Bill Text: IL SB2797 | 2023-2024 | 103rd General Assembly | Introduced

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Bill Title: Amends the Department of Central Management Services Law of the Civil Administrative Code of Illinois. Provides that the Department of Central Management Services, in conjunction with the State Employees Retirement System, shall enter into a contract with a qualified and experienced administrator to establish and conduct a State Retiree Medicare Primacy Coordination Audit and Assistance Program to identify retirees who are eligible for Medicare, but not enrolled in Medicare, and to assist those retirees in enrolling in Social Security and Medicare. Provides further duties and requirements for the program. Amends the Department of Healthcare and Family Services Law of the Civil Administrative Code of Illinois. Provides that the Department of Healthcare and Family Services shall enter into a contract with a qualified and experienced administrator to establish and conduct a Medicare Primacy Coordination Audit and Assistance Program to identify Medicaid recipients who could benefit from Social Security Disability Insurance representation that could provide them with income and ultimately Medicare benefits. Provides further duties and requirements for the program. Sets forth reporting requirements. Effective January 1, 2025.

Spectrum: Partisan Bill (Republican 1-0)

Status: (Introduced) 2024-01-17 - Referred to Assignments [SB2797 Detail]

Download: Illinois-2023-SB2797-Introduced.html

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103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB2797 Introduced 1/17/2024, by Sen. Neil Anderson SYNOPSIS AS INTRODUCED:
20 ILCS 405/405-545 new
20 ILCS 2205/2205-45 new
Amends the Department of Central Management Services Law of the Civil Administrative Code of Illinois. Provides that the Department of Central Management Services, in conjunction with the State Employees Retirement System, shall enter into a contract with a qualified and experienced administrator to establish and conduct a State Retiree Medicare Primacy Coordination Audit and Assistance Program to identify retirees who are eligible for Medicare, but not enrolled in Medicare, and to assist those retirees in enrolling in Social Security and Medicare. Provides further duties and requirements for the program. Amends the Department of Healthcare and Family Services Law of the Civil Administrative Code of Illinois. Provides that the Department of Healthcare and Family Services shall enter into a contract with a qualified and experienced administrator to establish and conduct a Medicare Primacy Coordination Audit and Assistance Program to identify Medicaid recipients who could benefit from Social Security Disability Insurance representation that could provide them with income and ultimately Medicare benefits. Provides further duties and requirements for the program. Sets forth reporting requirements. Effective January 1, 2025.
LRB103 36940 KTG 67054 b
A BILL FOR
SB2797 LRB103 36940 KTG 67054 b
AN ACT concerning State government.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Department of Central Management Services
Law of the Civil Administrative Code of Illinois is amended by
adding Section 405-545 as follows:
(20 ILCS 405/405-545 new)
Sec. 405-545. State Retiree Medicare Primacy Coordination
Audit and Assistance Program.
(a) Within 6 months after the effective date of this
amendatory Act of the 103rd General Assembly, the Department
of Central Management Services, in conjunction with the State
Employees Retirement System, shall enter into a contract with
a qualified and experienced administrator to establish and
conduct a State Retiree Medicare Primacy Coordination Audit
and Assistance Program to identify retirees who are eligible
for Medicare, but not enrolled in Medicare, and to assist
those retirees in enrolling in Social Security and Medicare.
(b) The Program shall conduct an annual audit of the State
Health Benefits Program for State of Illinois retirees for the
purpose of identifying participants and their dependents who
are eligible for Medicare under federal law. The Program shall
also ensure that those retirees or their dependents who are

SB2797 - 2 - LRB103 36940 KTG 67054 b
eligible for Medicare are enrolled in Medicare with Medicare
as their primary health care benefits coverage and the State
Health Benefits Program being the secondary provider of their
health care benefits coverage.
(c) The Program shall assist any retiree or dependent who
becomes disabled and is not enrolled in Social Security
Disability Insurance and Medicare with enrolling in and
obtaining Social Security Disability Insurance and Medicare
benefits. This assistance shall include, but not be limited
to: (i) developing communication materials to educate retirees
about Social Security Disability Insurance benefits; (ii)
performing multiple outreaches to targeted populations; (iii)
analyzing responses to determine Social Security Disability
Insurance eligibility; and (iv) representing qualified
individuals on their claim for Social Security Disability
Insurance and Medicare.
(d) The administrator shall provide the Department, the
State Employees Retirement System, and the General Assembly
with an annual report showing the number of retirees and
dependents who are transitioned to Social Security Disability
Insurance and Medicare and the amount of savings realized by
the State of Illinois.
Section 10. The Department of Healthcare and Family
Services Law of the Civil Administrative Code of Illinois is
amended by adding Section 2205-45 as follows:

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(20 ILCS 2205/2205-45 new)
Sec. 2205-45. Medicare Primacy Coordination Audit and
Assistance Program.
(a) Within 6 months after the effective date of this
amendatory Act of the 103rd General Assembly, the Department
of Healthcare and Family Services shall enter into a contract
with a qualified and experienced administrator to establish
and conduct a Medicare Primacy Coordination Audit and
Assistance Program to identify Medicaid recipients who could
benefit from Social Security Disability Insurance
representation that could provide them with income and
ultimately Medicare benefits.
(b) The Program shall conduct an ongoing claims analysis
of adults receiving Medicaid for the purpose of identifying
high cost participants who may be eligible for Social Security
Disability Insurance.
(c) The Program shall assist any adult who claims
disability and Social Security eligibility to apply for and be
awarded Social Security Disability Insurance benefits and
subsequently Medicare. This assistance shall include, but not
be limited to: (i) developing communication materials to
educate Medicaid recipients about Social Security Disability
Insurance benefits; (ii) performing multiple outreaches to
populations targeted by claims analysis; (iii) analyzing
responses to determine Social Security Disability Insurance

SB2797 - 4 - LRB103 36940 KTG 67054 b
eligibility; and (iv) representing qualified individuals on
their claim for Social Security Disability Insurance and
Medicare.
(d) The administrator shall provide the Department of
Healthcare and Family Services and the General Assembly with
an annual report showing the number of Medicaid recipients who
have transitioned to Social Security Disability Insurance and
Medicare and the amount of savings realized by the State of
Illinois.