Illinois 2023-2024 Regular Session

Illinois House Bill HB0579 Compare Versions

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1-Public Act 103-0103
21 HB0579 EnrolledLRB103 04164 CPF 49170 b HB0579 Enrolled LRB103 04164 CPF 49170 b
32 HB0579 Enrolled LRB103 04164 CPF 49170 b
4-AN ACT concerning regulation.
5-Be it enacted by the People of the State of Illinois,
6-represented in the General Assembly:
7-Section 5. The Department of Insurance Law is amended by
8-adding Section 1405-50 as follows:
9-(20 ILCS 1405/1405-50 new)
10-Sec. 1405-50. Marketplace Director of the Illinois Health
11-Benefits Exchange. The Governor shall appoint, with the advice
12-and consent of the Senate, a person within the Department of
13-Insurance to serve as the Marketplace Director of the Illinois
14-Health Benefits Exchange. The Governor may make a temporary
15-appointment until the next meeting of the Senate. This person
16-may be an existing employee with other duties. The Marketplace
17-Director shall receive an annual salary as set by the Governor
18-and shall be paid out of the appropriations to the Department.
19-The Marketplace Director shall not be subject to the Personnel
20-Code. The Marketplace Director, under the direction of the
21-Director, shall manage the operations and staff of the
22-Illinois Health Benefits Exchange to ensure optimal exchange
23-performance.
24-Section 10. The State Finance Act is amended by adding
25-Section 5.990 as follows:
3+1 AN ACT concerning regulation.
4+2 Be it enacted by the People of the State of Illinois,
5+3 represented in the General Assembly:
6+4 Section 5. The Department of Insurance Law is amended by
7+5 adding Section 1405-50 as follows:
8+6 (20 ILCS 1405/1405-50 new)
9+7 Sec. 1405-50. Marketplace Director of the Illinois Health
10+8 Benefits Exchange. The Governor shall appoint, with the advice
11+9 and consent of the Senate, a person within the Department of
12+10 Insurance to serve as the Marketplace Director of the Illinois
13+11 Health Benefits Exchange. The Governor may make a temporary
14+12 appointment until the next meeting of the Senate. This person
15+13 may be an existing employee with other duties. The Marketplace
16+14 Director shall receive an annual salary as set by the Governor
17+15 and shall be paid out of the appropriations to the Department.
18+16 The Marketplace Director shall not be subject to the Personnel
19+17 Code. The Marketplace Director, under the direction of the
20+18 Director, shall manage the operations and staff of the
21+19 Illinois Health Benefits Exchange to ensure optimal exchange
22+20 performance.
23+21 Section 10. The State Finance Act is amended by adding
24+22 Section 5.990 as follows:
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32-(30 ILCS 105/5.990 new)
33-Sec. 5.990. The Illinois Health Benefits Exchange Fund.
34-Section 15. The Illinois Procurement Code is amended by
35-changing Section 1-10 as follows:
36-(30 ILCS 500/1-10)
37-Sec. 1-10. Application.
38-(a) This Code applies only to procurements for which
39-bidders, offerors, potential contractors, or contractors were
40-first solicited on or after July 1, 1998. This Code shall not
41-be construed to affect or impair any contract, or any
42-provision of a contract, entered into based on a solicitation
43-prior to the implementation date of this Code as described in
44-Article 99, including, but not limited to, any covenant
45-entered into with respect to any revenue bonds or similar
46-instruments. All procurements for which contracts are
47-solicited between the effective date of Articles 50 and 99 and
48-July 1, 1998 shall be substantially in accordance with this
49-Code and its intent.
50-(b) This Code shall apply regardless of the source of the
51-funds with which the contracts are paid, including federal
52-assistance moneys. This Code shall not apply to:
53-(1) Contracts between the State and its political
54-subdivisions or other governments, or between State
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33+1 (30 ILCS 105/5.990 new)
34+2 Sec. 5.990. The Illinois Health Benefits Exchange Fund.
35+3 Section 15. The Illinois Procurement Code is amended by
36+4 changing Section 1-10 as follows:
37+5 (30 ILCS 500/1-10)
38+6 Sec. 1-10. Application.
39+7 (a) This Code applies only to procurements for which
40+8 bidders, offerors, potential contractors, or contractors were
41+9 first solicited on or after July 1, 1998. This Code shall not
42+10 be construed to affect or impair any contract, or any
43+11 provision of a contract, entered into based on a solicitation
44+12 prior to the implementation date of this Code as described in
45+13 Article 99, including, but not limited to, any covenant
46+14 entered into with respect to any revenue bonds or similar
47+15 instruments. All procurements for which contracts are
48+16 solicited between the effective date of Articles 50 and 99 and
49+17 July 1, 1998 shall be substantially in accordance with this
50+18 Code and its intent.
51+19 (b) This Code shall apply regardless of the source of the
52+20 funds with which the contracts are paid, including federal
53+21 assistance moneys. This Code shall not apply to:
54+22 (1) Contracts between the State and its political
55+23 subdivisions or other governments, or between State
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57-governmental bodies, except as specifically provided in
58-this Code.
59-(2) Grants, except for the filing requirements of
60-Section 20-80.
61-(3) Purchase of care, except as provided in Section
62-5-30.6 of the Illinois Public Aid Code and this Section.
63-(4) Hiring of an individual as an employee and not as
64-an independent contractor, whether pursuant to an
65-employment code or policy or by contract directly with
66-that individual.
67-(5) Collective bargaining contracts.
68-(6) Purchase of real estate, except that notice of
69-this type of contract with a value of more than $25,000
70-must be published in the Procurement Bulletin within 10
71-calendar days after the deed is recorded in the county of
72-jurisdiction. The notice shall identify the real estate
73-purchased, the names of all parties to the contract, the
74-value of the contract, and the effective date of the
75-contract.
76-(7) Contracts necessary to prepare for anticipated
77-litigation, enforcement actions, or investigations,
78-provided that the chief legal counsel to the Governor
79-shall give his or her prior approval when the procuring
80-agency is one subject to the jurisdiction of the Governor,
81-and provided that the chief legal counsel of any other
82-procuring entity subject to this Code shall give his or
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85-her prior approval when the procuring entity is not one
86-subject to the jurisdiction of the Governor.
87-(8) (Blank).
88-(9) Procurement expenditures by the Illinois
89-Conservation Foundation when only private funds are used.
90-(10) (Blank).
91-(11) Public-private agreements entered into according
92-to the procurement requirements of Section 20 of the
93-Public-Private Partnerships for Transportation Act and
94-design-build agreements entered into according to the
95-procurement requirements of Section 25 of the
96-Public-Private Partnerships for Transportation Act.
97-(12) (A) Contracts for legal, financial, and other
98-professional and artistic services entered into by the
99-Illinois Finance Authority in which the State of Illinois
100-is not obligated. Such contracts shall be awarded through
101-a competitive process authorized by the members of the
102-Illinois Finance Authority and are subject to Sections
103-5-30, 20-160, 50-13, 50-20, 50-35, and 50-37 of this Code,
104-as well as the final approval by the members of the
105-Illinois Finance Authority of the terms of the contract.
106-(B) Contracts for legal and financial services entered
107-into by the Illinois Housing Development Authority in
108-connection with the issuance of bonds in which the State
109-of Illinois is not obligated. Such contracts shall be
110-awarded through a competitive process authorized by the
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113-members of the Illinois Housing Development Authority and
114-are subject to Sections 5-30, 20-160, 50-13, 50-20, 50-35,
115-and 50-37 of this Code, as well as the final approval by
116-the members of the Illinois Housing Development Authority
117-of the terms of the contract.
118-(13) Contracts for services, commodities, and
119-equipment to support the delivery of timely forensic
120-science services in consultation with and subject to the
121-approval of the Chief Procurement Officer as provided in
122-subsection (d) of Section 5-4-3a of the Unified Code of
123-Corrections, except for the requirements of Sections
124-20-60, 20-65, 20-70, and 20-160 and Article 50 of this
125-Code; however, the Chief Procurement Officer may, in
126-writing with justification, waive any certification
127-required under Article 50 of this Code. For any contracts
128-for services which are currently provided by members of a
129-collective bargaining agreement, the applicable terms of
130-the collective bargaining agreement concerning
131-subcontracting shall be followed.
132-On and after January 1, 2019, this paragraph (13),
133-except for this sentence, is inoperative.
134-(14) Contracts for participation expenditures required
135-by a domestic or international trade show or exhibition of
136-an exhibitor, member, or sponsor.
137-(15) Contracts with a railroad or utility that
138-requires the State to reimburse the railroad or utilities
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66+1 governmental bodies, except as specifically provided in
67+2 this Code.
68+3 (2) Grants, except for the filing requirements of
69+4 Section 20-80.
70+5 (3) Purchase of care, except as provided in Section
71+6 5-30.6 of the Illinois Public Aid Code and this Section.
72+7 (4) Hiring of an individual as an employee and not as
73+8 an independent contractor, whether pursuant to an
74+9 employment code or policy or by contract directly with
75+10 that individual.
76+11 (5) Collective bargaining contracts.
77+12 (6) Purchase of real estate, except that notice of
78+13 this type of contract with a value of more than $25,000
79+14 must be published in the Procurement Bulletin within 10
80+15 calendar days after the deed is recorded in the county of
81+16 jurisdiction. The notice shall identify the real estate
82+17 purchased, the names of all parties to the contract, the
83+18 value of the contract, and the effective date of the
84+19 contract.
85+20 (7) Contracts necessary to prepare for anticipated
86+21 litigation, enforcement actions, or investigations,
87+22 provided that the chief legal counsel to the Governor
88+23 shall give his or her prior approval when the procuring
89+24 agency is one subject to the jurisdiction of the Governor,
90+25 and provided that the chief legal counsel of any other
91+26 procuring entity subject to this Code shall give his or
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141-for the relocation of utilities for construction or other
142-public purpose. Contracts included within this paragraph
143-(15) shall include, but not be limited to, those
144-associated with: relocations, crossings, installations,
145-and maintenance. For the purposes of this paragraph (15),
146-"railroad" means any form of non-highway ground
147-transportation that runs on rails or electromagnetic
148-guideways and "utility" means: (1) public utilities as
149-defined in Section 3-105 of the Public Utilities Act, (2)
150-telecommunications carriers as defined in Section 13-202
151-of the Public Utilities Act, (3) electric cooperatives as
152-defined in Section 3.4 of the Electric Supplier Act, (4)
153-telephone or telecommunications cooperatives as defined in
154-Section 13-212 of the Public Utilities Act, (5) rural
155-water or waste water systems with 10,000 connections or
156-less, (6) a holder as defined in Section 21-201 of the
157-Public Utilities Act, and (7) municipalities owning or
158-operating utility systems consisting of public utilities
159-as that term is defined in Section 11-117-2 of the
160-Illinois Municipal Code.
161-(16) Procurement expenditures necessary for the
162-Department of Public Health to provide the delivery of
163-timely newborn screening services in accordance with the
164-Newborn Metabolic Screening Act.
165-(17) Procurement expenditures necessary for the
166-Department of Agriculture, the Department of Financial and
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169-Professional Regulation, the Department of Human Services,
170-and the Department of Public Health to implement the
171-Compassionate Use of Medical Cannabis Program and Opioid
172-Alternative Pilot Program requirements and ensure access
173-to medical cannabis for patients with debilitating medical
174-conditions in accordance with the Compassionate Use of
175-Medical Cannabis Program Act.
176-(18) This Code does not apply to any procurements
177-necessary for the Department of Agriculture, the
178-Department of Financial and Professional Regulation, the
179-Department of Human Services, the Department of Commerce
180-and Economic Opportunity, and the Department of Public
181-Health to implement the Cannabis Regulation and Tax Act if
182-the applicable agency has made a good faith determination
183-that it is necessary and appropriate for the expenditure
184-to fall within this exemption and if the process is
185-conducted in a manner substantially in accordance with the
186-requirements of Sections 20-160, 25-60, 30-22, 50-5,
187-50-10, 50-10.5, 50-12, 50-13, 50-15, 50-20, 50-21, 50-35,
188-50-36, 50-37, 50-38, and 50-50 of this Code; however, for
189-Section 50-35, compliance applies only to contracts or
190-subcontracts over $100,000. Notice of each contract
191-entered into under this paragraph (18) that is related to
192-the procurement of goods and services identified in
193-paragraph (1) through (9) of this subsection shall be
194-published in the Procurement Bulletin within 14 calendar
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197-days after contract execution. The Chief Procurement
198-Officer shall prescribe the form and content of the
199-notice. Each agency shall provide the Chief Procurement
200-Officer, on a monthly basis, in the form and content
201-prescribed by the Chief Procurement Officer, a report of
202-contracts that are related to the procurement of goods and
203-services identified in this subsection. At a minimum, this
204-report shall include the name of the contractor, a
205-description of the supply or service provided, the total
206-amount of the contract, the term of the contract, and the
207-exception to this Code utilized. A copy of any or all of
208-these contracts shall be made available to the Chief
209-Procurement Officer immediately upon request. The Chief
210-Procurement Officer shall submit a report to the Governor
211-and General Assembly no later than November 1 of each year
212-that includes, at a minimum, an annual summary of the
213-monthly information reported to the Chief Procurement
214-Officer. This exemption becomes inoperative 5 years after
215-June 25, 2019 (the effective date of Public Act 101-27).
216-(19) Acquisition of modifications or adjustments,
217-limited to assistive technology devices and assistive
218-technology services, adaptive equipment, repairs, and
219-replacement parts to provide reasonable accommodations (i)
220-that enable a qualified applicant with a disability to
221-complete the job application process and be considered for
222-the position such qualified applicant desires, (ii) that
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102+1 her prior approval when the procuring entity is not one
103+2 subject to the jurisdiction of the Governor.
104+3 (8) (Blank).
105+4 (9) Procurement expenditures by the Illinois
106+5 Conservation Foundation when only private funds are used.
107+6 (10) (Blank).
108+7 (11) Public-private agreements entered into according
109+8 to the procurement requirements of Section 20 of the
110+9 Public-Private Partnerships for Transportation Act and
111+10 design-build agreements entered into according to the
112+11 procurement requirements of Section 25 of the
113+12 Public-Private Partnerships for Transportation Act.
114+13 (12) (A) Contracts for legal, financial, and other
115+14 professional and artistic services entered into by the
116+15 Illinois Finance Authority in which the State of Illinois
117+16 is not obligated. Such contracts shall be awarded through
118+17 a competitive process authorized by the members of the
119+18 Illinois Finance Authority and are subject to Sections
120+19 5-30, 20-160, 50-13, 50-20, 50-35, and 50-37 of this Code,
121+20 as well as the final approval by the members of the
122+21 Illinois Finance Authority of the terms of the contract.
123+22 (B) Contracts for legal and financial services entered
124+23 into by the Illinois Housing Development Authority in
125+24 connection with the issuance of bonds in which the State
126+25 of Illinois is not obligated. Such contracts shall be
127+26 awarded through a competitive process authorized by the
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225-modify or adjust the work environment to enable a
226-qualified current employee with a disability to perform
227-the essential functions of the position held by that
228-employee, (iii) to enable a qualified current employee
229-with a disability to enjoy equal benefits and privileges
230-of employment as are enjoyed by other similarly situated
231-employees without disabilities, and (iv) that allow a
232-customer, client, claimant, or member of the public
233-seeking State services full use and enjoyment of and
234-access to its programs, services, or benefits.
235-For purposes of this paragraph (19):
236-"Assistive technology devices" means any item, piece
237-of equipment, or product system, whether acquired
238-commercially off the shelf, modified, or customized, that
239-is used to increase, maintain, or improve functional
240-capabilities of individuals with disabilities.
241-"Assistive technology services" means any service that
242-directly assists an individual with a disability in
243-selection, acquisition, or use of an assistive technology
244-device.
245-"Qualified" has the same meaning and use as provided
246-under the federal Americans with Disabilities Act when
247-describing an individual with a disability.
248-(20) Procurement expenditures necessary for the
249-Illinois Commerce Commission to hire third-party
250-facilitators pursuant to Sections 16-105.17 and 16-108.18
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253-of the Public Utilities Act or an ombudsman pursuant to
254-Section 16-107.5 of the Public Utilities Act, a
255-facilitator pursuant to Section 16-105.17 of the Public
256-Utilities Act, or a grid auditor pursuant to Section
257-16-105.10 of the Public Utilities Act.
258-(21) Procurement expenditures for the purchase,
259-renewal, and expansion of software, software licenses, or
260-software maintenance agreements that support the efforts
261-of the Illinois State Police to enforce, regulate, and
262-administer the Firearm Owners Identification Card Act, the
263-Firearm Concealed Carry Act, the Firearms Restraining
264-Order Act, the Firearm Dealer License Certification Act,
265-the Law Enforcement Agencies Data System (LEADS), the
266-Uniform Crime Reporting Act, the Criminal Identification
267-Act, the Uniform Conviction Information Act, and the Gun
268-Trafficking Information Act, or establish or maintain
269-record management systems necessary to conduct human
270-trafficking investigations or gun trafficking or other
271-stolen firearm investigations. This paragraph (21) applies
272-to contracts entered into on or after the effective date
273-of this amendatory Act of the 102nd General Assembly and
274-the renewal of contracts that are in effect on the
275-effective date of this amendatory Act of the 102nd General
276-Assembly.
277-(22) Procurements necessary for the Department of
278-Insurance to implement the Illinois Health Benefits
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281-Exchange Law if the Department of Insurance has made a
282-good faith determination that it is necessary and
283-appropriate for the expenditure to fall within this
284-exemption. The procurement process shall be conducted in a
285-manner substantially in accordance with the requirements
286-of Sections 20-160 and 25-60 and Article 50 of this Code. A
287-copy of these contracts shall be made available to the
288-Chief Procurement Officer immediately upon request. This
289-paragraph is inoperative 5 years after the effective date
290-of this amendatory Act of the 103rd General Assembly.
291-Notwithstanding any other provision of law, for contracts
292-with an annual value of more than $100,000 entered into on or
293-after October 1, 2017 under an exemption provided in any
294-paragraph of this subsection (b), except paragraph (1), (2),
295-or (5), each State agency shall post to the appropriate
296-procurement bulletin the name of the contractor, a description
297-of the supply or service provided, the total amount of the
298-contract, the term of the contract, and the exception to the
299-Code utilized. The chief procurement officer shall submit a
300-report to the Governor and General Assembly no later than
301-November 1 of each year that shall include, at a minimum, an
302-annual summary of the monthly information reported to the
303-chief procurement officer.
304-(c) This Code does not apply to the electric power
305-procurement process provided for under Section 1-75 of the
306-Illinois Power Agency Act and Section 16-111.5 of the Public
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138+1 members of the Illinois Housing Development Authority and
139+2 are subject to Sections 5-30, 20-160, 50-13, 50-20, 50-35,
140+3 and 50-37 of this Code, as well as the final approval by
141+4 the members of the Illinois Housing Development Authority
142+5 of the terms of the contract.
143+6 (13) Contracts for services, commodities, and
144+7 equipment to support the delivery of timely forensic
145+8 science services in consultation with and subject to the
146+9 approval of the Chief Procurement Officer as provided in
147+10 subsection (d) of Section 5-4-3a of the Unified Code of
148+11 Corrections, except for the requirements of Sections
149+12 20-60, 20-65, 20-70, and 20-160 and Article 50 of this
150+13 Code; however, the Chief Procurement Officer may, in
151+14 writing with justification, waive any certification
152+15 required under Article 50 of this Code. For any contracts
153+16 for services which are currently provided by members of a
154+17 collective bargaining agreement, the applicable terms of
155+18 the collective bargaining agreement concerning
156+19 subcontracting shall be followed.
157+20 On and after January 1, 2019, this paragraph (13),
158+21 except for this sentence, is inoperative.
159+22 (14) Contracts for participation expenditures required
160+23 by a domestic or international trade show or exhibition of
161+24 an exhibitor, member, or sponsor.
162+25 (15) Contracts with a railroad or utility that
163+26 requires the State to reimburse the railroad or utilities
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309-Utilities Act.
310-(d) Except for Section 20-160 and Article 50 of this Code,
311-and as expressly required by Section 9.1 of the Illinois
312-Lottery Law, the provisions of this Code do not apply to the
313-procurement process provided for under Section 9.1 of the
314-Illinois Lottery Law.
315-(e) This Code does not apply to the process used by the
316-Capital Development Board to retain a person or entity to
317-assist the Capital Development Board with its duties related
318-to the determination of costs of a clean coal SNG brownfield
319-facility, as defined by Section 1-10 of the Illinois Power
320-Agency Act, as required in subsection (h-3) of Section 9-220
321-of the Public Utilities Act, including calculating the range
322-of capital costs, the range of operating and maintenance
323-costs, or the sequestration costs or monitoring the
324-construction of clean coal SNG brownfield facility for the
325-full duration of construction.
326-(f) (Blank).
327-(g) (Blank).
328-(h) This Code does not apply to the process to procure or
329-contracts entered into in accordance with Sections 11-5.2 and
330-11-5.3 of the Illinois Public Aid Code.
331-(i) Each chief procurement officer may access records
332-necessary to review whether a contract, purchase, or other
333-expenditure is or is not subject to the provisions of this
334-Code, unless such records would be subject to attorney-client
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337-privilege.
338-(j) This Code does not apply to the process used by the
339-Capital Development Board to retain an artist or work or works
340-of art as required in Section 14 of the Capital Development
341-Board Act.
342-(k) This Code does not apply to the process to procure
343-contracts, or contracts entered into, by the State Board of
344-Elections or the State Electoral Board for hearing officers
345-appointed pursuant to the Election Code.
346-(l) This Code does not apply to the processes used by the
347-Illinois Student Assistance Commission to procure supplies and
348-services paid for from the private funds of the Illinois
349-Prepaid Tuition Fund. As used in this subsection (l), "private
350-funds" means funds derived from deposits paid into the
351-Illinois Prepaid Tuition Trust Fund and the earnings thereon.
352-(m) This Code shall apply regardless of the source of
353-funds with which contracts are paid, including federal
354-assistance moneys. Except as specifically provided in this
355-Code, this Code shall not apply to procurement expenditures
356-necessary for the Department of Public Health to conduct the
357-Healthy Illinois Survey in accordance with Section 2310-431 of
358-the Department of Public Health Powers and Duties Law of the
359-Civil Administrative Code of Illinois.
360-(Source: P.A. 101-27, eff. 6-25-19; 101-81, eff. 7-12-19;
361-101-363, eff. 8-9-19; 102-175, eff. 7-29-21; 102-483, eff
362-1-1-22; 102-558, eff. 8-20-21; 102-600, eff. 8-27-21; 102-662,
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365-eff. 9-15-21; 102-721, eff. 1-1-23; 102-813, eff. 5-13-22;
366-102-1116, eff. 1-10-23.)
367-Section 20. The Illinois Health Benefits Exchange Law is
368-amended by changing Section 5-5 and by adding Sections 5-21,
369-5-22, 5-23, and 5-24 as follows:
370-(215 ILCS 122/5-5)
371-Sec. 5-5. State health benefits exchange. It is declared
372-that this State, beginning October 1, 2013, in accordance with
373-Section 1311 of the federal Patient Protection and Affordable
374-Care Act, shall establish a State health benefits exchange to
375-be known as the Illinois Health Benefits Exchange in order to
376-help individuals and small employers with no more than 50
377-employees shop for, select, and enroll in qualified,
378-affordable private health plans that fit their needs at
379-competitive prices. The Exchange shall separate coverage pools
380-for individuals and small employers and shall supplement and
381-not supplant any existing private health insurance market for
382-individuals and small employers. The Department of Insurance
383-shall operate the Illinois Health Benefits Exchange as a
384-State-based exchange using the federal platform by plan year
385-2025 and as a State-based exchange by plan year 2026. The
386-Director of Insurance may require that all plans in the
387-individual and small group markets, other than grandfathered
388-health plans, be made available for comparison on the Illinois
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174+1 for the relocation of utilities for construction or other
175+2 public purpose. Contracts included within this paragraph
176+3 (15) shall include, but not be limited to, those
177+4 associated with: relocations, crossings, installations,
178+5 and maintenance. For the purposes of this paragraph (15),
179+6 "railroad" means any form of non-highway ground
180+7 transportation that runs on rails or electromagnetic
181+8 guideways and "utility" means: (1) public utilities as
182+9 defined in Section 3-105 of the Public Utilities Act, (2)
183+10 telecommunications carriers as defined in Section 13-202
184+11 of the Public Utilities Act, (3) electric cooperatives as
185+12 defined in Section 3.4 of the Electric Supplier Act, (4)
186+13 telephone or telecommunications cooperatives as defined in
187+14 Section 13-212 of the Public Utilities Act, (5) rural
188+15 water or waste water systems with 10,000 connections or
189+16 less, (6) a holder as defined in Section 21-201 of the
190+17 Public Utilities Act, and (7) municipalities owning or
191+18 operating utility systems consisting of public utilities
192+19 as that term is defined in Section 11-117-2 of the
193+20 Illinois Municipal Code.
194+21 (16) Procurement expenditures necessary for the
195+22 Department of Public Health to provide the delivery of
196+23 timely newborn screening services in accordance with the
197+24 Newborn Metabolic Screening Act.
198+25 (17) Procurement expenditures necessary for the
199+26 Department of Agriculture, the Department of Financial and
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391-Health Benefits Exchange, but may not require that all plans
392-in the individual and small group markets be purchased
393-exclusively on the Illinois Health Benefits Exchange. Through
394-the adoption of rules, the Director of Insurance may require
395-that plans offered on the exchange conform with standardized
396-plan designs that provide for standardized cost sharing for
397-covered health services. Except when it is inconsistent with
398-State law, the Department of Insurance shall enforce the
399-coverage requirements under the federal Patient Protection and
400-Affordable Care Act, including the coverage of all United
401-States Preventive Services Task Force Grade A and B preventive
402-services without cost sharing notwithstanding any federal
403-overturning or repeal of 42 U.S.C. 300gg-13(a)(1), that apply
404-to the individual and small group markets. The Director of
405-Insurance may elect to add a small business health options
406-program to the Illinois Health Benefits Exchange to help small
407-employers enroll their employees in qualified health plans in
408-the small group market. The General Assembly shall appropriate
409-funds to establish the Illinois Health Benefits Exchange.
410-(Source: P.A. 97-142, eff. 7-14-11.)
411-(215 ILCS 122/5-21 new)
412-Sec. 5-21. Monthly assessments.
413-(a) The Director of Insurance may apply a monthly
414-assessment to each health benefits plan sold on the Illinois
415-Health Benefits Exchange. The assessment shall be paid by the
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418-issuer and to the Department of Insurance and shall be used
419-only for the purpose of supporting the exchange through
420-exchange operations, outreach, and enrollment, including any
421-efforts that may result in a benefit to policyholders. The
422-assessment may be applied at a rate of:
423-(1) 0.5% of the total monthly premium charged by an
424-issuer for each health benefits plan during any period
425-that the State is on a State-based exchange using the
426-federal platform; or
427-(2) 2.75% of the total monthly premium charged by an
428-issuer for each health benefits plan during any period
429-that the State is on the State-based exchange. The
430-Director of Insurance shall adjust this rate to ensure
431-that the Illinois Health Benefits Exchange is fully
432-funded, but in no case shall the assessment be applied at a
433-rate that exceeds 3.5% of the total monthly premium
434-charged by a carrier. If the Director determines it is
435-necessary to adjust the rate pursuant to this paragraph,
436-the Director shall, in advance of the adjustment, post on
437-the Department's website a report describing the reasons
438-and justifications for the adjustment, which shall be
439-consistent with the purposes of supporting the Illinois
440-Health Benefits Exchange as provided in this Section, at
441-least 120 days before the implementation of the rate
442-adjustment.
443-(b) The Director of Insurance shall notify an issuer 120
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446-days before the implementation of its assessment rate for the
447-subsequent year. Issuers must remit the assessment due in
448-monthly installments to the Department of Insurance.
449-(c) The assessment described in this Section shall be
450-considered a special purpose obligation and may not be applied
451-by issuers to vary premium rates at the plan level.
452-(d) There is created a special fund within the State
453-treasury to be known as the Illinois Health Benefits Exchange
454-Fund. The Illinois Health Benefits Exchange Fund shall be the
455-repository for moneys collected pursuant to fees or
456-assessments on exchange issuers, federal financial
457-participation as appropriate, and other moneys received as
458-grants or otherwise appropriated for the purposes of
459-supporting health insurance outreach, enrollment efforts, and
460-plan management operations through an exchange. All moneys in
461-the Fund shall be used, subject to appropriation, only for the
462-purpose of supporting the exchange through exchange
463-operations, outreach, enrollment, and other means of
464-supporting the exchange, including any efforts that may result
465-in a benefit to policyholders.
466-(215 ILCS 122/5-22 new)
467-Sec. 5-22. State medical assistance program coordination.
468-(a) The Department of Insurance and the Department of
469-Healthcare and Family Services shall coordinate the operations
470-of the exchange with the operations of State medical
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210+1 Professional Regulation, the Department of Human Services,
211+2 and the Department of Public Health to implement the
212+3 Compassionate Use of Medical Cannabis Program and Opioid
213+4 Alternative Pilot Program requirements and ensure access
214+5 to medical cannabis for patients with debilitating medical
215+6 conditions in accordance with the Compassionate Use of
216+7 Medical Cannabis Program Act.
217+8 (18) This Code does not apply to any procurements
218+9 necessary for the Department of Agriculture, the
219+10 Department of Financial and Professional Regulation, the
220+11 Department of Human Services, the Department of Commerce
221+12 and Economic Opportunity, and the Department of Public
222+13 Health to implement the Cannabis Regulation and Tax Act if
223+14 the applicable agency has made a good faith determination
224+15 that it is necessary and appropriate for the expenditure
225+16 to fall within this exemption and if the process is
226+17 conducted in a manner substantially in accordance with the
227+18 requirements of Sections 20-160, 25-60, 30-22, 50-5,
228+19 50-10, 50-10.5, 50-12, 50-13, 50-15, 50-20, 50-21, 50-35,
229+20 50-36, 50-37, 50-38, and 50-50 of this Code; however, for
230+21 Section 50-35, compliance applies only to contracts or
231+22 subcontracts over $100,000. Notice of each contract
232+23 entered into under this paragraph (18) that is related to
233+24 the procurement of goods and services identified in
234+25 paragraph (1) through (9) of this subsection shall be
235+26 published in the Procurement Bulletin within 14 calendar
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473-assistance programs. The Department of Healthcare and Family
474-Services shall oversee and operate the exchange eligibility
475-rules engine to ensure accurate assessments and determinations
476-of exchange and State medical assistance program eligibility.
477-(b) The exchange may determine eligibility for State
478-medical assistance programs that use the modified adjusted
479-gross income methodology.
480-(c) The exchange may be used for enrollment into State
481-medical assistance program health plans.
482-(d) The Department of Healthcare and Family Services shall
483-request federal financial participation funds from the Centers
484-for Medicare and Medicaid Services for any integrated
485-eligibility and enrollment functions of the exchange.
486-(215 ILCS 122/5-23 new)
487-Sec. 5-23. Department of Insurance and Department of
488-Healthcare and Family Services authority.
489-(a) The Department of Insurance and the Department of
490-Healthcare and Family Services, in addition to the powers
491-granted under the Illinois Insurance Code and the Illinois
492-Public Aid Code, have the power necessary to establish and
493-operate the Illinois Health Benefits Exchange, including, but
494-not limited to, the authority to:
495-(1) adopt rules deemed necessary by the departments to
496-implement this Law;
497-(2) employ or retain sufficient personnel to provide
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500-administration, staffing, and necessary related support
501-required to adequately discharge the duties described in
502-this Law from funds held in the Illinois Health Benefits
503-Exchange Fund;
504-(3) procure services, including a call center, and
505-goods for the purpose of establishing the Illinois Health
506-Benefits Exchange, including, but not limited to,
507-procurements in conformance with paragraph (22) of
508-subsection (b) of Section 1-10 of the Illinois Procurement
509-Code; and
510-(4) require any exchange vendor to have experience
511-operating a State-based exchange in another state.
512-(b) The Department of Insurance has the authority to
513-employ a Marketplace Director of the Illinois Health Benefits
514-Exchange.
515-(215 ILCS 122/5-24 new)
516-Sec. 5-24. Illinois Health Benefits Exchange Advisory
517-Committee.
518-(a) The Director of Insurance shall establish the Illinois
519-Health Benefits Exchange Advisory Committee no later than
520-December 31, 2023. The Illinois Health Benefits Exchange
521-Advisory Committee shall be tasked with making recommendations
522-to the Marketplace Director of the Illinois Health Benefits
523-Exchange concerning the operation of the exchange, and the
524-Committee shall hold its first meeting no later than 90 days
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527-following the establishment of the Committee and shall meet
528-quarterly thereafter. The Marketplace Director shall make a
529-quarterly report to the Committee.
530-(b) The Department of Insurance shall present regular and
531-timely reports to the Illinois Health Benefits Exchange
532-Advisory Committee regarding the progress in the development
533-and ongoing operations of the Illinois Health Benefits
534-Exchange before its establishment by plan year 2026. The
535-reports shall be posted to the Department of Insurance's
536-website and include information on the Department of
537-Insurance's progress toward establishing and maintaining the
538-Illinois Health Benefits Exchange with the goal of ensuring an
539-effective and efficient transition from the federal platform
540-to the State-based exchange for individuals, employers, and
541-health insurance issuers while mitigating loss of health
542-insurance coverage for any potential consumer. The Department
543-of Insurance's progress reports shall provide information
544-including, but not limited to, transparency, user
545-understandability, plan compliance, outreach and education,
546-systems operations, and annual fiscal projections. The
547-Department of Insurance shall gather stakeholder input in
548-developing operational plans and preparing the reports for the
549-Illinois Health Benefits Exchange Advisory Committee.
550-(c) The Illinois Health Benefits Exchange Advisory
551-Committee shall include the following members:
552-(1) The Director of Insurance, or the Director's
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246+1 days after contract execution. The Chief Procurement
247+2 Officer shall prescribe the form and content of the
248+3 notice. Each agency shall provide the Chief Procurement
249+4 Officer, on a monthly basis, in the form and content
250+5 prescribed by the Chief Procurement Officer, a report of
251+6 contracts that are related to the procurement of goods and
252+7 services identified in this subsection. At a minimum, this
253+8 report shall include the name of the contractor, a
254+9 description of the supply or service provided, the total
255+10 amount of the contract, the term of the contract, and the
256+11 exception to this Code utilized. A copy of any or all of
257+12 these contracts shall be made available to the Chief
258+13 Procurement Officer immediately upon request. The Chief
259+14 Procurement Officer shall submit a report to the Governor
260+15 and General Assembly no later than November 1 of each year
261+16 that includes, at a minimum, an annual summary of the
262+17 monthly information reported to the Chief Procurement
263+18 Officer. This exemption becomes inoperative 5 years after
264+19 June 25, 2019 (the effective date of Public Act 101-27).
265+20 (19) Acquisition of modifications or adjustments,
266+21 limited to assistive technology devices and assistive
267+22 technology services, adaptive equipment, repairs, and
268+23 replacement parts to provide reasonable accommodations (i)
269+24 that enable a qualified applicant with a disability to
270+25 complete the job application process and be considered for
271+26 the position such qualified applicant desires, (ii) that
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555-designee, who shall serve ex officio and as co-chair;
556-(2) The Director of Healthcare and Family Services, or
557-the Director's designee, who shall serve ex officio and as
558-co-chair;
559-(3) The Secretary of Human Services, or the
560-Secretary's designee, who shall serve ex officio; and
561-(4) 10 public members, who shall be residents of this
562-State, appointed by the Governor with the advice and
563-consent of the Senate. The Governor may make temporary
564-appointments until the next meeting of the Senate. The
565-Governor shall consider the diversity of this State in the
566-selection of the committee members. The public members
567-shall include:
568-(A) one representative of a statewide organization
569-representing a majority of Illinois hospitals;
570-(B) one representative of a statewide insurance
571-producer professional trade association whose
572-membership is primarily composed of individuals
573-licensed under the Illinois Insurance Code;
574-(C) 2 representatives of a health insurance
575-consumer advocacy group;
576-(D) one representative with expertise in
577-enrollment and consumer assistance;
578-(E) 2 representatives of health insurance issuers
579-or issuer trade associations, at least one of which
580-represents a State-domiciled mutual health insurance
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583-company, with a demonstrated expertise in the business
584-of health insurance or health benefits administration;
585-(F) one representative of a statewide association
586-representing small business owners;
587-(G) one representative of a statewide organization
588-representing physicians; and
589-(H) one academic or research professional with
590-expertise in health insurance.
591-(d) Members of the Illinois Health Benefits Exchange
592-Advisory Committee shall serve for a term of 2 years, shall
593-serve without compensation, and shall not be entitled to
594-reimbursement. The Department of Insurance shall provide
595-administrative support to the Illinois Health Benefits
596-Exchange Advisory Committee.
597-(e) The Committee's quarterly meetings shall be open to
598-the public and subject to the Open Meetings Act.
599-Section 99. Effective date. This Act takes effect upon
600-becoming law.
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282+1 modify or adjust the work environment to enable a
283+2 qualified current employee with a disability to perform
284+3 the essential functions of the position held by that
285+4 employee, (iii) to enable a qualified current employee
286+5 with a disability to enjoy equal benefits and privileges
287+6 of employment as are enjoyed by other similarly situated
288+7 employees without disabilities, and (iv) that allow a
289+8 customer, client, claimant, or member of the public
290+9 seeking State services full use and enjoyment of and
291+10 access to its programs, services, or benefits.
292+11 For purposes of this paragraph (19):
293+12 "Assistive technology devices" means any item, piece
294+13 of equipment, or product system, whether acquired
295+14 commercially off the shelf, modified, or customized, that
296+15 is used to increase, maintain, or improve functional
297+16 capabilities of individuals with disabilities.
298+17 "Assistive technology services" means any service that
299+18 directly assists an individual with a disability in
300+19 selection, acquisition, or use of an assistive technology
301+20 device.
302+21 "Qualified" has the same meaning and use as provided
303+22 under the federal Americans with Disabilities Act when
304+23 describing an individual with a disability.
305+24 (20) Procurement expenditures necessary for the
306+25 Illinois Commerce Commission to hire third-party
307+26 facilitators pursuant to Sections 16-105.17 and 16-108.18
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318+1 of the Public Utilities Act or an ombudsman pursuant to
319+2 Section 16-107.5 of the Public Utilities Act, a
320+3 facilitator pursuant to Section 16-105.17 of the Public
321+4 Utilities Act, or a grid auditor pursuant to Section
322+5 16-105.10 of the Public Utilities Act.
323+6 (21) Procurement expenditures for the purchase,
324+7 renewal, and expansion of software, software licenses, or
325+8 software maintenance agreements that support the efforts
326+9 of the Illinois State Police to enforce, regulate, and
327+10 administer the Firearm Owners Identification Card Act, the
328+11 Firearm Concealed Carry Act, the Firearms Restraining
329+12 Order Act, the Firearm Dealer License Certification Act,
330+13 the Law Enforcement Agencies Data System (LEADS), the
331+14 Uniform Crime Reporting Act, the Criminal Identification
332+15 Act, the Uniform Conviction Information Act, and the Gun
333+16 Trafficking Information Act, or establish or maintain
334+17 record management systems necessary to conduct human
335+18 trafficking investigations or gun trafficking or other
336+19 stolen firearm investigations. This paragraph (21) applies
337+20 to contracts entered into on or after the effective date
338+21 of this amendatory Act of the 102nd General Assembly and
339+22 the renewal of contracts that are in effect on the
340+23 effective date of this amendatory Act of the 102nd General
341+24 Assembly.
342+25 (22) Procurements necessary for the Department of
343+26 Insurance to implement the Illinois Health Benefits
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354+1 Exchange Law if the Department of Insurance has made a
355+2 good faith determination that it is necessary and
356+3 appropriate for the expenditure to fall within this
357+4 exemption. The procurement process shall be conducted in a
358+5 manner substantially in accordance with the requirements
359+6 of Sections 20-160 and 25-60 and Article 50 of this Code. A
360+7 copy of these contracts shall be made available to the
361+8 Chief Procurement Officer immediately upon request. This
362+9 paragraph is inoperative 5 years after the effective date
363+10 of this amendatory Act of the 103rd General Assembly.
364+11 Notwithstanding any other provision of law, for contracts
365+12 with an annual value of more than $100,000 entered into on or
366+13 after October 1, 2017 under an exemption provided in any
367+14 paragraph of this subsection (b), except paragraph (1), (2),
368+15 or (5), each State agency shall post to the appropriate
369+16 procurement bulletin the name of the contractor, a description
370+17 of the supply or service provided, the total amount of the
371+18 contract, the term of the contract, and the exception to the
372+19 Code utilized. The chief procurement officer shall submit a
373+20 report to the Governor and General Assembly no later than
374+21 November 1 of each year that shall include, at a minimum, an
375+22 annual summary of the monthly information reported to the
376+23 chief procurement officer.
377+24 (c) This Code does not apply to the electric power
378+25 procurement process provided for under Section 1-75 of the
379+26 Illinois Power Agency Act and Section 16-111.5 of the Public
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390+1 Utilities Act.
391+2 (d) Except for Section 20-160 and Article 50 of this Code,
392+3 and as expressly required by Section 9.1 of the Illinois
393+4 Lottery Law, the provisions of this Code do not apply to the
394+5 procurement process provided for under Section 9.1 of the
395+6 Illinois Lottery Law.
396+7 (e) This Code does not apply to the process used by the
397+8 Capital Development Board to retain a person or entity to
398+9 assist the Capital Development Board with its duties related
399+10 to the determination of costs of a clean coal SNG brownfield
400+11 facility, as defined by Section 1-10 of the Illinois Power
401+12 Agency Act, as required in subsection (h-3) of Section 9-220
402+13 of the Public Utilities Act, including calculating the range
403+14 of capital costs, the range of operating and maintenance
404+15 costs, or the sequestration costs or monitoring the
405+16 construction of clean coal SNG brownfield facility for the
406+17 full duration of construction.
407+18 (f) (Blank).
408+19 (g) (Blank).
409+20 (h) This Code does not apply to the process to procure or
410+21 contracts entered into in accordance with Sections 11-5.2 and
411+22 11-5.3 of the Illinois Public Aid Code.
412+23 (i) Each chief procurement officer may access records
413+24 necessary to review whether a contract, purchase, or other
414+25 expenditure is or is not subject to the provisions of this
415+26 Code, unless such records would be subject to attorney-client
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426+1 privilege.
427+2 (j) This Code does not apply to the process used by the
428+3 Capital Development Board to retain an artist or work or works
429+4 of art as required in Section 14 of the Capital Development
430+5 Board Act.
431+6 (k) This Code does not apply to the process to procure
432+7 contracts, or contracts entered into, by the State Board of
433+8 Elections or the State Electoral Board for hearing officers
434+9 appointed pursuant to the Election Code.
435+10 (l) This Code does not apply to the processes used by the
436+11 Illinois Student Assistance Commission to procure supplies and
437+12 services paid for from the private funds of the Illinois
438+13 Prepaid Tuition Fund. As used in this subsection (l), "private
439+14 funds" means funds derived from deposits paid into the
440+15 Illinois Prepaid Tuition Trust Fund and the earnings thereon.
441+16 (m) This Code shall apply regardless of the source of
442+17 funds with which contracts are paid, including federal
443+18 assistance moneys. Except as specifically provided in this
444+19 Code, this Code shall not apply to procurement expenditures
445+20 necessary for the Department of Public Health to conduct the
446+21 Healthy Illinois Survey in accordance with Section 2310-431 of
447+22 the Department of Public Health Powers and Duties Law of the
448+23 Civil Administrative Code of Illinois.
449+24 (Source: P.A. 101-27, eff. 6-25-19; 101-81, eff. 7-12-19;
450+25 101-363, eff. 8-9-19; 102-175, eff. 7-29-21; 102-483, eff
451+26 1-1-22; 102-558, eff. 8-20-21; 102-600, eff. 8-27-21; 102-662,
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462+1 eff. 9-15-21; 102-721, eff. 1-1-23; 102-813, eff. 5-13-22;
463+2 102-1116, eff. 1-10-23.)
464+3 Section 20. The Illinois Health Benefits Exchange Law is
465+4 amended by changing Section 5-5 and by adding Sections 5-21,
466+5 5-22, 5-23, and 5-24 as follows:
467+6 (215 ILCS 122/5-5)
468+7 Sec. 5-5. State health benefits exchange. It is declared
469+8 that this State, beginning October 1, 2013, in accordance with
470+9 Section 1311 of the federal Patient Protection and Affordable
471+10 Care Act, shall establish a State health benefits exchange to
472+11 be known as the Illinois Health Benefits Exchange in order to
473+12 help individuals and small employers with no more than 50
474+13 employees shop for, select, and enroll in qualified,
475+14 affordable private health plans that fit their needs at
476+15 competitive prices. The Exchange shall separate coverage pools
477+16 for individuals and small employers and shall supplement and
478+17 not supplant any existing private health insurance market for
479+18 individuals and small employers. The Department of Insurance
480+19 shall operate the Illinois Health Benefits Exchange as a
481+20 State-based exchange using the federal platform by plan year
482+21 2025 and as a State-based exchange by plan year 2026. The
483+22 Director of Insurance may require that all plans in the
484+23 individual and small group markets, other than grandfathered
485+24 health plans, be made available for comparison on the Illinois
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496+1 Health Benefits Exchange, but may not require that all plans
497+2 in the individual and small group markets be purchased
498+3 exclusively on the Illinois Health Benefits Exchange. Through
499+4 the adoption of rules, the Director of Insurance may require
500+5 that plans offered on the exchange conform with standardized
501+6 plan designs that provide for standardized cost sharing for
502+7 covered health services. Except when it is inconsistent with
503+8 State law, the Department of Insurance shall enforce the
504+9 coverage requirements under the federal Patient Protection and
505+10 Affordable Care Act, including the coverage of all United
506+11 States Preventive Services Task Force Grade A and B preventive
507+12 services without cost sharing notwithstanding any federal
508+13 overturning or repeal of 42 U.S.C. 300gg-13(a)(1), that apply
509+14 to the individual and small group markets. The Director of
510+15 Insurance may elect to add a small business health options
511+16 program to the Illinois Health Benefits Exchange to help small
512+17 employers enroll their employees in qualified health plans in
513+18 the small group market. The General Assembly shall appropriate
514+19 funds to establish the Illinois Health Benefits Exchange.
515+20 (Source: P.A. 97-142, eff. 7-14-11.)
516+21 (215 ILCS 122/5-21 new)
517+22 Sec. 5-21. Monthly assessments.
518+23 (a) The Director of Insurance may apply a monthly
519+24 assessment to each health benefits plan sold on the Illinois
520+25 Health Benefits Exchange. The assessment shall be paid by the
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531+1 issuer and to the Department of Insurance and shall be used
532+2 only for the purpose of supporting the exchange through
533+3 exchange operations, outreach, and enrollment, including any
534+4 efforts that may result in a benefit to policyholders. The
535+5 assessment may be applied at a rate of:
536+6 (1) 0.5% of the total monthly premium charged by an
537+7 issuer for each health benefits plan during any period
538+8 that the State is on a State-based exchange using the
539+9 federal platform; or
540+10 (2) 2.75% of the total monthly premium charged by an
541+11 issuer for each health benefits plan during any period
542+12 that the State is on the State-based exchange. The
543+13 Director of Insurance shall adjust this rate to ensure
544+14 that the Illinois Health Benefits Exchange is fully
545+15 funded, but in no case shall the assessment be applied at a
546+16 rate that exceeds 3.5% of the total monthly premium
547+17 charged by a carrier. If the Director determines it is
548+18 necessary to adjust the rate pursuant to this paragraph,
549+19 the Director shall, in advance of the adjustment, post on
550+20 the Department's website a report describing the reasons
551+21 and justifications for the adjustment, which shall be
552+22 consistent with the purposes of supporting the Illinois
553+23 Health Benefits Exchange as provided in this Section, at
554+24 least 120 days before the implementation of the rate
555+25 adjustment.
556+26 (b) The Director of Insurance shall notify an issuer 120
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567+1 days before the implementation of its assessment rate for the
568+2 subsequent year. Issuers must remit the assessment due in
569+3 monthly installments to the Department of Insurance.
570+4 (c) The assessment described in this Section shall be
571+5 considered a special purpose obligation and may not be applied
572+6 by issuers to vary premium rates at the plan level.
573+7 (d) There is created a special fund within the State
574+8 treasury to be known as the Illinois Health Benefits Exchange
575+9 Fund. The Illinois Health Benefits Exchange Fund shall be the
576+10 repository for moneys collected pursuant to fees or
577+11 assessments on exchange issuers, federal financial
578+12 participation as appropriate, and other moneys received as
579+13 grants or otherwise appropriated for the purposes of
580+14 supporting health insurance outreach, enrollment efforts, and
581+15 plan management operations through an exchange. All moneys in
582+16 the Fund shall be used, subject to appropriation, only for the
583+17 purpose of supporting the exchange through exchange
584+18 operations, outreach, enrollment, and other means of
585+19 supporting the exchange, including any efforts that may result
586+20 in a benefit to policyholders.
587+21 (215 ILCS 122/5-22 new)
588+22 Sec. 5-22. State medical assistance program coordination.
589+23 (a) The Department of Insurance and the Department of
590+24 Healthcare and Family Services shall coordinate the operations
591+25 of the exchange with the operations of State medical
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602+1 assistance programs. The Department of Healthcare and Family
603+2 Services shall oversee and operate the exchange eligibility
604+3 rules engine to ensure accurate assessments and determinations
605+4 of exchange and State medical assistance program eligibility.
606+5 (b) The exchange may determine eligibility for State
607+6 medical assistance programs that use the modified adjusted
608+7 gross income methodology.
609+8 (c) The exchange may be used for enrollment into State
610+9 medical assistance program health plans.
611+10 (d) The Department of Healthcare and Family Services shall
612+11 request federal financial participation funds from the Centers
613+12 for Medicare and Medicaid Services for any integrated
614+13 eligibility and enrollment functions of the exchange.
615+14 (215 ILCS 122/5-23 new)
616+15 Sec. 5-23. Department of Insurance and Department of
617+16 Healthcare and Family Services authority.
618+17 (a) The Department of Insurance and the Department of
619+18 Healthcare and Family Services, in addition to the powers
620+19 granted under the Illinois Insurance Code and the Illinois
621+20 Public Aid Code, have the power necessary to establish and
622+21 operate the Illinois Health Benefits Exchange, including, but
623+22 not limited to, the authority to:
624+23 (1) adopt rules deemed necessary by the departments to
625+24 implement this Law;
626+25 (2) employ or retain sufficient personnel to provide
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637+1 administration, staffing, and necessary related support
638+2 required to adequately discharge the duties described in
639+3 this Law from funds held in the Illinois Health Benefits
640+4 Exchange Fund;
641+5 (3) procure services, including a call center, and
642+6 goods for the purpose of establishing the Illinois Health
643+7 Benefits Exchange, including, but not limited to,
644+8 procurements in conformance with paragraph (22) of
645+9 subsection (b) of Section 1-10 of the Illinois Procurement
646+10 Code; and
647+11 (4) require any exchange vendor to have experience
648+12 operating a State-based exchange in another state.
649+13 (b) The Department of Insurance has the authority to
650+14 employ a Marketplace Director of the Illinois Health Benefits
651+15 Exchange.
652+16 (215 ILCS 122/5-24 new)
653+17 Sec. 5-24. Illinois Health Benefits Exchange Advisory
654+18 Committee.
655+19 (a) The Director of Insurance shall establish the Illinois
656+20 Health Benefits Exchange Advisory Committee no later than
657+21 December 31, 2023. The Illinois Health Benefits Exchange
658+22 Advisory Committee shall be tasked with making recommendations
659+23 to the Marketplace Director of the Illinois Health Benefits
660+24 Exchange concerning the operation of the exchange, and the
661+25 Committee shall hold its first meeting no later than 90 days
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672+1 following the establishment of the Committee and shall meet
673+2 quarterly thereafter. The Marketplace Director shall make a
674+3 quarterly report to the Committee.
675+4 (b) The Department of Insurance shall present regular and
676+5 timely reports to the Illinois Health Benefits Exchange
677+6 Advisory Committee regarding the progress in the development
678+7 and ongoing operations of the Illinois Health Benefits
679+8 Exchange before its establishment by plan year 2026. The
680+9 reports shall be posted to the Department of Insurance's
681+10 website and include information on the Department of
682+11 Insurance's progress toward establishing and maintaining the
683+12 Illinois Health Benefits Exchange with the goal of ensuring an
684+13 effective and efficient transition from the federal platform
685+14 to the State-based exchange for individuals, employers, and
686+15 health insurance issuers while mitigating loss of health
687+16 insurance coverage for any potential consumer. The Department
688+17 of Insurance's progress reports shall provide information
689+18 including, but not limited to, transparency, user
690+19 understandability, plan compliance, outreach and education,
691+20 systems operations, and annual fiscal projections. The
692+21 Department of Insurance shall gather stakeholder input in
693+22 developing operational plans and preparing the reports for the
694+23 Illinois Health Benefits Exchange Advisory Committee.
695+24 (c) The Illinois Health Benefits Exchange Advisory
696+25 Committee shall include the following members:
697+26 (1) The Director of Insurance, or the Director's
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708+1 designee, who shall serve ex officio and as co-chair;
709+2 (2) The Director of Healthcare and Family Services, or
710+3 the Director's designee, who shall serve ex officio and as
711+4 co-chair;
712+5 (3) The Secretary of Human Services, or the
713+6 Secretary's designee, who shall serve ex officio; and
714+7 (4) 10 public members, who shall be residents of this
715+8 State, appointed by the Governor with the advice and
716+9 consent of the Senate. The Governor may make temporary
717+10 appointments until the next meeting of the Senate. The
718+11 Governor shall consider the diversity of this State in the
719+12 selection of the committee members. The public members
720+13 shall include:
721+14 (A) one representative of a statewide organization
722+15 representing a majority of Illinois hospitals;
723+16 (B) one representative of a statewide insurance
724+17 producer professional trade association whose
725+18 membership is primarily composed of individuals
726+19 licensed under the Illinois Insurance Code;
727+20 (C) 2 representatives of a health insurance
728+21 consumer advocacy group;
729+22 (D) one representative with expertise in
730+23 enrollment and consumer assistance;
731+24 (E) 2 representatives of health insurance issuers
732+25 or issuer trade associations, at least one of which
733+26 represents a State-domiciled mutual health insurance
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744+1 company, with a demonstrated expertise in the business
745+2 of health insurance or health benefits administration;
746+3 (F) one representative of a statewide association
747+4 representing small business owners;
748+5 (G) one representative of a statewide organization
749+6 representing physicians; and
750+7 (H) one academic or research professional with
751+8 expertise in health insurance.
752+9 (d) Members of the Illinois Health Benefits Exchange
753+10 Advisory Committee shall serve for a term of 2 years, shall
754+11 serve without compensation, and shall not be entitled to
755+12 reimbursement. The Department of Insurance shall provide
756+13 administrative support to the Illinois Health Benefits
757+14 Exchange Advisory Committee.
758+15 (e) The Committee's quarterly meetings shall be open to
759+16 the public and subject to the Open Meetings Act.
760+17 Section 99. Effective date. This Act takes effect upon
761+18 becoming law.
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