103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB1570 Introduced , by Rep. Elizabeth "Lisa" Hernandez SYNOPSIS AS INTRODUCED: 5 ILCS 100/5-45.35 new 305 ILCS 5/12-4.35 Amends the Administration Article of the Illinois Public Aid Code. Provides that the amendatory Act may be referred to as the Healthy Illinois for All Law. Provides that by July 1, 2023, the Department of Healthcare and Family Services may provide medical services to noncitizens 19 years of age through 41 years of age who (i) are not eligible for medical assistance due to their not meeting the otherwise applicable provisions under the Code concerning citizenship requirements and (ii) have income at or below 133% of the federal poverty level plus 5% for the applicable family size as determined under applicable federal law and regulations. Provide that persons eligible for medical services under the amendatory Act shall receive benefits identical to the benefits provided under the Health Benefits Service Package as that term is defined in the Code. Requires the Department to establish by rule the medical services available, the standards for eligibility, and other conditions of participation for persons eligible to receive medical services under the amendatory Act. Requires any such rules to be at least as restrictive as the rules for medical assistance. Amends the Illinois Administrative Procedure Act. Grants the Department emergency rulemaking authority to implement the amendatory Act. Effective July 1, 2023. LRB103 05917 KTG 50938 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB1570 Introduced , by Rep. Elizabeth "Lisa" Hernandez SYNOPSIS AS INTRODUCED: 5 ILCS 100/5-45.35 new 305 ILCS 5/12-4.35 5 ILCS 100/5-45.35 new 305 ILCS 5/12-4.35 Amends the Administration Article of the Illinois Public Aid Code. Provides that the amendatory Act may be referred to as the Healthy Illinois for All Law. Provides that by July 1, 2023, the Department of Healthcare and Family Services may provide medical services to noncitizens 19 years of age through 41 years of age who (i) are not eligible for medical assistance due to their not meeting the otherwise applicable provisions under the Code concerning citizenship requirements and (ii) have income at or below 133% of the federal poverty level plus 5% for the applicable family size as determined under applicable federal law and regulations. Provide that persons eligible for medical services under the amendatory Act shall receive benefits identical to the benefits provided under the Health Benefits Service Package as that term is defined in the Code. Requires the Department to establish by rule the medical services available, the standards for eligibility, and other conditions of participation for persons eligible to receive medical services under the amendatory Act. Requires any such rules to be at least as restrictive as the rules for medical assistance. Amends the Illinois Administrative Procedure Act. Grants the Department emergency rulemaking authority to implement the amendatory Act. Effective July 1, 2023. LRB103 05917 KTG 50938 b LRB103 05917 KTG 50938 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB1570 Introduced , by Rep. Elizabeth "Lisa" Hernandez SYNOPSIS AS INTRODUCED: 5 ILCS 100/5-45.35 new 305 ILCS 5/12-4.35 5 ILCS 100/5-45.35 new 305 ILCS 5/12-4.35 5 ILCS 100/5-45.35 new 305 ILCS 5/12-4.35 Amends the Administration Article of the Illinois Public Aid Code. Provides that the amendatory Act may be referred to as the Healthy Illinois for All Law. Provides that by July 1, 2023, the Department of Healthcare and Family Services may provide medical services to noncitizens 19 years of age through 41 years of age who (i) are not eligible for medical assistance due to their not meeting the otherwise applicable provisions under the Code concerning citizenship requirements and (ii) have income at or below 133% of the federal poverty level plus 5% for the applicable family size as determined under applicable federal law and regulations. Provide that persons eligible for medical services under the amendatory Act shall receive benefits identical to the benefits provided under the Health Benefits Service Package as that term is defined in the Code. Requires the Department to establish by rule the medical services available, the standards for eligibility, and other conditions of participation for persons eligible to receive medical services under the amendatory Act. Requires any such rules to be at least as restrictive as the rules for medical assistance. Amends the Illinois Administrative Procedure Act. Grants the Department emergency rulemaking authority to implement the amendatory Act. Effective July 1, 2023. LRB103 05917 KTG 50938 b LRB103 05917 KTG 50938 b LRB103 05917 KTG 50938 b A BILL FOR HB1570LRB103 05917 KTG 50938 b HB1570 LRB103 05917 KTG 50938 b HB1570 LRB103 05917 KTG 50938 b 1 AN ACT concerning public aid. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 1. This Act may be referred to as the Healthy 5 Illinois for All Law. 6 Section 5. The Illinois Administrative Procedure Act is 7 amended by adding Section 5-45.35 as follows: 8 (5 ILCS 100/5-45.35 new) 9 Sec. 5-45.35. Emergency rulemaking; Medical services for 10 certain noncitizens 19 years of age through 41 years of age. To 11 provide for the expeditious and timely implementation of 12 subsection (a-8) of Section 12-4.35 of the Illinois Public Aid 13 Code, emergency rules implementing the subsection (a-8) of 14 Section 12-4.35 of the Illinois Public Aid Code may be adopted 15 in accordance with Section 5-45 by the Department of 16 Healthcare and Family Services. The adoption of emergency 17 rules authorized by Section 5-45 and this Section is deemed to 18 be necessary for the public interest, safety, and welfare. 19 This Section is repealed one year after the effective date 20 of this amendatory Act of the 103rd General Assembly. 21 Section 10. The Illinois Public Aid Code is amended by 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB1570 Introduced , by Rep. Elizabeth "Lisa" Hernandez SYNOPSIS AS INTRODUCED: 5 ILCS 100/5-45.35 new 305 ILCS 5/12-4.35 5 ILCS 100/5-45.35 new 305 ILCS 5/12-4.35 5 ILCS 100/5-45.35 new 305 ILCS 5/12-4.35 Amends the Administration Article of the Illinois Public Aid Code. Provides that the amendatory Act may be referred to as the Healthy Illinois for All Law. Provides that by July 1, 2023, the Department of Healthcare and Family Services may provide medical services to noncitizens 19 years of age through 41 years of age who (i) are not eligible for medical assistance due to their not meeting the otherwise applicable provisions under the Code concerning citizenship requirements and (ii) have income at or below 133% of the federal poverty level plus 5% for the applicable family size as determined under applicable federal law and regulations. Provide that persons eligible for medical services under the amendatory Act shall receive benefits identical to the benefits provided under the Health Benefits Service Package as that term is defined in the Code. Requires the Department to establish by rule the medical services available, the standards for eligibility, and other conditions of participation for persons eligible to receive medical services under the amendatory Act. Requires any such rules to be at least as restrictive as the rules for medical assistance. Amends the Illinois Administrative Procedure Act. Grants the Department emergency rulemaking authority to implement the amendatory Act. Effective July 1, 2023. LRB103 05917 KTG 50938 b LRB103 05917 KTG 50938 b LRB103 05917 KTG 50938 b A BILL FOR 5 ILCS 100/5-45.35 new 305 ILCS 5/12-4.35 LRB103 05917 KTG 50938 b HB1570 LRB103 05917 KTG 50938 b HB1570- 2 -LRB103 05917 KTG 50938 b HB1570 - 2 - LRB103 05917 KTG 50938 b HB1570 - 2 - LRB103 05917 KTG 50938 b 1 changing Section 12-4.35 as follows: 2 (305 ILCS 5/12-4.35) 3 Sec. 12-4.35. Medical services for certain noncitizens. 4 (a) Notwithstanding Section 1-11 of this Code or Section 5 20(a) of the Children's Health Insurance Program Act, the 6 Department of Healthcare and Family Services may provide 7 medical services to noncitizens who have not yet attained 19 8 years of age and who are not eligible for medical assistance 9 under Article V of this Code or under the Children's Health 10 Insurance Program created by the Children's Health Insurance 11 Program Act due to their not meeting the otherwise applicable 12 provisions of Section 1-11 of this Code or Section 20(a) of the 13 Children's Health Insurance Program Act. The medical services 14 available, standards for eligibility, and other conditions of 15 participation under this Section shall be established by rule 16 by the Department; however, any such rule shall be at least as 17 restrictive as the rules for medical assistance under Article 18 V of this Code or the Children's Health Insurance Program 19 created by the Children's Health Insurance Program Act. 20 (a-5) Notwithstanding Section 1-11 of this Code, the 21 Department of Healthcare and Family Services may provide 22 medical assistance in accordance with Article V of this Code 23 to noncitizens over the age of 65 years of age who are not 24 eligible for medical assistance under Article V of this Code 25 due to their not meeting the otherwise applicable provisions HB1570 - 2 - LRB103 05917 KTG 50938 b HB1570- 3 -LRB103 05917 KTG 50938 b HB1570 - 3 - LRB103 05917 KTG 50938 b HB1570 - 3 - LRB103 05917 KTG 50938 b 1 of Section 1-11 of this Code, whose income is at or below 100% 2 of the federal poverty level after deducting the costs of 3 medical or other remedial care, and who would otherwise meet 4 the eligibility requirements in Section 5-2 of this Code. The 5 medical services available, standards for eligibility, and 6 other conditions of participation under this Section shall be 7 established by rule by the Department; however, any such rule 8 shall be at least as restrictive as the rules for medical 9 assistance under Article V of this Code. 10 (a-6) By May 30, 2022, notwithstanding Section 1-11 of 11 this Code, the Department of Healthcare and Family Services 12 may provide medical services to noncitizens 55 years of age 13 through 64 years of age who (i) are not eligible for medical 14 assistance under Article V of this Code due to their not 15 meeting the otherwise applicable provisions of Section 1-11 of 16 this Code and (ii) have income at or below 133% of the federal 17 poverty level plus 5% for the applicable family size as 18 determined under applicable federal law and regulations. 19 Persons eligible for medical services under Public Act 102-16 20 shall receive benefits identical to the benefits provided 21 under the Health Benefits Service Package as that term is 22 defined in subsection (m) of Section 5-1.1 of this Code. 23 (a-7) By July 1, 2022, notwithstanding Section 1-11 of 24 this Code, the Department of Healthcare and Family Services 25 may provide medical services to noncitizens 42 years of age 26 through 54 years of age who (i) are not eligible for medical HB1570 - 3 - LRB103 05917 KTG 50938 b HB1570- 4 -LRB103 05917 KTG 50938 b HB1570 - 4 - LRB103 05917 KTG 50938 b HB1570 - 4 - LRB103 05917 KTG 50938 b 1 assistance under Article V of this Code due to their not 2 meeting the otherwise applicable provisions of Section 1-11 of 3 this Code and (ii) have income at or below 133% of the federal 4 poverty level plus 5% for the applicable family size as 5 determined under applicable federal law and regulations. The 6 medical services available, standards for eligibility, and 7 other conditions of participation under this Section shall be 8 established by rule by the Department; however, any such rule 9 shall be at least as restrictive as the rules for medical 10 assistance under Article V of this Code. In order to provide 11 for the timely and expeditious implementation of this 12 subsection, the Department may adopt rules necessary to 13 establish and implement this subsection through the use of 14 emergency rulemaking in accordance with Section 5-45 of the 15 Illinois Administrative Procedure Act. For purposes of the 16 Illinois Administrative Procedure Act, the General Assembly 17 finds that the adoption of rules to implement this subsection 18 is deemed necessary for the public interest, safety, and 19 welfare. 20 (a-8) By July 1, 2023, notwithstanding Section 1-11 of 21 this Code, the Department of Healthcare and Family Services 22 may provide medical services to noncitizens 19 years of age 23 through 41 years of age who (i) are not eligible for medical 24 assistance under Article V of this Code due to their not 25 meeting the otherwise applicable provisions of Section 1-11 of 26 this Code and (ii) have income at or below 133% of the federal HB1570 - 4 - LRB103 05917 KTG 50938 b HB1570- 5 -LRB103 05917 KTG 50938 b HB1570 - 5 - LRB103 05917 KTG 50938 b HB1570 - 5 - LRB103 05917 KTG 50938 b 1 poverty level plus 5% for the applicable family size as 2 determined under applicable federal law and regulations. 3 Persons eligible for medical services under this subsection 4 shall receive benefits identical to the benefits provided 5 under the Health Benefits Service Package as that term is 6 defined in subsection (m) of Section 5-1.1 of this Code. The 7 medical services available, standards for eligibility, and 8 other conditions of participation under this subsection shall 9 be established by rule by the Department. However, any such 10 rules shall be at least as restrictive as the rules for medical 11 assistance under Article V of this Code. In order to provide 12 for the timely and expeditious implementation of this 13 subsection, the Department may adopt rules necessary to 14 establish and implement this subsection through the use of 15 emergency rulemaking in accordance with Section 5-45 of the 16 Illinois Administrative Procedure Act. For purposes of the 17 Illinois Administrative Procedure Act, the General Assembly 18 finds that the adoption of rules to implement this subsection 19 is deemed necessary for the public interest, safety, and 20 welfare. 21 (a-10) Notwithstanding the provisions of Section 1-11, the 22 Department shall cover immunosuppressive drugs and related 23 services associated with post-kidney transplant management, 24 excluding long-term care costs, for noncitizens who: (i) are 25 not eligible for comprehensive medical benefits; (ii) meet the 26 residency requirements of Section 5-3; and (iii) would meet HB1570 - 5 - LRB103 05917 KTG 50938 b HB1570- 6 -LRB103 05917 KTG 50938 b HB1570 - 6 - LRB103 05917 KTG 50938 b HB1570 - 6 - LRB103 05917 KTG 50938 b 1 the financial eligibility requirements of Section 5-2. 2 (b) The Department is authorized to take any action that 3 would not otherwise be prohibited by applicable law, 4 including, without limitation, cessation or limitation of 5 enrollment, reduction of available medical services, and 6 changing standards for eligibility, that is deemed necessary 7 by the Department during a State fiscal year to assure that 8 payments under this Section do not exceed available funds. 9 (c) (Blank). 10 (d) (Blank). 11 (Source: P.A. 101-636, eff. 6-10-20; 102-16, eff. 6-17-21; 12 102-43, Article 25, Section 25-15, eff. 7-6-21; 102-43, 13 Article 45, Section 45-5, eff. 7-6-21; 102-813, eff. 5-13-22; 14 102-1037, eff. 6-2-22.) 15 Section 99. Effective date. This Act takes effect July 1, 16 2023. HB1570 - 6 - LRB103 05917 KTG 50938 b