State of Illinois
92nd General Assembly
Legislation

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[ Introduced ][ House Amendment 001 ]


92_HB2384eng

 
HB2384 Engrossed                              LRB9207038DJmbA

 1        AN ACT in relation to human needs.

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

 4        Section 5.  The  Department  of  Human  Services  Act  is
 5    amended by adding Section 10-30 as follows:

 6        (20 ILCS 1305/10-30 new)
 7        Sec. 10-30. Hispanic/Latino Teen Pregnancy Prevention and
 8    Intervention Initiative.
 9        (a)  The   Department   is   authorized  to  establish  a
10    Hispanic/Latino Teen Pregnancy  Prevention  and  Intervention
11    Initiative program.
12        (b)  As   a   part   of  the  program  established  under
13    subsection (a), the Department is authorized to award a grant
14    to a qualified entity for the purpose of conducting research,
15    education, and  prevention  activities  to  reduce  pregnancy
16    among Hispanic teenagers.

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

19        (305 ILCS 5/5-2) (from Ch. 23, par. 5-2)
20        Sec.  5-2.  Classes   of   Persons   Eligible.    Medical
21    assistance  under  this  Article shall be available to any of
22    the following classes of persons in respect to  whom  a  plan
23    for  coverage  has  been  submitted  to  the  Governor by the
24    Illinois Department and approved by him:
25        1.  Recipients of basic maintenance grants under Articles
26    III and IV.
27        2.  Persons  otherwise  eligible  for  basic  maintenance
28    under Articles III and IV but who fail to qualify  thereunder
29    on  the  basis  of need, and who have insufficient income and
 
HB2384 Engrossed            -2-               LRB9207038DJmbA
 1    resources to  meet  the  costs  of  necessary  medical  care,
 2    including but not limited to the following:
 3             (a)  All   persons   otherwise  eligible  for  basic
 4        maintenance under Article III but  who  fail  to  qualify
 5        under  that  Article  on  the  basis of need and who meet
 6        either of the following requirements:
 7                  (i)  their  income,  as   determined   by   the
 8             Illinois  Department  in accordance with any federal
 9             requirements, is equal to or less than 70% in fiscal
10             year 2001, equal to or less than 85% in fiscal  year
11             2002,  and equal to or less than 100% in fiscal year
12             2003 and thereafter of the nonfarm  income  official
13             poverty  line,  as  defined by the federal Office of
14             Management  and  Budget  and  revised  annually   in
15             accordance with Section 673(2) of the Omnibus Budget
16             Reconciliation  Act  of 1981, applicable to families
17             of the same size; or
18                  (ii)  their  income,  after  the  deduction  of
19             costs incurred for medical care and for other  types
20             of  remedial  care,  is equal to or less than 70% in
21             fiscal year 2001, equal  to  or  less  than  85%  in
22             fiscal  year 2002, and equal to or less than 100% in
23             fiscal year  2003  and  thereafter  of  the  nonfarm
24             income official poverty line, as defined in item (i)
25             of this subparagraph (a).
26             (b)  All  persons  who  would be determined eligible
27        for  such  basic  maintenance   under   Article   IV   by
28        disregarding  the  maximum  earned  income  permitted  by
29        federal law.
30        3.  Persons  who  would  otherwise qualify for Aid to the
31    Medically Indigent under Article VII.
32        4.  Persons not  eligible  under  any  of  the  preceding
33    paragraphs  who  fall  sick,  are injured, or die, not having
34    sufficient money, property or other  resources  to  meet  the
 
HB2384 Engrossed            -3-               LRB9207038DJmbA
 1    costs  of  necessary  medical  care  or  funeral  and  burial
 2    expenses.
 3        5. (a)  Women   during   pregnancy,  after  the  fact  of
 4        pregnancy has been determined by medical  diagnosis,  and
 5        during the 60-day period beginning on the last day of the
 6        pregnancy,  together with their infants and children born
 7        after September 30, 1983, whose income and resources  are
 8        insufficient  to meet the costs of necessary medical care
 9        to the maximum extent possible under  Title  XIX  of  the
10        Federal Social Security Act.
11             (b)  The  Illinois Department and the Governor shall
12        provide a plan for coverage of the persons eligible under
13        paragraph 5(a) by April 1, 1990.  Such plan shall provide
14        ambulatory prenatal  care  to  pregnant  women  during  a
15        presumptive  eligibility  period  and establish an income
16        eligibility standard that is equal to 133% of the nonfarm
17        income official poverty line, as defined by  the  federal
18        Office  of  Management and Budget and revised annually in
19        accordance with Section  673(2)  of  the  Omnibus  Budget
20        Reconciliation Act of 1981, applicable to families of the
21        same  size, provided that costs incurred for medical care
22        are not taken into account  in  determining  such  income
23        eligibility.
24             (c)  The   Illinois   Department   may   conduct   a
25        demonstration  in  at  least one county that will provide
26        medical assistance to pregnant women, together with their
27        infants and children up to one year  of  age,  where  the
28        income  eligibility  standard  is  set  up to 185% of the
29        nonfarm income official poverty line, as defined  by  the
30        federal  Office  of  Management and Budget.  The Illinois
31        Department shall seek and obtain necessary  authorization
32        provided   under   federal   law   to  implement  such  a
33        demonstration.  Such demonstration may establish resource
34        standards  that  are  not  more  restrictive  than  those
 
HB2384 Engrossed            -4-               LRB9207038DJmbA
 1        established under Article IV of this Code.
 2        6.  Persons under the age of 18 who fail  to  qualify  as
 3    dependent  under  Article IV and who have insufficient income
 4    and resources to meet the costs of necessary medical care  to
 5    the  maximum  extent permitted under Title XIX of the Federal
 6    Social Security Act.
 7        7.  Persons who are 18 years of age or younger and  would
 8    qualify as disabled as defined under the Federal Supplemental
 9    Security  Income  Program,  provided medical service for such
10    persons   would   be   eligible   for    Federal    Financial
11    Participation,   and   provided   the   Illinois   Department
12    determines that:
13             (a)  the person requires a level of care provided by
14        a  hospital,  skilled  nursing  facility, or intermediate
15        care facility, as determined by a physician  licensed  to
16        practice medicine in all its branches;
17             (b)  it  is appropriate to provide such care outside
18        of an institution, as determined by a physician  licensed
19        to practice medicine in all its branches;
20             (c)  the  estimated  amount  which would be expended
21        for care outside the institution is not greater than  the
22        estimated   amount   which   would   be  expended  in  an
23        institution.
24        8.  Persons who become ineligible for  basic  maintenance
25    assistance   under  Article  IV  of  this  Code  in  programs
26    administered by the Illinois  Department  due  to  employment
27    earnings  and persons in assistance units comprised of adults
28    and children who  become  ineligible  for  basic  maintenance
29    assistance  under  Article  VI of this Code due to employment
30    earnings.  The plan for coverage for this  class  of  persons
31    shall:
32             (a)  extend  the  medical assistance coverage for up
33        to 12 months following termination of  basic  maintenance
34        assistance; and
 
HB2384 Engrossed            -5-               LRB9207038DJmbA
 1             (b)  offer  persons  who  have  initially received 6
 2        months of the coverage provided in paragraph  (a)  above,
 3        the  option  of  receiving  an  additional  6  months  of
 4        coverage, subject to the following:
 5                  (i)  such   coverage   shall   be  pursuant  to
 6             provisions of the federal Social Security Act;
 7                  (ii)  such coverage shall include all  services
 8             covered  while  the  person  was  eligible for basic
 9             maintenance assistance;
10                  (iii)  no premium shall  be  charged  for  such
11             coverage; and
12                  (iv)  such  coverage  shall be suspended in the
13             event of a person's failure without  good  cause  to
14             file  in  a timely fashion reports required for this
15             coverage under the Social Security Act and  coverage
16             shall  be reinstated upon the filing of such reports
17             if the person remains otherwise eligible.
18        9.  Persons  with  acquired   immunodeficiency   syndrome
19    (AIDS)  or  with AIDS-related conditions with respect to whom
20    there  has  been  a  determination  that  but  for  home   or
21    community-based  services  such individuals would require the
22    level of care provided  in  an  inpatient  hospital,  skilled
23    nursing  facility  or  intermediate care facility the cost of
24    which is reimbursed under this Article.  Assistance shall  be
25    provided  to  such  persons  to  the maximum extent permitted
26    under Title XIX of the Federal Social Security Act.
27        10.  Participants  in  the   long-term   care   insurance
28    partnership  program  established  under  the Partnership for
29    Long-Term Care Act who meet the qualifications for protection
30    of resources described in Section 25 of that Act.
31        11.  Persons  with  disabilities  who  are  employed  and
32    eligible    for     Medicaid,     pursuant     to     Section
33    1902(a)(10)(A)(ii)(xv)   of   the  Social  Security  Act,  as
34    provided by the Illinois Department by rule.
 
HB2384 Engrossed            -6-               LRB9207038DJmbA
 1        12.  Subject to federal  approval,  for  the  receipt  of
 2    family  planning  services, persons whose income is less than
 3    200% of  the  poverty  guidelines  updated  annually  in  the
 4    Federal  Register  by the U.S. Department of Health and Human
 5    Services  under  authority  of  42   U.S.C.   9902(2).    The
 6    Department  must  request  federal approval of coverage under
 7    this paragraph 12 within 30 days after the effective date  of
 8    this amendatory Act of the 92nd General Assembly.
 9        The  Illinois Department and the Governor shall provide a
10    plan for coverage of the persons eligible under  paragraph  7
11    as soon as possible after July 1, 1984.
12        The eligibility of any such person for medical assistance
13    under  this  Article  is  not  affected by the payment of any
14    grant under the Senior Citizens and Disabled Persons Property
15    Tax  Relief  and  Pharmaceutical  Assistance   Act   or   any
16    distributions or items of income described under subparagraph
17    (X)  of paragraph (2) of subsection (a) of Section 203 of the
18    Illinois Income  Tax  Act.   The  Department  shall  by  rule
19    establish   the  amounts  of  assets  to  be  disregarded  in
20    determining eligibility for medical assistance,  which  shall
21    at  a  minimum  equal the amounts to be disregarded under the
22    Federal Supplemental Security Income Program.  The amount  of
23    assets of a single person to be disregarded shall not be less
24    than  $2,000, and the amount of assets of a married couple to
25    be disregarded shall not be less than $3,000.
26        To the extent permitted under  federal  law,  any  person
27    found  guilty of a second violation of Article VIIIA shall be
28    ineligible for medical  assistance  under  this  Article,  as
29    provided in Section 8A-8.
30        The  eligibility  of  any  person  for medical assistance
31    under this Article shall not be affected by  the  receipt  by
32    the person of donations or benefits from fundraisers held for
33    the  person  in  cases of serious illness, as long as neither
34    the person nor members of the  person's  family  have  actual
 
HB2384 Engrossed            -7-               LRB9207038DJmbA
 1    control over the donations or benefits or the disbursement of
 2    the donations or benefits.
 3    (Source: P.A.  91-676,  eff.  12-23-99;  91-699, eff. 7-1-00;
 4    91-712, eff. 7-1-00; revised 6-26-00.)

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