 7 |
| the reduction.
If the application is filed after May 1, the | 8 |
| reduction in tax shall
begin with the next annual bill. | 9 |
| Application for the reduction in tax
shall be done by | 10 |
| submitting proof that the applicant has been issued an
Illinois | 11 |
| Disabled Person Identification Card designating the | 12 |
| applicant's
disability as a Class 2 disability, or by affidavit | 13 |
| in substantially the
following form:
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| APPLICATION FOR REDUCTION OF MOBILE HOME LOCAL SERVICES TAX
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| I hereby make application for a reduction to 80% of the | 16 |
| total tax
imposed under "An Act to provide for a local services
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| tax on mobile homes".
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| (1) Senior Citizens
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| (a) I actually reside in the mobile home ....
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| (b) I hold title to the mobile home as provided in the | 21 |
| Illinois
Vehicle Code ....
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| (c) I reached the age of 65 on or before either January 1 | 23 |
| (or July
1) of the year in which this statement is filed. My | 24 |
| date of birth is: ...
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| (2) Disabled Persons
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| (a) I actually reside in the mobile home...
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| (b) I hold title to the mobile home as provided in the | 2 |
| Illinois
Vehicle Code ....
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| (c) I was totally disabled on ... and have remained | 4 |
| disabled until
the date of this application. My Social | 5 |
| Security, Veterans, Railroad or
Civil Service Total Disability | 6 |
| Claim Number is ... The undersigned
declares under the penalty | 7 |
| of perjury that the above statements are true
and correct.
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| Dated (insert date).
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| ...........................
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| Signature of owner
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| ...........................
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| (Address)
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| ...........................
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| (City) (State) (Zip)
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| Approved by:
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| .............................
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| (Assessor)
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| This application shall be accompanied by a copy of the | 19 |
| applicant's
most recent application filed with the Illinois | 20 |
| Department on Aging of Revenue
under the " Senior Citizens and | 21 |
| Disabled Persons Property Tax Relief and
Pharmaceutical | 22 |
| Assistance Act ," approved July 17, 1972, as amended .
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| (Source: P.A. 91-357, eff. 7-29-99.)
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| Section 10. The Citizens Utility Board Act is amended by |
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| changing Section 9 as follows:
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| (220 ILCS 10/9) (from Ch. 111 2/3, par. 909)
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| Sec. 9. Mailing procedure.
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| (1) As used in this Section:
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| (a) "Enclosure" means a card, leaflet, envelope or | 6 |
| combination thereof
furnished by the corporation under | 7 |
| this Section.
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| (b) "Mailing" means any communication by a State | 9 |
| agency, other than
a mailing made by the Department of | 10 |
| Revenue under the Senior Citizens and
Disabled Persons | 11 |
| Property Tax Relief and Pharmaceutical Assistance Act,
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| that is sent through the United States Postal Service to | 13 |
| more than 50,000
persons within a 12-month period.
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| (c) "State agency" means any officer, department, | 15 |
| board, commission,
institution or entity of the executive | 16 |
| or legislative
branches of State government.
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| (2) To accomplish its powers and duties under Section 5 | 18 |
| this Act, the
corporation, subject to the following | 19 |
| limitations, may prepare and furnish
to any State agency an | 20 |
| enclosure to be included with a mailing by that agency.
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| (a) A State agency furnished with an enclosure shall | 22 |
| include the
enclosure within the mailing designated by the | 23 |
| corporation.
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| (b) An enclosure furnished by the corporation under | 25 |
| this Section shall
be provided to the State agency a |
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| reasonable period of time in advance of
the mailing.
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| (c) An enclosure furnished by the corporation under | 3 |
| this Section shall be
limited to informing the reader of | 4 |
| the purpose, nature and activities of the
corporation as | 5 |
| set forth in this Act and informing the reader that it may
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| become a member in the corporation, maintain membership in | 7 |
| the corporation
and contribute money to the corporation | 8 |
| directly.
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| (d) Prior to furnishing an enclosure to the State | 10 |
| agency, the
corporation shall seek and obtain approval of | 11 |
| the content of the enclosure
from the Illinois Commerce | 12 |
| Commission. The Commission shall approve the
enclosure if | 13 |
| it determines that the enclosure (i) is not false or
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| misleading and (ii) satisfies the requirements of this Act. | 15 |
| The Commission
shall be deemed to have approved the | 16 |
| enclosure unless it disapproves the
enclosure within 14 | 17 |
| days from the date of receipt.
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| (3) The corporation shall reimburse each State agency for | 19 |
| all reasonable
incremental costs incurred by the State agency | 20 |
| in complying with this
Section above the agency's normal | 21 |
| mailing and handling costs, provided that:
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| (a) The State agency shall first furnish the | 23 |
| corporation with an
itemized accounting of such additional | 24 |
| cost; and
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| (b) The corporation shall not be required to reimburse | 26 |
| the State agency
for postage costs if the weight of the |
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| corporation's enclosure does not
exceed .35 ounce | 2 |
| avoirdupois. If the corporation's enclosure exceeds that
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| weight, then it shall only be required to reimburse the | 4 |
| State agency for
postage cost over and above what the | 5 |
| agency's postage cost would have been
had the enclosure | 6 |
| weighed only .35 ounce avoirdupois.
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| (Source: P.A. 87-205.)
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| Section 15. The Senior Citizens and Disabled Persons | 9 |
| Property Tax Relief and
Pharmaceutical Assistance Act is | 10 |
| amended by changing Sections 1, 2, 3.01, 3.04, 3.05, 3.06, | 11 |
| 3.07, 3.08, 3.09, 3.10, 3.12, 4, 5, 7, 8, 8a, 9, 12, and 13 and | 12 |
| by adding Sections 1.5, 3.01a, 3.03a, 3.05a, and 4.05 as | 13 |
| follows:
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| (320 ILCS 25/1) (from Ch. 67 1/2, par. 401)
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| Sec. 1. Short title ; common name . This Article shall be | 16 |
| known and may be cited as the " Senior Citizens and
Disabled | 17 |
| Persons Property Tax Relief and Pharmaceutical Assistance
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| Act " . Common references to the "Circuit Breaker Act" mean this | 19 |
| Article. As used in this Article, "this Act" means this | 20 |
| Article.
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| (Source: P.A. 83-1531.)
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| (320 ILCS 25/1.5 new) | 23 |
| Sec. 1.5. Implementation of Executive Order No. 3 of 2004. |
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| Executive Order No. 3 of 2004, in part, provided for the
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| transfer of the programs under this Act from the Department of
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| Revenue to the Department on Aging and the Department of
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| Healthcare and Family Services. It is the purpose of this
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| amendatory Act of the 96th General Assembly to conform this Act
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| and certain related provisions of other statutes to that
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| Executive Order. This amendatory Act of the 96th General
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| Assembly also makes other substantive changes
to this Act.
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| (320 ILCS 25/2) (from Ch. 67 1/2, par. 402)
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| Sec. 2. Purpose. The purpose of this Act is to provide | 11 |
| incentives to the senior citizens
and disabled persons of this | 12 |
| State to acquire and retain private housing of
their choice and | 13 |
| at the same time to relieve those citizens from the
burdens of | 14 |
| extraordinary property taxes and rising drug costs against | 15 |
| their increasingly
restricted earning power, and thereby to | 16 |
| reduce the requirements for public
housing in this State.
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| (Source: P.A. 77-2059.)
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| (320 ILCS 25/3.01) (from Ch. 67 1/2, par. 403.01)
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| Sec. 3.01. Claimant. "Claimant" means an individual who has | 20 |
| filed a claim for a property tax relief grant under this Act. | 21 |
| In appropriate contexts, "claimant" may also include a person | 22 |
| who
has applied for pharmaceutical assistance under this Act or | 23 |
| for
other benefits that are based on eligibility for benefits | 24 |
| under
this Act.
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| (Source: P.A. 77-2059.)
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| (320 ILCS 25/3.01a new) | 3 |
| Sec. 3.01a. Claim year. "Claim year" means the calendar
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| year prior to the period of time during which a claimant may
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| file an application for benefits under this Act. | 6 |
| (320 ILCS 25/3.03a new) | 7 |
| Sec. 3.03a. Federal Poverty Level. "Federal Poverty Level"
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| means the federal poverty income guidelines as determined
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| annually by the United States Department of Health and Human
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| Services and updated periodically in the Federal Register by
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| that Department under the authority of 42 U.S.C. 9902(2).
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| (320 ILCS 25/3.04) (from Ch. 67 1/2, par. 403.04)
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| Sec. 3.04. Gross rent. "Gross rent Rent " means the total | 14 |
| amount paid solely for the right to occupy
a residence.
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| If the residence is a nursing or sheltered care home, | 16 |
| "gross rent" means
the amount paid in a taxable year that is | 17 |
| attributable to the cost of
housing, but not of meals or care, | 18 |
| for the claimant in that home,
determined in accordance with | 19 |
| regulations of the Department on Aging .
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| (Source: P.A. 78-1249; 78-1297.)
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| (320 ILCS 25/3.05) (from Ch. 67 1/2, par. 403.05)
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| Sec. 3.05. Household. "Household" means a claimant or a |
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| claimant and his or her spouse , if any, living
together in the | 2 |
| same residence. An additional resident may be counted in | 3 |
| determining household size.
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| (Source: P.A. 77-2059.)
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| (320 ILCS 25/3.05a new) | 6 |
| Sec. 3.05a. Additional resident. "Additional resident"
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| means a person who (i) is living in the same residence with a
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| claimant for the claim year and at the time of filing the
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| claim, (ii) is not the spouse of the claimant, (iii) does not
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| file a separate claim under this Act for the same period, and
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| (iv) receives more than half of his or her total financial
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| support for that claim year from the household. An additional | 13 |
| resident who meets qualifications may receive pharmaceutical | 14 |
| assistance based on a claimant's application.
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| (320 ILCS 25/3.06) (from Ch. 67 1/2, par. 403.06)
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| Sec. 3.06. Household income. "Household income" means the | 17 |
| combined income of the members of a
household. The term does | 18 |
| not include the income of any qualified additional resident who | 19 |
| lives with the claimant.
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| (Source: P.A. 77-2059.)
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| (320 ILCS 25/3.07) (from Ch. 67 1/2, par. 403.07)
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| Sec. 3.07. Income. "Income" means adjusted gross income, | 23 |
| properly reportable for
federal income tax purposes under the |
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| provisions of the Internal Revenue Code,
modified by adding | 2 |
| thereto the sum of the following amounts to the extent
deducted | 3 |
| or excluded from gross income in the computation of adjusted | 4 |
| gross
income:
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| (A) An amount equal to all amounts paid or accrued as | 6 |
| interest or
dividends during the taxable year;
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| (B) An amount equal to the amount of tax imposed by the | 8 |
| Illinois Income
Tax Act paid for the taxable year;
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| (C) An amount equal to all amounts received during the | 10 |
| taxable year as
an annuity under an annuity, endowment or | 11 |
| life insurance contract or under
any other contract or | 12 |
| agreement;
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| (D) An amount equal to the amount of benefits paid | 14 |
| under the Federal
Social Security Act during the taxable | 15 |
| year;
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| (E) An amount equal to the amount of benefits paid | 17 |
| under the Railroad
Retirement Act during the taxable year;
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| (F) An amount equal to the total amount of cash public | 19 |
| assistance
payments received from any governmental agency | 20 |
| during the taxable year
other than benefits received | 21 |
| pursuant to this Act;
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| (G) An amount equal to any net operating loss carryover | 23 |
| deduction or
capital loss carryover deduction during the | 24 |
| taxable year; and
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| (H) An For claim years beginning on or after January 1, | 26 |
| 2002, an amount
equal to any benefits received under the |
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| Workers' Compensation Act or the
Workers' Occupational | 2 |
| Diseases Act during the
taxable year.
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| "Income" does not include any grant assistance received | 4 |
| under the Nursing
Home Grant Assistance Act or any | 5 |
| distributions or items of income described
under subparagraph | 6 |
| (X) of paragraph (2) of subsection (a) of Section 203 of
the | 7 |
| Illinois Income Tax Act or any payments under Section 2201 or | 8 |
| Section 2202 of the American Recovery and Reinvestment Act of | 9 |
| 2009 .
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| This amendatory Act of 1987 shall be effective for purposes | 11 |
| of this
Section for tax years ending on or after December 31, | 12 |
| 1987.
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| (Source: P.A. 91-676, eff. 12-23-99; 92-131, eff. 7-23-01; | 14 |
| 92-519, eff.
1-1-02.)
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| (320 ILCS 25/3.08) (from Ch. 67 1/2, par. 403.08)
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| Sec. 3.08. Internal Revenue Code. "Internal Revenue Code" | 17 |
| means the United States Internal Revenue Code of 1986
1954 or | 18 |
| any successor law or laws relating to federal income taxes in
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| effect for the year.
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| (Source: P.A. 77-2059.)
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| (320 ILCS 25/3.09) (from Ch. 67 1/2, par. 403.09)
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| Sec. 3.09. Property taxes accrued. "Property taxes | 23 |
| accrued" means the ad valorem property taxes
extended against a | 24 |
| residence, but does not include special assessments,
interest |
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| or charges for service. In the case of real estate improved | 2 |
| with a
multidwelling or multipurpose building, "property taxes | 3 |
| accrued" extended
against a residence within such a building is | 4 |
| an amount equal to the same
percentage of the total property | 5 |
| taxes extended against that real estate as
improved as the | 6 |
| value of the residence is to the total value of the
building. | 7 |
| If the multidwelling building is owned and operated as a
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| cooperative, the value of an individual residence is the value | 9 |
| of the
interest in the cooperative held by the owner of record | 10 |
| of the legal or
equitable interest, other than a leasehold | 11 |
| interest, in the cooperative
which confers the right to occupy | 12 |
| that residence.
In determining the amount of grant under | 13 |
| Section 4 for 1976
and thereafter , the applicable "property | 14 |
| taxes accrued",
as determined under this Section, are those | 15 |
| payable or paid
in the last preceding taxable year.
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| In addition, if the residence is a mobile home as defined | 17 |
| in and subject
to the tax imposed by the Mobile Home Local | 18 |
| Services Tax Act, "property taxes
accrued" includes the amount | 19 |
| of privilege tax paid during the calendar year for
which | 20 |
| benefits are claimed under that Act on that mobile home. If | 21 |
| Beginning in
taxable year 1999, if (i) the residence is a | 22 |
| mobile home, (ii) the resident is
the record owner of the | 23 |
| property upon which the mobile home is
located, and (iii) the | 24 |
| resident is liable for the taxes imposed under the
Property Tax | 25 |
| Code for both the mobile home and the property, then "property
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| taxes accrued" includes the amount of property taxes paid on |
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| both the mobile
home and the property upon which the mobile | 2 |
| home is located.
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| (Source: P.A. 91-357, eff. 7-29-99; 91-391, eff. 7-30-99.)
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| (320 ILCS 25/3.10) (from Ch. 67 1/2, par. 403.10)
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| Sec. 3.10. Regulations. "Regulations" includes both rules | 6 |
| promulgated and forms prescribed by the applicable
Department. | 7 |
| In this Act, references to the rules of the Department on Aging
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| or the Department of Healthcare and Family Services shall be
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| deemed to include, in appropriate cases, the corresponding
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| rules adopted by the Department of Revenue, to the extent that
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| those rules continue in force under Executive Order No. 3 of
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| 2004.
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| (Source: P.A. 77-2059.)
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| (320 ILCS 25/3.12) (from Ch. 67 1/2, par. 403.12)
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| Sec. 3.12. Residence. "Residence" means the principal | 16 |
| dwelling place occupied in this State by
a household and so | 17 |
| much of the surrounding land as is reasonably necessary
for use | 18 |
| of the dwelling as a home, and includes rental property, mobile
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| homes, single family dwellings, and units in multifamily, | 20 |
| multidwelling or
multipurpose buildings. If the assessor has | 21 |
| established a specific legal
description for a portion of | 22 |
| property constituting the residence, then that
portion of | 23 |
| property shall be deemed "residence" for the purposes of this
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| Act. "Residence" also includes that portion of a nursing or |
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| sheltered care
home occupied as a dwelling by a claimant, | 2 |
| determined as prescribed in
regulations of the Department on | 3 |
| Aging .
| 4 |
| (Source: P.A. 78-1249.)
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| (320 ILCS 25/4) (from Ch. 67 1/2, par. 404)
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| Sec. 4. Amount of Grant.
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| (a) In general. Any individual 65 years or older or any | 8 |
| individual who will
become 65 years old during the calendar | 9 |
| year in which a claim is filed, and any
surviving spouse of | 10 |
| such a claimant, who at the time of death received or was
| 11 |
| entitled to receive a grant pursuant to this Section, which | 12 |
| surviving spouse
will become 65 years of age within the 24 | 13 |
| months immediately following the
death of such claimant and | 14 |
| which surviving spouse but for his or her age is
otherwise | 15 |
| qualified to receive a grant pursuant to this Section, and any
| 16 |
| disabled person whose annual household income is less than the | 17 |
| income eligibility limitation, as defined in subsection (a-5)
| 18 |
| and whose household is liable for payment of property taxes | 19 |
| accrued or has
paid rent constituting property taxes accrued | 20 |
| and is domiciled in this State
at the time he or she files his | 21 |
| or her claim is entitled to claim a
grant under this Act.
With | 22 |
| respect to claims filed by individuals who will become 65 years | 23 |
| old
during the calendar year in which a claim is filed, the | 24 |
| amount of any grant
to which that household is entitled shall | 25 |
| be an amount equal to 1/12 of the
amount to which the claimant |
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| would otherwise be entitled as provided in
this Section, | 2 |
| multiplied by the number of months in which the claimant was
65 | 3 |
| in the calendar year in which the claim is filed.
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| (a-5) Income eligibility limitation. For purposes of this | 5 |
| Section, "income eligibility limitation" means an amount for | 6 |
| grant years 2008 and thereafter : | 7 |
| (i) for grant years before the 1998 grant year, less | 8 |
| than $14,000; | 9 |
| (ii) for the 1998 and 1999 grant year, less than | 10 |
| $16,000; | 11 |
| (iii) for grant years 2000 through 2007: | 12 |
| (A) less than $21,218 for a household containing | 13 |
| one person; | 14 |
| (B) less than $28,480 for a household containing 2 | 15 |
| persons; or | 16 |
| (C) less than $35,740 for a
household containing 3 | 17 |
| or more persons; or | 18 |
| (iv) for grant years 2008 and thereafter:
| 19 |
| (1) (A) less than $22,218 for a household containing | 20 |
| one person; | 21 |
| (2) (B) less than $29,480 for a household containing 2 | 22 |
| persons; or | 23 |
| (3) (C) less than $36,740 for a
household containing 3 | 24 |
| or 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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| less than $27,610 for a household containing one person; less | 2 |
| than $36,635 for a household containing 2 persons; or less than | 3 |
| $45,657 for a household containing 3 or more persons. | 4 |
| On January 1, 2011, and thereafter, the foregoing household | 5 |
| income eligibility limits shall be changed to reflect the | 6 |
| annual cost of living adjustment in Social Security and | 7 |
| Supplemental Security Income benefits that is applicable to the | 8 |
| year for which those benefits are being reported as income on | 9 |
| an application. | 10 |
| If a person files as a surviving spouse, then only his or | 11 |
| her income shall be counted in determining his or her household | 12 |
| income. | 13 |
| (b) Limitation. Except as otherwise provided in | 14 |
| subsections (a) and (f)
of this Section, the maximum amount of | 15 |
| grant which a claimant is
entitled to claim is the amount by | 16 |
| which the property taxes accrued which
were paid or payable | 17 |
| during the last preceding tax year or rent
constituting | 18 |
| property taxes accrued upon the claimant's residence for the
| 19 |
| last preceding taxable year exceeds 3 1/2% of the claimant's | 20 |
| household
income for that year but in no event is the grant to | 21 |
| exceed (i) $700 less
4.5% of household income for that year for | 22 |
| those with a household income of
$14,000 or less or (ii) $70 if | 23 |
| household income for that year is more than
$14,000.
| 24 |
| (c) Public aid recipients. If household income in one or | 25 |
| more
months during a year includes cash assistance in excess of | 26 |
| $55 per month
from the Department of Healthcare and Family |
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| Services or the Department of Human Services (acting
as | 2 |
| successor to the Department of Public Aid under the Department | 3 |
| of Human
Services Act) which was determined under regulations | 4 |
| of
that Department on a measure of need that included an | 5 |
| allowance for actual
rent or property taxes paid by the | 6 |
| recipient of that assistance, the amount
of grant to which that | 7 |
| household is entitled, except as otherwise provided in
| 8 |
| subsection (a), shall be the product of (1) the maximum amount | 9 |
| computed as
specified in subsection (b) of this Section and (2) | 10 |
| the ratio of the number of
months in which household income did | 11 |
| not include such cash assistance over $55
to the number twelve. | 12 |
| If household income did not include such cash assistance
over | 13 |
| $55 for any months during the year, the amount of the grant to | 14 |
| which the
household is entitled shall be the maximum amount | 15 |
| computed as specified in
subsection (b) of this Section. For | 16 |
| purposes of this paragraph (c), "cash
assistance" does not | 17 |
| include any amount received under the federal Supplemental
| 18 |
| Security Income (SSI) program.
| 19 |
| (d) Joint ownership. If title to the residence is held | 20 |
| jointly by
the claimant with a person who is not a member of | 21 |
| his or her household,
the amount of property taxes accrued used | 22 |
| in computing the amount of grant
to which he or she is entitled | 23 |
| shall be the same percentage of property
taxes accrued as is | 24 |
| the percentage of ownership held by the claimant in the
| 25 |
| residence.
| 26 |
| (e) More than one residence. If a claimant has occupied |
|
|
|
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| 1 |
| more than
one residence in the taxable year, he or she may | 2 |
| claim only one residence
for any part of a month. In the case | 3 |
| of property taxes accrued, he or she
shall prorate 1/12 of the | 4 |
| total property taxes accrued on
his or her residence to each | 5 |
| month that he or she owned and occupied
that residence; and, in | 6 |
| the case of rent constituting property taxes accrued,
shall | 7 |
| prorate each month's rent payments to the residence
actually | 8 |
| occupied during that month.
| 9 |
| (f) (Blank). There is hereby established a program of | 10 |
| pharmaceutical assistance
to the aged and disabled which shall | 11 |
| be administered by the Department in
accordance with this Act, | 12 |
| to consist of payments to authorized pharmacies, on
behalf of | 13 |
| beneficiaries of the program, for the reasonable costs of | 14 |
| covered
prescription drugs. Each beneficiary who pays $5 for an | 15 |
| identification card
shall pay no additional prescription | 16 |
| costs. Each beneficiary who pays $25 for
an identification card | 17 |
| shall pay $3 per prescription. In addition, after a
beneficiary | 18 |
| receives $2,000 in benefits during a State fiscal year, that
| 19 |
| beneficiary shall also be charged 20% of the cost of each | 20 |
| prescription for
which payments are made by the program during | 21 |
| the remainder of the fiscal
year. To become a beneficiary under | 22 |
| this program a person must: (1)
be (i) 65 years of age or | 23 |
| older, or (ii) the surviving spouse of such
a claimant, who at | 24 |
| the time of death received or was entitled to receive
benefits | 25 |
| pursuant to this subsection, which surviving spouse will become | 26 |
| 65
years of age within the 24 months immediately following the |
|
|
|
09600SB2069sam001 |
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| 1 |
| death of such
claimant and which surviving spouse but for his | 2 |
| or her age is otherwise
qualified to receive benefits pursuant | 3 |
| to this subsection, or (iii) disabled,
and (2) be domiciled in | 4 |
| this State at the time he or she files
his or her claim, and (3) | 5 |
| have a maximum household income of less
than the income | 6 |
| eligibility limitation, as defined in subsection (a-5). In | 7 |
| addition, each eligible person must (1) obtain an
| 8 |
| identification card from the Department, (2) at the time the | 9 |
| card is obtained,
sign a statement assigning to the State of | 10 |
| Illinois benefits which may be
otherwise claimed under any | 11 |
| private insurance plans, and (3) present the
identification | 12 |
| card to the dispensing pharmacist.
| 13 |
| The Department may adopt rules specifying
participation
| 14 |
| requirements for the pharmaceutical assistance program, | 15 |
| including copayment
amounts,
identification card fees, | 16 |
| expenditure limits, and the benefit threshold after
which a 20% | 17 |
| charge is imposed on the cost of each prescription, to be in
| 18 |
| effect on and
after July 1, 2004.
Notwithstanding any other | 19 |
| provision of this paragraph, however, the Department
may not
| 20 |
| increase the identification card fee above the amount in effect | 21 |
| on May 1, 2003
without
the express consent of the General | 22 |
| Assembly.
To the extent practicable, those requirements shall | 23 |
| be
commensurate
with the requirements provided in rules adopted | 24 |
| by the Department of Healthcare and Family Services
to
| 25 |
| implement the pharmacy assistance program under Section | 26 |
| 5-5.12a of the Illinois
Public
Aid Code.
|
|
|
|
09600SB2069sam001 |
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|
| 1 |
| Whenever a generic equivalent for a covered prescription | 2 |
| drug is available,
the Department shall reimburse only for the | 3 |
| reasonable costs of the generic
equivalent, less the co-pay | 4 |
| established in this Section, unless (i) the covered
| 5 |
| prescription drug contains one or more ingredients defined as a | 6 |
| narrow
therapeutic index drug at 21 CFR 320.33, (ii) the | 7 |
| prescriber indicates on the
face of the prescription "brand | 8 |
| medically necessary", and (iii) the prescriber
specifies that a | 9 |
| substitution is not permitted. When issuing an oral
| 10 |
| prescription for covered prescription medication described in | 11 |
| item (i) of this
paragraph, the prescriber shall stipulate | 12 |
| "brand medically necessary" and
that a substitution is not | 13 |
| permitted. If the covered prescription drug and its
authorizing | 14 |
| prescription do not meet the criteria listed above, the | 15 |
| beneficiary
may purchase the non-generic equivalent of the | 16 |
| covered prescription drug by
paying the difference between the | 17 |
| generic cost and the non-generic cost plus
the beneficiary | 18 |
| co-pay.
| 19 |
| Any person otherwise eligible for pharmaceutical | 20 |
| assistance under this
Act whose covered drugs are covered by | 21 |
| any public program for assistance in
purchasing any covered | 22 |
| prescription drugs shall be ineligible for assistance
under | 23 |
| this Act to the extent such costs are covered by such other | 24 |
| plan.
| 25 |
| The fee to be charged by the Department for the | 26 |
| identification card shall
be equal to $5 per coverage year for |
|
|
|
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|
| 1 |
| persons below the official poverty line
as defined by the | 2 |
| United States Department of Health and Human Services and
$25 | 3 |
| per coverage year for all other persons.
| 4 |
| In the event that 2 or more persons are eligible for any | 5 |
| benefit under
this Act, and are members of the same household, | 6 |
| (1) each such person shall
be entitled to participate in the | 7 |
| pharmaceutical assistance program, provided
that he or she | 8 |
| meets all other requirements imposed by this subsection
and (2) | 9 |
| each participating household member contributes the fee | 10 |
| required
for that person by the preceding paragraph for the | 11 |
| purpose
of obtaining an identification card. | 12 |
| The provisions of this subsection (f), other than this | 13 |
| paragraph, are inoperative after December 31, 2005. | 14 |
| Beneficiaries who received benefits under the program | 15 |
| established by this subsection (f) are not entitled, at the | 16 |
| termination of the program, to any refund of the identification | 17 |
| card fee paid under this subsection. | 18 |
| (g) Effective January 1, 2006, there is hereby established | 19 |
| a program of pharmaceutical assistance to the aged and | 20 |
| disabled, entitled the Illinois Seniors and Disabled Drug | 21 |
| Coverage Program, which shall be administered by the Department | 22 |
| of Healthcare and Family Services and the Department on Aging | 23 |
| in accordance with this subsection, to consist of coverage of | 24 |
| specified prescription drugs on behalf of beneficiaries of the | 25 |
| program as set forth in this subsection. The program under this | 26 |
| subsection replaces and supersedes the program established |
|
|
|
09600SB2069sam001 |
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LRB096 11250 DRJ 24483 a |
|
| 1 |
| under subsection (f), which shall end at midnight on December | 2 |
| 31, 2005. | 3 |
| To become a beneficiary under the program established under | 4 |
| this subsection, a person must: | 5 |
| (1) be (i) 65 years of age or older or (ii) disabled; | 6 |
| and | 7 |
| (2) be domiciled in this State; and | 8 |
| (3) enroll with a qualified Medicare Part D | 9 |
| Prescription Drug Plan if eligible and apply for all | 10 |
| available subsidies under Medicare Part D; and | 11 |
| (4) for the 2006 and 2007 claim years, have a maximum | 12 |
| household income of (i) less than $21,218 for a household | 13 |
| containing one person, (ii) less than $28,480 for a | 14 |
| household containing 2 persons, or (iii) less than $35,740 | 15 |
| for a household containing 3 or more persons ; and . If any | 16 |
| income eligibility limit set forth in items (i) through | 17 |
| (iii) is less than 200% of the Federal Poverty Level for | 18 |
| any year, the income eligibility limit for that year for | 19 |
| households of that size shall be income equal to or less | 20 |
| than 200% of the Federal Poverty Level. | 21 |
| (5) for the 2008 claim year, have a maximum household | 22 |
| income of (i) less than $22,218 for a household containing | 23 |
| one person, (ii) $29,480 for a household containing 2 | 24 |
| persons, or (iii) $36,740 for a household containing 3 or | 25 |
| more persons; and | 26 |
| (6) for 2009 claim year applications submitted during |
|
|
|
09600SB2069sam001 |
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LRB096 11250 DRJ 24483 a |
|
| 1 |
| calendar year 2010, have annual household income of less | 2 |
| than (i) $27,610 for a household containing one person; | 3 |
| (ii) less than $36,635 for a household containing 2 | 4 |
| persons; or (iii) less than $45,657 for a household | 5 |
| containing 3 or more persons. | 6 |
| On January 1, 2011, and thereafter, the foregoing household | 7 |
| income eligibility limits shall be changed to reflect the | 8 |
| annual cost of living adjustment in Social Security and | 9 |
| Supplemental Security Income benefits that is applicable to the | 10 |
| year for which those benefits are being reported as income on | 11 |
| an application. | 12 |
| All individuals enrolled as of December 31, 2005, in the | 13 |
| pharmaceutical assistance program operated pursuant to | 14 |
| subsection (f) of this Section and all individuals enrolled as | 15 |
| of December 31, 2005, in the SeniorCare Medicaid waiver program | 16 |
| operated pursuant to Section 5-5.12a of the Illinois Public Aid | 17 |
| Code shall be automatically enrolled in the program established | 18 |
| by this subsection for the first year of operation without the | 19 |
| need for further application, except that they must apply for | 20 |
| Medicare Part D and the Low Income Subsidy under Medicare Part | 21 |
| D. A person enrolled in the pharmaceutical assistance program | 22 |
| operated pursuant to subsection (f) of this Section as of | 23 |
| December 31, 2005, shall not lose eligibility in future years | 24 |
| due only to the fact that they have not reached the age of 65. | 25 |
| To the extent permitted by federal law, the Department may | 26 |
| act as an authorized representative of a beneficiary in order |
|
|
|
09600SB2069sam001 |
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LRB096 11250 DRJ 24483 a |
|
| 1 |
| to enroll the beneficiary in a Medicare Part D Prescription | 2 |
| Drug Plan if the beneficiary has failed to choose a plan and, | 3 |
| where possible, to enroll beneficiaries in the low-income | 4 |
| subsidy program under Medicare Part D or assist them in | 5 |
| enrolling in that program. | 6 |
| Beneficiaries under the program established under this | 7 |
| subsection shall be divided into the following 5 eligibility | 8 |
| groups: | 9 |
| (A) Eligibility Group 1 shall consist of beneficiaries | 10 |
| who are not eligible for Medicare Part D coverage and who
| 11 |
| are: | 12 |
| (i) disabled and under age 65; or | 13 |
| (ii) age 65 or older, with incomes over 200% of the | 14 |
| Federal Poverty Level; or | 15 |
| (iii) age 65 or older, with incomes at or below | 16 |
| 200% of the Federal Poverty Level and not eligible for | 17 |
| federally funded means-tested benefits due to | 18 |
| immigration status. | 19 |
| (B) Eligibility Group 2 shall consist of beneficiaries | 20 |
| otherwise described in Eligibility Group 1 but who are | 21 |
| eligible for Medicare Part D coverage. | 22 |
| (C) Eligibility Group 3 shall consist of beneficiaries | 23 |
| age 65 or older, with incomes at or below 200% of the | 24 |
| Federal Poverty Level, who are not barred from receiving | 25 |
| federally funded means-tested benefits due to immigration | 26 |
| status and are not eligible for Medicare Part D coverage. |
|
|
|
09600SB2069sam001 |
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LRB096 11250 DRJ 24483 a |
|
| 1 |
| (D) Eligibility Group 4 shall consist of beneficiaries | 2 |
| age 65 or older, with incomes at or below 200% of the | 3 |
| Federal Poverty Level, who are not barred from receiving | 4 |
| federally funded means-tested benefits due to immigration | 5 |
| status and are not eligible for Medicare Part D coverage. | 6 |
| If the State applies and receives federal approval for | 7 |
| a waiver under Title XIX of the Social Security Act, | 8 |
| persons in Eligibility Group 3 4 shall continue to receive | 9 |
| benefits through the approved waiver, and Eligibility | 10 |
| Group 3 4 may be expanded to include disabled persons under | 11 |
| age 65 with incomes under 200% of the Federal Poverty Level | 12 |
| who are not eligible for Medicare and who are not barred | 13 |
| from receiving federally funded means-tested benefits due | 14 |
| to immigration status. | 15 |
| (D) (E) On and after January 1, 2007, Eligibility Group | 16 |
| 4 5 shall consist of beneficiaries who are otherwise | 17 |
| described in Eligibility Group 2 Groups 2 and 3 who have a | 18 |
| diagnosis of HIV or AIDS.
| 19 |
| The program established under this subsection shall cover | 20 |
| the cost of covered prescription drugs in excess of the | 21 |
| beneficiary cost-sharing amounts set forth in this paragraph | 22 |
| that are not covered by Medicare. In 2006, beneficiaries shall | 23 |
| pay a co-payment of $2 for each prescription of a generic drug | 24 |
| and $5 for each prescription of a brand-name drug. In future | 25 |
| years, beneficiaries shall pay co-payments equal to the | 26 |
| co-payments required under Medicare Part D for "other |
|
|
|
09600SB2069sam001 |
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LRB096 11250 DRJ 24483 a |
|
| 1 |
| low-income subsidy eligible individuals" pursuant to 42 CFR | 2 |
| 423.782(b). For individuals in Eligibility Groups 1, 2, and 3, | 3 |
| and 4, once the program established under this subsection and | 4 |
| Medicare combined have paid $1,750 in a year for covered | 5 |
| prescription drugs, the beneficiary shall pay 20% of the cost | 6 |
| of each prescription in addition to the co-payments set forth | 7 |
| in this paragraph. For individuals in Eligibility Group 4 5 , | 8 |
| once the program established under this subsection and Medicare | 9 |
| combined have paid $1,750 in a year for covered prescription | 10 |
| drugs, the beneficiary shall pay 20% of the cost of each | 11 |
| prescription in addition to the co-payments set forth in this | 12 |
| paragraph unless the drug is included in the formulary of the | 13 |
| Illinois AIDS Drug Assistance Program operated by the Illinois | 14 |
| Department of Public Health and covered by the Medicare Part D | 15 |
| Prescription Drug Plan in which the beneficiary is enrolled . If | 16 |
| the drug is included in the formulary of the Illinois AIDS Drug | 17 |
| Assistance Program and covered by the Medicare Part D | 18 |
| Prescription Drug Plan in which the beneficiary is enrolled , | 19 |
| individuals in Eligibility Group 4 5 shall continue to pay the | 20 |
| co-payments set forth in this paragraph after the program | 21 |
| established under this subsection and Medicare combined have | 22 |
| paid $1,750 in a year for covered prescription drugs.
| 23 |
| For beneficiaries eligible for Medicare Part D coverage, | 24 |
| the program established under this subsection shall pay 100% of | 25 |
| the premiums charged by a qualified Medicare Part D | 26 |
| Prescription Drug Plan for Medicare Part D basic prescription |
|
|
|
09600SB2069sam001 |
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LRB096 11250 DRJ 24483 a |
|
| 1 |
| drug coverage, not including any late enrollment penalties. | 2 |
| Qualified Medicare Part D Prescription Drug Plans may be | 3 |
| limited by the Department of Healthcare and Family Services to | 4 |
| those plans that sign a coordination agreement with the | 5 |
| Department. | 6 |
| Notwithstanding Section 3.15, for purposes of the program | 7 |
| established under this subsection, the term "covered | 8 |
| prescription drug" has the following meanings: | 9 |
| For Eligibility Group 1, "covered prescription drug" | 10 |
| means: (1) any cardiovascular agent or drug; (2) any | 11 |
| insulin or other prescription drug used in the treatment of | 12 |
| diabetes, including syringe and needles used to administer | 13 |
| the insulin; (3) any prescription drug used in the | 14 |
| treatment of arthritis; (4) any prescription drug used in | 15 |
| the treatment of cancer; (5) any prescription drug used in | 16 |
| the treatment of Alzheimer's disease; (6) any prescription | 17 |
| drug used in the treatment of Parkinson's disease; (7) any | 18 |
| prescription drug used in the treatment of glaucoma; (8) | 19 |
| any prescription drug used in the treatment of lung disease | 20 |
| and smoking-related illnesses; (9) any prescription drug | 21 |
| used in the treatment of osteoporosis; and (10) any | 22 |
| prescription drug used in the treatment of multiple | 23 |
| sclerosis. The Department may add additional therapeutic | 24 |
| classes by rule. The Department may adopt a preferred drug | 25 |
| list within any of the classes of drugs described in items | 26 |
| (1) through (10) of this paragraph. The specific drugs or |
|
|
|
09600SB2069sam001 |
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LRB096 11250 DRJ 24483 a |
|
| 1 |
| therapeutic classes of covered prescription drugs shall be | 2 |
| indicated by rule. | 3 |
| For Eligibility Group 2, "covered prescription drug" | 4 |
| means those drugs covered for Eligibility Group 1 that are | 5 |
| also covered by the Medicare Part D Prescription Drug Plan | 6 |
| in which the beneficiary is enrolled. | 7 |
| For Eligibility Group 3, "covered prescription drug" | 8 |
| means those drugs covered by the Medicare Part D | 9 |
| Prescription Drug Plan in which the beneficiary is | 10 |
| enrolled. | 11 |
| For Eligibility Group 3 4 , "covered prescription drug" | 12 |
| means those drugs covered by the Medical Assistance Program | 13 |
| under Article V of the Illinois Public Aid Code. | 14 |
| For Eligibility Group 4 5, for individuals otherwise | 15 |
| described in Eligibility Group 2, "covered prescription | 16 |
| drug" means:
(1) those drugs covered for Eligibility Group | 17 |
| 2 that are also covered by the Medicare Part D Prescription | 18 |
| Drug Plan in which the beneficiary is enrolled; and
(2) | 19 |
| those drugs included in the formulary of the Illinois AIDS | 20 |
| Drug Assistance Program operated by the Illinois | 21 |
| Department of Public Health that are also covered by the | 22 |
| Medicare Part D Prescription Drug Plan in which the | 23 |
| beneficiary is enrolled.
For Eligibility Group 5, for | 24 |
| individuals otherwise described in Eligibility Group 3 , | 25 |
| "covered prescription drug" means those drugs covered by | 26 |
| the Medicare Part D Prescription Drug Plan in which the |
|
|
|
09600SB2069sam001 |
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LRB096 11250 DRJ 24483 a |
|
| 1 |
| beneficiary is enrolled. | 2 |
| An individual in Eligibility Group 1, 2, 3, or 4 , or 5 may | 3 |
| opt to receive a $25 monthly payment in lieu of the direct | 4 |
| coverage described in this subsection. | 5 |
| Any person otherwise eligible for pharmaceutical | 6 |
| assistance under this subsection whose covered drugs are | 7 |
| covered by any public program is ineligible for assistance | 8 |
| under this subsection to the extent that the cost of those | 9 |
| drugs is covered by the other program. | 10 |
| The Department of Healthcare and Family Services shall | 11 |
| establish by rule the methods by which it will provide for the | 12 |
| coverage called for in this subsection. Those methods may | 13 |
| include direct reimbursement to pharmacies or the payment of a | 14 |
| capitated amount to Medicare Part D Prescription Drug Plans. | 15 |
| For a pharmacy to be reimbursed under the program | 16 |
| established under this subsection, it must comply with rules | 17 |
| adopted by the Department of Healthcare and Family Services | 18 |
| regarding coordination of benefits with Medicare Part D | 19 |
| Prescription Drug Plans. A pharmacy may not charge a | 20 |
| Medicare-enrolled beneficiary of the program established under | 21 |
| this subsection more for a covered prescription drug than the | 22 |
| appropriate Medicare cost-sharing less any payment from or on | 23 |
| behalf of the Department of Healthcare and Family Services. | 24 |
| The Department of Healthcare and Family Services or the | 25 |
| Department on Aging, as appropriate, may adopt rules regarding | 26 |
| applications, counting of income, proof of Medicare status, |
|
|
|
09600SB2069sam001 |
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LRB096 11250 DRJ 24483 a |
|
| 1 |
| mandatory generic policies, and pharmacy reimbursement rates | 2 |
| and any other rules necessary for the cost-efficient operation | 3 |
| of the program established under this subsection. | 4 |
| (h) A qualified individual is not entitled to duplicate
| 5 |
| benefits in a coverage period as a result of the changes made
| 6 |
| by this amendatory Act of the 96th General Assembly.
| 7 |
| (Source: P.A. 94-86, eff. 1-1-06; 94-909, eff. 6-23-06; 95-208, | 8 |
| eff. 8-16-07; 95-644, eff. 10-12-07; 95-876, eff. 8-21-08.)
| 9 |
| (320 ILCS 25/4.05 new) | 10 |
| Sec. 4.05. Application. | 11 |
| (a) The Department on Aging shall establish the content,
| 12 |
| required eligibility and identification information, use of
| 13 |
| social security numbers, and manner of applying for benefits in | 14 |
| a simplified format
under this Act, including claims filed for
| 15 |
| new or renewed prescription drug benefits. | 16 |
| (b) An application may be filed on paper or over the | 17 |
| Internet to enable persons to apply separately
or for both a | 18 |
| property tax relief grant and pharmaceutical
assistance on the | 19 |
| same application. An application may also
enable persons to | 20 |
| apply for other State or federal programs
that provide medical | 21 |
| or pharmaceutical assistance or other
benefits, as determined | 22 |
| by the Department on Aging in
conjunction with the Department | 23 |
| of Healthcare and Family
Services. | 24 |
| (c) Applications must be filed during the time period
| 25 |
| prescribed by the Department.
|
|
|
|
09600SB2069sam001 |
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LRB096 11250 DRJ 24483 a |
|
| 1 |
| (320 ILCS 25/5) (from Ch. 67 1/2, par. 405)
| 2 |
| Sec. 5. Procedure.
| 3 |
| (a) In general. Claims must be filed after January 1, on | 4 |
| forms prescribed
by the Department. No claim may be filed more | 5 |
| than one year after December 31
of the year for which the claim | 6 |
| is filed except that claims for 1976 may be
filed until | 7 |
| December 31, 1978 . The pharmaceutical assistance | 8 |
| identification
card provided for in subsection (f) of Section 4 | 9 |
| shall be valid for a period determined by the Department of | 10 |
| Healthcare and Family Services
not to exceed one year . On and | 11 |
| after January 1, 2002, however, to enable the
Department to | 12 |
| convert coverage for a pharmaceutical assistance program
| 13 |
| participant to a State fiscal year basis, a card shall be valid | 14 |
| for a longer or
shorter period than 12 months, depending on the | 15 |
| date a timely claim is filed
and as determined by the | 16 |
| Department. All applicants for benefits under this
program | 17 |
| approved for benefits on or after July 1 but on or before | 18 |
| December 31
of any State fiscal year are eligible for benefits | 19 |
| through June 30 of that
State fiscal year. All applicants for | 20 |
| benefits under this program approved for
benefits on or after | 21 |
| January 1 but on or before June 30 of any State fiscal
year are | 22 |
| eligible for benefits through June 30 of the following State | 23 |
| fiscal
year.
| 24 |
| (b) Claim is Personal. The right to file a claim under this | 25 |
| Act
shall be personal to the claimant and shall not survive his |
|
|
|
09600SB2069sam001 |
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LRB096 11250 DRJ 24483 a |
|
| 1 |
| death, but
such right may be exercised on behalf of a claimant | 2 |
| by his legal
guardian or attorney-in-fact. If a claimant dies | 3 |
| after having filed a
timely claim, the amount thereof shall be | 4 |
| disbursed to his surviving spouse
or, if no spouse survives, to | 5 |
| his surviving dependent minor children in
equal parts, provided | 6 |
| the spouse or child, as the case may be, resided with
the | 7 |
| claimant at the time he filed his claim. If at the time of | 8 |
| disbursement
neither the claimant nor his spouse is surviving, | 9 |
| and no dependent minor
children of the claimant are surviving | 10 |
| the amount of the claim shall
escheat to the State.
| 11 |
| (c) One claim per household. Only one member of a household | 12 |
| may file
a claim under this Act in any calendar year; where | 13 |
| both members of a
household are otherwise entitled to claim a | 14 |
| grant under this Act, they
must agree as to which of them will | 15 |
| file a claim for that year.
| 16 |
| (d) (Blank). Content of application form. The form | 17 |
| prescribed by the
Department for purposes of paragraph (a) | 18 |
| shall include a table,
appropriately keyed to the parts of the | 19 |
| form on which the claimant is
required to furnish information, | 20 |
| which will enable the claimant to
determine readily the | 21 |
| approximate amount of grant to which he is
entitled by relating | 22 |
| levels of household income to property taxes
accrued or rent | 23 |
| constituting property taxes accrued.
| 24 |
| (e) Pharmaceutical Assistance Procedures. The Department | 25 |
| shall establish
the form and manner for application, and | 26 |
| establish by January 1, 1986 a
procedure to enable persons to |
|
|
|
09600SB2069sam001 |
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LRB096 11250 DRJ 24483 a |
|
| 1 |
| apply for the additional grant or for the
pharmaceutical | 2 |
| assistance identification card on the same application form.
| 3 |
| The Department of Healthcare and Family Services shall | 4 |
| determine eligibility for pharmaceutical assistance using
the | 5 |
| applicant's current income. The Department shall determine a | 6 |
| person's
current income in the manner provided by the | 7 |
| Department by rule.
| 8 |
| (Source: P.A. 91-533, eff. 8-13-99; 91-699, eff. 1-1-01; | 9 |
| 92-131, eff.
7-23-01; 92-519, eff. 1-1-02.)
| 10 |
| (320 ILCS 25/7) (from Ch. 67 1/2, par. 407)
| 11 |
| Sec. 7. Payment and denial of claims. | 12 |
| (a) In general. The Director shall order the payment from | 13 |
| appropriations
made for that purpose of grants to claimants | 14 |
| under this Act in the amounts
to which the Department has | 15 |
| determined they are entitled, respectively. If
a claim is | 16 |
| denied, the Director shall cause written notice of that denial
| 17 |
| and the reasons for that denial to be sent to the claimant.
| 18 |
| (b) Payment of claims one dollar and under. Where the | 19 |
| amount of the
grant computed under Section 4 is less than one | 20 |
| dollar, the Department
shall pay to the claimant one dollar.
| 21 |
| (c) Right to appeal. Any person aggrieved by an action or | 22 |
| determination of
the Department on Aging arising under any of | 23 |
| its powers or
duties under this Act may request in writing that | 24 |
| the
Department on Aging reconsider its action or determination,
| 25 |
| setting out the facts upon which the request is based. The
|
|
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| 1 |
| Department on Aging shall consider the request and either
| 2 |
| modify or affirm its prior action or determination. The
| 3 |
| Department on Aging may adopt, by rule, procedures for | 4 |
| conducting
its review under this Section. | 5 |
| Any person aggrieved by an action or determination of
the | 6 |
| Department of Healthcare and Family Services arising under
any | 7 |
| of its powers or duties under this Act may request in
writing | 8 |
| that the Department of Healthcare and Family Services
| 9 |
| reconsider its action or determination, setting out the facts
| 10 |
| upon which the request is based. The Department of Healthcare
| 11 |
| and Family Services shall consider the request and either
| 12 |
| modify or affirm its prior action or determination. The
| 13 |
| Department of Healthcare and Family Services may adopt, by | 14 |
| rule,
procedures for conducting its review under this Section. | 15 |
| Any claimant aggrieved by the action of the
Department under | 16 |
| this Act, whether in the reduction of the amount of the
grant | 17 |
| claimed or in the denial of the claim, may request in writing | 18 |
| that
the Department reconsider its prior determination, | 19 |
| setting out the facts on
which his request is based. The | 20 |
| Department shall consider the request and
either modify or | 21 |
| affirm its prior determination.
| 22 |
| (d) (Blank). Administrative review. The decision of the | 23 |
| Department to affirm its
prior determination, or the failure of | 24 |
| the Department to act on a request
for reconsideration within | 25 |
| 60 days, is a final administrative decision
which is subject to | 26 |
| judicial review under the Administrative Review Law,
and all |
|
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| 1 |
| amendments and modifications thereof and the rules adopted | 2 |
| thereto.
The term "administrative decision" is defined as in | 3 |
| Section 3-101 of the
Code of Civil Procedure.
| 4 |
| (Source: P.A. 82-783.)
| 5 |
| (320 ILCS 25/8) (from Ch. 67 1/2, par. 408)
| 6 |
| Sec. 8. Records. Every claimant of a grant under this Act | 7 |
| and every applicant for pharmaceutical assistance under this | 8 |
| Act shall keep such records, render
such statements, file such | 9 |
| forms and comply with such rules and regulations
as the | 10 |
| Department on Aging may from time to time prescribe. The | 11 |
| Department on Aging may by
regulations require landlords to | 12 |
| furnish to tenants statements as to gross
rent or rent | 13 |
| constituting property taxes accrued.
| 14 |
| (Source: P.A. 77-2059.)
| 15 |
| (320 ILCS 25/8a) (from Ch. 67 1/2, par. 408.1)
| 16 |
| Sec. 8a. Confidentiality.
| 17 |
| (a) Except as otherwise provided in this Act , all
| 18 |
| information received by the Department of Revenue or its | 19 |
| successors, the Department on Aging and the Department of | 20 |
| Healthcare and Family Services, from claims filed under this | 21 |
| Act, or
from any investigation conducted under the provisions
| 22 |
| of this Act, shall be confidential, except for official | 23 |
| purposes within those Departments
the Department or pursuant to | 24 |
| official
procedures for collection of any State tax or |
|
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| 1 |
| enforcement of any civil or
criminal penalty or sanction | 2 |
| imposed
by this Act or by any statute imposing a State tax, and | 3 |
| any person who divulges
any such information in any
manner, | 4 |
| except for such purposes and pursuant to order of the Director | 5 |
| of one of those Departments or
in accordance with a proper | 6 |
| judicial order, shall be guilty of a Class A
misdemeanor.
| 7 |
| (b) Nothing contained in this Act shall prevent the | 8 |
| Director of Aging from publishing
or making available | 9 |
| reasonable statistics concerning the operation of the
grant | 10 |
| programs contained in this Act wherein the contents
of claims | 11 |
| are grouped into aggregates in such a way that information | 12 |
| contained
in any individual claim shall not be disclosed.
| 13 |
| (c) The Department on Aging shall furnish to the Secretary | 14 |
| of State such
information as is reasonably necessary for the | 15 |
| administration of reduced
vehicle registration fees pursuant | 16 |
| to Section 3-806.3 of "The Illinois Vehicle
Code".
| 17 |
| (Source: P.A. 89-399, eff. 8-20-95.)
| 18 |
| (320 ILCS 25/9) (from Ch. 67 1/2, par. 409)
| 19 |
| Sec. 9. Fraud; error. | 20 |
| (a) Any person who files a fraudulent claim
for a grant | 21 |
| under this Act, or who for compensation prepares a claim
for a | 22 |
| grant and
knowingly enters false information on an application | 23 |
| a claim form for any claimant under
this Act, or who | 24 |
| fraudulently files multiple applications claim forms , or who
| 25 |
| fraudulently states that a nondisabled person is disabled, or |
|
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| 1 |
| who
fraudulently procures a pharmaceutical assistance benefits | 2 |
| identification card , or
who fraudulently uses such assistance | 3 |
| card to procure covered prescription drugs, or
who, on behalf | 4 |
| of an authorized pharmacy, files a fraudulent request claim for | 5 |
| payment, is
guilty of a Class 4 felony for the first offense | 6 |
| and is guilty of a Class 3
felony for each subsequent offense. | 7 |
| (b) The Department on Aging and the Department of | 8 |
| Healthcare and Family Services shall immediately
suspend the | 9 |
| use of the pharmaceutical assistance benefits identification | 10 |
| card of any
person suspected of fraudulent procurement or | 11 |
| fraudulent use of such assistance card ,
and shall revoke such | 12 |
| assistance card upon a conviction. A person convicted of such
| 13 |
| fraud under subsection (a) shall be permanently barred from all | 14 |
| of the programs the program of pharmaceutical
assistance | 15 |
| established under this Act. | 16 |
| (c) The Department on Aging may recover from a
claimant , | 17 |
| including an authorized pharmacy, any amount paid to that | 18 |
| claimant under this
Act on account of an erroneous or
| 19 |
| fraudulent claim, together with 6% interest per year. Amounts
| 20 |
| recoverable from a claimant by the Department on Aging under
| 21 |
| this Act may, but need not, be recovered by offsetting the
| 22 |
| amount owed against any future grant payable to the person
| 23 |
| under this Act. | 24 |
| The Department of Healthcare and Family Services may
| 25 |
| recover from an authorized pharmacy any amount paid to that
| 26 |
| pharmacy under the pharmaceutical assistance program on
|
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| 1 |
| account of an erroneous or fraudulent request for payment under
| 2 |
| that program, together with 6% interest per year. The
| 3 |
| Department of Healthcare and Family Services may recover from a
| 4 |
| person who erroneously or fraudulently obtains benefits under
| 5 |
| the pharmaceutical assistance program the value of the benefits
| 6 |
| so obtained, together with 6% interest per year. | 7 |
| (d) A prosecution for
a violation of this Section may be | 8 |
| commenced at any time within 3 years
of the commission of that | 9 |
| violation.
| 10 |
| (Source: P.A. 85-299.)
| 11 |
| (320 ILCS 25/12) (from Ch. 67 1/2, par. 412)
| 12 |
| Sec. 12. Regulations - Department on Aging.
| 13 |
| (a) Regulations. Notwithstanding any other provision to | 14 |
| the contrary,
the Department on Aging may adopt rules regarding | 15 |
| applications,
proof of eligibility, required identification | 16 |
| information, use
of social security numbers, counting of | 17 |
| income, and a method of
computing "gross rent" in the case of a | 18 |
| claimant living in a
nursing or sheltered care home, and any | 19 |
| other rules necessary
for the cost-efficient operation of the | 20 |
| program established
under Section 4. The Director shall | 21 |
| promulgate such regulations as are
necessary or desirable to | 22 |
| effectuate the purposes of this Act, including but
not limited | 23 |
| to the method of computing "gross rent" in the case of a | 24 |
| claimant
living in a nursing or sheltered care home.
| 25 |
| (b) The Department on Aging shall, to the extent of |
|
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| 1 |
| appropriations made
for that purpose:
| 2 |
| (1) attempt to secure the cooperation of appropriate | 3 |
| federal, State and
local agencies in securing the names and | 4 |
| addresses of persons to whom this
Act pertains;
| 5 |
| (2) prepare a mailing list of persons eligible for | 6 |
| grants under this Act;
| 7 |
| (3) secure the cooperation of the Department of | 8 |
| Revenue , the Department of Healthcare and Family Services, | 9 |
| other State agencies, and of local
business establishments | 10 |
| to facilitate distribution of applications application | 11 |
| forms
under this Act to those eligible to file claims; and
| 12 |
| (4) through use of direct mail, newspaper | 13 |
| advertisements and radio and
television advertisements, | 14 |
| and all other appropriate means of
communication, conduct | 15 |
| an on-going public relations program to increase
awareness | 16 |
| of eligible citizens of the benefits grants under this Act | 17 |
| and the
procedures for applying for them.
| 18 |
| (Source: P.A. 78-1249.)
| 19 |
| (320 ILCS 25/13) (from Ch. 67 1/2, par. 413)
| 20 |
| Sec. 13. List of persons who have qualified. The Department | 21 |
| on Aging of Revenue shall maintain a list of all
persons who | 22 |
| have qualified under this Act and shall make the list
available | 23 |
| to the Department of Healthcare and Family Services, the | 24 |
| Department of Public Health, the Secretary of State, | 25 |
| municipalities , and public transit authorities upon request.
|
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| 1 |
| All information received by a State agency, municipality , | 2 |
| or public transit authority under this Section
shall be | 3 |
| confidential, except for official purposes, and any
person who | 4 |
| divulges or uses that information in any manner,
except in | 5 |
| accordance with a proper judicial order, shall be
guilty of a | 6 |
| Class B misdemeanor.
| 7 |
| (Source: P.A. 87-247.)
| 8 |
| (320 ILCS 25/3.02 rep.)
| 9 |
| (320 ILCS 25/3.03 rep.)
| 10 |
| (320 ILCS 25/3.15 rep.)
| 11 |
| (320 ILCS 25/3.16 rep.)
| 12 |
| (320 ILCS 25/3.17 rep.)
| 13 |
| Section 20. The Senior Citizens and Disabled Persons | 14 |
| Property Tax Relief and
Pharmaceutical Assistance Act is | 15 |
| amended by repealing Sections 3.02, 3.03, 3.15, 3.16, and 3.17.
| 16 |
| Section 99. Effective date. This Act takes effect January | 17 |
| 1, 2010.".
|
|