BERMAN-KEHOE AND HALVORSON. New Act 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