BERMAN-KEHOE AND HALVORSON.
5 ILCS 375/6.12 new
30 ILCS 105/5.480 new
30 ILCS 805/8.22 new
55 ILCS 5/5-1069.8 new
65 ILCS 5/10-4-2.8 new
105 ILCS 5/10-22.3g new
215 ILCS 125/2-2 from Ch. 111 1/2, par. 1404
215 ILCS 125/6-7 from Ch. 111 1/2, par. 1418.7
Creates the Managed Care Reform Act. Specifies information that
must be disclosed by a managed care plan. Establishes a multi-level
grievance procedure and also provides for an independent external
review. Requires a managed care plan to maintain a grievance
register. Requires managed care plans to be certified by the Director
of Public Health with respect to adequacy of provider networks.
Authorizes the Department of Public Health to impose civil penalties.
Establishes a process, including hearing, for termination of a health
care provider. Requires managed care plans to report to professional
disciplinary agencies. Provides for the registration of utilization
service agents. Establishes utilization review program standards.
Requires the Department of Public Health to establish a Managed Care
Ombudsman Program. Amends the State Finance Act to create the Managed
Care Entity Responsibility and Patients Rights Fund. Amends the State
Mandates Act to require implementation without reimbursement. Amends
the State Employees Group Insurance Act of 1971, the Counties Code,
the Illinois Municipal Code, and the School Code to impose the
requirements of the Managed Care Reform Act upon the provision of
health care under those Acts. Amends the Health Maintenance
Organization Act to provide for 2 public members to be appointed to
the Health Maintenance Organization Guaranty Association Board.
Effective July 1, 1999.
98-02-18 S FIRST READING
98-02-18 S REFERRED TO SENATE RULES COMMITTEE RULES
98-02-20 S ADDED AS A CO-SPONSOR HALVORSON
98-05-06 S ADDED AS A CHIEF CO-SPONSOR KEHOE
99-01-12 S SESSION SINE DIE
END OF INQUIRY
Full Text Bill Summary