summary
Introduced
01/28/2025
01/28/2025
In Committee
01/28/2025
01/28/2025
Crossed Over
Passed
Dead
Introduced Session
104th General Assembly
Bill Summary
Amends the State Employees Group Insurance Act of 1971. Prohibits the State from applying for any federal waiver that would reduce or eliminate any protection or coverage required under the Patient Protection and Affordable Care Act (Affordable Care Act) that was in effect on January 1, 2017, including, but not limited to, any protection for persons with preexisting conditions and coverage for services identified as essential health benefits under the Affordable Care Act. Provides that the State or an agency of the executive branch may apply for such a waiver only if granted authorization by the General Assembly through joint resolution. Amends the Illinois Insurance Code. Prohibits the State from applying for any federal waiver that would permit an individual or group health insurance plan to reduce or eliminate any protection or coverage required under the Affordable Care Act that was in effect on January 1, 2017, including, but not limited to, any protection for persons with preexisting conditions and coverage for services identified as essential health benefits under the Affordable Care Act. Provides that the State or an agency of the executive branch may apply for such a waiver only if granted authorization by the General Assembly through joint resolution. Amends the Illinois Public Aid Code. Prohibits the State or an agency of the executive branch from applying for any federal Medicaid waiver that would result in more restrictive standards, methodologies, procedures, or other requirements than those that were in effect in Illinois as of January 1, 2017 for the Medical Assistance Program, the Children's Health Insurance Program, or any other medical assistance program in Illinois operating under any existing federal waiver authorized by specified provisions of the Social Security Act. Provides that the State or an agency of the executive branch may apply for such a waiver only if granted authorization by the General Assembly through joint resolution. Effective immediately.
AI Summary
This bill prevents the State of Illinois from applying for federal waivers that would reduce health insurance protections established by the Affordable Care Act (ACA) as of January 1, 2017, specifically protecting individuals with preexisting conditions and essential health benefits across three key areas: state employee group insurance, individual and group health insurance plans, and Medicaid programs. The bill requires that any proposed waiver application must first receive explicit authorization through a joint resolution approved by a majority vote in both houses of the General Assembly, effectively creating a legislative checkpoint before the state can seek any federal waivers that might potentially weaken existing healthcare coverage. For Medicaid specifically, the bill prohibits waivers that would impose more restrictive standards or requirements than those in place on January 1, 2017, covering the Medical Assistance Program, Children's Health Insurance Program, and other medical assistance programs operating under existing federal waivers. By establishing these protective measures, the bill aims to maintain the healthcare coverage standards that were in place at the beginning of 2017, ensuring that vulnerable populations continue to have access to comprehensive health insurance protections.
Sponsors (1)
Last Action
Referred to Assignments (on 01/28/2025)
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.ilga.gov/legislation/BillStatus.asp?DocNum=1284&GAID=18&DocTypeID=SB&SessionID=114&GA=104 |
| BillText | https://www.ilga.gov/legislation/104/SB/10400SB1284.htm |
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