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| | 97TH GENERAL ASSEMBLY
State of Illinois
2011 and 2012
SB0781 Introduced 2/8/2011, by Sen. John J. Cullerton SYNOPSIS AS INTRODUCED:
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| | Amends the Illinois Public Aid Code. Makes a technical change in a Section concerning disease management programs and services for
chronic conditions.
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| | A BILL FOR |
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| | SB0781 | | LRB097 04514 KTG 44553 b |
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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 | | changing Section 5-24 as follows:
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| 6 | | (305 ILCS 5/5-24)
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| 7 | | (Section scheduled to be repealed on January 1, 2014)
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| 8 | | Sec. 5-24. Disease management programs and services for
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| 9 | | chronic conditions; pilot project. |
| 10 | | (a) In this Section, "disease management programs and
and
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| 11 | | services" means services administered to patients in order to |
| 12 | | improve
their overall health and to prevent clinical |
| 13 | | exacerbations and
complications, using cost-effective, |
| 14 | | evidence-based practice
guidelines and patient self-management |
| 15 | | strategies. Disease
management programs and services include |
| 16 | | all of the following:
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| 17 | | (1) A population identification process.
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| 18 | | (2) Evidence-based or consensus-based clinical |
| 19 | | practice
guidelines, risk identification, and matching of |
| 20 | | interventions with
clinical need.
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| 21 | | (3) Patient self-management and disease education.
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| 22 | | (4) Process and outcomes measurement, evaluation, |
| 23 | | management, and
reporting.
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| | SB0781 | - 2 - | LRB097 04514 KTG 44553 b |
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| 1 | | (b) Subject to appropriations, the Department of |
| 2 | | Healthcare and Family Services may
undertake a pilot project to |
| 3 | | study patient outcomes, for patients with chronic
diseases or |
| 4 | | patients at risk of low birth weight or premature birth, |
| 5 | | associated with the use of disease management programs and |
| 6 | | services
for chronic condition management. "Chronic diseases" |
| 7 | | include, but are not
limited to, diabetes, congestive heart |
| 8 | | failure, and chronic obstructive
pulmonary disease. Low birth |
| 9 | | weight and premature birth include all medical and other |
| 10 | | conditions that lead to poor birth outcomes or problematic |
| 11 | | pregnancies.
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| 12 | | (c) The disease management programs and services pilot
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| 13 | | project shall examine whether chronic disease management |
| 14 | | programs and
services for patients with specific chronic |
| 15 | | conditions do any or all
of the following:
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| 16 | | (1) Improve the patient's overall health in a more |
| 17 | | expeditious
manner.
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| 18 | | (2) Lower costs in other aspects of the medical |
| 19 | | assistance program, such
as hospital admissions, days in |
| 20 | | skilled nursing homes, emergency room
visits, or more |
| 21 | | frequent physician office visits.
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| 22 | | (d) In carrying out the pilot project, the Department of |
| 23 | | Healthcare and Family Services shall
examine all relevant |
| 24 | | scientific literature and shall consult with
health care |
| 25 | | practitioners including, but not limited to, physicians,
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| 26 | | surgeons, registered pharmacists, and registered nurses.
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| | SB0781 | - 3 - | LRB097 04514 KTG 44553 b |
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| 1 | | (e) The Department of Healthcare and Family Services shall |
| 2 | | consult with medical experts,
disease advocacy groups, and |
| 3 | | academic institutions to develop criteria
to be used in |
| 4 | | selecting a vendor for the pilot project.
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| 5 | | (f) The Department of Healthcare and Family Services may |
| 6 | | adopt rules to implement this
Section.
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| 7 | | (g) This Section is repealed 10 years after the effective |
| 8 | | date of this
amendatory Act of the 93rd General Assembly.
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| 9 | | (Source: P.A. 95-331, eff. 8-21-07; 96-799, eff. 10-28-09.)
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