State of Illinois
92nd General Assembly
Legislation

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92_HB0654eng

 
HB0654 Engrossed                               LRB9205189DJmg

 1        AN ACT in relation to persons with disabilities.

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

 4        Section   5.    The   Mental   Health  and  Developmental
 5    Disabilities  Administrative  Act  is  amended  by   changing
 6    Section 57 as follows:

 7        (20 ILCS 1705/57) (from Ch. 91 1/2, par. 100-57)
 8        Sec.  57.   In  order  to  identify  the service needs of
 9    persons with autism, the Department shall study the needs  of
10    the  population.    The Department shall submit service needs
11    reports  to  the  General  Assembly  annually   which   shall
12    supplement the report submitted in accordance with Public Act
13    84-1291.   The  reports shall include an analysis of progress
14    made since  the  submission  of  that  report  in  the  areas
15    outlined  in  that  report,  with  emphasis  on the following
16    areas:
17        a.  Early intervention services for children with  autism
18    and their parents;
19        b.   Enhancement  of  family support mechanisms to enable
20    persons with autism to remain in a family  home  environment.
21    The  Department shall include in the report a plan to provide
22    family support  mechanisms to enable persons with  autism  to
23    remain in a family home environment;
24        c.   Services  for  adequate  transition  for people with
25    autism from public school programs  to  adult  work  and  day
26    programs; and
27        d.  Facilitation  of  placement of persons with autism in
28    the least restrictive community setting.
29        For the purpose of  this  service  needs  review,  autism
30    means   a  severely  incapacitating  life-long  developmental
31    disability which:
 
HB0654 Engrossed            -2-                LRB9205189DJmg
 1        a.  may be manifested before a person  is  30  months  of
 2    age,
 3        b.  may be caused by physical disorders of the brain, and
 4        c.  is  characterized  by uneven intellectual development
 5    and a combination of disturbances in the rates and  sequences
 6    of  cognitive,  affective,  psychomotor,  language and speech
 7    development.  This syndrome is further evidenced by  abnormal
 8    responses  to  sensory stimuli, problems in developing social
 9    relationships, and ritualistic and compulsive behavior.
10    (Source: P.A. 85-971.)

11        Section 10.  The Illinois Public Aid Code is  amended  by
12    changing  Section 5-2 as follows:

13        (305 ILCS 5/5-2) (from Ch. 23, par. 5-2)
14        Sec.   5-2.  Classes   of   Persons   Eligible.   Medical
15    assistance under this Article shall be available  to  any  of
16    the  following  classes  of persons in respect to whom a plan
17    for coverage has  been  submitted  to  the  Governor  by  the
18    Illinois Department and approved by him:
19        1.  Recipients of basic maintenance grants under Articles
20    III and IV.
21        2.  Persons  otherwise  eligible  for  basic  maintenance
22    under  Articles III and IV but who fail to qualify thereunder
23    on the basis of need, and who have  insufficient  income  and
24    resources  to  meet  the  costs  of  necessary  medical care,
25    including but not limited to the following:
26             (a)  All  persons  otherwise  eligible   for   basic
27        maintenance  under  Article  III  but who fail to qualify
28        under that Article on the basis  of  need  and  who  meet
29        either of the following requirements:
30                  (i)  their   income,   as   determined  by  the
31             Illinois Department in accordance with  any  federal
32             requirements, is equal to or less than 70% in fiscal
 
HB0654 Engrossed            -3-                LRB9205189DJmg
 1             year  2001, equal to or less than 85% in fiscal year
 2             2002, and equal to or less than 100% in fiscal  year
 3             2003  and  thereafter of the nonfarm income official
 4             poverty line, as defined by the  federal  Office  of
 5             Management   and  Budget  and  revised  annually  in
 6             accordance with Section 673(2) of the Omnibus Budget
 7             Reconciliation Act of 1981, applicable  to  families
 8             of the same size; or
 9                  (ii)  their  income,  after  the  deduction  of
10             costs  incurred for medical care and for other types
11             of remedial care, is equal to or less  than  70%  in
12             fiscal  year  2001,  equal  to  or  less than 85% in
13             fiscal year 2002, and equal to or less than 100%  in
14             fiscal  year  2003  and  thereafter  of  the nonfarm
15             income official poverty line, as defined in item (i)
16             of this subparagraph (a).
17             (b)  All persons who would  be  determined  eligible
18        for   such   basic   maintenance   under  Article  IV  by
19        disregarding  the  maximum  earned  income  permitted  by
20        federal law.
21        3.  Persons who would otherwise qualify for  Aid  to  the
22    Medically Indigent under Article VII.
23        4.  Persons  not  eligible  under  any  of  the preceding
24    paragraphs who fall sick, are injured,  or  die,  not  having
25    sufficient  money,  property  or  other resources to meet the
26    costs  of  necessary  medical  care  or  funeral  and  burial
27    expenses.
28        5. (a)  Women  during  pregnancy,  after  the   fact   of
29        pregnancy  has  been determined by medical diagnosis, and
30        during the 60-day period beginning on the last day of the
31        pregnancy, together with their infants and children  born
32        after  September 30, 1983, whose income and resources are
33        insufficient to meet the costs of necessary medical  care
34        to  the  maximum  extent  possible under Title XIX of the
 
HB0654 Engrossed            -4-                LRB9205189DJmg
 1        Federal Social Security Act.
 2             (b)  The Illinois Department and the Governor  shall
 3        provide a plan for coverage of the persons eligible under
 4        paragraph 5(a) by April 1, 1990.  Such plan shall provide
 5        ambulatory  prenatal  care  to  pregnant  women  during a
 6        presumptive eligibility period and  establish  an  income
 7        eligibility standard that is equal to 133% of the nonfarm
 8        income  official  poverty line, as defined by the federal
 9        Office of Management and Budget and revised  annually  in
10        accordance  with  Section  673(2)  of  the Omnibus Budget
11        Reconciliation Act of 1981, applicable to families of the
12        same size, provided that costs incurred for medical  care
13        are  not  taken  into  account in determining such income
14        eligibility.
15             (c)  The   Illinois   Department   may   conduct   a
16        demonstration in at least one county  that  will  provide
17        medical assistance to pregnant women, together with their
18        infants  and  children  up  to one year of age, where the
19        income eligibility standard is set  up  to  185%  of  the
20        nonfarm  income  official poverty line, as defined by the
21        federal Office of Management and Budget.    The  Illinois
22        Department  shall seek and obtain necessary authorization
23        provided  under  federal  law   to   implement   such   a
24        demonstration.  Such demonstration may establish resource
25        standards  that  are  not  more  restrictive  than  those
26        established under Article IV of this Code.
27        6.  Persons  under  the  age of 18 who fail to qualify as
28    dependent under Article IV and who have  insufficient  income
29    and  resources to meet the costs of necessary medical care to
30    the maximum extent permitted under Title XIX of  the  Federal
31    Social Security Act.
32        7.  Persons  who are 18 years of age or younger and would
33    qualify as disabled as defined under the Federal Supplemental
34    Security Income Program, provided medical  service  for  such
 
HB0654 Engrossed            -5-                LRB9205189DJmg
 1    persons    would    be   eligible   for   Federal   Financial
 2    Participation,   and   provided   the   Illinois   Department
 3    determines that:
 4             (a)  the person requires a level of care provided by
 5        a hospital, skilled  nursing  facility,  or  intermediate
 6        care  facility,  as determined by a physician licensed to
 7        practice medicine in all its branches;
 8             (b)  it is appropriate to provide such care  outside
 9        of  an institution, as determined by a physician licensed
10        to practice medicine in all its branches;
11             (c)  the estimated amount which  would  be  expended
12        for  care outside the institution is not greater than the
13        estimated  amount  which  would   be   expended   in   an
14        institution.
15        8.  Persons  who  become ineligible for basic maintenance
16    assistance  under  Article  IV  of  this  Code  in   programs
17    administered  by  the  Illinois  Department due to employment
18    earnings and persons in assistance units comprised of  adults
19    and  children  who  become  ineligible  for basic maintenance
20    assistance under Article VI of this Code  due  to  employment
21    earnings.   The  plan  for coverage for this class of persons
22    shall:
23             (a)  extend the medical assistance coverage  for  up
24        to  12  months following termination of basic maintenance
25        assistance; and
26             (b)  offer persons who  have  initially  received  6
27        months  of  the coverage provided in paragraph (a) above,
28        the  option  of  receiving  an  additional  6  months  of
29        coverage, subject to the following:
30                  (i)  such  coverage  shall   be   pursuant   to
31             provisions of the federal Social Security Act;
32                  (ii)  such  coverage shall include all services
33             covered while the  person  was  eligible  for  basic
34             maintenance assistance;
 
HB0654 Engrossed            -6-                LRB9205189DJmg
 1                  (iii)  no  premium  shall  be  charged for such
 2             coverage; and
 3                  (iv)  such coverage shall be suspended  in  the
 4             event  of  a  person's failure without good cause to
 5             file in a timely fashion reports required  for  this
 6             coverage  under the Social Security Act and coverage
 7             shall be reinstated upon the filing of such  reports
 8             if the person remains otherwise eligible.
 9        9.  Persons   with   acquired  immunodeficiency  syndrome
10    (AIDS) or with AIDS-related conditions with respect  to  whom
11    there   has  been  a  determination  that  but  for  home  or
12    community-based services such individuals would  require  the
13    level  of  care  provided  in  an inpatient hospital, skilled
14    nursing facility or intermediate care facility  the  cost  of
15    which  is reimbursed under this Article.  Assistance shall be
16    provided to such persons  to  the  maximum  extent  permitted
17    under Title XIX of the Federal Social Security Act.
18        10.  Participants   in   the   long-term  care  insurance
19    partnership program established  under  the  Partnership  for
20    Long-Term Care Act who meet the qualifications for protection
21    of resources described in Section 25 of that Act.
22        11.  Persons  with  disabilities  who  are  employed  and
23    eligible     for     Medicaid,     pursuant     to    Section
24    1902(a)(10)(A)(ii)(xv)  of  the  Social  Security   Act,   as
25    provided by the Illinois Department by rule.
26        12.  Persons  who are older than 18 years of age and have
27    received benefits under paragraph 7  of  this  Section  shall
28    remain  eligible  for continued benefits at the same level of
29    care,  provided  that  a  physician,  licensed  to   practice
30    medicine  in  all  its branches, annually determines that the
31    person requires the level of care  provided  by  a  hospital,
32    skilled  nursing  facility,  or  intermediate  care facility.
33    Continued benefits shall  not  be  dependent  on  the  person
34    meeting   eligibility   requirements  for  federal  financial
 
HB0654 Engrossed            -7-                LRB9205189DJmg
 1    participation.
 2        The Illinois Department and the Governor shall provide  a
 3    plan  for  coverage of the persons eligible under paragraph 7
 4    as soon as possible after July 1, 1984.
 5        The eligibility of any such person for medical assistance
 6    under this Article is not affected  by  the  payment  of  any
 7    grant under the Senior Citizens and Disabled Persons Property
 8    Tax   Relief   and   Pharmaceutical  Assistance  Act  or  any
 9    distributions or items of income described under subparagraph
10    (X) of paragraph (2) of subsection (a) of Section 203 of  the
11    Illinois  Income  Tax  Act.   The  Department  shall  by rule
12    establish  the  amounts  of  assets  to  be  disregarded   in
13    determining  eligibility  for medical assistance, which shall
14    at a minimum equal the amounts to be  disregarded  under  the
15    Federal  Supplemental Security Income Program.  The amount of
16    assets of a single person to be disregarded shall not be less
17    than $2,000, and the amount of assets of a married couple  to
18    be disregarded shall not be less than $3,000.
19        To  the  extent  permitted  under federal law, any person
20    found guilty of a second violation of Article VIIIA shall  be
21    ineligible  for  medical  assistance  under  this Article, as
22    provided in Section 8A-8.
23        The eligibility of  any  person  for  medical  assistance
24    under  this  Article  shall not be affected by the receipt by
25    the person of donations or benefits from fundraisers held for
26    the person in cases of serious illness, as  long  as  neither
27    the  person  nor  members  of the person's family have actual
28    control over the donations or benefits or the disbursement of
29    the donations or benefits.
30    (Source: P.A. 91-676, eff.  12-23-99;  91-699,  eff.  7-1-00;
31    91-712, eff. 7-1-00; revised 6-26-00.)

32        Section  99.  Effective date.  This Act takes effect upon
33    becoming law.

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