Illinois General Assembly - Full Text of HB5241
Illinois General Assembly

Previous General Assemblies

Full Text of HB5241  96th General Assembly


Rep. Patricia R. Bellock

Filed: 3/22/2010





09600HB5241ham001 LRB096 16158 KTG 39444 a


2     AMENDMENT NO. ______. Amend House Bill 5241 by replacing
3 everything after the enacting clause with the following:
4     "Section 5. The Illinois Public Aid Code is amended by
5 adding Section 5-2.01 as follows:
6     (305 ILCS 5/5-2.01 new)
7     Sec. 5-2.01. Medicaid accountability through transparency
8 program.
9     (a) Internet-based transparency program. The Director of
10 the Department of Healthcare and Family Services shall be
11 authorized to implement a program under which the Director
12 shall make available through the Department's public Internet
13 website information on medical claims reimbursed under the
14 State's medical assistance program insofar as such information
15 has been de-identified in accordance with regulations
16 promulgated pursuant to the Illinois Health Insurance



09600HB5241ham001 - 2 - LRB096 16158 KTG 39444 a

1 Portability and Accountability Act. In implementing the
2 program, the Director shall ensure the following:
3         (1) The information made so available shall be in a
4     format that is easily accessible, useable, and
5     understandable to the public, including individuals
6     interested in improving the quality of care provided to
7     individuals eligible for items and services under this
8     Article, researchers, health care providers, and
9     individuals interested in reducing the prevalence of waste
10     and fraud under this Article.
11         (2) The information made so available shall be as
12     current as deemed practical by the Director and shall be
13     updated at least once per calendar quarter.
14         (3) The information made so available shall be
15     aggregated to a level to ensure patient confidentiality,
16     but shall, to the extent feasible, allow for posting of
17     information by provider or vendor name and county, number
18     of individuals served, total patient visits, payment for
19     bills submitted, average cost for bills submitted,
20     adjustments to payments, and total amounts paid.
21         (4) The Director periodically solicits comments from a
22     sampling of individuals who access the information through
23     the program on how to best improve the utility of the
24     program.
25     (b) Use of contractor. For purposes of implementing the
26 program under subsection (a) of this Section and ensuring the



09600HB5241ham001 - 3 - LRB096 16158 KTG 39444 a

1 information made available through the program is periodically
2 updated, the Director may select and enter into a contract with
3 a public or private entity meeting the criteria and
4 qualifications the Director determines appropriate.
5     (c) Annual Reports. Not later than 12 months after the
6 effective date of this amendatory Act of the 96th General
7 Assembly and annually thereafter, the Director shall submit to
8 the General Assembly a report on the status of the program
9 authorized under subsection (a). The report shall include
10 details including, but not limited to, the estimated or actual
11 costs of developing and maintaining the reporting system, the
12 actual or potential benefit or adverse consequences associated
13 with the system, and, if applicable, the extent to which
14 information made available through the program is accessed and
15 the extent to which comments received under paragraph (4) of
16 subsection (a) of this Section were used to improve the utility
17 of the program.
18     Section 99. Effective date. This Act takes effect upon
19 becoming law.".