Full Text of SB2175 94th General Assembly
SB2175 94TH GENERAL ASSEMBLY
|
|
|
94TH GENERAL ASSEMBLY
State of Illinois
2005 and 2006 SB2175
Introduced 1/4/2006, by Sen. Chris Lauzen SYNOPSIS AS INTRODUCED: |
|
|
Amends the Covering ALL KIDS Health Insurance Act. Provides that to be eligible for the Covering ALL KIDS Health Insurance Program, a child must be a citizen of the United States. Effective July 1, 2006.
|
| |
|
|
| FISCAL NOTE ACT MAY APPLY | |
|
|
A BILL FOR
|
|
|
|
|
SB2175 |
|
LRB094 15698 LJB 50907 b |
|
| 1 |
| AN ACT concerning insurance.
| 2 |
| Be it enacted by the People of the State of Illinois,
| 3 |
| represented in the General Assembly:
| 4 |
| Section 5. The Covering ALL KIDS Health Insurance Act is | 5 |
| amended by changing Section 20 as follows: | 6 |
| (215 ILCS 170/20) | 7 |
| (Section scheduled to be repealed on July 1, 2011) | 8 |
| (This Section may contain text from a Public Act with a | 9 |
| delayed effective date )
| 10 |
| Sec. 20. Eligibility. | 11 |
| (a) To be eligible for the Program, a person must be a | 12 |
| child:
| 13 |
| (1) who is a citizen of the United States and a | 14 |
| resident of the State of Illinois; and
| 15 |
| (2) who is ineligible for medical assistance under the | 16 |
| Illinois Public Aid Code or benefits under the Children's | 17 |
| Health Insurance Program Act; and
| 18 |
| (3) either (i) who has been without health insurance | 19 |
| coverage for a period set forth by the Department in rules, | 20 |
| but not less than 6 months during the first month of | 21 |
| operation of the Program, 7 months during the second month | 22 |
| of operation, 8 months during the third month of operation, | 23 |
| 9 months during the fourth month of operation, 10 months | 24 |
| during the fifth month of operation, 11 months during the | 25 |
| sixth month of operation, and 12 months thereafter, (ii) | 26 |
| whose parent has lost employment that made available | 27 |
| affordable dependent health insurance coverage, until such | 28 |
| time as affordable employer-sponsored dependent health | 29 |
| insurance coverage is again available for the child as set | 30 |
| forth by the Department in rules, (iii) who is a newborn | 31 |
| whose responsible relative does not have available | 32 |
| affordable private or employer-sponsored health insurance, |
|
|
|
SB2175 |
- 2 - |
LRB094 15698 LJB 50907 b |
|
| 1 |
| or (iv) who, within one year of applying for coverage under | 2 |
| this Act, lost medical benefits under the Illinois Public | 3 |
| Aid Code or the Children's Health Insurance Program Act. | 4 |
| An entity that provides health insurance coverage (as | 5 |
| defined in Section 2 of the Comprehensive Health Insurance Plan | 6 |
| Act) to Illinois residents shall provide health insurance data | 7 |
| match to the Department of Healthcare and Family Services for | 8 |
| the purpose of determining eligibility for the Program under | 9 |
| this Act. | 10 |
| The Department of Healthcare and Family Services, in | 11 |
| collaboration with the Department of Financial and | 12 |
| Professional Regulation, Division of Insurance, shall adopt | 13 |
| rules governing the exchange of information under this Section. | 14 |
| The rules shall be consistent with all laws relating to the | 15 |
| confidentiality or privacy of personal information or medical | 16 |
| records, including provisions under the Federal Health | 17 |
| Insurance Portability and Accountability Act (HIPAA). | 18 |
| (b) The Department shall monitor the availability and | 19 |
| retention of employer-sponsored dependent health insurance | 20 |
| coverage and shall modify the period described in subdivision | 21 |
| (a)(3) if necessary to promote retention of private or | 22 |
| employer-sponsored health insurance and timely access to | 23 |
| healthcare services, but at no time shall the period described | 24 |
| in subdivision (a)(3) be less than 6 months.
| 25 |
| (c) The Department, at its discretion, may take into | 26 |
| account the affordability of dependent health insurance when | 27 |
| determining whether employer-sponsored dependent health | 28 |
| insurance coverage is available upon reemployment of a child's | 29 |
| parent as provided in subdivision (a)(3). | 30 |
| (d) A child who is determined to be eligible for the | 31 |
| Program shall remain eligible for 12 months, provided that the | 32 |
| child maintains his or her residence in this State, has not yet | 33 |
| attained 19 years of age, and is not excluded under subsection | 34 |
| (e). | 35 |
| (e) A child is not eligible for coverage under the Program | 36 |
| if: |
|
|
|
SB2175 |
- 3 - |
LRB094 15698 LJB 50907 b |
|
| 1 |
| (1) the premium required under Section 40 has not been | 2 |
| timely paid; if the required premiums are not paid, the | 3 |
| liability of the Program shall be limited to benefits | 4 |
| incurred under the Program for the time period for which | 5 |
| premiums have been paid; if the required monthly premium is | 6 |
| not paid, the child is ineligible for re-enrollment for a | 7 |
| minimum period of 3 months; re-enrollment shall be | 8 |
| completed before the next covered medical visit, and the | 9 |
| first month's required premium shall be paid in advance of | 10 |
| the next covered medical visit; or | 11 |
| (2) the child is an inmate of a public institution or | 12 |
| an institution for mental diseases.
| 13 |
| (f) The Department shall adopt eligibility rules, | 14 |
| including, but not limited to: rules regarding annual renewals | 15 |
| of eligibility for the Program; rules providing for | 16 |
| re-enrollment, grace periods, notice requirements, and hearing | 17 |
| procedures under subdivision (e)(1) of this Section; and rules | 18 |
| regarding what constitutes availability and affordability of | 19 |
| private or employer-sponsored health insurance, with | 20 |
| consideration of such factors as the percentage of income | 21 |
| needed to purchase children or family health insurance, the | 22 |
| availability of employer subsidies, and other relevant | 23 |
| factors.
| 24 |
| (Source: P.A. 94-693, eff. 7-1-06.)
| 25 |
| Section 99. Effective date. This Act takes effect July 1, | 26 |
| 2006.
|
|