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1 | AN ACT concerning public aid.
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2 | Be it enacted by the People of the State of Illinois,
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3 | represented in the General Assembly:
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4 | Section 5. The Illinois Public Aid Code is amended by | ||||||||||||||||||||||||
5 | adding Section 5-2.01 as follows: | ||||||||||||||||||||||||
6 | (305 ILCS 5/5-2.01 new) | ||||||||||||||||||||||||
7 | Sec. 5-2.01. Medicaid accountability through transparency | ||||||||||||||||||||||||
8 | program. | ||||||||||||||||||||||||
9 | (a) Internet-based transparency program. Not later than | ||||||||||||||||||||||||
10 | one year after the effective date of this amendatory Act of the | ||||||||||||||||||||||||
11 | 96th General Assembly, the Director of the Department of | ||||||||||||||||||||||||
12 | Healthcare and Family Services shall implement a program under | ||||||||||||||||||||||||
13 | which the Director shall make available through the | ||||||||||||||||||||||||
14 | Department's public Internet website non-aggregated | ||||||||||||||||||||||||
15 | information on individuals collected under the State's | ||||||||||||||||||||||||
16 | Medicaid program insofar as such information has been | ||||||||||||||||||||||||
17 | de-identified in accordance with regulations promulgated | ||||||||||||||||||||||||
18 | pursuant to the Illinois Health Insurance Portability and | ||||||||||||||||||||||||
19 | Accountability Act. In implementing the program, the Director | ||||||||||||||||||||||||
20 | shall ensure the following: | ||||||||||||||||||||||||
21 | (1) The information made so available is in a format | ||||||||||||||||||||||||
22 | that is easily accessible, useable, and understandable to | ||||||||||||||||||||||||
23 | the public, including individuals interested in improving |
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1 | the quality of care provided to individuals eligible for | ||||||
2 | items and services under this Article, researchers, health | ||||||
3 | care providers, and individuals interested in reducing the | ||||||
4 | prevalence of waste and fraud under this Article. | ||||||
5 | (2) The information made so available is as current as | ||||||
6 | deemed practical by the Director and shall be updated at | ||||||
7 | least once per calendar quarter. | ||||||
8 | (3) To the extent feasible: | ||||||
9 | (A) All hospitals, nursing homes, clinics, and | ||||||
10 | large physician practices included in such information | ||||||
11 | are identifiable by name to individuals who access the | ||||||
12 | information through the program. | ||||||
13 | (B) All individual health care providers not | ||||||
14 | described in subparagraph (A), including physicians | ||||||
15 | and dentists, are identifiable by unique identifier | ||||||
16 | numbers that are disclosed only to appropriate | ||||||
17 | officials within the Department of Healthcare and | ||||||
18 | Family Services. | ||||||
19 | (4) The Director periodically solicits comments from a | ||||||
20 | sampling of individuals who access the information through | ||||||
21 | the program on how to best improve the utility of the | ||||||
22 | program. | ||||||
23 | (b) Use of contractor. For purposes of implementing the | ||||||
24 | program under subsection (a) of this Section and ensuring the | ||||||
25 | information made available through the program is periodically | ||||||
26 | updated, the Director may select and enter into a contract with |
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1 | a public or private entity meeting the criteria and | ||||||
2 | qualifications the Director determines appropriate. | ||||||
3 | (c) Annual reports. Not later than 2 years after the | ||||||
4 | effective date of this amendatory Act of the 96th General | ||||||
5 | Assembly and annually thereafter, the Director shall submit to | ||||||
6 | the General Assembly a report on the progress of the program | ||||||
7 | under subsection (a) of this Section, including on the extent | ||||||
8 | to which information made available through the program is | ||||||
9 | accessed and the extent to which comments received under | ||||||
10 | paragraph (4) of subsection (a) of this Section were used | ||||||
11 | during the year involved to improve the utility of the program.
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