MEDICAID-HEALTH BENEFITS SRVCE Senate SponsorsSen. Heather A. Steans-David Koehler-William Delgado-Iris Y. Martinez, Daniel Biss, Michael E. Hastings-Jacqueline Y. Collins, Patricia Van Pelt, Dan Kotowski, John G. Mulroe, Julie A. Morrison, Emil Jones, III, Steven M. Landek, Michael Noland, Kwame Raoul, Antonio Muñoz, Terry Link, Napoleon Harris, III, Linda Holmes, Don Harmon, Mattie Hunter, John J. Cullerton, Toi W. Hutchinson, Melinda Bush, Andy Manar, Martin A. Sandoval, Donne E. Trotter, Kimberly A. Lightford and William R. Haine House Sponsors(Rep. Sara Feigenholtz-Elizabeth Hernandez-Patrick J. Verschoore-Barbara Flynn Currie-La Shawn K. Ford, Kenneth Dunkin, Daniel J. Burke, Linda Chapa LaVia, Keith Farnham, Lawrence M. Walsh, Jr., Laura Fine, Greg Harris, Robyn Gabel, Maria Antonia Berrios, John D'Amico, Kelly M. Cassidy, Lou Lang, Naomi D. Jakobsson, Cynthia Soto, Ann Williams, Robert F. Martwick, Robert Rita, Mike Smiddy, Christian L. Mitchell, Derrick Smith, Monique D. Davis, Camille Y. Lilly, Jehan A. Gordon-Booth, Elgie R. Sims, Jr., Charles E. Jefferson, Eddie Lee Jackson, Sr., Marcus C. Evans, Jr., Arthur Turner, Rita Mayfield, Emanuel Chris Welch and Esther Golar) 7/22/2013SenatePublic Act . . . . . . . . . 98-0104 305 ILCS 5/5-1.1from Ch. 23, par. 5-1.1305 ILCS 5/5-1.4305 ILCS 5/5-2from Ch. 23, par. 5-2Amends the Medical Assistance Article of the Illinois Public Aid Code. Beginning January 1, 2014, extends benefits under the State's medical assistance program to persons aged 19 or older, but younger than 65, who are not otherwise eligible for medical assistance under the Code, who qualify for medical assistance under specified provisions of the Social Security Act, and who have income at or below 133% of the federal poverty level plus 5% for the applicable family size. Provides that the 4-year moratorium on the expansion of medical assistance eligibility through increasing financial eligibility standards shall not apply to this new class of persons. Provides that such persons shall receive coverage for the Health Benefits Service Package. Defines "Health Benefits Service Package". Provides that if Illinois' federal medical assistance percentage (FMAP) is reduced below 90% for persons eligible for medical assistance under the specified provisions, medical assistance eligibility for this new class of persons shall cease no later than the end of the third month following the month in which the reduction in FMAP takes effect. Effective immediately.Senate Committee Amendment No. 1 Adds reference to:305 ILCS 5/5A-2from Ch. 23, par. 5A-2305 ILCS 5/5A-4from Ch. 23, par. 5A-4305 ILCS 5/5A-5from Ch. 23, par. 5A-5305 ILCS 5/5A-8from Ch. 23, par. 5A-8305 ILCS 5/5A-12.4Amends the Hospital Provider Funding Article of the Illinois Public Aid Code. Provides that an annual assessment on outpatient services shall be imposed on each hospital provider in a specified amount for the portion of State fiscal year 2012, beginning June 10, 2012 through June 30, 2012, and for State fiscal years 2013 through 2014, and July 1, 2014 through December 31, 2014 (rather than for State fiscal years 2013 through 2014, and July 1, 2014 through December 31, 2014). Provides that for the period beginning June 10, 2012 through June 30, 2012, the annual assessment on outpatient services shall be prorated by multiplying the assessment amount by a fraction, the numerator of which is 21 days and the denominator of which is 365 days. Provides that for the portion of State fiscal year 2012, beginning June 10, 2012 through June 30, 2012, and State fiscal years 2013 through 2014, and July 1, 2014 through December 31, 2014 (rather than for State fiscal years 2013 through 2014, and July 1, 2014 through December 31, 2014), a hospital's outpatient gross revenue shall be determined using the most recent data available from each hospital's 2009 Medicare cost report as contained in the Healthcare Cost Report Information System file, for the quarter ending on June 30, 2011, without regard to any subsequent adjustments or changes to such data. Provides that certain assessments on outpatient services for the portion of State fiscal year 2012 beginning June 10, 2012 through June 30, 2012, and for State fiscal year 2013 and each subsequent State fiscal year (rather than for State fiscal year 2013 and each subsequent State fiscal year) shall be due and payable in monthly installments, each equaling one-twelfth of the assessment for the year, on the 14th State business day of each month. In a provision concerning disbursements from the Hospital Provider Fund, provides that moneys shall be disbursed from the Fund for State fiscal year 2013, for the purpose of increasing by 21/365ths the transfer of the moneys resulting from the assessment for outpatient services and received from hospital providers for the portion of State fiscal year 2012 beginning June 10, 2012 through June 30, 2012 and transferred into the Hospital Provider Fund to the Health Care Provider Relief Fund not exceeding $2,870,000 in that State fiscal year. Makes other changes.Senate Floor Amendment No. 2 In a provision concerning assessments imposed on hospital providers that did not conduct, operate, or maintain a hospital in 2005, provides that for State fiscal years 2009 through 2015 (rather than for State fiscal years 2009 through 2014) the assessment for that State fiscal year shall be computed on the basis of hypothetical occupied bed days for the full calendar year as determined by the Department of Healthcare and Family Services. Restores language concerning monetary transfers from the Hospital Provider Fund to other specified funds in State fiscal years 2013 and 2014 in each State fiscal year during which an annual assessment for inpatient services is imposed. Provides that for State fiscal year 2013, hospital access improvement payments shall be increased by 21/365ths; and that the funding source for these additional payments shall be from a specific increased assessment on outpatient services that was received from hospital providers for the portion of State fiscal year 2012 beginning June 10, 2012 through June 30, 2012. Removes language requiring the Department of Healthcare and Family Services to submit a State Medicaid Plan Amendment to the Centers for Medicare and Medicaid Services to implement certain payments within 30 days of June 14, 2012 and instead provides that the Department of Healthcare and Family Services must submit a State Medicaid Plan Amendment to the Centers for Medicare and Medicaid Services to implement certain payments.House Committee Amendment No. 1 Adds reference to:New Act10 ILCS 5/3-3from Ch. 46, par. 3-310 ILCS 5/4-6.3from Ch. 46, par. 4-6.310 ILCS 5/4-10from Ch. 46, par. 4-1010 ILCS 5/5-9from Ch. 46, par. 5-910 ILCS 5/5-16.3from Ch. 46, par. 5-16.310 ILCS 5/6-50.3from Ch. 46, par. 6-50.310 ILCS 5/6-56from Ch. 46, par. 6-5610 ILCS 5/19-4from Ch. 46, par. 19-410 ILCS 5/19-12.1from Ch. 46, par. 19-12.110 ILCS 5/19-12.2from Ch. 46, par. 19-12.220 ILCS 1705/15from Ch. 91 1/2, par. 100-1520 ILCS 2310/2310-550was 20 ILCS 2310/55.4020 ILCS 2310/2310-560was 20 ILCS 2310/55.8720 ILCS 2310/2310-565was 20 ILCS 2310/55.8820 ILCS 2310/2310-62520 ILCS 2435/15from Ch. 23, par. 3395-1520 ILCS 3501/801-1035 ILCS 5/80635 ILCS 105/3-535 ILCS 110/3-535 ILCS 110/3-10from Ch. 120, par. 439.33-1035 ILCS 115/3-535 ILCS 115/3-10from Ch. 120, par. 439.103-1035 ILCS 120/2-535 ILCS 200/15-16835 ILCS 200/15-17035 ILCS 200/15-17270 ILCS 3615/4.03from Ch. 111 2/3, par. 704.03210 ILCS 9/10210 ILCS 9/35210 ILCS 9/55210 ILCS 9/145210 ILCS 28/10210 ILCS 28/50210 ILCS 30/3from Ch. 111 1/2, par. 4163210 ILCS 30/4from Ch. 111 1/2, par. 4164210 ILCS 30/6from Ch. 111 1/2, par. 4166210 ILCS 45/1-113from Ch. 111 1/2, par. 4151-113210 ILCS 45/2-204from Ch. 111 1/2, par. 4152-204210 ILCS 45/3-202.05210 ILCS 45/3-202.5210 ILCS 48/Act rep.210 ILCS 55/2.08210 ILCS 60/3from Ch. 111 1/2, par. 6103210 ILCS 60/4from Ch. 111 1/2, par. 6104210 ILCS 85/3210 ILCS 85/6.09from Ch. 111 1/2, par. 147.09210 ILCS 87/10210 ILCS 135/4from Ch. 91 1/2, par. 1704225 ILCS 10/2.06from Ch. 23, par. 2212.06225 ILCS 46/15225 ILCS 70/4from Ch. 111, par. 3654225 ILCS 70/17from Ch. 111, par. 3667225 ILCS 85/3225 ILCS 510/3from Ch. 111, par. 953305 ILCS 5/5-5.2from Ch. 23, par. 5-5.2305 ILCS 5/5-5.4from Ch. 23, par. 5-5.4305 ILCS 5/5-5.7from Ch. 23, par. 5-5.7305 ILCS 5/5-5f305 ILCS 5/5-6from Ch. 23, par. 5-6305 ILCS 5/8A-11from Ch. 23, par. 8A-11320 ILCS 20/2from Ch. 23, par. 6602405 ILCS 5/2-107from Ch. 91 1/2, par. 2-107405 ILCS 45/3from Ch. 91 1/2, par. 1353405 ILCS 80/2-3from Ch. 91 1/2, par. 1802-3405 ILCS 80/5-1from Ch. 91 1/2, par. 1805-1425 ILCS 10/1from Ch. 127 1/2, par. 821720 ILCS 5/12-4.4a720 ILCS 5/26-1from Ch. 38, par. 26-1730 ILCS 5/5-5-3.2735 ILCS 5/2-203from Ch. 110, par. 2-203815 ILCS 505/2BBB215 ILCS 106/15215 ILCS 106/25215 ILCS 106/30215 ILCS 106/35215 ILCS 170/15305 ILCS 5/5-1.1from Ch. 23, par. 5-1.1305 ILCS 5/5-1.4305 ILCS 5/5-2from Ch. 23, par. 5-2330 ILCS 126/10410 ILCS 430/3from Ch. 111 1/2, par. 22.33410 ILCS 430/2 rep.410 ILCS 420/1from Ch. 111 1/2, par. 2901410 ILCS 420/1.5410 ILCS 420/3from Ch. 111 1/2, par. 2903410 ILCS 420/2.5 rep.305 ILCS 5/5A-2from Ch. 23, par. 5A-2305 ILCS 5/5A-4from Ch. 23, par. 5A-4305 ILCS 5/5A-5from Ch. 23, par. 5A-5305 ILCS 5/5A-8from Ch. 23, par. 5A-8305 ILCS 5/5A-12.4305 ILCS 5/3-1.2from Ch. 23, par. 3-1.2305 ILCS 5/5-2b305 ILCS 5/5-4from Ch. 23, par. 5-4305 ILCS 5/5-5from Ch. 23, par. 5-5305 ILCS 5/5-5e305 ILCS 5/5-5e.1305 ILCS 5/5-5f820 ILCS 305/6from Ch. 48, par. 138.6820 ILCS 305/8from Ch. 48, par. 138.8820 ILCS 305/17from Ch. 48, par. 138.17820 ILCS 305/17.1 new305 ILCS 5/11-5.330 ILCS 105/5.826 new305 ILCS 5/5-5e.2 new305 ILCS 5/5-31 new305 ILCS 5/5-32 new305 ILCS 5/5-30305 ILCS 5/5-5.02from Ch. 23, par. 5-5.0220 ILCS 415/4dfrom Ch. 127, par. 63b104d305 ILCS 5/5-5.2from Ch. 23, par. 5-5.2405 ILCS 5/6-104.3 new210 ILCS 45/2-202from Ch. 111 1/2, par. 4152-202210 ILCS 45/3-212from Ch. 111 1/2, par. 4153-212210 ILCS 45/3-301from Ch. 111 1/2, par. 4153-301210 ILCS 45/3-305from Ch. 111 1/2, par. 4153-305305 ILCS 5/5-5from Ch. 23, par. 5-5305 ILCS 5/11-5.4 new5 ILCS 100/5-45from Ch. 127, par. 1005-45Replaces everything after the enacting clause. Amends the Illinois Insurance Code. Provides that a policy of accident and health insurance that provides coverage for early intervention services must conform to the following criteria: the use of private health insurance to pay for early intervention services under Part C of the federal Individuals with Disabilities Education Act may not (1) count towards or result in a loss of benefits due to annual or lifetime insurance caps for, (2) negatively affect the availability of health insurance to, or (3) be the basis for increasing the health insurance premiums of an infant or toddler with a disability, the infant's or toddler's parent, or the infant's or toddler's family members covered under that health insurance policy. Amends the Early Intervention Services System Act. Adds nursing services, nutrition services, and sign language and cued language services to the list of services included in the definition of "early intervention services". Provides that, before adopting any new policy or procedure needed to comply with certain provisions under the Individuals with Disabilities Education Act, the Department of Human Services must hold public hearings on the new policy or procedure, provide notice of the hearings at least 30 days before the hearings are conducted, and provide an opportunity for the general public, including individuals with disabilities and parents of infants and toddlers with disabilities, early intervention providers, and other specified persons to comment for at least 30 days on the new policy or procedure. Provides that the statewide system for early intervention services and programs shall include a central directory which includes public and private early intervention services (rather than early intervention services), resources, and experts available in this State, professional and other groups that provide assistance to infants and toddlers with disabilities and their families, and research and demonstration projects being conducted in this State (rather than early intervention research and demonstration projects) relating to infants and toddlers with disabilities. Makes changes to provisions concerning criminal background checks; the timeline for the initial evaluation and assessment of a child and his or her family under the individualized family service plan; and other matters. Repeals a provision requiring the Early Intervention Legislative Advisory Committee to convene for a period of 4 years no later than 60 days after August 9, 2001. Effective immediately.Correctional Note, House Committee Amendment No. 1 (Dept of Corrections) There are no penalty enhancements associated with this bill. The bill would have no fiscal or population impact on the Department. State Debt Impact Note, House Committee Amendment No. 1 (Government Forecasting & Accountability) SB 26 (H-AM 1) would not change the amount of authorization for any type of State-issued or State-supported bond, and, therefore, would not affect the level of State indebtedness. Housing Affordability Impact Note, House Committee Amendment No. 1 (Housing Development Authority) This bill will have no effect on the cost of constructing, purchasing, owning, or selling a single-family residence. Judicial Note, House Committee Amendment No. 1 (Admin Office of the Illinois Courts) This bill would neither increase nor decrease the number of judges needed in the State.Pension Note, House Committee Amendment No. 1 (Government Forecasting & Accountability) SB 26 (H-AM 1) will not impact any public pension fund or retirement system in Illinois. Home Rule Note, House Committee Amendment No. 1 (Dept. of Commerce & Economic Opportunity) This bill does not pre-empt home rule authority.State Mandates Fiscal Note, House Committee Amendment No. 1 (Dept. of Commerce & Economic Opportunity) This bill does not create a State mandate.Land Conveyance Appraisal Note, House Committee Amendment No. 1 (Dept. of Transportation) No land conveyances are included in this bill; therefore, there are no appraisals to be filed. Fiscal Note, House Committee Amendment No. 1 (Dept. of Healthcare & Family Services) The Department of Healthcare and Family Services estimates the provisions of SB 26 (H-AM 1) will result in $234.7 million gross expenses assuming federal match. The bill will result in no new net State costs due to 100% federal match on the Medicaid expansion and other savings/revenue items contained in the bill. Balanced Budget Note, House Committee Amendment No. 1 (Office of Management and Budget) The Department of Healthcare and Family Services estimates that SB 26 (H-AM 1) will have a gross cost of $234.7 million during fiscal year 2014. Because the ACA provides for 100% federal match for the eligibility expansion, and the bill includes additional savings and revenue measures, Illinois will bear no net State cost. House Floor Amendment No. 3 Deletes reference to:820 ILCS 305/6from Ch. 48, par. 138.6820 ILCS 305/8from Ch. 48, par. 138.8820 ILCS 305/17from Ch. 48, par. 138.17820 ILCS 305/17.1 newAdds reference to:305 ILCS 5/5-5.4h newIn the Specialized Mental Health Rehabilitation Act of 2013, created under House Amendment No.1, makes the following changes: (i) defines "abuse" to mean any physical or mental injury or sexual assault inflicted on a consumer other than by accidental means in a facility; defines "identified offender"; (ii) provides that the Department of Public Health is empowered to promulgate any rules necessary to ensure proper implementation and administration of the Act; adds provisions concerning screening prior to admission and criminal history reports; (iii) provides that informed consent shall be required for restraints consistent with the requirements contained in the Nursing Home Care Act; (iv) in a provision concerning abuse or neglect, provides that it is the duty of any facility employee or agent who becomes aware of such abuse or neglect to report it "to the Department within 24 hours"; (v) changes all references to "triage" and "triage units" to "triage center" and provides that consumers shall be free to leave a triage center at any time; if a consumer in a triage center expresses a desire to contact a third party for any purpose, the facility staff shall contact that third party on behalf of the consumer; (vi) provides that the Department shall by rule establish criteria, hearings, and procedures for involuntary discharge; (vii) adds provisions providing that (a) no consumer shall be subjected to experimental research or treatment without first obtaining his or her informed, written consent; (b) no facility shall permit experimental research or treatment to be conducted on a consumer, or give access to any person or person's records for a retrospective study about the safety or efficacy of any care or treatment, without the prior written approval of the institutional review board; and (c) the institutional review board may exempt from ongoing review research or treatment initiated on a consumer before the individual's admission to a facility and for which the board determines there is adequate ongoing oversight by another institutional review board. In a provision concerning surveys and inspections, provides that the Department shall conduct surveys (rather than scheduled surveys) to determine compliance and may conduct surveys (rather than unscheduled surveys) to investigate complaints; provides that the Department shall review the records or premises, or both, as it deems appropriate for the purpose of determining compliance with this Act and the rules promulgated under the Act (rather than with the Act only); and that the Department shall have access to and may reproduce or photocopy any books, records, and other documents maintained by the facility to the extent necessary to carry out this Act and the rules promulgated under the Act. Provides that notwithstanding the existence or pursuit of any other remedy, the Department Director may, in the manner provider by law, upon the advice of the Attorney General who shall represent the Department Director in the proceedings, maintain an action in the name of the State for injunction or other process against any person or governmental unit to restrain or prevent the establishment of a facility without a license issued pursuant to the Act, or to restrain or prevent the opening, conduction, operating, or maintaining of a facility without a license issued pursuant to the Act. Changes references to "standards" to "Act and the rules promulgated under this Act". Makes other technical changes. Further amends the Illinois Public Aid Code. Provides that facilities uniquely licensed as pediatric skilled nursing facilities that serve severely and chronically ill pediatric patients shall have a specific reimbursement system designed to recognize the characteristics and needs of the patients they serve. Provides that for dates of services starting July 1, 2013 and until a new reimbursement system is designed, pediatric skilled nursing facilities that (1) serve exceptional care patients and (2) have 30% or more of their patients receiving ventilator care shall receive Medicaid reimbursement on a 30-day expedited schedule. In a provision concerning expedited long-term care eligibility determination and enrollment, provides that the lead agency shall file interim reports with the Chairs and Minority Spokespersons of the House and Senate Human Services Committees no later than September 1, 2013 (rather than September 1, 2014) and on February 1, 2014 (rather than February 1, 2015). Further amends the Nursing Home Care Act. In a provision concerning inspections of nursing facilities for possible violations, provides that violations shall be determined no later than 75 (rather than 60) days after completion of each inspection, survey, and evaluation. Provides that to meet the requirement of a single survey process, the portions of the health and life safety survey associated with federal certification and State licensure surveys must be started within 7 working days of each other, with certain exceptions (rather than the federal certification and State licensure surveys and health and life safety survey must each be started within 5 working days). Deletes the provisions amending the Workers' Compensation Act.Land Conveyance Appraisal Note, House Floor Amendment No. 2 (Dept. of Transportation) No land conveyances are included in this bill; therefore, there are no appraisals to be filed. State Debt Impact Note, House Floor Amendment No. 2 (Government Forecasting & Accountability) SB 26 (H-AM 2) would not change the amount of authorization for any type of State-issued or State-supported bond, and, therefore, would not affect the level of State indebtedness. State Mandates Fiscal Note, House Floor Amendment No. 2 (Dept. of Commerce & Economic Opportunity) This bill does not create a State mandate.Home Rule Note, House Floor Amendment No. 2 (Dept. of Commerce & Economic Opportunity) This bill does not pre-empt home rule authority.Correctional Note, House Floor Amendment No. 2 (Dept of Corrections) There are no penalty enhancements associated with this bill. The bill would have no fiscal or population impact on the Department. Housing Affordability Impact Note, House Floor Amendment No. 2 (Housing Development Authority) This bill will have no effect on the cost of constructing, purchasing, owning, or selling a single-family residence. Housing Affordability Impact Note, House Floor Amendment No. 3 (Housing Development Authority) This bill will have no effect on the cost of constructing, purchasing, owning, or selling a single-family residence. Fiscal Note, House Floor Amendment No. 2 (Dept. of Healthcare & Family Services) The Department of Healthcare and Family Services estimates the provisions of SB 26 (H-AM 2) will result in $4.8 million gross expenses, with $2.4 million net State cost.Fiscal Note, House Floor Amendment No. 3 (Dept. of Healthcare & Family Services) The Department of Healthcare and Family Services estimates the provisions of SB 26 (H-AM 3) will result in no additional cost to the Department.Correctional Note, House Floor Amendment No. 3 (Dept of Corrections) There are no penalty enhancements associated with this bill. The bill would have no fiscal or population impact on the Department. Judicial Note, House Floor Amendment No. 2 (Admin Office of the Illinois Courts) This bill would neither increase nor decrease the number of judges needed in the State.Judicial Note, House Floor Amendment No. 3 (Admin Office of the Illinois Courts) This bill would neither increase nor decrease the number of judges needed in the State.Land Conveyance Appraisal Note, House Floor Amendment No. 3 (Dept. of Transportation) No land conveyances are included in this bill; therefore, there are no appraisals to be filed. Pension Note, House Floor Amendment No. 2 (Government Forecasting & Accountability) SB 26 (H-AM 2) will not impact any public pension fund or retirement system in Illinois. Pension Note, House Floor Amendment No. 3 (Government Forecasting & Accountability) SB 26 (H-AM 3) will not impact any public pension fund or retirement system in Illinois. State Mandates Fiscal Note, House Floor Amendment No. 3 (Dept. of Commerce & Economic Opportunity) This bill does not create a State mandate.Home Rule Note, House Floor Amendment No. 3 (Dept. of Commerce & Economic Opportunity) This bill does not pre-empt home rule authority.State Debt Impact Note, House Floor Amendment No. 3 (Government Forecasting & Accountability) SB 26 (H-AM 3) would not change the amount of authorization for any type of State-issued or State-supported bond, and, therefore, would not affect the level of State indebtedness. Balanced Budget Note, House Floor Amendment No. 2 (Office of Management and Budget) SB 26 (H-AM 2) increases net State costs by $2.4 million.Balanced Budget Note, House Floor Amendment No. 3 (Office of Management and Budget) The Department of Healthcare and Family Services estimates that SB 26 (H-AM 3) has no additional fiscal impact over and above the provisions of House Amendment 1, which has a gross cost of $234.7 million during fiscal year 2014. Because the Affordable Care Act provides for 100% federal match for the eligibility expansion, and the bill includes additional savings and revenue measures, Illinois will bear no net state cost.Correctional Note, House Floor Amendment No. 4 (Dept of Corrections) There are no penalty enhancements associated with this bill. The bill would have no fiscal or population impact on the Department. Pension Note, House Floor Amendment No. 4 (Government Forecasting & Accountability) SB 26 (H-AM 4) will not impact any public pension fund or retirement system in Illinois. Land Conveyance Appraisal Note, House Floor Amendment No. 4 (Dept. of Transportation) No land conveyances are included in this bill; therefore, there are no appraisals to be filed. State Debt Impact Note, House Floor Amendment No. 4 (Government Forecasting & Accountability) SB 26 (H-AM 4) would not change the amount of authorization for any type of State-issued or State-supported bond, and, therefore, would not affect the level of State indebtedness. Balanced Budget Note, House Floor Amendment No. 4 (Office of Management and Budget) The Department of Healthcare and Family Services estimates that SB 26 (H-AM 4) has no additional fiscal impact over and above the provisions of House Amendment 1, which has a gross cost of $234.7 million during fiscal year 2014. Because the Affordable Care Act provides for 100% federal match for the eligibility expansion, and the bill includes additional savings and revenue measures, Illinois will bear no net state cost.Home Rule Note, House Floor Amendment No. 4 (Dept. of Commerce & Economic Opportunity) This bill does not pre-empt home rule authority.State Mandates Fiscal Note, House Floor Amendment No. 4 (Dept. of Commerce & Economic Opportunity) This bill does not create a State mandate.Housing Affordability Impact Note, House Floor Amendment No. 4 (Housing Development Authority) This bill will have no effect on the cost of constructing, purchasing, owning, or selling a single-family residence. 1/10/2013SenateFiled with Secretary by Sen. Heather A. Steans 1/10/2013SenateFirst Reading 1/10/2013SenateReferred to Assignments 1/17/2013SenateAdded as Chief Co-Sponsor Sen. David Koehler 1/17/2013SenateAdded as Chief Co-Sponsor Sen. William Delgado 1/18/2013SenateAdded as Chief Co-Sponsor Sen. Iris Y. Martinez 1/22/2013SenateAdded as Co-Sponsor Sen. Daniel Biss 1/28/2013SenateAdded as Co-Sponsor Sen. Michael E. Hastings 1/28/2013SenateAdded as Chief Co-Sponsor Sen. Jacqueline Y. Collins 1/30/2013SenateAdded as Co-Sponsor Sen. Patricia Van Pelt 1/30/2013SenateAssigned to Public Health 2/4/2013SenateAdded as Co-Sponsor Sen. Dan Kotowski 2/4/2013SenateAdded as Co-Sponsor Sen. John G. Mulroe 2/5/2013SenateAdded as Co-Sponsor Sen. Mike Jacobs 2/5/2013SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. Heather A. Steans 2/5/2013SenateSenate Committee Amendment No. 1 Referred to Assignments 2/5/2013SenateSenate Committee Amendment No. 1 Assignments Refers to Public Health 2/5/2013SenateAdded as Co-Sponsor Sen. Julie A. Morrison 2/5/2013SenateAdded as Co-Sponsor Sen. Emil Jones, III 2/5/2013SenateAdded as Co-Sponsor Sen. Steven M. Landek 2/5/2013SenateAdded as Co-Sponsor Sen. Michael Noland 2/5/2013SenateAdded as Co-Sponsor Sen. Kwame Raoul 2/5/2013SenateSponsor Removed Sen. Mike Jacobs 2/5/2013SenateSenate Committee Amendment No. 1 Adopted 2/5/2013SenateDo Pass as Amended Public Health; 006-003-000 2/5/2013SenatePlaced on Calendar Order of 2nd Reading February 6, 2013 2/6/2013SenateAdded as Co-Sponsor Sen. Antonio Muñoz 2/6/2013SenateAdded as Co-Sponsor Sen. Terry Link 2/6/2013SenateAdded as Co-Sponsor Sen. Napoleon Harris, III 2/7/2013SenateAdded as Co-Sponsor Sen. Linda Holmes 2/7/2013SenateSecond Reading 2/7/2013SenatePlaced on Calendar Order of 3rd Reading February 13, 2013 2/8/2013SenateAdded as Co-Sponsor Sen. Don Harmon 2/8/2013SenateAdded as Co-Sponsor Sen. Mattie Hunter 2/11/2013SenateAdded as Co-Sponsor Sen. John J. Cullerton 2/13/2013SenateSenate Floor Amendment No. 2 Filed with Secretary by Sen. Heather A. Steans 2/13/2013SenateSenate Floor Amendment No. 2 Referred to Assignments 2/13/2013SenateSenate Floor Amendment No. 2 Assignments Refers to Human Services 2/13/2013SenateSenate Floor Amendment No. 2 Recommend Do Adopt Human Services; 009-000-000 2/14/2013SenateAdded as Co-Sponsor Sen. Toi W. Hutchinson 2/15/2013SenateAdded as Co-Sponsor Sen. Melinda Bush 2/27/2013SenateAdded as Co-Sponsor Sen. Andy Manar 2/28/2013SenateAdded as Co-Sponsor Sen. Martin A. Sandoval 2/28/2013SenateRecalled to Second Reading 2/28/2013SenateSenate Floor Amendment No. 2 Adopted; Steans 2/28/2013SenatePlaced on Calendar Order of 3rd Reading 2/28/2013SenateAdded as Co-Sponsor Sen. Donne E. Trotter 2/28/2013SenateThird Reading - Passed; 040-019-000 2/28/2013HouseArrived in House 2/28/2013HouseChief House Sponsor Rep. Sara Feigenholtz 2/28/2013HouseFirst Reading 2/28/2013HouseReferred to Rules Committee 3/5/2013HouseAdded Alternate Chief Co-Sponsor Rep. Elizabeth Hernandez 3/5/2013HouseAdded Alternate Chief Co-Sponsor Rep. Patrick J. Verschoore 3/5/2013HouseAdded Alternate Chief Co-Sponsor Rep. Barbara Flynn Currie 3/5/2013HouseAdded Alternate Chief Co-Sponsor Rep. Rita Mayfield 3/5/2013HouseAdded Alternate Co-Sponsor Rep. Daniel J. Burke 3/5/2013HouseAdded Alternate Co-Sponsor Rep. Linda Chapa LaVia 3/5/2013HouseAdded Alternate Co-Sponsor Rep. Keith Farnham 3/5/2013HouseAdded Alternate Co-Sponsor Rep. Esther Golar 3/5/2013HouseAdded Alternate Co-Sponsor Rep. La Shawn K. Ford 3/5/2013HouseAdded Alternate Co-Sponsor Rep. Marcus C. Evans, Jr. 3/5/2013HouseAdded Alternate Co-Sponsor Rep. Lawrence M. Walsh, Jr. 3/5/2013HouseAdded Alternate Co-Sponsor Rep. Laura Fine 3/5/2013HouseAdded Alternate Co-Sponsor Rep. Camille Y. Lilly 3/5/2013HouseAdded Alternate Co-Sponsor Rep. Greg Harris 3/5/2013HouseAdded Alternate Co-Sponsor Rep. Robyn Gabel 3/5/2013HouseAdded Alternate Co-Sponsor Rep. William Davis 3/5/2013HouseAdded Alternate Co-Sponsor Rep. Maria Antonia Berrios 3/5/2013HouseAdded Alternate Co-Sponsor Rep. Eddie Lee Jackson, Sr. 3/5/2013HouseAdded Alternate Co-Sponsor Rep. Jack D. Franks 3/5/2013HouseAdded Alternate Co-Sponsor Rep. John D'Amico 3/5/2013HouseAdded Alternate Co-Sponsor Rep. Kelly M. Cassidy 3/5/2013HouseAdded Alternate Co-Sponsor Rep. Lou Lang 3/5/2013HouseAdded Alternate Co-Sponsor Rep. Naomi D. Jakobsson 3/5/2013HouseAdded Alternate Co-Sponsor Rep. Thaddeus Jones 3/5/2013HouseAdded Alternate Co-Sponsor Rep. André M. Thapedi 3/5/2013HouseAdded Alternate Co-Sponsor Rep. Al Riley 3/5/2013HouseAdded Alternate Co-Sponsor Rep. Cynthia Soto 3/5/2013HouseAdded Alternate Co-Sponsor Rep. Arthur Turner 3/5/2013HouseAdded Alternate Co-Sponsor Rep. Ann Williams 3/5/2013HouseAdded Alternate Co-Sponsor Rep. Emanuel Chris Welch 3/5/2013HouseAdded Alternate Co-Sponsor Rep. Derrick Smith 3/5/2013HouseAdded Alternate Co-Sponsor Rep. Christian L. Mitchell 3/5/2013HouseAdded Alternate Co-Sponsor Rep. Monique D. Davis 5/15/2013HouseAdded Alternate Co-Sponsor Rep. Robert F. Martwick 5/15/2013HouseAdded Alternate Co-Sponsor Rep. Kenneth Dunkin 5/15/2013HouseFinal Action Deadline Extended-9(b) May 24, 2013 5/15/2013HouseAssigned to Human Services Committee 5/20/2013HouseHouse Committee Amendment No. 1 Filed with Clerk by Rep. Sara Feigenholtz 5/20/2013HouseHouse Committee Amendment No. 1 Referred to Rules Committee 5/20/2013HouseHouse Committee Amendment No. 1 Rules Refers to Human Services Committee 5/21/2013HouseHouse Committee Amendment No. 1 Correctional Note Filed as Amended 5/21/2013HouseHouse Committee Amendment No. 1 State Debt Impact Note Filed as Amended 5/21/2013HouseHouse Committee Amendment No. 1 Housing Affordability Impact Note Filed as Amended 5/21/2013HouseHouse Committee Amendment No. 1 Judicial Note Filed as Amended 5/21/2013HouseHouse Committee Amendment No. 1 Pension Note Filed as Amended 5/21/2013HouseHouse Committee Amendment No. 1 Home Rule Note Filed as Amended 5/21/2013HouseHouse Committee Amendment No. 1 State Mandates Fiscal Note Filed as Amended 5/21/2013HouseHouse Committee Amendment No. 1 Land Conveyance Appraisal Note Filed as Amended 5/21/2013HouseHouse Committee Amendment No. 1 Adopted in Human Services Committee; by Voice Vote 5/21/2013HouseDo Pass as Amended / Standard Debate Human Services Committee; 008-006-000 5/21/2013HousePlaced on Calendar 2nd Reading - Standard Debate 5/21/2013HouseHouse Committee Amendment No. 1 Fiscal Note Filed as Amended 5/22/2013HouseHouse Committee Amendment No. 1 Balanced Budget Note Filed as Amended 5/22/2013HouseAlternate Co-Sponsor Removed Rep. André M. Thapedi 5/22/2013HouseSecond Reading - Standard Debate 5/22/2013HousePlaced on Calendar Order of 3rd Reading - Standard Debate 5/22/2013HouseAdded Alternate Co-Sponsor Rep. Elgie R. Sims, Jr. 5/22/2013HouseAdded Alternate Co-Sponsor Rep. Robert Rita 5/23/2013HouseAlternate Co-Sponsor Removed Rep. Jack D. Franks 5/23/2013HouseHouse Floor Amendment No. 2 Filed with Clerk by Rep. Mary E. Flowers 5/23/2013HouseHouse Floor Amendment No. 2 Referred to Rules Committee 5/23/2013HouseHouse Floor Amendment No. 3 Filed with Clerk by Rep. Sara Feigenholtz 5/23/2013HouseHouse Floor Amendment No. 3 Referred to Rules Committee 5/23/2013HouseHouse Floor Amendment No. 2 Land Conveyance Appraisal Note Filed as Amended 5/23/2013HouseHouse Floor Amendment No. 2 State Debt Impact Note Filed as Amended 5/23/2013HouseHouse Floor Amendment No. 2 State Mandates Fiscal Note Filed as Amended 5/23/2013HouseHouse Floor Amendment No. 2 Home Rule Note Filed as Amended 5/23/2013HouseHouse Floor Amendment No. 2 Correctional Note Filed as Amended 5/23/2013HouseHouse Floor Amendment No. 2 Housing Affordability Impact Note Filed as Amended 5/23/2013HouseHouse Floor Amendment No. 3 Housing Affordability Impact Note Filed as Amended 5/23/2013HouseHouse Floor Amendment No. 3 Recommends Be Adopted Rules Committee; 003-000-000 5/24/2013HouseHouse Floor Amendment No. 2 Fiscal Note Filed as Amended 5/24/2013HouseHouse Floor Amendment No. 3 Fiscal Note Filed as Amended 5/24/2013HouseHouse Floor Amendment No. 3 Correctional Note Filed as Amended 5/24/2013HouseHouse Floor Amendment No. 2 Judicial Note Filed as Amended 5/24/2013HouseHouse Floor Amendment No. 3 Judicial Note Filed as Amended 5/24/2013HouseHouse Floor Amendment No. 3 Land Conveyance Appraisal Note Filed as Amended 5/24/2013HouseHouse Floor Amendment No. 2 Pension Note Filed as Amended 5/24/2013HouseHouse Floor Amendment No. 3 Pension Note Filed as Amended 5/24/2013HouseHouse Floor Amendment No. 3 State Mandates Fiscal Note Filed as Amended 5/24/2013HouseHouse Floor Amendment No. 3 Home Rule Note Filed as Amended 5/24/2013HouseHouse Floor Amendment No. 3 State Debt Impact Note Filed as Amended 5/24/2013HouseHouse Floor Amendment No. 2 Balanced Budget Note Filed as Amended 5/24/2013HouseHouse Floor Amendment No. 3 Balanced Budget Note Filed as Amended 5/24/2013HouseAlternate Chief Co-Sponsor Removed Rep. Rita Mayfield 5/24/2013HouseAlternate Co-Sponsor Removed Rep. La Shawn K. Ford 5/24/2013HouseAlternate Co-Sponsor Removed Rep. Marcus C. Evans, Jr. 5/24/2013HouseAlternate Co-Sponsor Removed Rep. William Davis 5/24/2013HouseAlternate Co-Sponsor Removed Rep. Eddie Lee Jackson, Sr. 5/24/2013HouseAlternate Co-Sponsor Removed Rep. Thaddeus Jones 5/24/2013HouseAlternate Co-Sponsor Removed Rep. Al Riley 5/24/2013HouseAlternate Co-Sponsor Removed Rep. Arthur Turner 5/24/2013HouseAlternate Co-Sponsor Removed Rep. Emanuel Chris Welch 5/24/2013HouseAlternate Co-Sponsor Removed Rep. Derrick Smith 5/24/2013HouseAlternate Co-Sponsor Removed Rep. Christian L. Mitchell 5/24/2013HouseAlternate Co-Sponsor Removed Rep. Camille Y. Lilly 5/24/2013HouseAlternate Co-Sponsor Removed Rep. Kenneth Dunkin 5/24/2013HouseAlternate Co-Sponsor Removed Rep. Elgie R. Sims, Jr. 5/24/2013HouseAlternate Co-Sponsor Removed Rep. Esther Golar 5/24/2013HouseAlternate Co-Sponsor Removed Rep. Monique D. Davis 5/24/2013HouseFinal Action Deadline Extended-9(b) May 31, 2013 5/27/2013HouseAdded Alternate Co-Sponsor Rep. Mike Smiddy 5/27/2013HouseHouse Floor Amendment No. 4 Filed with Clerk by Rep. Sara Feigenholtz 5/27/2013HouseHouse Floor Amendment No. 4 Referred to Rules Committee 5/27/2013HouseHouse Floor Amendment No. 4 Correctional Note Filed as Amended 5/27/2013HouseHouse Floor Amendment No. 4 Pension Note Filed as Amended 5/27/2013HouseHouse Floor Amendment No. 4 Land Conveyance Appraisal Note Filed as Amended 5/27/2013HouseHouse Floor Amendment No. 4 State Debt Impact Note Filed as Amended 5/27/2013HouseHouse Floor Amendment No. 4 Balanced Budget Note Filed as Amended 5/27/2013HouseRecalled to Second Reading - Standard Debate 5/27/2013HouseHouse Floor Amendment No. 3 Adopted 5/27/2013HousePlaced on Calendar Order of 3rd Reading - Standard Debate 5/27/2013HouseHouse Floor Amendment No. 4 Home Rule Note Filed as Amended 5/27/2013HouseHouse Floor Amendment No. 4 State Mandates Fiscal Note Filed as Amended 5/27/2013HouseAdded Alternate Co-Sponsor Rep. Christian L. Mitchell 5/27/2013HouseAdded Alternate Co-Sponsor Rep. Derrick Smith 5/27/2013HouseAdded Alternate Chief Co-Sponsor Rep. Kenneth Dunkin 5/27/2013HouseAdded Alternate Co-Sponsor Rep. Monique D. Davis 5/27/2013HouseAdded Alternate Co-Sponsor Rep. Camille Y. Lilly 5/27/2013HouseAdded Alternate Co-Sponsor Rep. Jehan A. Gordon-Booth 5/27/2013HouseAdded Alternate Co-Sponsor Rep. Elgie R. Sims, Jr. 5/27/2013HouseAdded Alternate Co-Sponsor Rep. Charles E. Jefferson 5/27/2013HouseAdded Alternate Co-Sponsor Rep. Eddie Lee Jackson, Sr. 5/27/2013HouseAdded Alternate Co-Sponsor Rep. Marcus C. Evans, Jr. 5/27/2013HouseAdded Alternate Co-Sponsor Rep. Arthur Turner 5/27/2013HouseAlternate Chief Co-Sponsor Removed Rep. Kenneth Dunkin 5/27/2013HouseAdded Alternate Chief Co-Sponsor Rep. La Shawn K. Ford 5/27/2013HouseAdded Alternate Co-Sponsor Rep. Kenneth Dunkin 5/27/2013HouseAdded Alternate Co-Sponsor Rep. Rita Mayfield 5/27/2013HouseAdded Alternate Co-Sponsor Rep. Emanuel Chris Welch 5/27/2013HouseHouse Floor Amendment No. 4 Housing Affordability Impact Note Filed as Amended 5/27/2013HouseRepresentative Sullivan Requested a Verified Roll Call 5/27/2013HouseAdded Alternate Co-Sponsor Rep. Esther Golar 5/27/2013HouseThird Reading - Standard Debate - Passed 063-055-000 5/27/2013HouseVerified 5/27/2013HouseMotion Filed to Reconsider Vote Rep. Barbara Flynn Currie 5/27/2013HouseMotion to Reconsider Vote - Tabled 5/28/2013SenateSecretary's Desk - Concurrence House Amendment(s) 1, 3 5/28/2013SenatePlaced on Calendar Order of Concurrence House Amendment(s) 1, 3 - May 29, 2013 5/28/2013SenateHouse Committee Amendment No. 1 Motion to Concur Filed with Secretary Sen. Heather A. Steans 5/28/2013SenateHouse Committee Amendment No. 1 Motion to Concur Referred to Assignments 5/28/2013SenateHouse Floor Amendment No. 3 Motion to Concur Filed with Secretary Sen. Heather A. Steans 5/28/2013SenateHouse Floor Amendment No. 3 Motion to Concur Referred to Assignments 5/28/2013SenateHouse Committee Amendment No. 1 Motion to Concur Assignments Referred to Executive 5/28/2013SenateHouse Floor Amendment No. 3 Motion to Concur Assignments Referred to Executive 5/28/2013SenateHouse Committee Amendment No. 1 Motion To Concur Recommended Do Adopt Executive; 009-005-000 5/28/2013SenateHouse Floor Amendment No. 3 Motion To Concur Recommended Do Adopt Executive; 009-005-000 5/28/2013SenateAdded as Co-Sponsor Sen. Kimberly A. Lightford 5/28/2013SenateAdded as Co-Sponsor Sen. William R. Haine 5/28/2013SenateHouse Committee Amendment No. 1 Senate Concurs 039-020-000 5/28/2013SenateHouse Floor Amendment No. 3 Senate Concurs 039-020-000 5/28/2013SenatePassed Both Houses 6/6/2013SenateSent to the Governor 7/22/2013SenateGovernor Approved 7/22/2013SenateEffective Date July 22, 2013 7/22/2013SenatePublic Act . . . . . . . . . 98-0104