Bill Text: IL SB2151 | 2013-2014 | 98th General Assembly | Introduced
Bill Title: Amends the Illinois Public Aid Code. Makes a technical change in a Section concerning the amount and nature of medical assistance.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Failed) 2015-01-13 - Session Sine Die [SB2151 Detail]
Download: Illinois-2013-SB2151-Introduced.html
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1 | AN ACT concerning public aid.
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2 | Be it enacted by the People of the State of Illinois,
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3 | represented in the General Assembly:
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4 | Section 5. The Illinois Public Aid Code is amended by | |||||||||||||||||||
5 | changing Section 5-4 as follows:
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6 | (305 ILCS 5/5-4) (from Ch. 23, par. 5-4)
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7 | Sec. 5-4. Amount and nature of medical assistance.
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8 | (a) The
The amount and nature of
medical assistance shall | |||||||||||||||||||
9 | be determined in accordance
with the standards, rules, and | |||||||||||||||||||
10 | regulations of the Department of Healthcare and Family | |||||||||||||||||||
11 | Services, with due regard to the requirements and conditions in | |||||||||||||||||||
12 | each case,
including contributions available from legally | |||||||||||||||||||
13 | responsible
relatives. However, the amount and nature of such | |||||||||||||||||||
14 | medical assistance shall
not be affected by the payment of any | |||||||||||||||||||
15 | grant under the Senior Citizens and
Disabled Persons Property | |||||||||||||||||||
16 | Tax Relief Act or any
distributions or items of income | |||||||||||||||||||
17 | described under subparagraph (X) of
paragraph (2) of subsection | |||||||||||||||||||
18 | (a) of Section 203 of the Illinois Income Tax
Act.
The amount | |||||||||||||||||||
19 | and nature of medical assistance shall not be affected by the
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20 | receipt of donations or benefits from fundraisers in cases of | |||||||||||||||||||
21 | serious
illness, as long as neither the person nor members of | |||||||||||||||||||
22 | the person's family
have actual control over the donations or | |||||||||||||||||||
23 | benefits or the disbursement of
the donations or benefits. |
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1 | In determining the income and resources available to the | ||||||
2 | institutionalized
spouse and to the community spouse, the | ||||||
3 | Department of Healthcare and Family Services
shall follow the | ||||||
4 | procedures established by federal law. If an institutionalized | ||||||
5 | spouse or community spouse refuses to comply with the | ||||||
6 | requirements of Title XIX of the federal Social Security Act | ||||||
7 | and the regulations duly promulgated thereunder by failing to | ||||||
8 | provide the total value of assets, including income and | ||||||
9 | resources, to the extent either the institutionalized spouse or | ||||||
10 | community spouse has an ownership interest in them pursuant to | ||||||
11 | 42 U.S.C. 1396r-5, such refusal may result in the | ||||||
12 | institutionalized spouse being denied eligibility and | ||||||
13 | continuing to remain ineligible for the medical assistance | ||||||
14 | program based on failure to cooperate. | ||||||
15 | Subject to federal approval, the community spouse
resource | ||||||
16 | allowance shall be established and maintained at the higher of | ||||||
17 | $109,560 or the minimum level
permitted pursuant to Section | ||||||
18 | 1924(f)(2) of the Social Security Act, as now
or hereafter | ||||||
19 | amended, or an amount set after a fair hearing, whichever is
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20 | greater. The monthly maintenance allowance for the community | ||||||
21 | spouse shall be
established and maintained at the higher of | ||||||
22 | $2,739 per month or the minimum level permitted pursuant to | ||||||
23 | Section
1924(d)(3)(C) of the Social Security Act, as now or | ||||||
24 | hereafter amended, or an amount set after a fair hearing, | ||||||
25 | whichever is greater. Subject
to the approval of the Secretary | ||||||
26 | of the United States Department of Health and
Human Services, |
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1 | the provisions of this Section shall be extended to persons who
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2 | but for the provision of home or community-based services under | ||||||
3 | Section
4.02 of the Illinois Act on the Aging, would require | ||||||
4 | the level of care provided
in an institution, as is provided | ||||||
5 | for in federal law.
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6 | (b) Spousal support for institutionalized spouses | ||||||
7 | receiving medical assistance. | ||||||
8 | (i) The Department may seek support for an | ||||||
9 | institutionalized spouse, who has assigned his or her right | ||||||
10 | of support from his or her spouse to the State, from the | ||||||
11 | resources and income available to the community spouse. | ||||||
12 | (ii) The Department may bring an action in the circuit | ||||||
13 | court to establish support orders or itself establish | ||||||
14 | administrative support orders by any means and procedures | ||||||
15 | authorized in this Code, as applicable, except that the | ||||||
16 | standard and regulations for determining ability to | ||||||
17 | support in Section 10-3 shall not limit the amount of | ||||||
18 | support that may be ordered. | ||||||
19 | (iii) Proceedings may be initiated to obtain support, | ||||||
20 | or for the recovery of aid granted during the period such | ||||||
21 | support was not provided, or both, for the obtainment of | ||||||
22 | support and the recovery of the aid provided. Proceedings | ||||||
23 | for the recovery of aid may be taken separately or they may | ||||||
24 | be consolidated with actions to obtain support. Such | ||||||
25 | proceedings may be brought in the name of the person or | ||||||
26 | persons requiring support or may be brought in the name of |
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1 | the Department, as the case requires. | ||||||
2 | (iv) The orders for the payment of moneys for the | ||||||
3 | support of the person shall be just and equitable and may | ||||||
4 | direct payment thereof for such period or periods of time | ||||||
5 | as the circumstances require, including support for a | ||||||
6 | period before the date the order for support is entered. In | ||||||
7 | no event shall the orders reduce the community spouse | ||||||
8 | resource allowance below the level established in | ||||||
9 | subsection (a) of this Section or an amount set after a | ||||||
10 | fair hearing, whichever is greater, or reduce the monthly | ||||||
11 | maintenance allowance for the community spouse below the | ||||||
12 | level permitted pursuant to subsection (a) of this Section.
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13 | (Source: P.A. 97-689, eff. 6-14-12.)
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