Rep. Patricia R. Bellock
Filed: 3/22/2010
 
 

 




 

 		












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AMENDMENT TO HOUSE BILL 5241




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    AMENDMENT NO. ______. Amend House Bill 5241 by replacing 
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everything after the enacting clause with the following:

 
 
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    "Section 5. The Illinois Public Aid Code is amended  by 
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adding Section 5-2.01 as follows:
 
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    (305 ILCS 5/5-2.01 new)
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    Sec. 5-2.01. Medicaid accountability through transparency 
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program. 
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    (a) Internet-based transparency program. The Director of 
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the Department of Healthcare and Family Services shall be 
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authorized to implement a program under which the Director 
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shall make available through the Department's public Internet 
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website  information on medical claims reimbursed under the 
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State's medical assistance program insofar as such information 
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has been de-identified in accordance with regulations 
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promulgated pursuant to the Illinois Health Insurance 
 


 






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Portability and Accountability Act. In implementing the 
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program, the Director shall ensure the following:
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        (1) The information made so available shall be in a 
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    format that is easily accessible, useable, and 
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    understandable to the public, including individuals 
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    interested in improving the quality of care provided to 
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    individuals eligible for items and services under this 
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    Article, researchers, health care providers, and 
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    individuals interested in reducing the prevalence of waste 
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    and fraud under this Article.
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        (2) The information made so available shall be as 
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    current as deemed practical by the Director and shall be 
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    updated at least once per calendar quarter. 
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        (3) The information made so available shall be 
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    aggregated to a level to ensure patient confidentiality, 
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    but shall, to the extent feasible, allow for posting of 
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    information by provider or vendor name and county, number 
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    of individuals served, total patient visits, payment for 
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    bills submitted, average cost for bills submitted, 
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    adjustments to payments, and total amounts paid. 
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        (4) The Director periodically solicits comments from a 
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    sampling of individuals who access the information through 
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    the program on how to best improve the utility of the 
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    program. 
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    (b) Use of contractor. For purposes of implementing the 
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program under subsection (a) of this Section and ensuring the 
 


 






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information made available through the program is periodically 
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updated, the Director may select and enter into a contract with 
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a public or private entity meeting the criteria and 
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qualifications the Director determines appropriate.
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    (c) Annual Reports. Not later than 12 months after the 
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effective date of this amendatory Act of the 96th General 
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Assembly and annually thereafter, the Director shall submit to 
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the General Assembly a report on the status of the program 
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authorized under subsection (a).  The report shall include 
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details including, but not limited to, the estimated or actual 
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costs of developing and maintaining the reporting system, the 
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actual or potential benefit or adverse consequences associated 
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with the system, and, if applicable, the extent to which 
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information made available through the program is accessed and 
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the extent to which comments received under paragraph (4) of 
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subsection (a) of this Section were used to improve the utility 
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of the program.


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