Bill Text: IL SB0288 | 2023-2024 | 103rd General Assembly | Introduced

---

Bill Title: Amends the State Employees Group Insurance Act of 1971. Prohibits the State from applying for any federal waiver that would reduce or eliminate any protection or coverage required under the Patient Protection and Affordable Care Act (Affordable Care Act) that was in effect on January 1, 2017, including, but not limited to, any protection for persons with preexisting conditions and coverage for services identified as essential health benefits under the Affordable Care Act. Provides that the State or an agency of the executive branch may apply for such a waiver only if granted authorization by the General Assembly through joint resolution. Amends the Illinois Insurance Code. Prohibits the State from applying for any federal waiver that would permit an individual or group health insurance plan to reduce or eliminate any protection or coverage required under the Affordable Care Act that was in effect on January 1, 2017, including, but not limited to, any protection for persons with preexisting conditions and coverage for services identified as essential health benefits under the Affordable Care Act. Provides that the State or an agency of the executive branch may apply for such a waiver only if granted authorization by the General Assembly through joint resolution. Amends the Illinois Public Aid Code. Prohibits the State or an agency of the executive branch from applying for any federal Medicaid waiver that would result in more restrictive standards, methodologies, procedures, or other requirements than those that were in effect in Illinois as of January 1, 2017 for the Medical Assistance Program, the Children's Health Insurance Program, or any other medical assistance program in Illinois operating under any existing federal waiver authorized by specified provisions of the Social Security Act. Provides that the State or an agency of the executive branch may apply for such a waiver only if granted authorization by the General Assembly through joint resolution. Effective immediately.

Spectrum: Partisan Bill (Republican 1-0)

Status: (Introduced) 2023-02-02 - Referred to Assignments [SB0288 Detail]

Download: Illinois-2023-SB0288-Introduced.html

---

103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB0288 Introduced 2/2/2023, by Sen. Sue Rezin SYNOPSIS AS INTRODUCED:
5 ILCS 375/6.17 new
215 ILCS 5/356z.61 new
305 ILCS 5/5-47 new
Amends the State Employees Group Insurance Act of 1971. Prohibits the State from applying for any federal waiver that would reduce or eliminate any protection or coverage required under the Patient Protection and Affordable Care Act (Affordable Care Act) that was in effect on January 1, 2017, including, but not limited to, any protection for persons with preexisting conditions and coverage for services identified as essential health benefits under the Affordable Care Act. Provides that the State or an agency of the executive branch may apply for such a waiver only if granted authorization by the General Assembly through joint resolution. Amends the Illinois Insurance Code. Prohibits the State from applying for any federal waiver that would permit an individual or group health insurance plan to reduce or eliminate any protection or coverage required under the Affordable Care Act that was in effect on January 1, 2017, including, but not limited to, any protection for persons with preexisting conditions and coverage for services identified as essential health benefits under the Affordable Care Act. Provides that the State or an agency of the executive branch may apply for such a waiver only if granted authorization by the General Assembly through joint resolution. Amends the Illinois Public Aid Code. Prohibits the State or an agency of the executive branch from applying for any federal Medicaid waiver that would result in more restrictive standards, methodologies, procedures, or other requirements than those that were in effect in Illinois as of January 1, 2017 for the Medical Assistance Program, the Children's Health Insurance Program, or any other medical assistance program in Illinois operating under any existing federal waiver authorized by specified provisions of the Social Security Act. Provides that the State or an agency of the executive branch may apply for such a waiver only if granted authorization by the General Assembly through joint resolution. Effective immediately.
LRB103 25458 BMS 51807 b
A BILL FOR
SB0288 LRB103 25458 BMS 51807 b
AN ACT concerning government.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The State Employees Group Insurance Act of 1971
is amended by adding Section 6.17 as follows:
(5 ILCS 375/6.17 new)
Sec. 6.17. Waiver application prohibitions.
(a) Notwithstanding any other law to the contrary, except
as specified in subsection (b), the State shall not apply for
any federal waiver that would reduce or eliminate any
protection or coverage required under the Patient Protection
and Affordable Care Act (Public Law 111-148) that was in
effect on January 1, 2017, including, but not limited to, any
protection for persons with preexisting conditions and
coverage for services identified as essential health benefits
under the Patient Protection and Affordable Care Act.
(b) The State or an agency of the executive branch may
apply for such a waiver only if the General Assembly, by joint
resolution approved by a majority of each house prior to the
submission of such a waiver application to the U.S. Department
of Health and Human Services, authorizes the State or an
agency of the executive branch to apply for such a federal
waiver.

SB0288 - 2 - LRB103 25458 BMS 51807 b
Section 10. The Illinois Insurance Code is amended by
adding Section 356z.61 as follows:
(215 ILCS 5/356z.61 new)
Sec. 356z.61. Waiver application prohibitions.
(a) Notwithstanding any other law to the contrary, except
as specified in subsection (b), the State shall not apply for
any federal waiver that would permit an individual or group
health insurance plan to reduce or eliminate any protection or
coverage required under the Patient Protection and Affordable
Care Act (Public Law 111-148) that was in effect on January 1,
2017, including, but not limited to, any protection for
persons with preexisting conditions and coverage for services
identified as essential health benefits under the Patient
Protection and Affordable Care Act.
(b) The State or an agency of the executive branch may
apply for such a waiver only if the General Assembly, by joint
resolution approved by a majority of each house prior to the
submission of such a waiver application to the U.S. Department
of Health and Human Services, authorizes the State or an
agency of the executive branch to apply for such a federal
waiver.
Section 15. The Illinois Public Aid Code is amended by
adding Section 5-47 as follows:

SB0288 - 3 - LRB103 25458 BMS 51807 b
(305 ILCS 5/5-47 new)
Sec. 5-47. Waiver application prohibitions.
(a) Notwithstanding any other law, except as specified in
subsection (b), the State or an agency of the executive branch
shall not apply for any federal Medicaid waiver that would
result in more restrictive standards, methodologies,
procedures, or other requirements than those that were in
effect in Illinois as of January 1, 2017 for: (i) the Medical
Assistance Program, as authorized under this Code and Title
XIX of the Social Security Act; (ii) the Children's Health
Insurance Program, as authorized under the Children's Health
Insurance Program Act and Title XXI of the Social Security
Act; or (iii) any other medical assistance program in Illinois
that is operating under any existing federal waiver authorized
under Section 1115 or Section 1915 of the Social Security Act.
(b) The State or an agency of the executive branch may
apply for such a waiver only if the General Assembly, by joint
resolution approved by a majority of each house prior to the
submission of such a waiver application to the U.S. Department
of Health and Human Services, authorizes the State or an
agency of the executive branch to apply for such a federal
waiver.
Section 99. Effective date. This Act takes effect upon
becoming law.