Bill Status of SB 1573   100th General Assembly

Short Description:  DHFS-CONTRACTS-MANAGED CARE

Senate Sponsors
Sen. Heather A. Steans, Dave Syverson-Iris Y. Martinez-Mattie Hunter and Laura M. Murphy

House Sponsors
(Rep. Gregory Harris-Patricia R. Bellock-Juliana Stratton-Sara Feigenholtz-Tom Demmer, Robyn Gabel, Ryan Spain, Camille Y. Lilly and Mary E. Flowers)


Last Action  View All Actions

DateChamber Action
  3/12/2018SenatePublic Act . . . . . . . . . 100-0580

Statutes Amended In Order of Appearance
305 ILCS 5/5-5f

Synopsis As Introduced
Amends the Medical Assistance Article of the Illinois Public Aid Code. In a provision limiting medical assistance recipients to one pair of adult eyeglasses every 2 years, provides that the limitation does not apply to an individual who needs different eyeglasses following a surgical procedure such as cataract surgery. Effective immediately.

House Committee Amendment No. 1
Deletes reference to:
305 ILCS 5/5-5f
Adds reference to:
305 ILCS 5/1-5from Ch. 23, par. 1-5

Replaces everything after the enacting clause. Amends the Illinois Public Aid Code. Makes a technical change in a Section concerning construction of the Code.

House Floor Amendment No. 2
Deletes reference to:
305 ILCS 5/1-5
Adds reference to:
30 ILCS 500/1-10
215 ILCS 5/35A-10
305 ILCS 5/5-5.02from Ch. 23, par. 5-5.02
305 ILCS 5/5-30.1
305 ILCS 5/5-30.6 new
305 ILCS 5/5-30.7 new
305 ILCS 5/5A-15

Replaces everything after the enacting clause. Amends the Illinois Procurement Code. Provides that certain purchase of care contracts between the Department of Healthcare and Family Services and managed care organizations shall be subject to the provisions of the Code. Amends the Risk-Based Capital Article of the Illinois Insurance Code. Provides that health maintenance organizations operating as Medicaid managed care plans under contract with the Department of Healthcare and Family Services shall not be required to include in its risk-based capital calculations any capitation revenue identified by Medicaid managed care plans as authorized under specified provisions of the Illinois Public Aid Code. Amends the Illinois Public Aid Code. In provisions concerning hospital reimbursements for inpatient services, adds provisions regarding classification of certain hospitals as children's hospitals. Provides that the Department of Healthcare and Family Services shall post an analysis of MCO claims processing and payment performance on its website every 6 months, including a review and evaluation of a representative sample of hospital claims that are rejected and denied for clean and unclean claims and the top 5 reasons for such actions and timeliness of claims adjudication, which identifies the percentage of claims adjudicated within 30, 60, 90, and over 90 days, and the dollar amounts associated with those claims; and that the Department shall post the contracted claims report required by HealthChoice Illinois on its website every 3 months. Provides that the Department shall publish on its website comprehensive written guidance on the submission of encounter data by managed care organizations; that the information shall be updated and published as needed, but at least quarterly; managed care contracts that are subject to the Illinois Procurement Code, with the exception of Medicare-Medicaid Alignment Initiative contracts and those contracts procured under the State of Illinois Medicaid Managed Care Organization Request for Proposals on January 24, 2018; that the Department shall publish on its website provider fee schedules on both a portable document format (PDF) and EXCEL format; and that the portable document format shall serve as the ultimate source if there is a discrepancy. Contains provisions concerning the recoupment of payments made to MCOs that are subject to a disallowance, deferral, or adjustment of federal matching funds. Effective immediately, but the Act does not take effect at all unless Senate Bill 1773 of the 100th General Assembly, as amended, becomes law.

Actions 
DateChamber Action
  2/9/2017SenateFiled with Secretary by Sen. Julie A. Morrison
  2/9/2017SenateFirst Reading
  2/9/2017SenateReferred to Assignments
  2/28/2017SenateAssigned to Human Services
  3/8/2017SenatePostponed - Human Services
  3/15/2017SenateDo Pass Human Services; 007-000-001
  3/15/2017SenatePlaced on Calendar Order of 2nd Reading March 16, 2017
  4/6/2017SenateSecond Reading
  4/6/2017SenatePlaced on Calendar Order of 3rd Reading April 25, 2017
  4/27/2017SenateThird Reading - Passed; 057-000-000
  4/27/2017HouseArrived in House
  4/27/2017HouseChief House Sponsor Rep. Robyn Gabel
  4/27/2017HouseFirst Reading
  4/27/2017HouseReferred to Rules Committee
  10/17/2017HouseAssigned to Executive Committee
  10/17/2017HouseHouse Committee Amendment No. 1 Filed with Clerk by Rep. Barbara Flynn Currie
  10/17/2017HouseHouse Committee Amendment No. 1 Referred to Rules Committee
  10/17/2017HouseHouse Committee Amendment No. 1 Rules Refers to Executive Committee
  10/24/2017HouseHouse Committee Amendment No. 1 Adopted in Executive Committee; by Voice Vote
  10/24/2017HouseDo Pass as Amended / Short Debate Executive Committee; 011-000-000
  10/24/2017HousePlaced on Calendar 2nd Reading - Short Debate
  10/24/2017HouseSecond Reading - Short Debate
  10/24/2017HouseHeld on Calendar Order of Second Reading - Short Debate
  10/24/2017HouseFinal Action Deadline Extended-9(b) November 10, 2017
  11/10/2017HouseRule 19(a) / Re-referred to Rules Committee
  1/24/2018HouseApproved for Consideration Rules Committee; 005-000-000
  1/24/2018HousePlaced on Calendar 2nd Reading - Short Debate
  1/30/2018HouseAlternate Chief Sponsor Changed to Rep. Gregory Harris
  2/22/2018SenateAdded as Co-Sponsor Sen. Dave Syverson
  2/26/2018HouseHouse Floor Amendment No. 2 Filed with Clerk by Rep. Gregory Harris
  2/26/2018HouseHouse Floor Amendment No. 2 Referred to Rules Committee
  2/26/2018HouseAdded Alternate Co-Sponsor Rep. Robyn Gabel
  2/26/2018HouseAdded Alternate Co-Sponsor Rep. Ryan Spain
  2/26/2018HouseAdded Alternate Co-Sponsor Rep. Camille Y. Lilly
  2/26/2018HouseAdded Alternate Chief Co-Sponsor Rep. Patricia R. Bellock
  2/26/2018HouseAdded Alternate Chief Co-Sponsor Rep. Juliana Stratton
  2/26/2018HouseAdded Alternate Chief Co-Sponsor Rep. Sara Feigenholtz
  2/26/2018HouseAdded Alternate Chief Co-Sponsor Rep. Tom Demmer
  2/26/2018HouseHouse Floor Amendment No. 2 Rules Refers to Appropriations-Human Services Committee
  2/26/2018SenateChief Sponsor Changed to Sen. Heather A. Steans
  2/27/2018HouseHouse Floor Amendment No. 2 Recommends Be Adopted Appropriations-Human Services Committee; 014-000-000
  2/28/2018HouseHouse Floor Amendment No. 2 Adopted
  2/28/2018HousePlaced on Calendar Order of 3rd Reading - Short Debate
  2/28/2018HouseThird Reading - Short Debate - Passed 110-000-001
  2/28/2018SenateSecretary's Desk - Concurrence House Amendment(s) 1, 2
  2/28/2018SenatePlaced on Calendar Order of Concurrence House Amendment(s) 1, 2 - February 28, 2018
  2/28/2018SenateHouse Committee Amendment No. 1 Motion to Concur Filed with Secretary Sen. Heather A. Steans
  2/28/2018SenateHouse Committee Amendment No. 1 Motion to Concur Referred to Assignments
  2/28/2018SenateHouse Floor Amendment No. 2 Motion to Concur Filed with Secretary Sen. Heather A. Steans
  2/28/2018SenateHouse Floor Amendment No. 2 Motion to Concur Referred to Assignments
  2/28/2018SenateHouse Committee Amendment No. 1 Motion to Concur Be Approved for Consideration Assignments
  2/28/2018SenateHouse Floor Amendment No. 2 Motion to Concur Be Approved for Consideration Assignments
  2/28/2018SenateAdded as Chief Co-Sponsor Sen. Iris Y. Martinez
  2/28/2018SenateAdded as Chief Co-Sponsor Sen. Mattie Hunter
  2/28/2018SenateHouse Committee Amendment No. 1 Senate Concurs 056-000-001
  2/28/2018SenateHouse Floor Amendment No. 2 Senate Concurs 056-000-001
  2/28/2018SenateSenate Concurs
  2/28/2018SenatePassed Both Houses
  2/28/2018HouseAdded Alternate Co-Sponsor Rep. Mary E. Flowers
  2/28/2018SenateSent to the Governor
  3/12/2018SenateGovernor Approved
  3/12/2018SenateEffective Date March 12, 2018
  3/12/2018SenatePublic Act . . . . . . . . . 100-0580
  5/17/2018SenateAdded as Co-Sponsor Sen. Laura M. Murphy

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