Full Text of HB2268 93rd General Assembly
HB2268sam003 93RD GENERAL ASSEMBLY
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Sen. Dale A. Righter
Filed: 5/13/2004
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| AMENDMENT TO HOUSE BILL 2268
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| AMENDMENT NO. ______. Amend House Bill 2268, AS AMENDED, by | 3 |
| replacing everything after the enacting clause with the | 4 |
| following:
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| "Section 1. Short title. This Act may be cited as the | 6 |
| Health Care
Justice Act.
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| Section 5. Legislative findings. The General Assembly | 8 |
| recognizes that the
U.S. census reported that on any given day | 9 |
| an
estimated
1,800,000 Illinoisans are without health | 10 |
| insurance,
and according to a March 2003 Robert Wood Johnson | 11 |
| study, nearly 30% of the
non-elderly Illinois population | 12 |
| (3,122,000) during all or a large part of 2001 or 2002 were
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| uninsured;
a growing number of
Illinoisans are under-insured, | 14 |
| the consumer's share of the cost of health
insurance is | 15 |
| growing, coverage in benefit packages is decreasing, and
record | 16 |
| numbers of consumer complaints are lodged against managed care
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| companies regarding access to necessary health care services. | 18 |
| The
General Assembly believes that the State must work to | 19 |
| assure access to
quality health care for all citizens of | 20 |
| Illinois, and at the same time, the
State must contain health | 21 |
| care costs while maintaining and improving the
quality of | 22 |
| health care.
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| Section 10. Policy. It is a policy goal of the State of |
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| Illinois to insure
that all citizens
have access to quality | 2 |
| health care at costs that are affordable.
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| Section 15. Adequate Health Care Task Force.
There is | 4 |
| created an Adequate Health Care Task Force. The Task Force
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| shall consist of 29 members, including
the Director of Public | 6 |
| Health or his or her designee, the
Director of Aging or his or | 7 |
| her designee, the Director of
Public Aid or his or her | 8 |
| designee, the Director of
Insurance or his or her designee, and | 9 |
| the Secretary of
Human Services or his or her designee,
all of | 10 |
| whom shall be
ex-officio voting members.
Of the remaining 24 | 11 |
| members, 6 shall be appointed by the President of the Senate,
6 | 12 |
| shall be appointed by the Minority Leader of the Senate, 6 | 13 |
| shall be
appointed by the Speaker of the House of | 14 |
| Representatives, and 6 shall be
appointed by the Minority | 15 |
| Leader of the House of Representatives. The voting
members
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| should include a broad representation of health care consumers,
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| advocates
for
health care consumers, health care providers, | 18 |
| health policy analysts,
organized labor, the business
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| community or a business association, economists, a statewide | 20 |
| advocacy
organization for persons with disabilities, | 21 |
| physicians, nurses, social
workers, a hospital or hospital | 22 |
| network or association, an insurer or insurance
group, an | 23 |
| insurance agent or broker, and health care
administrators.
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| Appointment of members of the Task Force shall ensure
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| proportional representation with respect to geography, | 26 |
| ethnicity, race,
gender, and age. The Task Force shall have a | 27 |
| chairman and a vice-chairman who
shall be elected by the voting | 28 |
| members at the first meeting
of the Task Force. The members of | 29 |
| the Task Force shall be appointed
within 30 days after the | 30 |
| effective date of this Act. The departments of State
government | 31 |
| represented on
the Task Force shall work cooperatively to | 32 |
| provide administrative
support for the Task Force; the | 33 |
| Department of Public Health shall be the
primary agency in |
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| providing that administrative support.
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| Section 20. Public hearings.
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| (a) The Task Force shall seek public
input on the | 4 |
| development of a plan for the cost-effective delivery of health | 5 |
| care by holding
at least 5 hearings starting no later than | 6 |
| January 1, 2005 and
ending on November 30, 2005. Each State | 7 |
| Representative and State Senator
shall be invited to | 8 |
| participate in
the hearing and help to gather input from | 9 |
| interested parties. A web site for the Task Force shall be | 10 |
| developed and
linked to
the General Assembly's home page and | 11 |
| the Governor's home page for input to be
provided and to keep | 12 |
| the public informed. The Task Force's web site shall be
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| specifically highlighted and have independent pages reporting | 14 |
| all activities
and linkages
for people to access. Minutes from | 15 |
| all of the Task Force's meetings shall be
available on
the web | 16 |
| site, and a hard copy of this information shall also be made | 17 |
| available
for those
persons without access to the Task Force's | 18 |
| web site.
The Task Force may also consult with
health care | 19 |
| providers, health care consumers, and other appropriate
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| individuals and organizations to assist in the study.
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| (b) Not later than September 1, 2004, the Illinois | 22 |
| Department of Public
Health,
subject to appropriation or the | 23 |
| availability of other funds for such purposes
and using a | 24 |
| public request for proposals process, shall
contract with an
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| independent research entity experienced in assessing health | 26 |
| care reforms,
health care financing, and health care delivery | 27 |
| models. Upon the request of at
least one-fourth of the Task | 28 |
| Force members, the research entity
shall be
available to the | 29 |
| Task Force for the purpose of assessing financial costs and
the | 30 |
| different
health care models being discussed. All inquiries | 31 |
| made by Task Force members to
the
independent research entity | 32 |
| shall be made available on the Task Force's web
site.
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| Section 25. Final report.
No later than March 15, 2006, the | 2 |
| Task Force shall submit its final report,
containing options | 3 |
| for the cost-effective delivery of health care, to the General | 4 |
| Assembly and the
Governor. The final report may recommend a | 5 |
| combination of more than one type
of plan
and alternative | 6 |
| methods of funding the plan. The final report by the
Task Force
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| may offer
recommendations for the cost-effective delivery of | 8 |
| health care
that would
provide access to a full
range of | 9 |
| preventive, acute, and long-term health care services to | 10 |
| citizens
of the State of Illinois by July 1, 2007. The final | 11 |
| report of the Task Force may evaluate the following:
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| (1) an integrated system or systems of health care | 13 |
| delivery;
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| (2) incentives to be used to contain costs;
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| (3) benefits that would be provided under each type of | 16 |
| plan;
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| (4) reimbursement mechanisms for health care | 18 |
| providers;
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| (5) administrative efficiencies of public or | 20 |
| State-sponsored health care programs;
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| (6) mechanisms for generating spending priorities | 22 |
| based on
multidisciplinary standards of care established | 23 |
| by verifiable replicated
research studies demonstrating | 24 |
| quality and cost effectiveness of
interventions, | 25 |
| providers, and facilities;
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| (7) methods for reducing the cost of prescription drugs | 27 |
| both as part of,
and as
separate from, the delivery of | 28 |
| health care;
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| (8) analysis of the allocation of existing health care | 30 |
| resources;
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| (9) equitable financing of each proposal; and
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| (10) recommendations concerning the delivery of | 33 |
| long-term care services,
including:
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| (A) those currently covered under Title XIX of the |
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| Social Security
Act;
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| (B) recommendations on potential cost sharing | 3 |
| arrangements for
long-term care services and the | 4 |
| phasing in of such arrangements over
time;
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| (C) consideration of the potential for utilizing | 6 |
| informal care-giving by
friends and family members;
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| (D) recommendations on cost-containment strategies | 8 |
| for long-term
care services;
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| (E) the possibility of using independent financing | 10 |
| for the provision of
long-term care services; and
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| (F) the projected cost to the State of Illinois | 12 |
| over the next 20 years
if
no changes were made in the | 13 |
| present system of delivering and paying
for long-term | 14 |
| care services.
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| (11) the maintenance and improvement of the quality of | 16 |
| health care services offered
to Illinois citizens;
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| (12) providing for the portability of coverage, | 18 |
| regardless of employment status;
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| (13) encouraging regional and local consumer | 20 |
| participation;
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| (14) providing a mechanism for reviewing and | 22 |
| implementing multiple
approaches to preventive medicine | 23 |
| based on new technologies; and
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| (15) promoting affordable coverage options for | 25 |
| Illinois employees including consumer-driven models. | 26 |
| Section 30. Cost Analysis. A thorough cost analysis of each | 27 |
| recommendation of the Task Force must be included in the final | 28 |
| report. | 29 |
| Section 35. Further legislative action. No later than | 30 |
| December 31, 2006, the General Assembly may consider
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| legislation addressing the recommendations of the Task Force.
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| Section 99. Effective date. This Act takes effect July 1, | 2 |
| 2004.".
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