Bill Text: IL SB3320 | 2013-2014 | 98th General Assembly | Introduced

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Bill Title: Amends the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall (rather than may) enter into a contract with the vendor selected to verify eligibility for medicaid assistance. Effective immediately.

Spectrum: Partisan Bill (Republican 2-0)

Status: (Failed) 2015-01-13 - Session Sine Die [SB3320 Detail]

Download: Illinois-2013-SB3320-Introduced.html

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98TH GENERAL ASSEMBLY State of Illinois 2013 and 2014 SB3320 Introduced 2/14/2014, by Sen. Dan Duffy SYNOPSIS AS INTRODUCED:
305 ILCS 5/11-5.2
Amends the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall (rather than may) enter into a contract with the vendor selected to verify eligibility for medicaid assistance. 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 Illinois Public Aid Code is amended by
changing Section 11-5.2 as follows:
(305 ILCS 5/11-5.2)
Sec. 11-5.2. Income, Residency, and Identity Verification
System.
(a) The Department shall ensure that its proposed
integrated eligibility system shall include the computerized
functions of income, residency, and identity eligibility
verification to verify eligibility, eliminate duplication of
medical assistance, and deter fraud. Until the integrated
eligibility system is operational, the Department shall may
enter into a contract with the vendor selected pursuant to
Section 11-5.3 as necessary to obtain the electronic data
matching described in this Section. This contract shall be
exempt from the Illinois Procurement Code pursuant to
subsection (h) of Section 1-10 of that Code.
(b) Prior to awarding medical assistance at application
under Article V of this Code, the Department shall, to the
extent such databases are available to the Department, conduct
data matches using the name, date of birth, address, and Social

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Security Number of each applicant or recipient or responsible
relative of an applicant or recipient against the following:
(1) Income tax information.
(2) Employer reports of income and unemployment
insurance payment information maintained by the Department
of Employment Security.
(3) Earned and unearned income, citizenship and death,
and other relevant information maintained by the Social
Security Administration.
(4) Immigration status information maintained by the
United States Citizenship and Immigration Services.
(5) Wage reporting and similar information maintained
by states contiguous to this State.
(6) Employment information maintained by the
Department of Employment Security in its New Hire Directory
database.
(7) Employment information maintained by the United
States Department of Health and Human Services in its
National Directory of New Hires database.
(8) Veterans' benefits information maintained by the
United States Department of Health and Human Services, in
coordination with the Department of Health and Human
Services and the Department of Veterans' Affairs, in the
federal Public Assistance Reporting Information System
(PARIS) database.
(9) Residency information maintained by the Illinois

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Secretary of State.
(10) A database which is substantially similar to or a
successor of a database described in this Section that
contains information relevant for verifying eligibility
for medical assistance.
(c) (Blank).
(d) If a discrepancy results between information provided
by an applicant, recipient, or responsible relative and
information contained in one or more of the databases or
information tools listed under subsection (b) or (c) of this
Section or subsection (c) of Section 11-5.3 and that
discrepancy calls into question the accuracy of information
relevant to a condition of eligibility provided by the
applicant, recipient, or responsible relative, the Department
or its contractor shall review the applicant's or recipient's
case using the following procedures:
(1) If the information discovered under subsection (b)
(c) of this Section or subsection (c) of Section 11-5.3
does not result in the Department finding the applicant or
recipient ineligible for assistance under Article V of this
Code, the Department shall finalize the determination or
redetermination of eligibility.
(2) If the information discovered results in the
Department finding the applicant or recipient ineligible
for assistance, the Department shall provide notice as set
forth in Section 11-7 of this Article.

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(3) If the information discovered is insufficient to
determine that the applicant or recipient is eligible or
ineligible, the Department shall provide written notice to
the applicant or recipient which shall describe in
sufficient detail the circumstances of the discrepancy,
the information or documentation required, the manner in
which the applicant or recipient may respond, and the
consequences of failing to take action. The applicant or
recipient shall have 10 business days to respond.
(4) If the applicant or recipient does not respond to
the notice, the Department shall deny assistance for
failure to cooperate, in which case the Department shall
provide notice as set forth in Section 11-7. Eligibility
for assistance shall not be established until the
discrepancy has been resolved.
(5) If an applicant or recipient responds to the
notice, the Department shall determine the effect of the
information or documentation provided on the applicant's
or recipient's case and shall take appropriate action.
Written notice of the Department's action shall be provided
as set forth in Section 11-7 of this Article.
(6) Suspected cases of fraud shall be referred to the
Department's Inspector General.
(e) The Department shall adopt any rules necessary to
implement this Section.
(Source: P.A. 97-689, eff. 6-14-12; revised 11-12-13.)

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Section 99. Effective date. This Act takes effect upon
becoming law.