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91_SB1473
LRB9112730JSpc
1 AN ACT to amend the Children's Health Insurance Program
2 Act by changing Sections 10 and 20 and adding Section 36.
3 Be it enacted by the People of the State of Illinois,
4 represented in the General Assembly:
5 Section 5. The Children's Health Insurance Program Act
6 is amended by changing Sections 10 and 20 and adding Section
7 36 as follows:
8 (215 ILCS 106/10)
9 (Section scheduled to be repealed on June 30, 2001)
10 Sec. 10. Definitions. As used in this Act:
11 "Benchmarking" means health benefits coverage as defined
12 in Section 2103 of the Social Security Act.
13 "Child" means a person under the age of 19.
14 "Department" means the Department of Public Aid.
15 "Medical assistance" means health care benefits provided
16 under Article V of the Illinois Public Aid Code.
17 "Medical visit" means a hospital, dental, physician,
18 optical, or other health care visit where services are
19 provided pursuant to this Act.
20 "Program" means the Children's Health Insurance Program
21 and related coverage for the adult caretakers of children
22 covered under the Program, which includes subsidizing the
23 cost of privately sponsored health insurance and purchasing
24 or providing health care benefits for eligible children.
25 "Resident" means a person who meets the residency
26 requirements as defined in Section 5-3 of the Illinois Public
27 Aid Code.
28 (Source: P.A. 90-736, eff. 8-12-98.)
29 (215 ILCS 106/20)
30 (Section scheduled to be repealed on June 30, 2001)
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1 Sec. 20. Eligibility.
2 (a) To be eligible for this Program, a person must be a
3 person who has a child eligible under this Act and who is
4 eligible under federal requirements for federal financial
5 participation or under a waiver of federal requirements
6 pursuant to an application made pursuant to subdivision
7 (a)(1) of Section 40 of this Act or who is a child who:
8 (1) is a child who is not eligible for medical
9 assistance;
10 (2) is a child whose annual household income, as
11 determined by the Department, is above 133% of the
12 federal poverty level and at or below 185% of the federal
13 poverty level;
14 (3) is a resident of the State of Illinois; and
15 (4) is a child who is either a United States
16 citizen or included in one of the following categories of
17 non-citizens:
18 (A) unmarried dependent children of either a
19 United States Veteran honorably discharged or a
20 person on active military duty;
21 (B) refugees under Section 207 of the
22 Immigration and Nationality Act;
23 (C) asylees under Section 208 of the
24 Immigration and Nationality Act;
25 (D) persons for whom deportation has been
26 withheld under Section 243(h) of the Immigration
27 and Nationality Act;
28 (E) persons granted conditional entry under
29 Section 203(a)(7) of the Immigration and Nationality
30 Act as in effect prior to April 1, 1980;
31 (F) persons lawfully admitted for permanent
32 residence under the Immigration and Nationality Act;
33 and
34 (G) parolees, for at least one year, under
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1 Section 212(d)(5) of the Immigration and Nationality
2 Act.
3 Those children who are in the categories set forth in
4 subdivisions (4)(F) and (4)(G) of this subsection, who enter
5 the United States on or after August 22, 1996, shall not be
6 eligible for 5 years beginning on the date the child entered
7 the United States.
8 (b) A child who is determined to be eligible for
9 assistance shall remain eligible for 12 months, provided the
10 child maintains his or her residence in the State, has not
11 yet attained 19 years of age, and is not excluded pursuant to
12 subsection (c). Eligibility shall be re-determined by the
13 Department at least annually.
14 (c) A child shall not be eligible for coverage under
15 this Program if:
16 (1) the premium required pursuant to Section 30 of
17 this Act has not been paid. If the required premiums are
18 not paid the liability of the Program shall be limited to
19 benefits incurred under the Program for the time period
20 for which premiums had been paid. If the required
21 monthly premium is not paid, the child shall be
22 ineligible for re-enrollment for a minimum period of 3
23 months. Re-enrollment shall be completed prior to the
24 next covered medical visit and the first month's required
25 premium shall be paid in advance of the next covered
26 medical visit. The Department shall promulgate rules
27 regarding grace periods, notice requirements, and hearing
28 procedures pursuant to this subsection;
29 (2) the child is an inmate of a public institution
30 or a patient in an institution for mental diseases; or
31 (3) the child is a member of a family that is
32 eligible for health benefits covered under the State of
33 Illinois health benefits plan on the basis of a member's
34 employment with a public agency.
-4- LRB9112730JSpc
1 (Source: P.A. 90-736, eff. 8-12-98.)
2 (215 ILCS 106/36 new)
3 Sec. 36. Adult caretaker coverage. Subject to
4 appropriation, the Department shall provide health insurance
5 coverage for the adult caretakers of the children eligible
6 under this Act and Article V of the Illinois Public Aid Code,
7 to the extent those adults are not otherwise eligible under
8 Article V of the Illinois Public Aid Code. The Department
9 shall claim all possible federal matching funds for this
10 adult coverage available under federal law or waivers of
11 federal law. Adult coverage shall be defined in rules and
12 shall be modeled on and implemented consistently with the
13 provisions governing the children's coverage under subsection
14 (c) of Section 20 and Sections 25, 30, and 35 of this Act.