HB3381 100TH GENERAL ASSEMBLY

LRB100 10908 KTG 21144 b

100TH GENERAL ASSEMBLY
State of Illinois
2017 and 2018
HB3381

Introduced , by Rep. Sara Feigenholtz

SYNOPSIS AS INTRODUCED:

305 ILCS 5/5-30.6 new

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that notwithstanding any other provision of the Code, the Department of Healthcare and Family Services shall not require Medicaid managed care organizations, including managed care community networks, to cover material changes to the medical assistance program, including, but not limited to, additional services, increases to rates, or substantive changes to utilization controls, until capitation rates have been updated accordingly and are deemed actuarially sound. Provides that the prohibition does not apply to services for which the Department reimburses Medicaid managed care organizations directly without regard to capitation payments.

FISCAL NOTE ACT MAY APPLY

A BILL FOR

AN ACT concerning public aid.

Be it enacted by the People of the State of Illinois, represented in the General Assembly:

Section 5. The Illinois Public Aid Code is amended by adding Section 5-30.6 as follows:

(305 ILCS 5/5-30.6 new)

Sec. 5-30.6. Updates to capitation rates; managed care organizations. Notwithstanding any other provision of this Code, the Department shall not require Medicaid managed care organizations, including managed care community networks, to cover material changes to the medical assistance program, including, but not limited to, additional services, increases to rates, or substantive changes to utilization controls required under this Article, until capitation rates have been updated accordingly and are deemed actuarially sound. The prohibition in the preceding sentence does not apply to services for which the Department reimburses Medicaid managed care organizations directly without regard to capitation payments.