SB1707ham001 100TH GENERAL ASSEMBLY

Rep. Gregory Harris

Filed: 8/22/2017

10000SB1707ham001 LRB100 11322 MRW 28654 a

AMENDMENT TO SENATE BILL 1707

AMENDMENT NO. ______. Amend Senate Bill 1707 by replacing everything after the enacting clause with the following:

"Section 5. The Illinois Public Aid Code is amended by adding Section 5-30.6 as follows:

(305 ILCS 5/5-30.6 new)

Sec. 5-30.6. Purchase of care contracts; provider-sponsored, not-for-profit managed care organizations.

(a) As used in this Section, "provider-sponsored, not-for-profit managed care organization" means any non-governmental not-for-profit, hospital-sponsored, managed care organization that has provided services to the State of Illinois for at least 10 years.

(b) It is hereby declared to be the public policy of the State of Illinois to encourage the Department to utilize provider-sponsored, not-for-profit managed care organizations and minority-owned managed care organizations serving lower-income and minority populations for the provision of health care services for the Department's Medicaid Managed Care Program and to take affirmative steps to remove any barriers for the full participation of such managed care organizations in opportunities afforded by the Department.

(c) In any procurement and resulting award for health care services or any purchase of care, any provider-sponsored, not-for-profit managed care organization or minority-owned managed care organization providing health care services in Cook County under an existing contract with the Department at the time the procurement is initiated is exempt from fulfilling any formal procurement requirements and is allowed to continue providing such services. Notwithstanding any procurement and resulting award for health care services or any purchase of care, the Department is prohibited from terminating any existing contract between the Department and any provider-sponsored, not-for-profit managed care organization or minority-owned managed care organization then providing health care services in Cook County under an existing contract, and any renewal thereof, with the Department for any reason in the absence of a material breach to the then existing contract and any renewal thereof. Additionally, the Department shall take all necessary steps to ensure that the enrollment with each such managed care organization in Cook County shall not be diminished by any action of the Department.

(d) This Section applies to any procurement conducted after the enactment of this amendatory Act of the 100th General Assembly and to any procurement conducted prior to the enactment of this amendatory Act of the 100th General Assembly that seeks to award or has awarded contracts during fiscal year 2018.

Section 99. Effective date. This Act takes effect upon becoming law.".