Bill Text: IL HB4479 | 2015-2016 | 99th General Assembly | Introduced
Bill Title: Amends the Covering ALL KIDS Health Insurance Act. Provides that a child is not eligible for coverage under the Covering ALL KIDS Health Insurance Program if he or she is an undocumented immigrant.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2016-01-22 - Referred to Rules Committee [HB4479 Detail]
Download: Illinois-2015-HB4479-Introduced.html
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1 | AN ACT concerning regulation.
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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 Covering ALL KIDS Health Insurance Act is | ||||||||||||||||||||||||
5 | amended by changing Section 20 as follows:
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6 | (215 ILCS 170/20) | ||||||||||||||||||||||||
7 | (Section scheduled to be repealed on July 1, 2016)
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8 | Sec. 20. Eligibility. | ||||||||||||||||||||||||
9 | (a) To be eligible for the Program, a person must be a | ||||||||||||||||||||||||
10 | child:
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11 | (1) who is a resident of the State of Illinois; | ||||||||||||||||||||||||
12 | (2) who is ineligible for medical assistance under the | ||||||||||||||||||||||||
13 | Illinois Public Aid Code or benefits under the Children's | ||||||||||||||||||||||||
14 | Health Insurance Program Act;
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15 | (3) who (i) effective July 1, 2014, in accordance with | ||||||||||||||||||||||||
16 | 42 CFR 457.805 (78 FR 42313, July 15, 2013) or any other | ||||||||||||||||||||||||
17 | federal requirement necessary to obtain federal financial | ||||||||||||||||||||||||
18 | participation for expenditures made under this Act, has | ||||||||||||||||||||||||
19 | been without health insurance coverage for 90 days; (ii) is | ||||||||||||||||||||||||
20 | a newborn whose responsible relative does not have | ||||||||||||||||||||||||
21 | available affordable private or employer-sponsored health | ||||||||||||||||||||||||
22 | insurance; or (iii) within one year of applying for | ||||||||||||||||||||||||
23 | coverage under this Act, lost medical benefits under the |
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1 | Illinois Public Aid Code or the Children's Health Insurance | ||||||
2 | Program Act; and | ||||||
3 | (3.5) whose household income, as determined, effective | ||||||
4 | October 1, 2013, by the Department, is at or below 300% of | ||||||
5 | the federal poverty level as determined in compliance with | ||||||
6 | 42 U.S.C. 1397bb(b)(1)(B)(v) and applicable federal | ||||||
7 | regulations. | ||||||
8 | An entity that provides health insurance coverage (as | ||||||
9 | defined in Section 2 of the Comprehensive Health Insurance Plan | ||||||
10 | Act) to Illinois residents shall provide health insurance data | ||||||
11 | match to the Department of Healthcare and Family Services as | ||||||
12 | provided by and subject to Section 5.5 of the Illinois | ||||||
13 | Insurance Code. The Department of Healthcare and Family | ||||||
14 | Services may impose an administrative penalty as provided under | ||||||
15 | Section 12-4.45 of the Illinois Public Aid Code on entities | ||||||
16 | that have established a pattern of failure to provide the | ||||||
17 | information required under this Section. | ||||||
18 | The Department of Healthcare and Family Services, in | ||||||
19 | collaboration with the Department of Insurance, shall adopt | ||||||
20 | rules governing the exchange of information under this Section. | ||||||
21 | The rules shall be consistent with all laws relating to the | ||||||
22 | confidentiality or privacy of personal information or medical | ||||||
23 | records, including provisions under the Federal Health | ||||||
24 | Insurance Portability and Accountability Act (HIPAA). | ||||||
25 | (b) The Department shall monitor the availability and | ||||||
26 | retention of employer-sponsored dependent health insurance |
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1 | coverage and shall modify the period described in subdivision | ||||||
2 | (a)(3) if necessary to promote retention of private or | ||||||
3 | employer-sponsored health insurance and timely access to | ||||||
4 | healthcare services, but at no time shall the period described | ||||||
5 | in subdivision (a)(3) be less than 6 months.
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6 | (c) The Department, at its discretion, may take into | ||||||
7 | account the affordability of dependent health insurance when | ||||||
8 | determining whether employer-sponsored dependent health | ||||||
9 | insurance coverage is available upon reemployment of a child's | ||||||
10 | parent as provided in subdivision (a)(3). | ||||||
11 | (d) A child who is determined to be eligible for the | ||||||
12 | Program shall remain eligible for 12 months, provided that the | ||||||
13 | child maintains his or her residence in this State, has not yet | ||||||
14 | attained 19 years of age, and is not excluded under subsection | ||||||
15 | (e). | ||||||
16 | (e) A child is not eligible for coverage under the Program | ||||||
17 | if: | ||||||
18 | (1) the premium required under Section 40 has not been | ||||||
19 | timely paid; if the required premiums are not paid, the | ||||||
20 | liability of the Program shall be limited to benefits | ||||||
21 | incurred under the Program for the time period for which | ||||||
22 | premiums have been paid; re-enrollment shall be completed | ||||||
23 | before the next covered medical visit, and the first | ||||||
24 | month's required premium shall be paid in advance of the | ||||||
25 | next covered medical visit; or | ||||||
26 | (2) the child is an inmate of a public institution or |
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1 | an institution for mental diseases ; or .
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2 | (3) the child is an undocumented immigrant. | ||||||
3 | (f) The Department may adopt rules, including, but not | ||||||
4 | limited to: rules regarding annual renewals of eligibility for | ||||||
5 | the Program in conformance with Section 7 of this Act; rules | ||||||
6 | providing for re-enrollment, grace periods, notice | ||||||
7 | requirements, and hearing procedures under subdivision (e)(1) | ||||||
8 | of this Section; and rules regarding what constitutes | ||||||
9 | availability and affordability of private or | ||||||
10 | employer-sponsored health insurance, with consideration of | ||||||
11 | such factors as the percentage of income needed to purchase | ||||||
12 | children or family health insurance, the availability of | ||||||
13 | employer subsidies, and other relevant factors.
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14 | (g) Each child enrolled in the Program as of July 1, 2011 | ||||||
15 | whose family income, as established by the Department, exceeds | ||||||
16 | 300% of the federal poverty level may remain enrolled in the | ||||||
17 | Program for 12 additional months commencing July 1, 2011. | ||||||
18 | Continued enrollment pursuant to this subsection shall be | ||||||
19 | available only if the child continues to meet all eligibility | ||||||
20 | criteria established under the Program as of the effective date | ||||||
21 | of this amendatory Act of the 96th General Assembly without a | ||||||
22 | break in coverage. Nothing contained in this subsection shall | ||||||
23 | prevent a child from qualifying for any other health benefits | ||||||
24 | program operated by the Department. | ||||||
25 | (Source: P.A. 98-130, eff. 8-2-13; 98-651, eff. 6-16-14.)
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