Illinois General Assembly - Full Text of SR0576
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Full Text of SR0576  93rd General Assembly

SR0576 93RD GENERAL ASSEMBLY


 


 
SR0576 LRB093 22330 WGH 51479 r

1
SENATE RESOLUTION

 
2     WHEREAS, More than 20 million Americans, about one in nine
3 adults, have a form of chronic kidney disease; of these, more
4 than eight million have seriously reduced kidney functions
5 that, if left untreated, may progress to a more severe level of
6 chronic kidney disease; and
 
7     WHEREAS, Chronic kidney disease and the resultant
8 progression of that disease to stage 5 chronic kidney disease,
9 known as End Stage Renal Disease (ESRD), affect over 300,000
10 Americans, of whom over 12,800 are Illinoisans; and
 
11     WHEREAS, People over the age of 50 and those who have a
12 family history of kidney disease or have been diagnosed with
13 diabetes or hypertension are more likely to develop chronic
14 kidney disease; and
 
15     WHEREAS, Certain populations are disproportionately
16 impacted; African Americans make up 15.5% of the general
17 population of Illinois but account for 42.1% of Illinoisans
18 with stage 5 chronic kidney disease or End Stage Renal Disease;
19 and
 
20     WHEREAS, Stage 5 chronic kidney disease or End Stage Renal
21 Disease is three times more likely to occur in Hispanics and
22 Native Americans and two times more likely in Asian Americans
23 than in Caucasians; and
 
24     WHEREAS, 95% of all stage 5 chronic kidney disease patients
25 are either Medicare beneficiaries through a unique federal
26 program or Medicaid beneficiaries representing a significant
27 cost to the State, and, according to the United States Renal
28 Data Service, these yearly expenditures amount to about $60,000
29 per Illinoisan and are growing each year; and
 

 

 

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1     WHEREAS, The combined financial impact of this devastating
2 disease on Illinois' health care system is over $768 million
3 annually; and
 
4     WHEREAS, The two contributing factors accounting for more
5 than 60% of new cases of chronic kidney disease are diabetes
6 and hypertension; and
 
7     WHEREAS, Chronic kidney disease may lead to cardiovascular
8 complications, bone disease, and irreversible kidney failure;
9 and
 
10     WHEREAS, A person may exhibit no symptoms of chronic kidney
11 disease until 75% or more of kidney function is lost and this
12 devastating disease can be prevented through early screening
13 and proper education; and
 
14     WHEREAS, Simple, cost-effective means are available to
15 identify and diagnose chronic kidney disease and associated
16 life-threatening complications; and
 
17     WHEREAS, Cost-effective means can determine levels of
18 kidney function and provide information for clinicians about
19 therapeutic interventions that may preserve kidney function,
20 sustain life, and delay progression to stage 5 chronic kidney
21 disease or renal transplantation, or both; and
 
22     WHEREAS, Evidence-based clinical guidelines have been
23 developed by scientists and renal experts and published in
24 peer-reviewed journals; therefore, be it
 
25     RESOLVED, BY THE SENATE OF THE NINETY-THIRD GENERAL
26 ASSEMBLY OF THE STATE OF ILLINOIS, that we request the Illinois
27 Department of Public Aid to institute a program by which
28 individuals who have been diagnosed with diabetes or
29 hypertension or who have a family history of kidney disease and

 

 

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1 receive a diagnosis of kidney disease shall be classified as
2 chronic kidney disease patients; and be it further
 
3     RESOLVED, That these patients shall be evaluated for kidney
4 disease through routine clinical laboratory assessments of
5 kidney function and that the diagnostic criteria that define
6 chronic kidney disease shall be any generally-recognized
7 clinical practice guidelines that identify chronic kidney
8 disease based on the presence of kidney damage and the level of
9 kidney function; and be it further
 
10     RESOLVED, That chronic kidney patients shall receive
11 coverage for diagnostic testing and healthcare services that
12 have been certified by the patient's physician as having
13 clinical benefit for: (1) managing risk factors that prolong
14 kidney function or delay progression to kidney replacement
15 therapy; (2) managing risk factors for bone disease and
16 cardiovascular disease associated with chronic kidney disease;
17 (3) improving nutritional status of chronic kidney disease
18 patients; and (4) correcting anemia associated with chronic
19 kidney disease; and be it further
 
20     RESOLVED, That a copy of this resolution be delivered to
21 the Director of the Illinois Department of Public Aid.