90th General Assembly
Summary of HB1556
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House Sponsors:
STEPHENS-PHELPS-NOLAND AND HARTKE.

Short description: 
DPA-MEDICAID-MANAGED CARE                                                  

Synopsis of Bill as introduced:
        Amends the Medicaid Article of the Public Aid Code.  In  Sections      
   concerning  managed  care  and  a  system  for  integrated health care      
   services, provides that  participating  physicians  must  be  licensed      
   under  the Medical Practice Act (now, licensed to practice medicine in      
   all its branches).  In provision concerning contracts for professional      
   peer-based  quality  assurance  review  of  individual  categories  of      
   services, deletes language requiring the Department of Public  Aid  to      
   consult   with   the  entity  providing  external  peer-based  quality      
   assurance review for the integrated  health  care  program.  Effective      
   immediately.                                                                
        HOUSE AMENDMENT NO. 1.                                                 
        Provides that health care delivery systems shall include fee  for      
   service care managed by a primary care physician "licensed to practice      
   medicine  in all its branches" (instead of "licensed under the Medical      
   Practice Act of 1987").                                                     
          STATE MANDATES FISCAL NOTE                                           
          HB1556 fails to create a State mandate.                              
          STATE MANDATES FISCAL NOTE, H-AM 1                                   
          No change from previous mandates note.                               
          HOME RULE NOTE                                                       
          HB 1556 does not preempt home rule authority.                        
          FISCAL NOTE, AMENDED (Dept. of Public Aid)                           
          Requiring the Dept. to amend the Medi-plan Plus waiver will          
          cause further delay in its implementation.                           
          STATE MANDATES FISCAL NOTE, H-AM 2                                   
          No change from previous mandates not.                                
          HOME RULE NOTE, H-AM 2                                               
          No change from previous home rule note.                              
        HOUSE AMENDMENT NO. 2.                                                 
        In provision concerning  contracts  for  professional  peer-based      
   quality   assurance  review  of  individual  categories  of  services,      
   restores language requiring the Department of Public  Aid  to  consult      
   with the entity providing external peer-based quality assurance review      
   for the integrated health care program.  Makes other changes.               
        HOUSE AMENDMENT NO. 3.                                                 
          Deletes reference to:                                                
          305 ILCS 5/5-16                                                      
        Deletes the changes to the Section  pertaining  to  managed  care      
   (leaving  only  the  changes to the Section pertaining to a system for      
   integrated health care services).                                           
          FISCAL NOTE, H-AM 2 (Dept. of Public Aid)                            
          No fiscal impact on Dpt. Public Aid.                                 
 
Last action on Bill: SESSION SINE DIE

   Last action date: 99-01-12

           Location: House

 Amendments to Bill: AMENDMENTS ADOPTED: HOUSE -   3     SENATE -   0


   END OF INQUIRY 



 Full Text  Bill Status