Full Text of HB5443 94th General Assembly
HB5443 94TH GENERAL ASSEMBLY
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94TH GENERAL ASSEMBLY
State of Illinois
2005 and 2006 HB5443
Introduced 01/27/06, by Rep. Tom Cross SYNOPSIS AS INTRODUCED: |
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Amends the Illinois Public Aid Code. Makes a technical change in a Section concerning disease management programs and services for
chronic conditions.
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A BILL FOR
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HB5443 |
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LRB094 17573 DRJ 52869 b |
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| AN ACT concerning public aid.
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| Be it enacted by the People of the State of Illinois,
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| represented in the General Assembly:
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| Section 5. The Illinois Public Aid Code is amended by | 5 |
| changing Section 5-24 as follows:
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| (305 ILCS 5/5-24)
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| (Section scheduled to be repealed on January 1, 2014)
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| Sec. 5-24. Disease management programs and
and services for
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| chronic conditions; pilot project.
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| (a) In this Section, "disease management programs and
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| services" means services administered to patients in order to | 12 |
| improve
their overall health and to prevent clinical | 13 |
| exacerbations and
complications, using cost-effective, | 14 |
| evidence-based practice
guidelines and patient self-management | 15 |
| strategies. Disease
management programs and services include | 16 |
| all of the following:
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| (1) A population identification process.
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| (2) Evidence-based or consensus-based clinical | 19 |
| practice
guidelines, risk identification, and matching of | 20 |
| interventions with
clinical need.
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| (3) Patient self-management and disease education.
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| (4) Process and outcomes measurement, evaluation, | 23 |
| management, and
reporting.
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| (b) Subject to appropriations, the Department of | 25 |
| Healthcare and Family Services
Public Aid may
undertake a pilot | 26 |
| project to study patient outcomes, for patients with chronic
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| diseases, associated with the use of disease management | 28 |
| programs and services
for chronic condition management. | 29 |
| "Chronic diseases" include, but are not
limited to, diabetes, | 30 |
| congestive heart failure, and chronic obstructive
pulmonary | 31 |
| disease.
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| (c) The disease management programs and services pilot
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HB5443 |
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LRB094 17573 DRJ 52869 b |
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| project shall examine whether chronic disease management | 2 |
| programs and
services for patients with specific chronic | 3 |
| conditions do any or all
of the following:
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| (1) Improve the patient's overall health in a more | 5 |
| expeditious
manner.
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| (2) Lower costs in other aspects of the medical | 7 |
| assistance program, such
as hospital admissions, days in | 8 |
| skilled nursing homes, emergency room
visits, or more | 9 |
| frequent physician office visits.
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| (d) In carrying out the pilot project, the Department of | 11 |
| Healthcare and Family Services
Public Aid shall
examine all | 12 |
| relevant scientific literature and shall consult with
health | 13 |
| care practitioners including, but not limited to, physicians,
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| surgeons, registered pharmacists, and registered nurses.
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| (e) The Department of Healthcare and Family Services
Public | 16 |
| Aid shall consult with medical experts,
disease advocacy | 17 |
| groups, and academic institutions to develop criteria
to be | 18 |
| used in selecting a vendor for the pilot project.
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| (f) The Department of Healthcare and Family Services
Public | 20 |
| Aid may adopt rules to implement this
Section.
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| (g) This Section is repealed 10 years after the effective | 22 |
| date of this
amendatory Act of the 93rd General Assembly.
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| (Source: P.A. 93-518, eff. 1-1-04; revised 12-15-05.)
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