HB2530 103RD GENERAL ASSEMBLY

LRB103 28877 KTG 55263 b

103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024
HB2530

Introduced 2/15/2023, by Rep. Camille Y. Lilly

SYNOPSIS AS INTRODUCED:

305 ILCS 5/12-4.57 new

Amends the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to establish and implement a managed primary care demonstration project to provide primary care services that are focused on preventive rather than curative care to persons who reside in underserved communities that lack accessible health and medical services. Provides that the demonstration project shall operate for a 5-year period and provide supplemental services to medical assistance recipients, including those who are enrolled in the State's managed care medical assistance program. Requires the Department to contract with a health care organization that is capable of providing patient-centered, prevention-focused services, including, but not limited to, the following: (i) patient navigators to manage patient care; (ii) patient-tailored preventive health care plans; (iii) administrative personal health care consultants for home health maintenance between medical office visits; (iv) clinical personal health care consultants for telehealth; (v) an online "virtual" health hub that provides patients with access to wellness, self-guided education, health seminars, and additional health and wellness resources; (vi) community health and human services centers to engage, educate, and empower patients to get involved in their own self-care; (vii) mobile preventive health stations and kiosks; and (viii) call centers to interact with medical homes and facilitate service offerings. Provides that the demonstration project shall be implemented no later than 6 months after the effective date of the amendatory Act. Effective immediately.

A BILL FOR

AN ACT concerning public aid.

Be it enacted by the People of the State of Illinois, represented in the General Assembly:

Section 5. The Illinois Public Aid Code is amended by adding Section 12-4.57 as follows:

(305 ILCS 5/12-4.57 new)

Sec. 12-4.57. Managed Primary Care Demonstration Project. The Department shall establish and implement a Managed Primary Care Demonstration Project to provide primary care services that are focused on preventive rather than curative care to persons who reside in underserved communities that lack accessible health and medical services. The demonstration project shall operate for a 5-year period and provide supplemental services to medical assistance recipients, including those who are enrolled in the State's managed care medical assistance program. The Department shall contract with a health care organization that is capable of providing patient-centered, prevention-focused services, including, but not limited to, the following:

(1) Patient navigators to manage patient care.

(2) Patient-tailored preventive health care plans.

(3) Administrative personal health care consultants for home health maintenance between medical office visits.

(4) Clinical personal health care consultants for telehealth (health information and advice) and wellness initiatives.

(5) A patient portal.

(6) An online "virtual" health hub that provides patients with access to wellness, self-guided education, health seminars, a video library, and additional health and wellness resources.

(7) Community health and human services centers to engage, educate, and empower patients to get involved in their own self-care.

(8) Mobile preventive health stations and kiosks to bring services to underserved communities that are "health or medical deserts".

(9) Call centers to interact with medical homes and facilitate service offerings.

The demonstration project shall be implemented no later than 6 months after the effective date of this amendatory Act of the 103rd General Assembly.

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