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Public Act 91-0266
SB319 Enrolled LRB9104281SMdv
AN ACT regarding health insurance for children.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The State Finance Act is amended by changing
Section 6z-24 as follows:
(30 ILCS 105/6z-24) (from Ch. 127, par. 142z-24)
Sec. 6z-24. There is created in the State Treasury the
Special Education Medicaid Matching Fund. All monies
received from the federal government due to
educationally-related services authorized under Section 1903
of the Social Security Act, as amended and for the
administrative costs related thereto shall be deposited in
the Special Education Medicaid Matching Fund. The monies in
the Special Education Medicaid Matching Fund shall be held
subject to appropriation by the General Assembly to the State
Board of Education for distribution to school districts for
medicaid eligible special education children claims under
Titles XIX and XXI of the Social Security Act.
(Source: P.A. 87-641.)
Section 10. The State Prompt Payment Act is amended by
changing Section 1 as follows:
(30 ILCS 540/1) (from Ch. 127, par. 132.401)
Sec. 1. This Act applies to any State official or agency
authorized to provide for payment from State funds, by virtue
of any appropriation of the General Assembly, for goods or
services furnished to the State.
Except as provided in Section 2.1, for purposes of this
Act, "goods or services furnished to the State" include but
are not limited to covered health care provided to eligible
members and their covered dependents in accordance with the
State Employees Group Insurance Act of 1971, including
coverage through a physician-owned health maintenance
organization under Section 6.1 of that Act; however, "goods
or services furnished to the State" do not include medical
assistance provided to public aid recipients and reimbursed
from State funds under Articles V, VI, and XII of the
Illinois Public Aid Code.
For the purposes of this Act, "appropriate State official
or agency" is defined as the Director or Chief Executive or
his designee of that State agency or department or facility
of such agency or department. With respect to covered health
care provided to eligible members and their dependents in
accordance with the State Employees Group Insurance Act of
1971, "appropriate State official or agency" also includes an
administrator of a program of health benefits under that Act.
As used in this Act, "eligible member" means a member who
is eligible for health benefits under the State Employees
Group Insurance Act of 1971, and "member" and "dependent"
have the meanings ascribed to those terms in that Act.
(Source: P.A. 88-45; 88-554, eff. 7-26-94; 89-21, eff.
7-1-95.)
Section 15. The Children's Health Insurance Program Act
is amended by changing Sections 30, 55, and 60 as follows:
(215 ILCS 106/30)
(Section scheduled to be repealed on June 30, 2001)
Sec. 30. Cost sharing.
(a) Children enrolled in a health benefits program
pursuant to subdivision (a)(2) of Section 25 shall be subject
to the following cost sharing requirements:
(1) There shall be no co-payment required for
well-baby or well-child care, including age-appropriate
immunizations as required under federal law.
(2) Health insurance premiums for children in
families whose household income is at or above 150% of
the federal poverty level shall be payable monthly,
subject to rules promulgated by the Department for grace
periods and advance payments, and shall be as follows:
(A) $15 per month for one child.
(B) $25 per month for 2 children.
(C) $30 per month for 3 or more children.
(3) Co-payments for children in families whose
income is at or below 150% of the federal poverty level,
at a minimum and to the extent permitted under federal
law, shall be $2 for all medical visits and prescriptions
provided under this Act.
(4) Co-payments for children in families whose
income is at or above 150% of the federal poverty level,
at a minimum and to the extent permitted under federal
law shall be as follows:
(A) $5 for medical visits.
(B) $3 for generic prescriptions and $5 for
brand name prescriptions.
(C) $25 for emergency room use for a
non-emergency situation as defined by the Department
by rule.
(5) The maximum amount of out-of-pocket expenses
for co-payments shall be $100 per family per year.
(b) Individuals enrolled in a privately sponsored health
insurance plan pursuant to subdivision (a)(1) of Section 25
shall be subject to the cost sharing provisions as stated in
the privately sponsored health insurance plan.
(Source: P.A. 90-736, eff. 8-12-98.)
(215 ILCS 106/55)
(Section scheduled to be repealed on June 30, 2001)
Sec. 55. Contracts with non-governmental bodies. All
contracts with non-governmental bodies that are determined by
the Department to be necessary for the implementation of this
Act Section are deemed to be purchase of care as defined in
the Illinois Procurement Code.
(Source: P.A. 90-736, eff. 8-12-98.)
(215 ILCS 106/60)
(Section scheduled to be repealed on June 30, 2001)
Sec. 60. Emergency rulemaking. Prior to June 30, 1999,
the Department may adopt rules necessary to establish and
implement this Act Section through the use of emergency
rulemaking in accordance with Section 5-45 of the Illinois
Administrative Procedure Act. For purposes of that Act, the
General Assembly finds that the adoption of rules to
implement this Act Section is deemed an emergency and
necessary for the public interest, safety, and welfare.
(Source: P.A. 90-736, eff. 8-12-98.)
Section 20. The Illinois Public Aid Code is amended by
changing Section 12-10.4 as follows:
(305 ILCS 5/12-10.4)
Sec. 12-10.4. Juvenile Rehabilitation Services Medicaid
Matching Fund. There is created in the State Treasury the
Juvenile Rehabilitation Services Medicaid Matching Fund.
Deposits to this Fund shall consist of all moneys received
from the federal government for behavioral health services
secured by counties under the Medicaid Rehabilitation Option
pursuant to Title XIX of the Social Security Act or under the
Children's Health Insurance Program pursuant to the
Children's Health Insurance Program Act and Title XXI of the
Social Security Act for minors who are committed to mental
health facilities by the Illinois court system.
Disbursements from the Fund shall be made, subject to
appropriation, by the Illinois Department of Public Aid for
grants to those counties which secure behavioral health
services ordered by the courts and which have an interagency
agreement with the Department and submit detailed bills
according to standards determined by the Department.
(Source: P.A. 90-587, eff. 7-1-98.)
Section 99. Effective date. This Act takes effect upon
becoming law.
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