Illinois General Assembly - Bill Status for HB0066
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 Bill Status of HB0066  102nd General Assembly


Short Description:  MEDICAID-END MANAGED CARE

House Sponsors
Rep. Mary E. Flowers - Barbara Hernandez

Last Action
DateChamber Action
  3/27/2021HouseRule 19(a) / Re-referred to Rules Committee

Statutes Amended In Order of Appearance
305 ILCS 5/5-41 new
305 ILCS 5/5-42 new
305 ILCS 5/5-30.6 rep.


Synopsis As Introduced
Amends the Illinois Public Aid Code. Provides that, on and after January 1, 2022, no recipient of medical assistance shall be required to enroll or transition to the State's managed care medical assistance program. Provides that any recipient enrolled in a managed care health plan on January 1, 2022 shall be given the option to disenroll from the State's managed care medical assistance program and receive coverage under the State's fee-for-service program. Provides that on and after January 1, 2022, the Department of Healthcare and Family Services shall not enter into any new contract or agreement with a managed care organization (MCO) to provide services where payment for medical services is made on a capitated basis. Provides that the Department shall not renew, renter, renegotiate, change orders, or amend any contract or agreement it entered into with an MCO that was solicited under a specified request for proposals. Provides that any recipient who is enrolled in a managed care health plan administered by an MCO that entered a contract with the Department under a specified request for proposals shall be transitioned to the State's fee-for-service program upon the expiration of the MCO's contract with the Department. Requires the Department to establish, by rule, an appeals and grievance process that includes: an expedited internal review of an appeal involving an adverse determination; a final adverse determination; and a standard external review. Requires the Department to notify a recipient in writing of the recipient's right to request an external review. Repeals a provision concerning procurement requirements for MCO contracts.

Actions 
DateChamber Action
  1/13/2021HouseFiled with the Clerk by Rep. Mary E. Flowers
  1/14/2021HouseFirst Reading
  1/14/2021HouseReferred to Rules Committee
  2/23/2021HouseAssigned to Appropriations-Human Services Committee
  3/5/2021HouseTo Medicaid & Managed Care Subcommittee
  3/8/2021HouseAdded Chief Co-Sponsor Rep. Barbara Hernandez
  3/27/2021HouseRule 19(a) / Re-referred to Rules Committee

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