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Public Act 094-0693
Public Act 0693 94TH GENERAL ASSEMBLY
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Public Act 094-0693 |
HB0806 Enrolled |
LRB094 03660 BDD 33665 b |
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| AN ACT concerning State government.
| Be it enacted by the People of the State of Illinois,
| represented in the General Assembly:
| Section 1. Short title. This Act may be cited as the | Covering ALL KIDS Health Insurance Act. | Section 5. Legislative intent. The General Assembly finds | that, for the economic and social benefit of all residents of | the State, it is important to enable all children of this State | to access affordable health insurance that offers | comprehensive coverage and emphasizes preventive healthcare. | Many children in working families, including many families | whose family income ranges between $40,000 and $80,000, are | uninsured. Numerous studies, including the Institute of | Medicine's report, "Health Insurance Matters", demonstrate | that lack of insurance negatively affects health status. The | General Assembly further finds that access to healthcare is a | key component for children's healthy development and | successful education. The effects of lack of insurance also | negatively impact those who are insured because the cost of | paying for care to the uninsured is often shifted to those who | have insurance in the form of higher health insurance premiums. | A Families USA 2005 report indicates that family premiums in | Illinois are increased by $1,059 due to cost-shifting from the | uninsured. It is, therefore, the intent of this legislation to | provide access to affordable health insurance to all uninsured | children in Illinois. | Section 10. Definitions. In this Act: | "Application agent" means an organization or individual, | such as a licensed health care provider, school, youth service | agency, employer, labor union, local chamber of commerce, | community-based organization, or other organization, approved |
| by the Department to assist in enrolling children in the | Program.
| "Child" means a person under the age of 19.
| "Department" means the Department of Healthcare and Family | Services.
| "Medical assistance" means health care benefits provided | under Article V of the Illinois Public Aid Code.
| "Program" means the Covering ALL KIDS Health Insurance | Program.
| "Resident" means an individual (i) who is in the State for | other than a temporary or transitory purpose during the taxable | year or (ii) who is domiciled in this State but is absent from | the State for a temporary or transitory purpose during the | taxable year.
| Section 15. Operation of Program. The Covering ALL KIDS | Health Insurance Program is created. The Program shall be | administered by the Department of Healthcare and Family | Services. The Department shall have the same powers and | authority to administer the Program as are provided to the | Department in connection with the Department's administration | of the Illinois Public Aid Code and the Children's Health | Insurance Program Act. The Department shall coordinate the | Program with the existing children's health programs operated | by the Department and other State agencies. | Section 20. Eligibility. | (a) To be eligible for the Program, a person must be a | child:
| (1) who is a resident of the State of Illinois; and
| (2) who is ineligible for medical assistance under the | Illinois Public Aid Code or benefits under the Children's | Health Insurance Program Act; and
| (3) either (i) who has been without health insurance | coverage for a period set forth by the Department in rules, | but not less than 6 months during the first month of |
| operation of the Program, 7 months during the second month | of operation, 8 months during the third month of operation, | 9 months during the fourth month of operation, 10 months | during the fifth month of operation, 11 months during the | sixth month of operation, and 12 months thereafter, (ii) | whose parent has lost employment that made available | affordable dependent health insurance coverage, until such | time as affordable employer-sponsored dependent health | insurance coverage is again available for the child as set | forth by the Department in rules, (iii) who is a newborn | whose responsible relative does not have available | affordable private or employer-sponsored health insurance, | or (iv) who, within one year of applying for coverage under | this Act, lost medical benefits under the Illinois Public | Aid Code or the Children's Health Insurance Program Act. | An entity that provides health insurance coverage (as | defined in Section 2 of the Comprehensive Health Insurance Plan | Act) to Illinois residents shall provide health insurance data | match to the Department of Healthcare and Family Services for | the purpose of determining eligibility for the Program under | this Act. | The Department of Healthcare and Family Services, in | collaboration with the Department of Financial and | Professional Regulation, Division of Insurance, shall adopt | rules governing the exchange of information under this Section. | The rules shall be consistent with all laws relating to the | confidentiality or privacy of personal information or medical | records, including provisions under the Federal Health | Insurance Portability and Accountability Act (HIPAA). | (b) The Department shall monitor the availability and | retention of employer-sponsored dependent health insurance | coverage and shall modify the period described in subdivision | (a)(3) if necessary to promote retention of private or | employer-sponsored health insurance and timely access to | healthcare services, but at no time shall the period described | in subdivision (a)(3) be less than 6 months.
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| (c) The Department, at its discretion, may take into | account the affordability of dependent health insurance when | determining whether employer-sponsored dependent health | insurance coverage is available upon reemployment of a child's | parent as provided in subdivision (a)(3). | (d) A child who is determined to be eligible for the | Program shall remain eligible for 12 months, provided that the | child maintains his or her residence in this State, has not yet | attained 19 years of age, and is not excluded under subsection | (e). | (e) A child is not eligible for coverage under the Program | if: | (1) the premium required under Section 40 has not been | timely paid; if the required premiums are not paid, the | liability of the Program shall be limited to benefits | incurred under the Program for the time period for which | premiums have been paid; if the required monthly premium is | not paid, the child is ineligible for re-enrollment for a | minimum period of 3 months; re-enrollment shall be | completed before the next covered medical visit, and the | first month's required premium shall be paid in advance of | the next covered medical visit; or | (2) the child is an inmate of a public institution or | an institution for mental diseases.
| (f) The Department shall adopt eligibility rules, | including, but not limited to: rules regarding annual renewals | of eligibility for the Program; rules providing for | re-enrollment, grace periods, notice requirements, and hearing | procedures under subdivision (e)(1) of this Section; and rules | regarding what constitutes availability and affordability of | private or employer-sponsored health insurance, with | consideration of such factors as the percentage of income | needed to purchase children or family health insurance, the | availability of employer subsidies, and other relevant | factors. |
| Section 25. Enrollment in Program. The Department shall | develop procedures to allow application agents to assist in | enrolling children in the Program or other children's health | programs operated by the Department. At the Department's | discretion, technical assistance payments may be made | available for approved applications facilitated by an | application agent. | Section 30. Program outreach and marketing. The Department | may provide grants to application agents and other | community-based organizations to educate the public about the | availability of the Program. The Department shall adopt rules | regarding performance standards and outcomes measures expected | of organizations that are awarded grants under this Section, | including penalties for nonperformance of contract standards. | Section 35. Health care benefits for children. | (a) The Department shall purchase or provide health care | benefits for eligible children that are identical to the | benefits provided for children under the Illinois Children's | Health Insurance Program Act, except for non-emergency | transportation.
| (b) As an alternative to the benefits set forth in | subsection (a), and when cost-effective, the Department may | offer families subsidies toward the cost of privately sponsored | health insurance, including employer-sponsored health | insurance.
| (c) Notwithstanding clause (i) of subdivision (a)(3) of | Section 20, the Department may consider offering, as an | alternative to the benefits set forth in subsection (a), | partial coverage to children who are enrolled in a | high-deductible private health insurance plan.
| (d) Notwithstanding clause (i) of subdivision (a)(3) of | Section 20, the Department may consider offering, as an | alternative to the benefits set forth in subsection (a), a | limited package of benefits to children in families who have |
| private or employer-sponsored health insurance that does not | cover certain benefits such as dental or vision benefits.
| (e) The content and availability of benefits described in | subsections (b), (c), and (d), and the terms of eligibility for | those benefits, shall be at the Department's discretion and the | Department's determination of efficacy and cost-effectiveness | as a means of promoting retention of private or | employer-sponsored health insurance.
| Section 40. Cost-sharing. | (a) Children enrolled in the Program under subsection (a) | of Section 35 are subject to the following cost-sharing | requirements:
| (1) The Department, by rule, shall set forth | requirements concerning co-payments and coinsurance for | health care services and monthly premiums. This | cost-sharing shall be on a sliding scale based on family | income. The Department may periodically modify such | cost-sharing.
| (2) Notwithstanding paragraph (1), there shall be no | co-payment required for well-baby or well-child health | care, including, but not limited to, age-appropriate | immunizations as required under State or federal law.
| (b) Children enrolled in a privately sponsored health | insurance plan under subsection (b) of Section 35 are subject | to the cost-sharing provisions stated in the privately | sponsored health insurance plan.
| (c) Notwithstanding any other provision of law, rates paid | by the Department shall not be used in any way to determine the | usual and customary or reasonable charge, which is the charge | for health care that is consistent with the average rate or | charge for similar services furnished by similar providers in a | certain geographic area. | Section 45. Study. | (a) The Department shall conduct a study that includes, but |
| is not limited to, the following: | (1) Establishing estimates, broken down by regions of | the State, of the number of children with and without | health insurance coverage; the number of children who are | eligible for Medicaid or the Children's Health Insurance | Program, and, of that number, the number who are enrolled | in Medicaid or the Children's Health Insurance Program; and | the number of children with access to dependent coverage | through an employer, and, of that number, the number who | are enrolled in dependent coverage through an employer. | (2) Surveying those families whose children have | access to employer-sponsored dependent coverage but who | decline such coverage as to the reasons for declining | coverage. | (3) Ascertaining, for the population of children | accessing employer-sponsored dependent coverage or who | have access to such coverage, the comprehensiveness of | dependent coverage available, the amount of cost-sharing | currently paid by the employees, and the cost-sharing | associated with such coverage. | (4) Measuring the health outcomes or other benefits for | children utilizing the Covering ALL KIDS Health Insurance | Program and analyzing the effects on utilization of | healthcare services for children after enrollment in the | Program compared to the preceding period of uninsured | status. | (b) The studies described in subsection (a) shall be | conducted in a manner that compares a time period preceding or | at the initiation of the program with a later period. | (c) The Department shall submit the preliminary results of | the study to the Governor and the General Assembly no later | than July 1, 2008 and shall submit the final results to the | Governor and the General Assembly no later than July 1, 2010. | Section 50. Consultation with stakeholders. The Department | shall present details regarding implementation of the Program |
| to the Medicaid Advisory Committee, and the Committee shall | serve as the forum for healthcare providers, advocates, | consumers, and other interested parties to advise the | Department with respect to the Program. | Section 55. Charge upon claims and causes of action; right | of subrogation; recoveries. Sections 11-22, 11-22a, 11-22b, | and 11-22c of the Illinois Public Aid Code apply to health care | benefits provided to children under this Act, as provided in | those Sections. | Section 60. Federal financial participation. The | Department shall request any necessary state plan amendments or | waivers of federal requirements in order to allow receipt of | federal funds for implementing any or all of the provisions of | the Program. The failure of the responsible federal agency to | approve a waiver or other State plan amendment shall not | prevent the implementation of any provision of this Act. | Section 65. Emergency rulemaking. The Department may adopt | rules necessary to establish and implement this Act through the | use of emergency rulemaking in accordance with Section 5-45 of | the Illinois Administrative Procedure Act. For the purposes of | that Act, the General Assembly finds that the adoption of rules | to implement this Act is deemed an emergency and necessary for | the public interest, safety, and welfare. This Section is | repealed on July 1, 2008. | Section 90. The Illinois Public Aid Code is amended by | changing Sections 11-22, 11-22a, 11-22b, and 11-22c as follows:
| (305 ILCS 5/11-22) (from Ch. 23, par. 11-22)
| Sec. 11-22. Charge upon claims and causes of action for | injuries. The Illinois Department shall have a charge upon all | claims, demands and
causes of action for injuries to an | applicant for or recipient of (i)
financial aid under Articles |
| III, IV, and V or (ii) health care benefits provided under the | Covering ALL KIDS Health Insurance Act for the total
amount of
| medical assistance provided the recipient from the time of | injury to the
date of recovery upon such claim, demand or cause | of action. In addition, if
the applicant or recipient was | employable, as defined by the Department, at
the time of the | injury, the Department shall also have a charge upon any
such | claims, demands and causes of action for the total amount of | aid
provided to the recipient and his
dependents, including all | cash assistance and medical assistance
only to the extent | includable in the claimant's action, from the
time of injury to | the date of recovery upon such
claim, demand or cause of | action. Any definition of "employable"
adopted by the | Department shall apply only to persons above the age of
| compulsory school attendance.
| If the injured person was employable at the time of the | injury and is
provided aid under Articles III, IV, or V and any | dependent or
member of his family is provided aid under Article | VI, or vice versa,
both the Illinois Department and the local | governmental unit shall have
a charge upon such claims, demands | and causes of action for the aid
provided to the injured person | and any
dependent member of his family, including all cash | assistance, medical
assistance and food stamps, from the time | of the injury to the date
of recovery.
| "Recipient", as used herein, means (i) in the case of | financial aid provided under this Code, the grantee of record | and any
persons whose needs are included in the financial aid | provided to the
grantee of record or otherwise met by grants | under the appropriate
Article of this Code for which such | person is eligible and (ii) in the case of health care benefits | provided under the Covering ALL KIDS Health Insurance Act, the | child to whom those benefits are provided .
| In each case, the notice shall be served by certified mail | or
registered mail, upon the party or parties against whom the | applicant or
recipient has a claim, demand or cause of action. | The notice shall
claim the charge and describe the interest the |
| Illinois Department, the
local governmental unit, or the | county, has in the claim, demand, or
cause of action. The | charge shall attach to any verdict or judgment
entered and to | any money or property which may be recovered on account
of such | claim, demand, cause of action or suit from and after the time
| of the service of the notice.
| On petition filed by the Illinois Department, or by the | local
governmental unit or county if either is claiming a | charge, or by the
recipient, or by the defendant, the court, on | written notice to all
interested parties, may adjudicate the | rights of the parties and enforce
the charge. The court may | approve the settlement of any claim, demand
or cause of action | either before or after a verdict, and nothing in this
Section | shall be construed as requiring the actual trial or final
| adjudication of any claim, demand or cause of action upon which | the
Illinois Department, the local governmental unit or county | has charge.
The court may determine what portion of the | recovery shall be paid to
the injured person and what portion | shall be paid to the Illinois
Department, the local | governmental unit or county having a charge
against the | recovery.
In making this determination, the court shall conduct | an evidentiary hearing
and shall consider competent evidence | pertaining
to the following matters:
| (1) the amount of the charge sought to be enforced | against the recovery
when expressed as a percentage of the | gross amount of the recovery; the
amount of the charge | sought to be enforced against the recovery when expressed
| as a percentage of the amount obtained by subtracting from | the gross amount
of the recovery the total attorney's fees | and other costs incurred by the
recipient incident to the | recovery; and whether the Department, unit of
local | government or county seeking to enforce the charge against | the recovery
should as a matter of fairness and equity bear | its proportionate share of
the fees and costs incurred to | generate the recovery from which the charge
is sought to be | satisfied;
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| (2) the amount, if any, of the attorney's fees and | other costs incurred
by the recipient incident to the | recovery and paid by the recipient up to the
time of | recovery, and the amount of such fees and costs remaining | unpaid
at the time of recovery;
| (3) the total hospital, doctor and other medical | expenses incurred for
care and treatment of the injury to | the date of recovery therefor, the portion
of such expenses | theretofore paid by the recipient, by insurance provided
by | the recipient, and by the Department, unit of local | government and county
seeking to enforce a charge against | the recovery, and the amount of such
previously incurred | expenses which remain unpaid at the time of recovery
and by | whom such incurred, unpaid expenses are to be paid;
| (4) whether the recovery represents less than | substantially full
recompense
for the injury and the | hospital, doctor and other medical expenses incurred
to the | date of recovery for the care and treatment of the injury, | so that
reduction of the charge sought to be enforced | against the recovery would
not likely result in a double | recovery or unjust enrichment to the recipient;
| (5) the age of the recipient and of persons dependent | for support upon
the recipient, the nature and permanency | of the recipient's injuries as
they affect not only the | future employability and education of the recipient
but | also the reasonably necessary and foreseeable future | material, maintenance,
medical, rehabilitative and | training needs of the recipient, the cost of
such | reasonably necessary and foreseeable future needs, and the | resources
available to meet such needs and pay such costs;
| (6) the realistic ability of the recipient to repay in | whole or in part
the charge sought to be enforced against | the recovery when judged in light
of the factors enumerated | above.
| The burden of producing evidence sufficient to support the | exercise by
the court of its discretion to reduce the amount of |
| a proven charge sought
to be enforced against the recovery | shall rest with the party seeking such reduction.
| The court may reduce and apportion the Illinois
| Department's lien proportionate to the recovery of the | claimant. The court may
consider the nature and extent of the | injury, economic and noneconomic
loss, settlement offers, | comparative negligence as it applies to the case
at hand, | hospital costs, physician costs, and all other appropriate | costs.
The Illinois Department shall pay its pro rata share of | the attorney fees
based on the Illinois Department's lien as it | compares to the total
settlement agreed upon. This Section | shall not affect the priority of an
attorney's lien under the | Attorneys Lien Act. The charges of
the Illinois Department | described in this Section, however, shall take
priority over | all other liens and charges existing under the laws of the
| State of Illinois with the exception of the attorney's lien | under said statute.
| Whenever the Department or any unit of local government
has | a statutory charge under this Section against a recovery for | damages
incurred by a recipient because of its advancement of | any assistance, such
charge shall not be satisfied out of any | recovery until the attorney's claim
for fees is satisfied, | irrespective of whether or not an action based on
recipient's | claim has been filed in court.
| This Section shall be inapplicable to any claim, demand or | cause of
action arising under (a) the Workers' Compensation Act | or the predecessor
Workers' Compensation Act
of
June 28, 1913, | (b) the Workers' Occupational Diseases Act or the predecessor
| Workers' Occupational
Diseases Act of March 16, 1936; and (c) | the Wrongful Death Act.
| (Source: P.A. 91-357, eff. 7-29-99; 92-111, eff. 1-1-02.)
| (305 ILCS 5/11-22a) (from Ch. 23, par. 11-22a)
| Sec. 11-22a. Right of Subrogation. To the extent of the | amount of (i) medical
assistance provided by the Department to | or on behalf of a recipient under
Article V or VI or (ii) |
| health care benefits provided for a child under the Covering | ALL KIDS Health Insurance Act , the Department shall be
| subrogated
to any right of
recovery such recipient may have | under the terms of any private or public
health care coverage | or casualty coverage, including coverage under the
"Workers' | Compensation Act", approved July 9, 1951, as amended, or the
| "Workers' Occupational Diseases Act", approved July 9, 1951, as | amended,
without the necessity of assignment of claim or other | authorization to secure
the right of recovery to the | Department. To enforce its subrogation right, the
Department | may (i) intervene or join in an action or proceeding brought by | the
recipient, his or her guardian, personal representative, | estate, dependents, or
survivors against any person or public | or private entity that may be liable;
(ii) institute and | prosecute legal proceedings against any person or public or
| private entity that may be liable for the cost of such | services; or (iii)
institute and prosecute legal proceedings, | to the extent necessary to reimburse
the Illinois Department | for its costs, against any noncustodial parent who (A)
is | required by court or administrative order to provide insurance | or other
coverage of the cost of health care services for a | child eligible for medical
assistance under this Code and (B) | has received payment from a third party for
the costs of those | services but has not used the payments to reimburse either
the | other parent or the guardian of the child or the provider of | the services.
| (Source: P.A. 92-111, eff. 1-1-02.)
| (305 ILCS 5/11-22b) (from Ch. 23, par. 11-22b)
| Sec. 11-22b. Recoveries.
| (a) As used in this Section:
| (1) "Carrier" means any insurer, including any private | company,
corporation, mutual association, trust fund, | reciprocal or interinsurance
exchange authorized under the | laws of this State to insure persons against
liability or | injuries caused to another and any insurer providing
benefits |
| under a policy of bodily injury liability insurance covering
| liability arising out of the ownership, maintenance or use of a | motor
vehicle which provides uninsured motorist endorsement or | coverage.
| (2) "Beneficiary" means any person or their dependents who | has received
benefits or will be provided benefits under this | Code or under the Covering ALL KIDS Health Insurance Act
| because of an injury for
which another person may be liable. It | includes such beneficiary's guardian,
conservator or other | personal representative, his estate or survivors.
| (b) (1) When benefits are provided or will be provided to a | beneficiary
under this Code or under the Covering ALL KIDS | Health Insurance Act because of an injury for which another | person is liable, or
for which a carrier is liable in | accordance with the provisions of any
policy of insurance | issued pursuant to the Illinois Insurance Code, the
Illinois | Department shall have a right to recover from such person or | carrier
the reasonable value of benefits so provided. The | Attorney General may, to
enforce such right, institute and | prosecute legal proceedings against the
third person or carrier | who may be liable for the injury in an appropriate
court, | either in the name of the Illinois Department or in the name of | the
injured person, his guardian, personal representative, | estate, or survivors.
| (2) The Department may:
| (A) compromise or settle and release any such claim for | benefits
provided under this Code, or
| (B) waive any such claims for benefits provided under | this Code, in
whole or in part, for the convenience of the | Department or if the Department
determines that collection | would result in undue hardship upon the person who
suffered | the injury or, in a wrongful death action, upon the heirs | of the
deceased.
| (3) No action taken on behalf of the Department pursuant to | this Section
or any judgment rendered in such action shall be a | bar to any action upon
the claim or cause of action of the |
| beneficiary, his guardian, conservator,
personal | representative, estate, dependents or survivors against the | third
person who may be liable for the injury, or shall operate | to deny to the
beneficiary the recovery for that portion of any | damages not covered hereunder.
| (c) (1) When an action is brought by the Department | pursuant to
subsection (b), it shall be commenced within the | period prescribed by
Article XIII of the Code of Civil | Procedure.
| However, the Department may not commence the action prior | to 5 months
before the end of the applicable period prescribed | by Article XIII of the
Code of Civil Procedure. Thirty days | prior to commencing an action, the
Department shall notify the | beneficiary of the Department's intent to
commence such an | action.
| (2) The death of the beneficiary does not abate any right | of action
established by subsection (b).
| (3) When an action or claim is brought by persons entitled | to bring such
actions or assert such claims against a third | person who may be liable for
causing the death of a | beneficiary, any settlement, judgment or award
obtained is | subject to the Department's claim for reimbursement of the
| benefits provided to the beneficiary under this Code or under | the Covering ALL KIDS Health Insurance Act .
| (4) When the action or claim is brought by the beneficiary | alone and
the beneficiary incurs a personal liability to pay | attorney's fees and
costs of litigation, the Department's claim | for reimbursement of the
benefits provided to the beneficiary | shall be the full amount of benefits
paid on behalf of the | beneficiary under this Code or under the Covering ALL KIDS | Health Insurance Act less a pro rata
share which represents the | Department's reasonable share of attorney's fees
paid by the | beneficiary and that portion of the cost of litigation expenses
| determined by multiplying by the ratio of the full amount of | the
expenditures of the full amount of the judgment, award or | settlement.
|
| (d) (1) If either the beneficiary or the Department brings | an action or
claim against such third party or carrier, the | beneficiary or the
Department shall within 30 days of filing | the action give to the other
written notice by personal service | or registered mail of the action or
claim and of the name of | the court in which the
action or claim is brought. Proof of | such notice shall be filed in such
action or claim. If an | action or claim is brought by either the Department
or the | beneficiary, the other may, at any time before trial on the | facts,
become a party to such action or claim or shall | consolidate his action or
claim with the other if brought | independently.
| (2) If an action or claim is brought by the Department | pursuant to
subsection (b)(1), written notice to the | beneficiary, guardian, personal
representative, estate or | survivor given pursuant to this Section shall
advise him of his | right to intervene in the proceeding, his right to obtain
a | private attorney of his choice and the Department's right to | recover the
reasonable value of the benefits provided.
| (e) In the event of judgment or award in a suit or claim | against such
third person or carrier:
| (1) If the action or claim is prosecuted by the beneficiary | alone, the
court shall first order paid from any judgment or | award the
reasonable litigation expenses incurred in | preparation and prosecution of
such action or claim, together | with reasonable attorney's fees, when an
attorney has been | retained. After payment of such expenses and attorney's
fees | the court shall, on the application of the Department, allow
as | a first lien against the amount of such judgment or award the | amount of
the Department's expenditures for the benefit of the | beneficiary under this
Code or under the Covering ALL KIDS | Health Insurance Act , as provided in subsection (c)(4).
| (2) If the action or claim is prosecuted both by the | beneficiary and the
Department, the court shall first order | paid from any judgment or
award the reasonable litigation | expenses incurred in preparation and
prosecution of such action |
| or claim, together with reasonable attorney's
fees for | plaintiffs attorneys based solely on the services rendered for | the
benefit of the beneficiary. After payment of such expenses | and attorney's
fees, the court shall apply out of the balance | of such judgment or award an
amount sufficient to reimburse the | Department the full amount of benefits
paid on behalf of the | beneficiary under this Code or under the Covering ALL KIDS | Health Insurance Act .
| (f) The court shall, upon further application at any time
| before the judgment or award is satisfied, allow as a further | lien the
amount of any expenditures of the Department in | payment of additional
benefits arising out of the same cause of | action or claim provided on
behalf of the beneficiary under | this Code or under the Covering ALL KIDS Health Insurance Act , | when such benefits were
provided or became payable subsequent | to the original order.
| (g) No judgment, award, or settlement in any action or | claim by a
beneficiary to recover damages for injuries, when | the Department has an
interest, shall be satisfied without | first giving the Department notice and
a reasonable opportunity | to perfect and satisfy its lien.
| (h) When the Department has perfected a lien upon a | judgment or award in
favor of a beneficiary against any third | party for an injury for which the
beneficiary has received | benefits under this Code or under the Covering ALL KIDS Health | Insurance Act , the Department shall be
entitled to a writ of | execution as lien claimant to enforce payment of said
lien | against such third party with interest and other accruing costs | as in
the case of other executions. In the event the amount of | such judgment or
award so recovered has been paid to the | beneficiary, the Department shall
be entitled to a writ of | execution against such beneficiary to the extent of
the | Department's lien, with interest and other accruing costs as in | the case
of other executions.
| (i) Except as otherwise provided in this Section, | notwithstanding any
other provision of law, the entire amount |
| of any settlement of the injured
beneficiary's action or claim, | with or without suit, is subject to the
Department's claim for | reimbursement of the benefits provided and any lien
filed | pursuant thereto to the same extent and subject to the same
| limitations as in Section 11-22 of this Code.
| (Source: P.A. 92-651, eff. 7-11-02.)
| (305 ILCS 5/11-22c) (from Ch. 23, par. 11-22c)
| Sec. 11-22c. (a) As used in this Section, "recipient" means | any person
receiving financial assistance under Article IV or | Article VI of this Code or receiving health care benefits under | the Covering ALL KIDS Health Insurance Act .
| (b) If a recipient maintains any suit, charge or other | court or
administrative action against an employer seeking back | pay for a period
during which the recipient received financial | assistance under Article IV
or Article VI of this Code or | health care benefits under the Covering ALL KIDS Health | Insurance Act , the recipient shall report such fact to the
| Department. To the extent of the amount of assistance provided | to or on
behalf of the recipient under Article IV or Article VI | or health care benefits provided under the Covering ALL KIDS | Health Insurance Act , the Department may
by intervention or | otherwise without the necessity of assignment of claim,
attach | a lien on the recovery of back wages equal to the amount of
| assistance provided by the Department to the recipient under | Article IV or
Article VI or under the Covering ALL KIDS Health | Insurance Act .
| (Source: P.A. 86-497.)
| Section 97. Severability. If any provision of this Act or | its application to any person or circumstance is held invalid, | the invalidity of that provision or application does not affect | other provisions or applications of this Act that can be given | effect without the invalid provision or application, and to | this end the provisions of this Act are severable. |
| Section 98. Repealer. This Act is repealed on July 1, | 2011.
| Section 99. Effective date. This Act takes effect July 1, | 2006. |
Effective Date: 7/1/2006
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