Illinois General Assembly - Bill Status for HB3245
Illinois General Assembly

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 Bill Status of HB3245  101st General Assembly


Short Description:  MEDICAID-END MANAGED CARE

House Sponsors
Rep. Mary E. Flowers

Last Action
DateChamber Action
  1/13/2021HouseSession Sine Die

Statutes Amended In Order of Appearance
305 ILCS 5/5-36 new
305 ILCS 5/5-37 new
305 ILCS 5/5-30.6 rep.


Synopsis As Introduced
Amends the Illinois Public Aid Code. Provides that on and after January 1, 2020 no recipient of medical assistance shall be required to enroll or transition to the State's managed care medical assistance program. Provides that any recipient enrolled in a managed care health plan on January 1, 2020 shall be given the option to disenroll from the State's managed care medical assistance program and receive coverage under the State's fee-for-service program. Provides that on and after January 1, 2020, the Department of Healthcare and Family Services shall not enter into any new contract or agreement with a managed care organization (MCO) to provide services where payment for medical services is made on a capitated basis. Provides that the Department shall not renew, renter, renegotiate, change orders, or amend any contract or agreement it entered with a MCO that was solicited under the State of Illinois Medicaid Managed Care Organization Request for Proposals (2018-24-001) (Request for Proposals (2018-24-001)). Provides that any recipient who is enrolled in a managed care health plan administered by a MCO that entered a contract with the Department under the Request for Proposals (2018-24-001) shall be transitioned to the State's fee-for-service program upon the expiration of the MCO's contract with the Department. Requires the Department to establish, by rule, an appeals and grievance process that includes: (i) an expedited internal review of an appeal involving an adverse determination; (ii) a final adverse determination; and (iii) a standard external review. Requires the Department to notify a recipient in writing of the recipient's right to request an external review. Repeals a provision concerning procurement requirements for MCO contracts.

Actions 
DateChamber Action
  2/15/2019HouseFiled with the Clerk by Rep. Mary E. Flowers
  2/15/2019HouseFirst Reading
  2/15/2019HouseReferred to Rules Committee
  3/5/2019HouseAssigned to Human Services Committee
  3/14/2019HouseTo Medicaid Subcommittee
  3/29/2019HouseRule 19(a) / Re-referred to Rules Committee
  2/18/2020HouseAssigned to Human Services Committee
  2/26/2020HouseTo Medicaid Subcommittee
  6/23/2020HouseRule 19(b) / Re-referred to Rules Committee
  1/13/2021HouseSession Sine Die

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