SYVERSON-DEL VALLE-SMITH-TROTTER-GARCIA, OBAMA, BERMAN AND HALVORSON. (LEITCH-CURRIE-SCHAKOWSKY) 305 ILCS 5/5-1 from Ch. 23, par. 5-1 Amends the Medical Assistance Article of the Illinois Public Aid Code. Makes a stylistic change in provisions regarding the purpose of the Article. SENATE AMENDMENT NO. 1. Deletes reference to: 305 ILCS 5/5-1 Adds reference to: 305 ILCS 5/5-16.3 Deletes everything. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the 24 hour per day emergency service telephone number provided to clients of the managed health care entity providing services under the Department of Public Aid's integrated health care program shall be staffed by registered nurses, rather than licensed practical nurses or registered nurses. Effective immediately. FISCAL NOTE (Dept. of Public Aid) There is no fiscal impact on this Dept. STATE MANDATES FISCAL NOTE (DCCA) SB 320 fails to preempt home rule authority. HOME RULE NOTE SB 320 does not preempt home rule authority. HOUSE AMENDMENT NO. 2. (House recedes November 14, 1997) Adds reference to: 305 ILCS 5/5-16.8 new 305 ILCS 5/5-16.10 new 305 ILCS 5/12-13.1 Deletes everything and reinserts language identical to the engrossed bill, adding other provisions. Further amends the Public Aid Code. In the "Medicaid" Article, makes the following changes with respect to the integrated health care program: (1) authorizes the Department of Public Aid to consider a managed health care entity's accreditation in selecting program participants; (2) requires managed health care entities to provide orientation; (3) requires contractors to make a good faith effort to have program enrollees evaluated; (4) requires that no payment be made to a physician or other provider for withholding covered services because of the cost of the services; (5) requires that a Managed Care Roundtable be established; (6) authorizes the Department to impose penalties or sanctions for violations; and (7) requires the Auditor General to conduct an annual performance audit of the program. Requires managed care organizations to provide programs for provider and client education. Authorizes the Inspector General within the Department to establish a special administrative subdivision to monitor the integrated health care program and to receive and investigate complaints. Provides that if a managed health care entity is accredited by a national organization, the Department of Public Aid may give preference to that managed health care entity in selecting participants for the program. Requires that the medical director of a managed health care entity be a physician. Provides that a managed health care entity may not engage in door-to-door and cer- tain other marketing activities. Requires that the Department of Pub- lic Aid approve an entity's marketing plan. Authorizes the Department of Public Aid Inspector General to investigate entities' marketing practices. Effective immediately. HOUSE AMENDMENT NO. 3. (House recedes November 14, 1997) Adds reference to: 405 ILCS 5/5-120 new Amends the Mental Health and Developmental Disabilities Code. Provides that the Department of Mental Health and Developmental Disabilities may enter into agreements with not-for-profit organizations to conduct pilot projects to provide case management, screening services, and monitoring services for persons with developmental disabilities. HOUSE AMENDMENT NO. 4. (House recedes November 14, 1997) Further amends the managed health care for recipients provisions of the Illinois Public Aid Code. In provisions authorizing the development of a demonstration program to accelerate and facilitate the development of integrated health care and maintain and sustain the high quality of education and residency programs coordinated and associated with local area hospitals for managed care community networks owned, operated, or governed by State-funded medical schools, removes restriction that the program be limited to contracting areas outside counties with populations in excess of 3,000,000 and counties adjacent to those counties. HOUSE AMENDMENT NO. 5. (House recedes November 14, 1997) Adds reference to: 305 ILCS 5/5-16.11 new Further amends the Illinois Public Aid Code. Provides that the pharmacy formulary used by any managed care entity and its contract providers providing services under this Code shall be no more restrictive than the Illinois Department's pharmaceutical program on and after July 26, 1994. HOUSE AMENDMENT NO. 6. (House recedes November 14, 1997) Adds reference to: 305 ILCS 5/5-16.12 new In provisions regarding managed health care for recipients and in provisions regarding cooperative arrangements, contracts with other State agencies, health care and rehabilitation organizations, and fiscal intermediaries, adds a requirement that the Department of Public Aid shall ensure in its contracts with pre-paid health plans that a College of Medicine operated by the University of Illinois shall have continued access to patients under these contracts and that the Department shall develop rules and contracts to implement these provisions. CONFERENCE COMMITTEE REPORT NO. 1. Recommends that the House recede from H-ams 2, 3, 4, 5, and 6. Recommends that the bill be further amended as follows: Deletes reference to: 305 ILCS 5/5-16.3 Adds reference to: 305 ILCS 5/12-4.34 new 305 ILCS 5/12-4.32 rep. Deletes everything. Amends the Illinois Public Aid Code. Authorizes the Department of Human Services to provide, subject to appropriation, naturalization services to legal immigrants and nutrition services to certain noncitizens who are not eligible for the federal food stamp program due to their noncitizen status. Provides that the payment levels and eligibility conditions shall be determined by rule and authorizes the Department to lower payment levels or take other actions during the fiscal year to ensure that payments do not exceed the amounts appropriated for this purpose. Repeals these provisions on August 31, 1998. Repeals provision of the Public Aid Code authorizing the Department of Human Services to provide payments to certain individuals who are terminated from the federal Supplemental Security Income program due to their noncitizen status. Effective immediately. 97-02-05 S FIRST READING 97-02-05 S REFERRED TO SENATE RULES COMMITTEE RULES 97-02-05 S ASSIGNED TO COMMITTEE PUBLIC HEALTH 97-02-26 S TO SUBCOMMITTEE 97-03-11 S AMENDMENT NO. 01-PUB HEALTH S 97-03-11 S ADOPTED 97-03-11 S DO PASS AS AMENDED 009-000-000 SPBH 97-03-11 S PLACED ON CALENDAR ORDER OF 2ND READING 97-03-12 97-03-12 S SECOND READING 97-03-12 S PLACED ON CALENDAR ORDER OF 3RD READING 97-03-13 97-03-18 S THIRD READING - PASSED 057-000-000 97-03-18 H ARRIVE IN HOUSE 97-03-18 H PLACED CALENDAR ORDER OF FIRST READING 97-03-20 H HOUSE SPONSOR LEITCH 97-03-20 H FIRST READING 97-03-20 H REFERRED TO HOUSE RULES COMMITTEE RULES 97-03-21 H ASSIGNED TO COMMITTEE HEALTH CARE 97-04-30 H AMENDMENT NO. 01-HTHCR-AVB-ACS H 97-04-30 H WITHDRAWN 97-04-30 H DO PASS/SHORT DEBATE 024-000-000 HCAA 97-04-30 H PLACED CALENDAR 2ND READING-SHORT DEBATE 97-05-01 H FISCAL NOTE REQUESTED DEERING 97-05-01 H STATE MANDATES FISCAL NOTE REQUESTED DEERING 97-05-01 H HOME RULE NOTE REQUESTED DEERING 97-05-01 H CALENDAR ORDER 2ND READING-SHORT DEBATE 97-05-07 H FISCAL NOTE FILED 97-05-07 H AMENDMENT NO. 02-CURRIE 97-05-07 H AMENDMENT REFERRED TO HRUL 97-05-07 H CALENDAR ORDER 2ND READING-SHORT DEBATE 97-05-08 H AMENDMENT NO. 03-LEITCH 97-05-08 H AMENDMENT REFERRED TO HRUL 97-05-08 H AMENDMENT NO. 02-CURRIE 97-05-08 H BE ADOPTED HRUL 97-05-08 H STATE MANDATES FISCAL NOTE FILED 97-05-08 H HOME RULE NOTE FILED 97-05-08 H CALENDAR ORDER 2ND READING-SHORT DEBATE 97-05-09 H AMENDMENT NO. 03-LEITCH 97-05-09 H BE ADOPTED HRUL/003-002-000 97-05-09 H CALENDAR ORDER 2ND READING-SHORT DEBATE 97-05-12 H AMENDMENT NO. 04-LEITCH 97-05-12 H AMENDMENT REFERRED TO HRUL 97-05-12 H CALENDAR ORDER 2ND READING-SHORT DEBATE 97-05-13 H AMENDMENT NO. 04-LEITCH 97-05-13 H BE ADOPTED HRUL/003-002-000 97-05-13 H SECOND READING-SHORT DEBATE 97-05-13 H HELD ON CAL ORDER 2ND RDG - SHORT DEBATE 97-05-14 H AMENDMENT NO. 05-LEITCH 97-05-14 H AMENDMENT REFERRED TO HRUL 97-05-14 H AMENDMENT NO. 05-LEITCH 97-05-14 H BE ADOPTED HRUL 97-05-14 H AMENDMENT NO. 02-CURRIE 97-05-14 H ADOPTED 97-05-14 H AMENDMENT NO. 03-LEITCH 97-05-14 H ADOPTED 97-05-14 H AMENDMENT NO. 04-LEITCH 97-05-14 H ADOPTED 97-05-14 H AMENDMENT NO. 05-LEITCH 97-05-14 H ADOPTED 97-05-14 H PLCD CAL ORDER 3RD READING-SHORT DEBATE 97-05-15 H RECALLED TO SECOND READING-SHORT DEBATE 97-05-15 H AMENDMENT NO. 06-LEITCH 97-05-15 H AMENDMENT REFERRED TO HRUL 97-05-15 H AMENDMENT NO. 06-LEITCH 97-05-15 H BE ADOPTED HRUL 97-05-15 H HELD ON CAL ORDER 2ND RDG - SHORT DEBATE 97-05-15 H ADDED AS A JOINT SPONSOR CURRIE 97-05-16 H AMENDMENT NO. 06-LEITCH 97-05-16 H ADOPTED 97-05-16 H PLCD CAL ORDER 3RD READING-SHORT DEBATE 97-05-16 H THIRD READING/SHORT DEBATE/PASSED 113-000-000 97-05-16 S SECRETARYS DESK - CONCURRENCE 02,03,04,05,06 97-05-20 S ADDED AS A CHIEF CO-SPONSOR DEL VALLE 97-05-20 S ADDED AS A CHIEF CO-SPONSOR SMITH 97-05-20 S ADDED AS A CHIEF CO-SPONSOR TROTTER 97-05-20 S ADDED AS A CHIEF CO-SPONSOR GARCIA 97-05-20 S ADDED AS A CO-SPONSOR OBAMA 97-05-30 S FILED WITH SECRETARY 97-05-30 S MOTION NON-CONCUR - HOUSE AMENDMENT NO 02,03,04,05,06 97-05-30 S RAUSCHENBERGER 97-05-30 S SEN NON-CONCURS IN HSE AMENDMENTS (NO.) 02,03,04,05, 97-05-30 S SEN NON-CONCURS IN HSE AMENDMENTS (NO.) 06/030-026-002 97-05-31 H ARRIVE IN HOUSE 97-05-31 H PLACED CALENDAR ORDER NON-CONCURRENCE 02,03,04,05,06 97-05-31 H MOTION REFUSE RECEDE - HSE AMEND NO 2,3,4,5,6/LEITCH 97-05-31 H HSE REFUSES TO RECEDE FROM AMENDMENT NO 02,03,04,05,06 97-05-31 H HSE REQUESTS CONFERENCE COMMITTEE 1ST 97-05-31 H HSE CONFERENCE COMMITTEE APPOINTED 1ST/CURRIE, 97-05-31 H HANNIG, FLOWERS, 97-05-31 H CHURCHILL & LEITCH 97-05-31 S SEN ACCEDE REQUEST CONFERENCE COMMITTEE 1ST 97-05-31 S SEN CONFERENCE COMMITTEE APPOINTED 1ST/SYVERSON, 97-05-31 S MAITLAND, 97-05-31 S RAUSCHENBERGER, 97-05-31 S DEL VALLE, SMITH 97-11-13 S SPONSOR REMOVED RAUSCHENBERGER 97-11-13 S CHIEF SPONSOR CHANGED TO SYVERSON 97-11-14 H HSE CONFERENCE COMMITTEE REPORT SUBMITED 1ST/LEITCH 97-11-14 H CONFERENCE COMMITTEE REPORT REFERRED TO 1ST/HRUL 97-11-14 H BE APPROVED FOR CONSIDERATION 1ST/HRUL 97-11-14 S FILED WITH SECRETARY 97-11-14 S CONFERENCE COMMITTEE REPORT 1ST/SYVERSON 97-11-14 S CONFERENCE COMMITTEE REPORT REFERRED TO SRUL 97-11-14 S ADDED AS A CO-SPONSOR CARROLL 97-11-14 S ADDED AS A CO-SPONSOR BERMAN 97-11-14 S CONFERENCE COMMITTEE REPORT 1ST/SYVERSON 97-11-14 S BE APPROVED FOR CONSIDERATION SRUL 97-11-14 S SEN CONFERENCE COMMITTEE APPOINTED 1ST/97-05-31 97-11-14 S ADDED AS A CO-SPONSOR HALVORSON 97-11-14 H HOUSE ADOPTED CONFERENCE REPORT 1ST/117-000-000 97-11-14 H ADDED AS A JOINT SPONSOR SCHAKOWSKY 97-11-14 S SEN CONFERENCE COMMITTEE REPORT SUBMITED 1ST/SYVERSON 97-11-14 S SENATE ADOPTED CONFERENCE REPORT 1ST/059-000-000 97-11-14 S BOTH HOUSES ADOPTED CONFERENCE REPORT 1ST 97-11-14 S PASSED BOTH HOUSES 97-12-12 S SENT TO THE GOVERNOR 97-12-22 S GOVERNOR APPROVED 97-12-22 S EFFECTIVE DATE 97-12-22 97-12-22 S PUBLIC ACT.............................. 90-0564 END OF INQUIRY Full Text Bill Summary