Full Text of SB0220 99th General Assembly
SB0220ham001 99TH GENERAL ASSEMBLY | Rep. C.D. Davidsmeyer Filed: 5/18/2015
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| 1 | | AMENDMENT TO SENATE BILL 220
| 2 | | AMENDMENT NO. ______. Amend Senate Bill 220 by replacing | 3 | | everything after the enacting clause with the following:
| 4 | | "Section 5. The Personnel Code is amended by changing | 5 | | Section 4d as follows:
| 6 | | (20 ILCS 415/4d) (from Ch. 127, par. 63b104d)
| 7 | | Sec. 4d. Partial exemptions. The following positions in | 8 | | State service are
exempt from jurisdictions A, B, and C to the | 9 | | extent stated for each, unless
those jurisdictions are extended | 10 | | as provided in this Act:
| 11 | | (1) In each department, board or commission that now | 12 | | maintains or may
hereafter maintain a major administrative | 13 | | division, service or office in
both Sangamon County and | 14 | | Cook County, 2 private secretaries for the
director or | 15 | | chairman thereof, one located in the Cook County office and | 16 | | the
other located in the Sangamon County office, shall be |
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| 1 | | exempt from
jurisdiction B; in all other departments, | 2 | | boards and commissions one
private secretary for the | 3 | | director or chairman thereof shall be exempt from
| 4 | | jurisdiction B. In all departments, boards and commissions | 5 | | one confidential
assistant for the director or chairman | 6 | | thereof shall be exempt from
jurisdiction B. This paragraph | 7 | | is subject to such modifications or waiver
of the | 8 | | exemptions as may be necessary to assure the continuity of | 9 | | federal
contributions in those agencies supported in whole | 10 | | or in part by federal
funds.
| 11 | | (2) The resident administrative head of each State | 12 | | charitable, penal and
correctional institution, the | 13 | | chaplains thereof, and all member, patient
and inmate | 14 | | employees are exempt from jurisdiction B.
| 15 | | (3) The Civil Service Commission, upon written | 16 | | recommendation of the
Director of Central Management | 17 | | Services, shall exempt
from jurisdiction B other positions
| 18 | | which, in the judgment of the Commission, involve either | 19 | | principal
administrative responsibility for the | 20 | | determination of policy or principal
administrative | 21 | | responsibility for the way in which policies are carried
| 22 | | out, except positions in agencies which receive federal | 23 | | funds if such
exemption is inconsistent with federal | 24 | | requirements, and except positions
in agencies supported | 25 | | in whole by federal funds.
| 26 | | (4) All beauticians and teachers of beauty culture and |
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| 1 | | teachers of
barbering, and all positions heretofore paid | 2 | | under Section 1.22 of "An Act
to standardize position | 3 | | titles and salary rates", approved June 30, 1943,
as | 4 | | amended, shall be exempt from jurisdiction B.
| 5 | | (5) Licensed attorneys in positions as legal or | 6 | | technical advisors ; , positions in the Department of | 7 | | Natural Resources requiring incumbents
to be either a | 8 | | registered professional engineer or to hold a bachelor's | 9 | | degree
in engineering from a recognized college or | 10 | | university ; ,
licensed physicians in positions of medical | 11 | | administrator or physician or
physician specialist | 12 | | (including psychiatrists) ; , all positions within the | 13 | | Department of Juvenile Justice requiring licensure by the | 14 | | State Board of Education under Article 21B of the School | 15 | | Code ; from the effective date of this amendatory Act of the | 16 | | 99th General Assembly until January 1, 2017, all positions | 17 | | within the Illinois School for the Deaf and the Illinois | 18 | | School for the Visually Impaired requiring licensure by the | 19 | | State Board of Education under Article 21B of the School | 20 | | Code; , and registered nurses (except
those registered | 21 | | nurses employed by the Department of Public Health) ; , | 22 | | except
those in positions in agencies which receive federal | 23 | | funds if such
exemption is inconsistent with federal | 24 | | requirements and except those in
positions in agencies | 25 | | supported in whole by federal funds, are exempt from
| 26 | | jurisdiction B only to the extent that the requirements of |
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| 1 | | Section 8b.1,
8b.3 and 8b.5 of this Code need not be met.
| 2 | | (6) All positions established outside the geographical | 3 | | limits of the
State of Illinois to which appointments of | 4 | | other than Illinois citizens may
be made are exempt from | 5 | | jurisdiction B.
| 6 | | (7) Staff attorneys reporting directly to individual | 7 | | Commissioners of
the Illinois Workers' Compensation
| 8 | | Commission are exempt from jurisdiction B.
| 9 | | (8) Twenty-one senior public service administrator | 10 | | positions within the Department of Healthcare and Family | 11 | | Services, as set forth in this paragraph (8), requiring the | 12 | | specific knowledge of healthcare administration, | 13 | | healthcare finance, healthcare data analytics, or | 14 | | information technology described are exempt from | 15 | | jurisdiction B only to the extent that the requirements of | 16 | | Sections 8b.1, 8b.3, and 8b.5 of this Code need not be met. | 17 | | The General Assembly finds that these positions are all | 18 | | senior policy makers and have spokesperson authority for | 19 | | the Director of the Department of Healthcare and Family | 20 | | Services. When filling positions so designated, the | 21 | | Director of Healthcare and Family Services shall cause a | 22 | | position description to be published which allots points to | 23 | | various qualifications desired. After scoring qualified | 24 | | applications, the Director shall add Veteran's Preference | 25 | | points as enumerated in Section 8b.7 of this Code. The | 26 | | following are the minimum qualifications for the senior |
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| 1 | | public service administrator positions provided for in | 2 | | this paragraph (8): | 3 | | (A) HEALTHCARE ADMINISTRATION. | 4 | | Medical Director: Licensed Medical Doctor in | 5 | | good standing; experience in healthcare payment | 6 | | systems, pay for performance initiatives, medical | 7 | | necessity criteria or federal or State quality | 8 | | improvement programs; preferred experience serving | 9 | | Medicaid patients or experience in population | 10 | | health programs with a large provider, health | 11 | | insurer, government agency, or research | 12 | | institution. | 13 | | Chief, Bureau of Quality Management: Advanced | 14 | | degree in health policy or health professional | 15 | | field preferred; at least 3 years experience in | 16 | | implementing or managing healthcare quality | 17 | | improvement initiatives in a clinical setting. | 18 | | Quality Management Bureau: Manager, Care | 19 | | Coordination/Managed Care Quality: Clinical degree | 20 | | or advanced degree in relevant field required; | 21 | | experience in the field of managed care quality | 22 | | improvement, with knowledge of HEDIS measurements, | 23 | | coding, and related data definitions. | 24 | | Quality Management Bureau: Manager, Primary | 25 | | Care Provider Quality and Practice Development: | 26 | | Clinical degree or advanced degree in relevant |
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| 1 | | field required; experience in practice | 2 | | administration in the primary care setting with a | 3 | | provider or a provider association or an | 4 | | accrediting body; knowledge of practice standards | 5 | | for medical homes and best evidence based | 6 | | standards of care for primary care. | 7 | | Director of Care Coordination Contracts and | 8 | | Compliance: Bachelor's degree required; multi-year | 9 | | experience in negotiating managed care contracts, | 10 | | preferably on behalf of a payer; experience with | 11 | | health care contract compliance. | 12 | | Manager, Long Term Care Policy: Bachelor's | 13 | | degree required; social work, gerontology, or | 14 | | social service degree preferred; knowledge of | 15 | | Olmstead and other relevant court decisions | 16 | | required; experience working with diverse long | 17 | | term care populations and service systems, federal | 18 | | initiatives to create long term care community | 19 | | options, and home and community-based waiver | 20 | | services required. The General Assembly finds that | 21 | | this position is necessary for the timely and | 22 | | effective implementation of this amendatory Act of | 23 | | the 97th General Assembly. | 24 | | Manager, Behavioral Health Programs: Clinical | 25 | | license or Advanced degree required, preferably in | 26 | | psychology, social work, or relevant field; |
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| 1 | | knowledge of medical necessity criteria and | 2 | | governmental policies and regulations governing | 3 | | the provision of mental health services to | 4 | | Medicaid populations, including children and | 5 | | adults, in community and institutional settings of | 6 | | care. The General Assembly finds that this | 7 | | position is necessary for the timely and effective | 8 | | implementation of this amendatory Act of the 97th | 9 | | General Assembly. | 10 | | Manager, Office of Accountable Care Entity | 11 | | Development: Bachelor's degree required, clinical | 12 | | degree or advanced degree in relevant field | 13 | | preferred; experience in developing integrated | 14 | | delivery systems, including knowledge of health | 15 | | homes and evidence-based standards of care | 16 | | delivery; multi-year experience in health care or | 17 | | public health management; knowledge of federal ACO | 18 | | or other similar delivery system requirements and | 19 | | strategies for improving health care delivery. | 20 | | Manager of Federal Regulatory Compliance: | 21 | | Bachelor's degree required, advanced degree | 22 | | preferred, in healthcare management or relevant | 23 | | field; experience in healthcare administration or | 24 | | Medicaid State Plan amendments preferred; | 25 | | experience interpreting federal rules; experience | 26 | | with either federal health care agency or with a |
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| 1 | | State agency in working with federal regulations. | 2 | | Manager, Office of Medical Project Management: | 3 | | Bachelor's degree required, project management | 4 | | certification preferred; multi-year experience in | 5 | | project management and developing business analyst | 6 | | skills; leadership skills to manage multiple and | 7 | | complex projects. | 8 | | Manager of Medicare/Medicaid Coordination: | 9 | | Bachelor's degree required, knowledge and | 10 | | experience with Medicare Advantage rules and | 11 | | regulations, knowledge of Medicaid laws and | 12 | | policies; experience with contract drafting | 13 | | preferred. | 14 | | Chief, Bureau of Eligibility Integrity: | 15 | | Bachelor's degree required, advanced degree in | 16 | | public administration or business administration | 17 | | preferred; experience equivalent to 4 years of | 18 | | administration in a public or business | 19 | | organization required; experience with managing | 20 | | contract compliance required; knowledge of | 21 | | Medicaid eligibility laws and policy preferred; | 22 | | supervisory experience preferred. The General | 23 | | Assembly finds that this position is necessary for | 24 | | the timely and effective implementation of this | 25 | | amendatory Act of the 97th General Assembly. | 26 | | (B) HEALTHCARE FINANCE. |
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| 1 | | Director of Care Coordination Rate and | 2 | | Finance: MBA, CPA, or Actuarial degree required; | 3 | | experience in managed care rate setting, | 4 | | including, but not limited to, baseline costs and | 5 | | growth trends; knowledge and experience with | 6 | | Medical Loss Ratio standards and measurements. | 7 | | Director of Encounter Data Program: Bachelor's | 8 | | degree required, advanced degree preferred, | 9 | | preferably in health care, business, or | 10 | | information systems; at least 2 years healthcare | 11 | | or other similar data reporting experience, | 12 | | including, but not limited to, data definitions, | 13 | | submission, and editing; background in HIPAA | 14 | | transactions relevant to encounter data | 15 | | submission; experience with large provider, health | 16 | | insurer, government agency, or research | 17 | | institution or other knowledge of healthcare | 18 | | claims systems. | 19 | | Manager of Medical Finance, Division of | 20 | | Finance: Requires relevant advanced degree or | 21 | | certification in relevant field, such as Certified | 22 | | Public Accountant; coursework in business or | 23 | | public administration, accounting, finance, data | 24 | | analysis, or statistics preferred; experience in | 25 | | control systems and GAAP; financial management | 26 | | experience in a healthcare or government entity |
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| 1 | | utilizing Medicaid funding. | 2 | | (C) HEALTHCARE DATA ANALYTICS. | 3 | | Data Quality Assurance Manager: Bachelor's | 4 | | degree required, advanced degree preferred, | 5 | | preferably in business, information systems, or | 6 | | epidemiology; at least 3 years of extensive | 7 | | healthcare data reporting experience with a large | 8 | | provider, health insurer, government agency, or | 9 | | research institution; previous data quality | 10 | | assurance role or formal data quality assurance | 11 | | training. | 12 | | Data Analytics Unit Manager: Bachelor's degree | 13 | | required, advanced degree preferred, in | 14 | | information systems, applied mathematics, or | 15 | | another field with a strong analytics component; | 16 | | extensive healthcare data reporting experience | 17 | | with a large provider, health insurer, government | 18 | | agency, or research institution; experience as a | 19 | | business analyst interfacing between business and | 20 | | information technology departments; in-depth | 21 | | knowledge of health insurance coding and evolving | 22 | | healthcare quality metrics; working knowledge of | 23 | | SQL and/or SAS. | 24 | | Data Analytics Platform Manager: Bachelor's | 25 | | degree required, advanced degree preferred, | 26 | | preferably in business or information systems; |
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| 1 | | extensive healthcare data reporting experience | 2 | | with a large provider, health insurer, government | 3 | | agency, or research institution; previous | 4 | | experience working on a health insurance data | 5 | | analytics platform; experience managing contracts | 6 | | and vendors preferred. | 7 | | (D) HEALTHCARE INFORMATION TECHNOLOGY. | 8 | | Manager of MMIS Claims Unit: Bachelor's degree | 9 | | required, with preferred coursework in business, | 10 | | public administration, information systems; | 11 | | experience equivalent to 4 years of administration | 12 | | in a public or business organization; working | 13 | | knowledge with design and implementation of | 14 | | technical solutions to medical claims payment | 15 | | systems; extensive technical writing experience, | 16 | | including, but not limited to, the development of | 17 | | RFPs, APDs, feasibility studies, and related | 18 | | documents; thorough knowledge of IT system design, | 19 | | commercial off the shelf software packages and | 20 | | hardware components. | 21 | | Assistant Bureau Chief, Office of Information | 22 | | Systems: Bachelor's degree required, with | 23 | | preferred coursework in business, public | 24 | | administration, information systems; experience | 25 | | equivalent to 5 years of administration in a public | 26 | | or private business organization; extensive |
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| 1 | | technical writing experience, including, but not | 2 | | limited to, the development of RFPs, APDs, | 3 | | feasibility studies and related documents; | 4 | | extensive healthcare technology experience with a | 5 | | large provider, health insurer, government agency, | 6 | | or research institution; experience as a business | 7 | | analyst interfacing between business and | 8 | | information technology departments; thorough | 9 | | knowledge of IT system design, commercial off the | 10 | | shelf software packages and hardware components. | 11 | | Technical System Architect: Bachelor's degree | 12 | | required, with preferred coursework in computer | 13 | | science or information technology; prior | 14 | | experience equivalent to 5 years of computer | 15 | | science or IT administration in a public or | 16 | | business organization; extensive healthcare | 17 | | technology experience with a large provider, | 18 | | health insurer, government agency, or research | 19 | | institution; experience as a business analyst | 20 | | interfacing between business and information | 21 | | technology departments. | 22 | | The provisions of this paragraph (8), other than this | 23 | | sentence, are inoperative after January 1, 2014. | 24 | | (Source: P.A. 97-649, eff. 12-30-11; 97-689, eff. 6-14-12; | 25 | | 98-104, eff. 7-22-13; 98-1146, eff. 12-30-14.)
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| 1 | | Section 99. Effective date. This Act takes effect upon | 2 | | becoming law.".
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