IL HJR0062

Recommends the Department of Healthcare and Family Services formally file a Medicaid waiver to implement income and residency verification requirements from Public Act 96-1501 (2011 Medicaid reforms).

References 2011 bipartisan Medicaid reforms signed by Governor Quinn on January 25, 2011, that passed the Senate 58-0-1 and House 111-4-2, designed to address unsustainable growth and improve care quality.

Notes the Department has not implemented key reforms due to concerns from Centers for Medicare and Medicaid Services that income and residency verification may violate Medicaid Maintenance of Effort provisions under the Affordable Care Act.

Urges the Department to submit necessary State Plan amendments and fully implement all previously enacted reform provisions, including coordination of care programs, transparency portals, fraud remedies, and specialty drug programs.

Identifies the Medicaid payment backlog could reach $21 billion by the end of fiscal year 2017, making comprehensive reform implementation critical.