100TH GENERAL ASSEMBLY
State of Illinois
2017 and 2018
HB5151

 

Introduced , by Rep. C.D. Davidsmeyer

 

SYNOPSIS AS INTRODUCED:
 
20 ILCS 415/4d  from Ch. 127, par. 63b104d

    Amends the Personnel Code to provide for partial jurisdiction B exemption for certain positions within the Department of Human Services.


LRB100 16241 RJF 31364 b

 

 

A BILL FOR

 

HB5151LRB100 16241 RJF 31364 b

1    AN ACT concerning State government.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Personnel Code is amended by changing
5Section 4d as follows:
 
6    (20 ILCS 415/4d)  (from Ch. 127, par. 63b104d)
7    Sec. 4d. Partial exemptions. The following positions in
8State service are exempt from jurisdictions A, B, and C to the
9extent stated for each, unless those jurisdictions are extended
10as provided in this Act:
11        (1) In each department, board or commission that now
12    maintains or may hereafter maintain a major administrative
13    division, service or office in both Sangamon County and
14    Cook County, 2 private secretaries for the director or
15    chairman thereof, one located in the Cook County office and
16    the other located in the Sangamon County office, shall be
17    exempt from jurisdiction B; in all other departments,
18    boards and commissions one private secretary for the
19    director or chairman thereof shall be exempt from
20    jurisdiction B. In all departments, boards and commissions
21    one confidential assistant for the director or chairman
22    thereof shall be exempt from jurisdiction B. This paragraph
23    is subject to such modifications or waiver of the

 

 

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1    exemptions as may be necessary to assure the continuity of
2    federal contributions in those agencies supported in whole
3    or in part by federal funds.
4        (2) The resident administrative head of each State
5    charitable, penal and correctional institution, the
6    chaplains thereof, and all member, patient and inmate
7    employees are exempt from jurisdiction B.
8        (3) The Civil Service Commission, upon written
9    recommendation of the Director of Central Management
10    Services, shall exempt from jurisdiction B other positions
11    which, in the judgment of the Commission, involve either
12    principal administrative responsibility for the
13    determination of policy or principal administrative
14    responsibility for the way in which policies are carried
15    out, except positions in agencies which receive federal
16    funds if such exemption is inconsistent with federal
17    requirements, and except positions in agencies supported
18    in whole by federal funds.
19        (4) All beauticians and teachers of beauty culture and
20    teachers of barbering, and all positions heretofore paid
21    under Section 1.22 of "An Act to standardize position
22    titles and salary rates", approved June 30, 1943, as
23    amended, shall be exempt from jurisdiction B.
24        (5) Licensed attorneys in positions as legal or
25    technical advisors; positions in the Department of Natural
26    Resources requiring incumbents to be either a registered

 

 

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1    professional engineer or to hold a bachelor's degree in
2    engineering from a recognized college or university;
3    licensed physicians in positions of medical administrator
4    or physician or physician specialist (including
5    psychiatrists); all positions within the Department of
6    Juvenile Justice requiring licensure by the State Board of
7    Education under Article 21B of the School Code; from July
8    15, 2015 (the effective date of Public Act 99-45) until
9    August 30, 2019, all positions within the Illinois School
10    for the Deaf and the Illinois School for the Visually
11    Impaired requiring licensure by the State Board of
12    Education under Article 21B of the School Code and all
13    rehabilitation/mobility instructors and
14    rehabilitation/mobility instructor trainees at the
15    Illinois School for the Visually Impaired; and registered
16    nurses (except those registered nurses employed by the
17    Department of Public Health); except those in positions in
18    agencies which receive federal funds if such exemption is
19    inconsistent with federal requirements and except those in
20    positions in agencies supported in whole by federal funds,
21    are exempt from jurisdiction B only to the extent that the
22    requirements of Section 8b.1, 8b.3 and 8b.5 of this Code
23    need not be met.
24        (5.5) The following positions within the Department of
25    Human Services are exempt from jurisdiction B only to the
26    extent that the requirements of Section 8b.1, 8b.3 and 8b.5

 

 

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1    of this Code need not be met: Clinical Pharmacist, Clinical
2    Psychologist, Dentist 1, Dentist 2, Educator (Options A, B,
3    C, and E), Hearing and Speech Specialist, Licensed
4    Practical Nurse 1, Licensed Practical Nurse 2,
5    Nutritionist, Occupational Therapist, Occupational
6    Therapist Program Coordinator, Occupational Therapist
7    Supervisor, Pharmacy Lead Technician, Pharmacy Manager,
8    Pharmacy Technician, Physical therapist, Public Service
9    Administrator (Options 8C, 8J, 8K, 8O, 8P, 8S, 8T, 8U, 8V,
10    and 9A), Senior Public Service Administrator (Options 8K,
11    8O, 8P, 8S, and 8T), Social Worker 4, and Staff Pharmacist.
12        (6) All positions established outside the geographical
13    limits of the State of Illinois to which appointments of
14    other than Illinois citizens may be made are exempt from
15    jurisdiction B.
16        (7) Staff attorneys reporting directly to individual
17    Commissioners of the Illinois Workers' Compensation
18    Commission are exempt from jurisdiction B.
19        (8) Twenty-one senior public service administrator
20    positions within the Department of Healthcare and Family
21    Services, as set forth in this paragraph (8), requiring the
22    specific knowledge of healthcare administration,
23    healthcare finance, healthcare data analytics, or
24    information technology described are exempt from
25    jurisdiction B only to the extent that the requirements of
26    Sections 8b.1, 8b.3, and 8b.5 of this Code need not be met.

 

 

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1    The General Assembly finds that these positions are all
2    senior policy makers and have spokesperson authority for
3    the Director of the Department of Healthcare and Family
4    Services. When filling positions so designated, the
5    Director of Healthcare and Family Services shall cause a
6    position description to be published which allots points to
7    various qualifications desired. After scoring qualified
8    applications, the Director shall add Veteran's Preference
9    points as enumerated in Section 8b.7 of this Code. The
10    following are the minimum qualifications for the senior
11    public service administrator positions provided for in
12    this paragraph (8):
13            (A) HEALTHCARE ADMINISTRATION.
14                Medical Director: Licensed Medical Doctor in
15            good standing; experience in healthcare payment
16            systems, pay for performance initiatives, medical
17            necessity criteria or federal or State quality
18            improvement programs; preferred experience serving
19            Medicaid patients or experience in population
20            health programs with a large provider, health
21            insurer, government agency, or research
22            institution.
23                Chief, Bureau of Quality Management: Advanced
24            degree in health policy or health professional
25            field preferred; at least 3 years experience in
26            implementing or managing healthcare quality

 

 

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1            improvement initiatives in a clinical setting.
2                Quality Management Bureau: Manager, Care
3            Coordination/Managed Care Quality: Clinical degree
4            or advanced degree in relevant field required;
5            experience in the field of managed care quality
6            improvement, with knowledge of HEDIS measurements,
7            coding, and related data definitions.
8                Quality Management Bureau: Manager, Primary
9            Care Provider Quality and Practice Development:
10            Clinical degree or advanced degree in relevant
11            field required; experience in practice
12            administration in the primary care setting with a
13            provider or a provider association or an
14            accrediting body; knowledge of practice standards
15            for medical homes and best evidence based
16            standards of care for primary care.
17                Director of Care Coordination Contracts and
18            Compliance: Bachelor's degree required; multi-year
19            experience in negotiating managed care contracts,
20            preferably on behalf of a payer; experience with
21            health care contract compliance.
22                Manager, Long Term Care Policy: Bachelor's
23            degree required; social work, gerontology, or
24            social service degree preferred; knowledge of
25            Olmstead and other relevant court decisions
26            required; experience working with diverse long

 

 

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1            term care populations and service systems, federal
2            initiatives to create long term care community
3            options, and home and community-based waiver
4            services required. The General Assembly finds that
5            this position is necessary for the timely and
6            effective implementation of this amendatory Act of
7            the 97th General Assembly.
8                Manager, Behavioral Health Programs: Clinical
9            license or Advanced degree required, preferably in
10            psychology, social work, or relevant field;
11            knowledge of medical necessity criteria and
12            governmental policies and regulations governing
13            the provision of mental health services to
14            Medicaid populations, including children and
15            adults, in community and institutional settings of
16            care. The General Assembly finds that this
17            position is necessary for the timely and effective
18            implementation of this amendatory Act of the 97th
19            General Assembly.
20                Manager, Office of Accountable Care Entity
21            Development: Bachelor's degree required, clinical
22            degree or advanced degree in relevant field
23            preferred; experience in developing integrated
24            delivery systems, including knowledge of health
25            homes and evidence-based standards of care
26            delivery; multi-year experience in health care or

 

 

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1            public health management; knowledge of federal ACO
2            or other similar delivery system requirements and
3            strategies for improving health care delivery.
4                Manager of Federal Regulatory Compliance:
5            Bachelor's degree required, advanced degree
6            preferred, in healthcare management or relevant
7            field; experience in healthcare administration or
8            Medicaid State Plan amendments preferred;
9            experience interpreting federal rules; experience
10            with either federal health care agency or with a
11            State agency in working with federal regulations.
12                Manager, Office of Medical Project Management:
13            Bachelor's degree required, project management
14            certification preferred; multi-year experience in
15            project management and developing business analyst
16            skills; leadership skills to manage multiple and
17            complex projects.
18                Manager of Medicare/Medicaid Coordination:
19            Bachelor's degree required, knowledge and
20            experience with Medicare Advantage rules and
21            regulations, knowledge of Medicaid laws and
22            policies; experience with contract drafting
23            preferred.
24                Chief, Bureau of Eligibility Integrity:
25            Bachelor's degree required, advanced degree in
26            public administration or business administration

 

 

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1            preferred; experience equivalent to 4 years of
2            administration in a public or business
3            organization required; experience with managing
4            contract compliance required; knowledge of
5            Medicaid eligibility laws and policy preferred;
6            supervisory experience preferred. The General
7            Assembly finds that this position is necessary for
8            the timely and effective implementation of this
9            amendatory Act of the 97th General Assembly.
10            (B) HEALTHCARE FINANCE.
11                Director of Care Coordination Rate and
12            Finance: MBA, CPA, or Actuarial degree required;
13            experience in managed care rate setting,
14            including, but not limited to, baseline costs and
15            growth trends; knowledge and experience with
16            Medical Loss Ratio standards and measurements.
17                Director of Encounter Data Program: Bachelor's
18            degree required, advanced degree preferred,
19            preferably in health care, business, or
20            information systems; at least 2 years healthcare
21            or other similar data reporting experience,
22            including, but not limited to, data definitions,
23            submission, and editing; background in HIPAA
24            transactions relevant to encounter data
25            submission; experience with large provider, health
26            insurer, government agency, or research

 

 

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1            institution or other knowledge of healthcare
2            claims systems.
3                Manager of Medical Finance, Division of
4            Finance: Requires relevant advanced degree or
5            certification in relevant field, such as Certified
6            Public Accountant; coursework in business or
7            public administration, accounting, finance, data
8            analysis, or statistics preferred; experience in
9            control systems and GAAP; financial management
10            experience in a healthcare or government entity
11            utilizing Medicaid funding.
12            (C) HEALTHCARE DATA ANALYTICS.
13                Data Quality Assurance Manager: Bachelor's
14            degree required, advanced degree preferred,
15            preferably in business, information systems, or
16            epidemiology; at least 3 years of extensive
17            healthcare data reporting experience with a large
18            provider, health insurer, government agency, or
19            research institution; previous data quality
20            assurance role or formal data quality assurance
21            training.
22                Data Analytics Unit Manager: Bachelor's degree
23            required, advanced degree preferred, in
24            information systems, applied mathematics, or
25            another field with a strong analytics component;
26            extensive healthcare data reporting experience

 

 

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1            with a large provider, health insurer, government
2            agency, or research institution; experience as a
3            business analyst interfacing between business and
4            information technology departments; in-depth
5            knowledge of health insurance coding and evolving
6            healthcare quality metrics; working knowledge of
7            SQL and/or SAS.
8                Data Analytics Platform Manager: Bachelor's
9            degree required, advanced degree preferred,
10            preferably in business or information systems;
11            extensive healthcare data reporting experience
12            with a large provider, health insurer, government
13            agency, or research institution; previous
14            experience working on a health insurance data
15            analytics platform; experience managing contracts
16            and vendors preferred.
17            (D) HEALTHCARE INFORMATION TECHNOLOGY.
18                Manager of MMIS Claims Unit: Bachelor's degree
19            required, with preferred coursework in business,
20            public administration, information systems;
21            experience equivalent to 4 years of administration
22            in a public or business organization; working
23            knowledge with design and implementation of
24            technical solutions to medical claims payment
25            systems; extensive technical writing experience,
26            including, but not limited to, the development of

 

 

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1            RFPs, APDs, feasibility studies, and related
2            documents; thorough knowledge of IT system design,
3            commercial off the shelf software packages and
4            hardware components.
5                Assistant Bureau Chief, Office of Information
6            Systems: Bachelor's degree required, with
7            preferred coursework in business, public
8            administration, information systems; experience
9            equivalent to 5 years of administration in a public
10            or private business organization; extensive
11            technical writing experience, including, but not
12            limited to, the development of RFPs, APDs,
13            feasibility studies and related documents;
14            extensive healthcare technology experience with a
15            large provider, health insurer, government agency,
16            or research institution; experience as a business
17            analyst interfacing between business and
18            information technology departments; thorough
19            knowledge of IT system design, commercial off the
20            shelf software packages and hardware components.
21                Technical System Architect: Bachelor's degree
22            required, with preferred coursework in computer
23            science or information technology; prior
24            experience equivalent to 5 years of computer
25            science or IT administration in a public or
26            business organization; extensive healthcare

 

 

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1            technology experience with a large provider,
2            health insurer, government agency, or research
3            institution; experience as a business analyst
4            interfacing between business and information
5            technology departments.
6    The provisions of this paragraph (8), other than this
7    sentence, are inoperative after January 1, 2014.
8(Source: P.A. 99-45, eff. 7-15-15; 100-258, eff. 8-22-17.)