Bill Text: IL HB4685 | 2011-2012 | 97th General Assembly | Introduced

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Bill Title: Amends the Children's Health Insurance Program Act, the Covering ALL KIDS Health Insurance Act, and the Illinois Public Aid Code. Provides that in the event the Department of Healthcare and Family Services receives written correspondence from the federal government that the Department interprets as being a denial of authority to implement eligibility verification provisions enacted by Public Act 96-1501, the Department shall file, as soon as practical, a waiver request formally requesting to implement the provisions. Effective immediately.

Sponsorship: Slight Partisan Bill (Republican 3-1)

Status: (Failed) 2013-01-08 - Session Sine Die [HB4685 Detail]

Download: Illinois-2011-HB4685-Introduced.html

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97TH GENERAL ASSEMBLY State of Illinois 2011 and 2012 HB4685 Introduced , by Rep. Patricia R. Bellock SYNOPSIS AS INTRODUCED:
215 ILCS 106/7
215 ILCS 170/7
305 ILCS 5/11-5.1
Amends the Children's Health Insurance Program Act, the Covering ALL KIDS Health Insurance Act, and the Illinois Public Aid Code. Provides that in the event the Department of Healthcare and Family Services receives written correspondence from the federal government that the Department interprets as being a denial of authority to implement eligibility verification provisions enacted by Public Act 96-1501, the Department shall file, as soon as practical, a waiver request formally requesting to implement the provisions. Effective immediately.
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FISCAL NOTE ACT MAY APPLY
A BILL FOR
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AN ACT concerning public aid.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Children's Health Insurance Program Act is
amended by changing Section 7 as follows:
(215 ILCS 106/7)
Sec. 7. Eligibility verification. Notwithstanding any
other provision of this Act, with respect to applications for
benefits provided under the Program, eligibility shall be
determined in a manner that ensures program integrity and that
complies with federal law and regulations while minimizing
unnecessary barriers to enrollment. To this end, as soon as
practicable, and unless the Department receives written denial
from the federal government, this Section shall be implemented:
(a) The Department of Healthcare and Family Services or its
designees shall:
(1) By no later than July 1, 2011, require verification
of, at a minimum, one month's income from all sources
required for determining the eligibility of applicants to
the Program. Such verification shall take the form of pay
stubs, business or income and expense records for
self-employed persons, letters from employers, and any
other valid documentation of income including data

HB4685 - 2 - LRB097 17028 KTG 62224 b
obtained electronically by the Department or its designees
from other sources as described in subsection (b) of this
Section.
(2) By no later than October 1, 2011, require
verification of, at a minimum, one month's income from all
sources required for determining the continued eligibility
of recipients at their annual review of eligibility under
the Program. Such verification shall take the form of pay
stubs, business or income and expense records for
self-employed persons, letters from employers, and any
other valid documentation of income including data
obtained electronically by the Department or its designees
from other sources as described in subsection (b) of this
Section. The Department shall send a notice to the
recipient at least 60 days prior to the end of the period
of eligibility that informs them of the requirements for
continued eligibility. If a recipient does not fulfill the
requirements for continued eligibility by the deadline
established in the notice, a notice of cancellation shall
be issued to the recipient and coverage shall end on the
last day of the eligibility period. A recipient's
eligibility may be reinstated without requiring a new
application if the recipient fulfills the requirements for
continued eligibility prior to the end of the month
following the last date of coverage. Nothing in this
Section shall prevent an individual whose coverage has been

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cancelled from reapplying for health benefits at any time.
(3) By no later than July 1, 2011, require verification
of Illinois residency.
(b) The Department shall establish or continue cooperative
arrangements with the Social Security Administration, the
Illinois Secretary of State, the Department of Human Services,
the Department of Revenue, the Department of Employment
Security, and any other appropriate entity to gain electronic
access, to the extent allowed by law, to information available
to those entities that may be appropriate for electronically
verifying any factor of eligibility for benefits under the
Program. Data relevant to eligibility shall be provided for no
other purpose than to verify the eligibility of new applicants
or current recipients of health benefits under the Program.
Data will be requested or provided for any new applicant or
current recipient only insofar as that individual's
circumstances are relevant to that individual's or another
individual's eligibility.
(c) Within 90 days of the effective date of this amendatory
Act of the 96th General Assembly, the Department of Healthcare
and Family Services shall send notice to current recipients
informing them of the changes regarding their eligibility
verification.
(d) In the event the Department receives written
correspondence from the federal government that the Department
interprets as being a denial of authority to implement this

HB4685 - 4 - LRB097 17028 KTG 62224 b
Section, the Department shall file, as soon as practical, a
waiver request formally requesting to implement the provisions
of this Section.
(Source: P.A. 96-1501, eff. 1-25-11.)
Section 10. The Covering ALL KIDS Health Insurance Act is
amended by changing Section 7 as follows:
(215 ILCS 170/7)
(Section scheduled to be repealed on July 1, 2016)
Sec. 7. Eligibility verification. Notwithstanding any
other provision of this Act, with respect to applications for
benefits provided under the Program, eligibility shall be
determined in a manner that ensures program integrity and that
complies with federal law and regulations while minimizing
unnecessary barriers to enrollment. To this end, as soon as
practicable, and unless the Department receives written denial
from the federal government, this Section shall be implemented:
(a) The Department of Healthcare and Family Services or its
designees shall:
(1) By July 1, 2011, require verification of, at a
minimum, one month's income from all sources required for
determining the eligibility of applicants to the Program.
Such verification shall take the form of pay stubs,
business or income and expense records for self-employed
persons, letters from employers, and any other valid

HB4685 - 5 - LRB097 17028 KTG 62224 b
documentation of income including data obtained
electronically by the Department or its designees from
other sources as described in subsection (b) of this
Section.
(2) By October 1, 2011, require verification of, at a
minimum, one month's income from all sources required for
determining the continued eligibility of recipients at
their annual review of eligibility under the Program. Such
verification shall take the form of pay stubs, business or
income and expense records for self-employed persons,
letters from employers, and any other valid documentation
of income including data obtained electronically by the
Department or its designees from other sources as described
in subsection (b) of this Section. The Department shall
send a notice to recipients at least 60 days prior to the
end of their period of eligibility that informs them of the
requirements for continued eligibility. If a recipient
does not fulfill the requirements for continued
eligibility by the deadline established in the notice, a
notice of cancellation shall be issued to the recipient and
coverage shall end on the last day of the eligibility
period. A recipient's eligibility may be reinstated
without requiring a new application if the recipient
fulfills the requirements for continued eligibility prior
to the end of the month following the last date of
coverage. Nothing in this Section shall prevent an

HB4685 - 6 - LRB097 17028 KTG 62224 b
individual whose coverage has been cancelled from
reapplying for health benefits at any time.
(3) By July 1, 2011, require verification of Illinois
residency.
(b) The Department shall establish or continue cooperative
arrangements with the Social Security Administration, the
Illinois Secretary of State, the Department of Human Services,
the Department of Revenue, the Department of Employment
Security, and any other appropriate entity to gain electronic
access, to the extent allowed by law, to information available
to those entities that may be appropriate for electronically
verifying any factor of eligibility for benefits under the
Program. Data relevant to eligibility shall be provided for no
other purpose than to verify the eligibility of new applicants
or current recipients of health benefits under the Program.
Data will be requested or provided for any new applicant or
current recipient only insofar as that individual's
circumstances are relevant to that individual's or another
individual's eligibility.
(c) Within 90 days of the effective date of this amendatory
Act of the 96th General Assembly, the Department of Healthcare
and Family Services shall send notice to current recipients
informing them of the changes regarding their eligibility
verification.
(d) In the event the Department receives written
correspondence from the federal government that the Department

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interprets as being a denial of authority to implement this
Section, the Department shall file, as soon as practical, a
waiver request formally requesting to implement the provisions
of this Section.
(Source: P.A. 96-1501, eff. 1-25-11.)
Section 15. The Illinois Public Aid Code is amended by
changing Section 11-5.1 as follows:
(305 ILCS 5/11-5.1)
Sec. 11-5.1. Eligibility verification. Notwithstanding any
other provision of this Code, with respect to applications for
medical assistance provided under Article V of this Code,
eligibility shall be determined in a manner that ensures
program integrity and complies with federal laws and
regulations while minimizing unnecessary barriers to
enrollment. To this end, as soon as practicable, and unless the
Department receives written denial from the federal
government, this Section shall be implemented:
(a) The Department of Healthcare and Family Services or its
designees shall:
(1) By no later than July 1, 2011, require verification
of, at a minimum, one month's income from all sources
required for determining the eligibility of applicants for
medical assistance under this Code. Such verification
shall take the form of pay stubs, business or income and

HB4685 - 8 - LRB097 17028 KTG 62224 b
expense records for self-employed persons, letters from
employers, and any other valid documentation of income
including data obtained electronically by the Department
or its designees from other sources as described in
subsection (b) of this Section.
(2) By no later than October 1, 2011, require
verification of, at a minimum, one month's income from all
sources required for determining the continued eligibility
of recipients at their annual review of eligibility for
medical assistance under this Code. Such verification
shall take the form of pay stubs, business or income and
expense records for self-employed persons, letters from
employers, and any other valid documentation of income
including data obtained electronically by the Department
or its designees from other sources as described in
subsection (b) of this Section. The Department shall send a
notice to recipients at least 60 days prior to the end of
their period of eligibility that informs them of the
requirements for continued eligibility. If a recipient
does not fulfill the requirements for continued
eligibility by the deadline established in the notice a
notice of cancellation shall be issued to the recipient and
coverage shall end on the last day of the eligibility
period. A recipient's eligibility may be reinstated
without requiring a new application if the recipient
fulfills the requirements for continued eligibility prior

HB4685 - 9 - LRB097 17028 KTG 62224 b
to the end of the month following the last date of
coverage. Nothing in this Section shall prevent an
individual whose coverage has been cancelled from
reapplying for health benefits at any time.
(3) By no later than July 1, 2011, require verification
of Illinois residency.
(b) The Department shall establish or continue cooperative
arrangements with the Social Security Administration, the
Illinois Secretary of State, the Department of Human Services,
the Department of Revenue, the Department of Employment
Security, and any other appropriate entity to gain electronic
access, to the extent allowed by law, to information available
to those entities that may be appropriate for electronically
verifying any factor of eligibility for benefits under the
Program. Data relevant to eligibility shall be provided for no
other purpose than to verify the eligibility of new applicants
or current recipients of health benefits under the Program.
Data shall be requested or provided for any new applicant or
current recipient only insofar as that individual's
circumstances are relevant to that individual's or another
individual's eligibility.
(c) Within 90 days of the effective date of this amendatory
Act of the 96th General Assembly, the Department of Healthcare
and Family Services shall send notice to current recipients
informing them of the changes regarding their eligibility
verification.

HB4685 - 10 - LRB097 17028 KTG 62224 b
(d) In the event the Department of Healthcare and Family
Services receives written correspondence from the federal
government that the Department interprets as being a denial of
authority to implement this Section, the Department shall file,
as soon as practical, a waiver request formally requesting to
implement the provisions of this Section.
(Source: P.A. 96-1501, eff. 1-25-11.)
Section 99. Effective date. This Act takes effect upon
becoming law.