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AMENDMENT TO HOUSE RESOLUTION 232

2    AMENDMENT NO. ___. Amend House Resolution 232 by replacing
3everything after the heading with the following:
 
4    "WHEREAS, Due to federal health care reform, an integrated
5care pilot program in Northern Illinois, and statewide Medicaid
6reform, a managed care approach to providing Medicaid coverage
7is no longer up for debate making Medicaid managed care a
8reality in Illinois; and
 
9    WHEREAS, Managed care has proven a sometimes inefficient
10provider of health care coverage especially for long-term care
11and those individuals - typically the elderly or people with
12disabilities - receiving it; and
 
13    WHEREAS, Illinois' pilot program and the recent Medicaid
14reform law make it mandatory for managed care to provide the
15services expected in a long-term care setting, which is a

 

 

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1potentially risky scenario for those receiving these kinds of
2services; and
 
3    WHEREAS, A number of other states have discontinued managed
4care for people with disabilities and the elderly, including
5California which found it more cost-effective not to utilize
6managed care after an extensive overhaul of the state's health
7care program; and
 
8    WHEREAS, Illinois is setting forth on this venture with two
9for-profit managed care organizations under contract, while
10not exploring other entities to provide quality care, such as
11not-for-profit organizations; and
 
12    WHEREAS, The Institute on Disability and Human Development
13at the University of Illinois at Chicago (UIC) is overseeing
14the consumer satisfaction levels and the managed care
15organizations' competency for the test population in the pilot
16program; nonetheless, only an estimated 40,000 individuals
17with disabilities are in the pilot program area and targeted to
18receive services; as Illinois Medicaid reform and federal
19health care reform become the norm for Medicaid recipients in
20this State, a conservative estimate is that 2.4 million people
21currently receive Medicaid, and approximately 1.2 million
22people - or 50% of the Medicaid population - under that program
23will move into a managed care system, as mandated by the

 

 

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1Illinois Medicaid reform law; this increased number will not
2receive monitoring from UIC and, possibly, will not receive the
3adequate follow-up, thereby, leaving them more susceptible to
4fraudulent practices, abuse, neglect, and insufficient care
5through providers and the managed care organizations; as
6Illinois moves toward transitioning 50% of the Medicaid
7population to a managed care system, as with the pilot program,
8no other plans except those involving for-profit managed care
9organizations are presently receiving serious discussion;
10therefore, be it
 
11    RESOLVED, BY THE HOUSE OF REPRESENTATIVES OF THE
12NINETY-NINTH GENERAL ASSEMBLY OF THE STATE OF ILLINOIS, that
13there is created in the Department of Healthcare and Family
14Services the Medicaid Managed Care Oversight Task Force to
15monitor how Illinois approaches and manages a new form of
16health care delivery system based on a managed care model,
17particularly for people with disabilities and the elderly; and
18be it further
 
19    RESOLVED, That the Task Force shall consist of the
20following: (i) 3 members, appointed by the Speaker of the
21Illinois House of Representatives; (ii) 3 members, appointed by
22the Minority Leader of the Illinois House of Representatives;
23and (iii) 4 members, appointed by the Governor; the Task Force
24shall elect a chairperson from their membership; and be it

 

 

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1further
 
2    RESOLVED, That the members of the Task Force shall serve
3without compensation; the Department of Healthcare and Family
4Services shall facilitate the Task Force and provide the Task
5Force with administrative support, but shall have no hand in
6guiding its direction or ascertaining its results; the Task
7Force shall meet quarterly and report on its findings to the
8General Assembly and its appropriate committees; reports from
9the Task Force shall indicate (i) whether individuals within
10the pilot program and the intended 50% of Medicaid recipients
11transitioned into managed care are satisfied with their health
12outcomes, can access all necessary forms of medical care, and
13received all necessary information from the State and the
14Department regarding the changes to their health care delivery
15system; and (ii) any other satisfaction indicators deemed
16applicable by the Task Force, especially with the knowledge of
17how UIC conducted satisfaction surveys; the Task Force's life
18span shall continue until January 1, 2017, unless the General
19Assembly deems a longer tenure necessary, as that date would
20mark the two-year anniversary of the transition of Medicaid
21enrollees into managed care programs, as mandated by the newly
22enacted Medicaid reform law in Illinois; and be it further
 
23    RESOLVED, That upon receiving reports from the Task Force,
24the General Assembly and all appropriate committees therein

 

 

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1must take the necessary steps to ensure all individuals
2receiving health care through a managed care delivery system
3are satisfied with that care and are not receiving worse care
4as a result; if the General Assembly finds negative outcomes
5per reports from the Task Force, it should amend the process by
6which managed care is put to use for Medicaid recipients,
7especially for people with disabilities and the elderly, and
8further, if the reports are positive or neutral, the General
9Assembly should decide whether to continue monitoring the
10program for a set period to ensure that all recipients receive
11the best quality health care available to them under a managed
12care process; and be it further
 
13    RESOLVED, That as changes to health care delivery improve
14or changes come to pass based on new laws passed by the State
15or federal government, the General Assembly must decide if
16continuing the use of the managed care approach is the most
17appropriate, cost-effective, and beneficial means in providing
18health care to Medicaid recipients in Illinois; and be it
19further
 
20    RESOLVED, That suitable copies of this resolution be
21delivered to the Governor and to the Director of the Department
22of Healthcare and Family Services.".