Bill Status of HB 5242   96th General Assembly

Short Description:  MEDICAID-FORENSIC AUDIT

House Sponsors
Rep. Patricia R. Bellock-Michael W. Tryon-Robert W. Pritchard-Sandra M. Pihos, David Reis, Dennis M. Reboletti, Michael G. Connelly, Mike Fortner, Franco Coladipietro, Randy Ramey, Jr., Darlene J. Senger, John D. Cavaletto, Kay Hatcher, William B. Black, Jack D. Franks, Keith Farnham, Linda Chapa LaVia, Rosemary Mulligan, Sandy Cole, Cynthia Soto, LaShawn K. Ford, Elizabeth Hernandez, Karen A. Yarbrough, Maria Antonia Berrios and Edward J. Acevedo

Senate Sponsors
(Sen. Kirk W. Dillard-Chris Lauzen-Dale A. Righter-Kyle McCarter)


Last Action  View All Actions

DateChamber Action
  6/25/2010HousePublic Act . . . . . . . . . 96-0942

Statutes Amended In Order of Appearance
305 ILCS 5/12-4.40 new

Synopsis As Introduced
Amends the Illinois Public Aid Code. Provides that no later then January 1, 2011, the Inspector General of the Department of Healthcare and Family Services shall contract with an independent certified public accountant to perform a forensic audit of the medical assistance program under Article V of the Code as well as additional programs which receive funds through common budgetary lines appropriated to the Department of Healthcare and Family Services for comprehensive medical assistance operated under the Children's Health Insurance Program Act and the Covering ALL KIDS Health Insurance Act. Provides that the forensic audit shall include, but not be limited to, a review of the application and enrollment of individuals for services and reimbursements to providers for medical assistance, and that the audit shall focus on any fraud or inefficiencies which may be eliminated to contain costs and improve the delivery of care to eligible individuals. Requires the Director of the Department of Healthcare and Family Services to report the findings of the audit to the General Assembly along with recommendations to address any adverse findings contained in the audit. Effective immediately.

House Floor Amendment No. 1
Replaces everything after the enacting clause. Amends the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services is authorized to contract with third-party entities to conduct Payment Recapture Audits to detect and recapture payments made in error or as a result of fraud or abuse. Further provides that a Payment Recapture Audit shall include the process of identifying improper payments paid to providers or other entities whereby accounting specialists and fraud examination specialists examine payment records and uncover such problems as duplicate payments, payments for services not rendered, overpayments, payments for unauthorized services, and fictitious vendors. Effective immediately.

Actions 
DateChamber Action
  2/3/2010HouseFiled with the Clerk by Rep. Patricia R. Bellock
  2/3/2010HouseFirst Reading
  2/3/2010HouseReferred to Rules Committee
  2/9/2010HouseAssigned to Medicaid Reform, Family & Children Services Committee
  2/11/2010HouseAdded Chief Co-Sponsor Rep. Michael W. Tryon
  2/11/2010HouseAdded Chief Co-Sponsor Rep. Robert W. Pritchard
  2/23/2010HouseAdded Co-Sponsor Rep. David Reis
  3/11/2010HouseDo Pass / Short Debate Medicaid Reform, Family & Children Services Committee; 010-000-000
  3/11/2010HousePlaced on Calendar 2nd Reading - Short Debate
  3/22/2010HouseHouse Floor Amendment No. 1 Filed with Clerk by Rep. Patricia R. Bellock
  3/22/2010HouseHouse Floor Amendment No. 1 Referred to Rules Committee
  3/24/2010HouseHouse Floor Amendment No. 1 Rules Refers to Medicaid Reform, Family & Children Services Committee
  3/24/2010HouseAdded Co-Sponsor Rep. Dennis M. Reboletti
  3/24/2010HouseAdded Co-Sponsor Rep. Michael G. Connelly
  3/24/2010HouseAdded Co-Sponsor Rep. Mike Fortner
  3/24/2010HouseAdded Co-Sponsor Rep. Franco Coladipietro
  3/24/2010HouseAdded Co-Sponsor Rep. Randy Ramey, Jr.
  3/24/2010HouseAdded Co-Sponsor Rep. Darlene J. Senger
  3/24/2010HouseSecond Reading - Short Debate
  3/24/2010HousePlaced on Calendar Order of 3rd Reading - Short Debate
  3/24/2010HouseAdded Chief Co-Sponsor Rep. Sandra M. Pihos
  3/25/2010HouseHouse Floor Amendment No. 1 Recommends Be Adopted Medicaid Reform, Family & Children Services Committee; 007-000-000
  3/25/2010HouseAdded Co-Sponsor Rep. John D. Cavaletto
  3/25/2010HouseAdded Co-Sponsor Rep. Kay Hatcher
  3/25/2010HouseAdded Co-Sponsor Rep. William B. Black
  3/25/2010HouseRecalled to Second Reading - Short Debate
  3/25/2010HouseHouse Floor Amendment No. 1 Adopted by Voice Vote
  3/25/2010HousePlaced on Calendar Order of 3rd Reading - Short Debate
  3/25/2010HouseThird Reading - Short Debate - Passed 113-000-000
  3/25/2010HouseAdded Co-Sponsor Rep. Jack D. Franks
  3/25/2010HouseAdded Co-Sponsor Rep. Keith Farnham
  3/25/2010HouseAdded Co-Sponsor Rep. Linda Chapa LaVia
  3/25/2010HouseAdded Co-Sponsor Rep. Rosemary Mulligan
  3/25/2010HouseAdded Co-Sponsor Rep. Sandy Cole
  3/25/2010HouseAdded Co-Sponsor Rep. Cynthia Soto
  3/25/2010HouseAdded Co-Sponsor Rep. LaShawn K. Ford
  3/25/2010HouseAdded Co-Sponsor Rep. Elizabeth Hernandez
  3/25/2010HouseAdded Co-Sponsor Rep. Karen A. Yarbrough
  3/25/2010HouseAdded Co-Sponsor Rep. Maria Antonia Berrios
  3/25/2010HouseAdded Co-Sponsor Rep. Edward J. Acevedo
  4/6/2010SenateArrive in Senate
  4/6/2010SenatePlaced on Calendar Order of First Reading
  4/6/2010SenateChief Senate Sponsor Sen. Kirk W. Dillard
  4/6/2010SenateFirst Reading
  4/6/2010SenateReferred to Assignments
  4/6/2010SenateAssigned to Human Services
  4/14/2010SenatePostponed - Human Services
  4/20/2010SenateDo Pass Human Services; 009-000-000
  4/20/2010SenatePlaced on Calendar Order of 2nd Reading April 21, 2010
  4/27/2010SenateSecond Reading
  4/27/2010SenatePlaced on Calendar Order of 3rd Reading April 28, 2010
  5/5/2010SenateAdded as Alternate Chief Co-Sponsor Sen. Chris Lauzen
  5/5/2010SenateAdded as Alternate Chief Co-Sponsor Sen. Dale A. Righter
  5/5/2010SenateAdded as Alternate Chief Co-Sponsor Sen. Kyle McCarter
  5/5/2010SenateThird Reading - Passed; 059-000-000
  5/5/2010HousePassed Both Houses
  6/3/2010HouseSent to the Governor
  6/25/2010HouseGovernor Approved
  6/25/2010HouseEffective Date June 25, 2010
  6/25/2010HousePublic Act . . . . . . . . . 96-0942

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