Illinois General Assembly - Full Text of SB0064
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Full Text of SB0064  93rd General Assembly

SB0064enr 93rd General Assembly


SB64 Enrolled                        LRB093 02166 DRJ 02173 b

 1        AN ACT in relation to public aid.

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

 4        Section 5.  The Illinois Public Aid Code  is  amended  by
 5    adding Section 5-24 as follows:

 6        (305 ILCS 5/5-24 new)
 7        Sec.  5-24.  Disease management programs and services for
 8    chronic conditions; pilot project.
 9        (a)  In this Section, "disease  management  programs  and
10    services" means services administered to patients in order to
11    improve   their   overall  health  and  to  prevent  clinical
12    exacerbations  and   complications,   using   cost-effective,
13    evidence-based     practice     guidelines     and    patient
14    self-management strategies.  Disease management programs  and
15    services include all of the following:
16             (1)  A population identification process.
17             (2)  Evidence-based   or   consensus-based  clinical
18        practice guidelines, risk identification, and matching of
19        interventions with clinical need.
20             (3)  Patient self-management and disease education.
21             (4)  Process and outcomes  measurement,  evaluation,
22        management, and reporting.
23        (b)  Subject  to appropriations, the Department of Public
24    Aid may undertake a pilot project to study patient  outcomes,
25    for  patients  with chronic diseases, associated with the use
26    of disease  management  programs  and  services  for  chronic
27    condition management. "Chronic diseases" include, but are not
28    limited  to,  diabetes, congestive heart failure, and chronic
29    obstructive pulmonary disease.
30        (c)  The disease management programs and  services  pilot
31    project  shall  examine  whether  chronic  disease management
SB64 Enrolled               -2-      LRB093 02166 DRJ 02173 b
 1    programs and services  for  patients  with  specific  chronic
 2    conditions do any or all of the following:
 3             (1)  Improve  the patient's overall health in a more
 4        expeditious manner.
 5             (2)  Lower costs in other  aspects  of  the  medical
 6        assistance  program, such as hospital admissions, days in
 7        skilled nursing homes, emergency  room  visits,  or  more
 8        frequent physician office visits.
 9        (d)  In carrying out the pilot project, the Department of
10    Public  Aid  shall examine all relevant scientific literature
11    and shall consult with health care  practitioners  including,
12    but   not   limited   to,  physicians,  surgeons,  registered
13    pharmacists, and registered nurses.
14        (e)  The Department of  Public  Aid  shall  consult  with
15    medical   experts,  disease  advocacy  groups,  and  academic
16    institutions to develop criteria to be used  in  selecting  a
17    vendor for the pilot project.
18        (f)  The  Department  of  Public  Aid  may adopt rules to
19    implement this Section.
20        (g)  This  Section  is  repealed  10  years   after   the
21    effective  date  of  this  amendatory Act of the 93rd General
22    Assembly.