Bill Text: IL HB3455 | 2023-2024 | 103rd General Assembly | Introduced
Bill Title: Amends the Administration Article of the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall cover comprehensive post-kidney transplant care for noncitizens who are not eligible for comprehensive medical benefits but meet certain residency and financial eligibility requirements under the Code.
Sponsorship: Partisan Bill (Democrat 2)
Status: (Failed) 2025-01-07 - Session Sine Die [HB3455 Detail]
Download: Illinois-2023-HB3455-Introduced.html
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| 1 | AN ACT concerning public aid.
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| 2 | Be it enacted by the People of the State of Illinois,
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| 3 | represented in the General Assembly:
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| 4 | Section 5. The Illinois Public Aid Code is amended by | |||||||||||||||||||
| 5 | changing Section 12-4.35 as follows:
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| 6 | (305 ILCS 5/12-4.35)
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| 7 | Sec. 12-4.35. Medical services for certain noncitizens.
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| 8 | (a) Notwithstanding
Section 1-11 of this Code or Section | |||||||||||||||||||
| 9 | 20(a) of the Children's Health Insurance
Program Act, the | |||||||||||||||||||
| 10 | Department of Healthcare and Family Services may provide | |||||||||||||||||||
| 11 | medical services to
noncitizens who have not yet attained 19 | |||||||||||||||||||
| 12 | years of age and who are not eligible
for medical assistance | |||||||||||||||||||
| 13 | under Article V of this Code or under the Children's
Health | |||||||||||||||||||
| 14 | Insurance Program created by the Children's Health Insurance | |||||||||||||||||||
| 15 | Program Act
due to their not meeting the otherwise applicable | |||||||||||||||||||
| 16 | provisions of Section 1-11
of this Code or Section 20(a) of the | |||||||||||||||||||
| 17 | Children's Health Insurance Program Act.
The medical services | |||||||||||||||||||
| 18 | available, standards for eligibility, and other conditions
of | |||||||||||||||||||
| 19 | participation under this Section shall be established by rule | |||||||||||||||||||
| 20 | by the
Department; however, any such rule shall be at least as | |||||||||||||||||||
| 21 | restrictive as the
rules for medical assistance under Article | |||||||||||||||||||
| 22 | V of this Code or the Children's
Health Insurance Program | |||||||||||||||||||
| 23 | created by the Children's Health Insurance Program
Act.
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| 1 | (a-5) Notwithstanding Section 1-11 of this Code, the | ||||||
| 2 | Department of Healthcare and Family Services may provide | ||||||
| 3 | medical assistance in accordance with Article V of this Code | ||||||
| 4 | to noncitizens over the age of 65 years of age who are not | ||||||
| 5 | eligible for medical assistance under Article V of this Code | ||||||
| 6 | due to their not meeting the otherwise applicable provisions | ||||||
| 7 | of Section 1-11 of this Code, whose income is at or below 100% | ||||||
| 8 | of the federal poverty level after deducting the costs of | ||||||
| 9 | medical or other remedial care, and who would otherwise meet | ||||||
| 10 | the eligibility requirements in Section 5-2 of this Code. The | ||||||
| 11 | medical services available, standards for eligibility, and | ||||||
| 12 | other conditions of participation under this Section shall be | ||||||
| 13 | established by rule by the Department; however, any such rule | ||||||
| 14 | shall be at least as restrictive as the rules for medical | ||||||
| 15 | assistance under Article V of this Code. | ||||||
| 16 | (a-6) By May 30, 2022, notwithstanding Section 1-11 of | ||||||
| 17 | this Code, the Department of Healthcare and Family Services | ||||||
| 18 | may provide medical services to noncitizens 55 years of age | ||||||
| 19 | through 64 years of age who (i) are not eligible for medical | ||||||
| 20 | assistance under Article V of this Code due to their not | ||||||
| 21 | meeting the otherwise applicable provisions of Section 1-11 of | ||||||
| 22 | this Code and (ii) have income at or below 133% of the federal | ||||||
| 23 | poverty level plus 5% for the applicable family size as | ||||||
| 24 | determined under applicable federal law and regulations. | ||||||
| 25 | Persons eligible for medical services under Public Act 102-16 | ||||||
| 26 | shall receive benefits identical to the benefits provided | ||||||
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| 1 | under the Health Benefits Service Package as that term is | ||||||
| 2 | defined in subsection (m) of Section 5-1.1 of this Code. | ||||||
| 3 | (a-7) By July 1, 2022, notwithstanding Section 1-11 of | ||||||
| 4 | this Code, the Department of Healthcare and Family Services | ||||||
| 5 | may provide medical services to noncitizens 42 years of age | ||||||
| 6 | through 54 years of age who (i) are not eligible for medical | ||||||
| 7 | assistance under Article V of this Code due to their not | ||||||
| 8 | meeting the otherwise applicable provisions of Section 1-11 of | ||||||
| 9 | this Code and (ii) have income at or below 133% of the federal | ||||||
| 10 | poverty level plus 5% for the applicable family size as | ||||||
| 11 | determined under applicable federal law and regulations. The | ||||||
| 12 | medical services available, standards for eligibility, and | ||||||
| 13 | other conditions of participation under this Section shall be | ||||||
| 14 | established by rule by the Department; however, any such rule | ||||||
| 15 | shall be at least as restrictive as the rules for medical | ||||||
| 16 | assistance under Article V of this Code. In order to provide | ||||||
| 17 | for the timely and expeditious implementation of this | ||||||
| 18 | subsection, the Department may adopt rules necessary to | ||||||
| 19 | establish and implement this subsection through the use of | ||||||
| 20 | emergency rulemaking in accordance with Section 5-45 of the | ||||||
| 21 | Illinois Administrative Procedure Act. For purposes of the | ||||||
| 22 | Illinois Administrative Procedure Act, the General Assembly | ||||||
| 23 | finds that the adoption of rules to implement this subsection | ||||||
| 24 | is deemed necessary for the public interest, safety, and | ||||||
| 25 | welfare. | ||||||
| 26 | (a-10) Notwithstanding the provisions of Section 1-11, the | ||||||
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| 1 | Department shall cover immunosuppressive drugs and related | ||||||
| 2 | services associated with post-kidney transplant management, | ||||||
| 3 | excluding long-term care costs, for noncitizens who: (i) are | ||||||
| 4 | not eligible for comprehensive medical benefits; (ii) meet the | ||||||
| 5 | residency requirements of Section 5-3; and (iii) would meet | ||||||
| 6 | the financial eligibility requirements of Section 5-2. | ||||||
| 7 | (a-11) Notwithstanding the provisions of Section 1-11, the | ||||||
| 8 | Department shall cover comprehensive post-kidney transplant | ||||||
| 9 | care for noncitizens who: (i) are not eligible for | ||||||
| 10 | comprehensive medical benefits; (ii) meet the residency | ||||||
| 11 | requirements of Section 5-3; and (iii) would meet the | ||||||
| 12 | financial eligibility requirements of Section 5-2. | ||||||
| 13 | (b) The Department is authorized to take any action that | ||||||
| 14 | would not otherwise be prohibited by applicable law, | ||||||
| 15 | including, without
limitation, cessation or limitation of | ||||||
| 16 | enrollment, reduction of available medical services,
and | ||||||
| 17 | changing standards for eligibility, that is deemed necessary | ||||||
| 18 | by the
Department during a State fiscal year to assure that | ||||||
| 19 | payments under this
Section do not exceed available funds.
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| 20 | (c) (Blank).
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| 21 | (d) (Blank).
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| 22 | (Source: P.A. 101-636, eff. 6-10-20; 102-16, eff. 6-17-21; | ||||||
| 23 | 102-43, Article 25, Section 25-15, eff. 7-6-21; 102-43, | ||||||
| 24 | Article 45, Section 45-5, eff. 7-6-21; 102-813, eff. 5-13-22; | ||||||
| 25 | 102-1037, eff. 6-2-22.)
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