Public Act 093-0518
Public Act 93-0518 of the 93rd General Assembly
Public Act 93-0518
SB64 Enrolled LRB093 02166 DRJ 02173 b
AN ACT in relation to 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 5-24 as follows:
(305 ILCS 5/5-24 new)
Sec. 5-24. Disease management programs and services for
chronic conditions; pilot project.
(a) In this Section, "disease management programs and
services" means services administered to patients in order to
improve their overall health and to prevent clinical
exacerbations and complications, using cost-effective,
evidence-based practice guidelines and patient
self-management strategies. Disease management programs and
services include all of the following:
(1) A population identification process.
(2) Evidence-based or consensus-based clinical
practice guidelines, risk identification, and matching of
interventions with clinical need.
(3) Patient self-management and disease education.
(4) Process and outcomes measurement, evaluation,
management, and reporting.
(b) Subject to appropriations, the Department of Public
Aid may undertake a pilot project to study patient outcomes,
for patients with chronic diseases, associated with the use
of disease management programs and services for chronic
condition management. "Chronic diseases" include, but are not
limited to, diabetes, congestive heart failure, and chronic
obstructive pulmonary disease.
(c) The disease management programs and services pilot
project shall examine whether chronic disease management
programs and services for patients with specific chronic
conditions do any or all of the following:
(1) Improve the patient's overall health in a more
(2) Lower costs in other aspects of the medical
assistance program, such as hospital admissions, days in
skilled nursing homes, emergency room visits, or more
frequent physician office visits.
(d) In carrying out the pilot project, the Department of
Public Aid shall examine all relevant scientific literature
and shall consult with health care practitioners including,
but not limited to, physicians, surgeons, registered
pharmacists, and registered nurses.
(e) The Department of Public Aid shall consult with
medical experts, disease advocacy groups, and academic
institutions to develop criteria to be used in selecting a
vendor for the pilot project.
(f) The Department of Public Aid may adopt rules to
implement this Section.
(g) This Section is repealed 10 years after the
effective date of this amendatory Act of the 93rd General
Effective Date: 1/1/2004