Full Text of SB3123 99th General Assembly
SB3123 99TH GENERAL ASSEMBLY |
| | 99TH GENERAL ASSEMBLY
State of Illinois
2015 and 2016 SB3123 Introduced 2/19/2016, by Sen. Wm. Sam McCann SYNOPSIS AS INTRODUCED: |
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20 ILCS 415/4d | from Ch. 127, par. 63b104d |
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Amends the Personnel Code. Removes the January 1, 2017 sunset for the exemption from jurisdictions A, B, and C for all positions within the Illinois School for the Deaf and the Illinois School for the Visually Impaired requiring licensure by the State Board of Education.
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| | A BILL FOR |
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| 1 | | AN ACT concerning State government.
| 2 | | Be it enacted by the People of the State of Illinois,
| 3 | | represented in the General Assembly:
| 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 | 17 | | exempt from
jurisdiction B; in all other departments, | 18 | | boards and commissions one
private secretary for the | 19 | | director or chairman thereof shall be exempt from
| 20 | | jurisdiction B. In all departments, boards and commissions | 21 | | one confidential
assistant for the director or chairman | 22 | | thereof shall be exempt from
jurisdiction B. This paragraph | 23 | | is subject to such modifications or waiver
of the |
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| 1 | | exemptions as may be necessary to assure the continuity of | 2 | | federal
contributions in those agencies supported in whole | 3 | | or in part by federal
funds.
| 4 | | (2) The resident administrative head of each State | 5 | | charitable, penal and
correctional institution, the | 6 | | chaplains thereof, and all member, patient
and inmate | 7 | | employees are exempt from jurisdiction B.
| 8 | | (3) The Civil Service Commission, upon written | 9 | | recommendation of the
Director of Central Management | 10 | | Services, shall exempt
from jurisdiction B other positions
| 11 | | which, in the judgment of the Commission, involve either | 12 | | principal
administrative responsibility for the | 13 | | determination of policy or principal
administrative | 14 | | responsibility for the way in which policies are carried
| 15 | | out, except positions in agencies which receive federal | 16 | | funds if such
exemption is inconsistent with federal | 17 | | requirements, and except positions
in agencies supported | 18 | | in whole by federal funds.
| 19 | | (4) All beauticians and teachers of beauty culture and | 20 | | teachers of
barbering, and all positions heretofore paid | 21 | | under Section 1.22 of "An Act
to standardize position | 22 | | titles and salary rates", approved June 30, 1943,
as | 23 | | amended, shall be exempt from jurisdiction B.
| 24 | | (5) Licensed attorneys in positions as legal or | 25 | | technical advisors; positions in the Department of Natural | 26 | | Resources requiring incumbents
to be either a registered |
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| 1 | | professional engineer or to hold a bachelor's degree
in | 2 | | engineering from a recognized college or university;
| 3 | | licensed physicians in positions of medical administrator | 4 | | or physician or
physician specialist (including | 5 | | psychiatrists); all positions within the Department of | 6 | | Juvenile Justice requiring licensure by the State Board of | 7 | | Education under Article 21B of the School Code; from the | 8 | | effective date of this amendatory Act of the 99th General | 9 | | Assembly until January 1, 2017, all positions within the | 10 | | Illinois School for the Deaf and the Illinois School for | 11 | | the Visually Impaired requiring licensure by the State | 12 | | Board of Education under Article 21B of the School Code; | 13 | | and registered nurses (except
those registered nurses | 14 | | employed by the Department of Public Health); except
those | 15 | | in positions in agencies which receive federal funds if | 16 | | such
exemption is inconsistent with federal requirements | 17 | | and except those in
positions in agencies supported in | 18 | | whole by federal funds, are exempt from
jurisdiction B only | 19 | | to the extent that the requirements of Section 8b.1,
8b.3 | 20 | | and 8b.5 of this Code need not be met.
| 21 | | (6) All positions established outside the geographical | 22 | | limits of the
State of Illinois to which appointments of | 23 | | other than Illinois citizens may
be made are exempt from | 24 | | jurisdiction B.
| 25 | | (7) Staff attorneys reporting directly to individual | 26 | | Commissioners of
the Illinois Workers' Compensation
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| 1 | | Commission are exempt from jurisdiction B.
| 2 | | (8) Twenty-one senior public service administrator | 3 | | positions within the Department of Healthcare and Family | 4 | | Services, as set forth in this paragraph (8), requiring the | 5 | | specific knowledge of healthcare administration, | 6 | | healthcare finance, healthcare data analytics, or | 7 | | information technology described are exempt from | 8 | | jurisdiction B only to the extent that the requirements of | 9 | | Sections 8b.1, 8b.3, and 8b.5 of this Code need not be met. | 10 | | The General Assembly finds that these positions are all | 11 | | senior policy makers and have spokesperson authority for | 12 | | the Director of the Department of Healthcare and Family | 13 | | Services. When filling positions so designated, the | 14 | | Director of Healthcare and Family Services shall cause a | 15 | | position description to be published which allots points to | 16 | | various qualifications desired. After scoring qualified | 17 | | applications, the Director shall add Veteran's Preference | 18 | | points as enumerated in Section 8b.7 of this Code. The | 19 | | following are the minimum qualifications for the senior | 20 | | public service administrator positions provided for in | 21 | | this paragraph (8): | 22 | | (A) HEALTHCARE ADMINISTRATION. | 23 | | Medical Director: Licensed Medical Doctor in | 24 | | good standing; experience in healthcare payment | 25 | | systems, pay for performance initiatives, medical | 26 | | necessity criteria or federal or State quality |
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| 1 | | improvement programs; preferred experience serving | 2 | | Medicaid patients or experience in population | 3 | | health programs with a large provider, health | 4 | | insurer, government agency, or research | 5 | | institution. | 6 | | Chief, Bureau of Quality Management: Advanced | 7 | | degree in health policy or health professional | 8 | | field preferred; at least 3 years experience in | 9 | | implementing or managing healthcare quality | 10 | | improvement initiatives in a clinical setting. | 11 | | Quality Management Bureau: Manager, Care | 12 | | Coordination/Managed Care Quality: Clinical degree | 13 | | or advanced degree in relevant field required; | 14 | | experience in the field of managed care quality | 15 | | improvement, with knowledge of HEDIS measurements, | 16 | | coding, and related data definitions. | 17 | | Quality Management Bureau: Manager, Primary | 18 | | Care Provider Quality and Practice Development: | 19 | | Clinical degree or advanced degree in relevant | 20 | | field required; experience in practice | 21 | | administration in the primary care setting with a | 22 | | provider or a provider association or an | 23 | | accrediting body; knowledge of practice standards | 24 | | for medical homes and best evidence based | 25 | | standards of care for primary care. | 26 | | Director of Care Coordination Contracts and |
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| 1 | | Compliance: Bachelor's degree required; multi-year | 2 | | experience in negotiating managed care contracts, | 3 | | preferably on behalf of a payer; experience with | 4 | | health care contract compliance. | 5 | | Manager, Long Term Care Policy: Bachelor's | 6 | | degree required; social work, gerontology, or | 7 | | social service degree preferred; knowledge of | 8 | | Olmstead and other relevant court decisions | 9 | | required; experience working with diverse long | 10 | | term care populations and service systems, federal | 11 | | initiatives to create long term care community | 12 | | options, and home and community-based waiver | 13 | | services required. The General Assembly finds that | 14 | | this position is necessary for the timely and | 15 | | effective implementation of this amendatory Act of | 16 | | the 97th General Assembly. | 17 | | Manager, Behavioral Health Programs: Clinical | 18 | | license or Advanced degree required, preferably in | 19 | | psychology, social work, or relevant field; | 20 | | knowledge of medical necessity criteria and | 21 | | governmental policies and regulations governing | 22 | | the provision of mental health services to | 23 | | Medicaid populations, including children and | 24 | | adults, in community and institutional settings of | 25 | | care. The General Assembly finds that this | 26 | | position is necessary for the timely and effective |
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| 1 | | implementation of this amendatory Act of the 97th | 2 | | General Assembly. | 3 | | Manager, Office of Accountable Care Entity | 4 | | Development: Bachelor's degree required, clinical | 5 | | degree or advanced degree in relevant field | 6 | | preferred; experience in developing integrated | 7 | | delivery systems, including knowledge of health | 8 | | homes and evidence-based standards of care | 9 | | delivery; multi-year experience in health care or | 10 | | public health management; knowledge of federal ACO | 11 | | or other similar delivery system requirements and | 12 | | strategies for improving health care delivery. | 13 | | Manager of Federal Regulatory Compliance: | 14 | | Bachelor's degree required, advanced degree | 15 | | preferred, in healthcare management or relevant | 16 | | field; experience in healthcare administration or | 17 | | Medicaid State Plan amendments preferred; | 18 | | experience interpreting federal rules; experience | 19 | | with either federal health care agency or with a | 20 | | State agency in working with federal regulations. | 21 | | Manager, Office of Medical Project Management: | 22 | | Bachelor's degree required, project management | 23 | | certification preferred; multi-year experience in | 24 | | project management and developing business analyst | 25 | | skills; leadership skills to manage multiple and | 26 | | complex projects. |
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| 1 | | Manager of Medicare/Medicaid Coordination: | 2 | | Bachelor's degree required, knowledge and | 3 | | experience with Medicare Advantage rules and | 4 | | regulations, knowledge of Medicaid laws and | 5 | | policies; experience with contract drafting | 6 | | preferred. | 7 | | Chief, Bureau of Eligibility Integrity: | 8 | | Bachelor's degree required, advanced degree in | 9 | | public administration or business administration | 10 | | preferred; experience equivalent to 4 years of | 11 | | administration in a public or business | 12 | | organization required; experience with managing | 13 | | contract compliance required; knowledge of | 14 | | Medicaid eligibility laws and policy preferred; | 15 | | supervisory experience preferred. The General | 16 | | Assembly finds that this position is necessary for | 17 | | the timely and effective implementation of this | 18 | | amendatory Act of the 97th General Assembly. | 19 | | (B) HEALTHCARE FINANCE. | 20 | | Director of Care Coordination Rate and | 21 | | Finance: MBA, CPA, or Actuarial degree required; | 22 | | experience in managed care rate setting, | 23 | | including, but not limited to, baseline costs and | 24 | | growth trends; knowledge and experience with | 25 | | Medical Loss Ratio standards and measurements. | 26 | | Director of Encounter Data Program: Bachelor's |
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| 1 | | degree required, advanced degree preferred, | 2 | | preferably in health care, business, or | 3 | | information systems; at least 2 years healthcare | 4 | | or other similar data reporting experience, | 5 | | including, but not limited to, data definitions, | 6 | | submission, and editing; background in HIPAA | 7 | | transactions relevant to encounter data | 8 | | submission; experience with large provider, health | 9 | | insurer, government agency, or research | 10 | | institution or other knowledge of healthcare | 11 | | claims systems. | 12 | | Manager of Medical Finance, Division of | 13 | | Finance: Requires relevant advanced degree or | 14 | | certification in relevant field, such as Certified | 15 | | Public Accountant; coursework in business or | 16 | | public administration, accounting, finance, data | 17 | | analysis, or statistics preferred; experience in | 18 | | control systems and GAAP; financial management | 19 | | experience in a healthcare or government entity | 20 | | utilizing Medicaid funding. | 21 | | (C) HEALTHCARE DATA ANALYTICS. | 22 | | Data Quality Assurance Manager: Bachelor's | 23 | | degree required, advanced degree preferred, | 24 | | preferably in business, information systems, or | 25 | | epidemiology; at least 3 years of extensive | 26 | | healthcare data reporting experience with a large |
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| 1 | | provider, health insurer, government agency, or | 2 | | research institution; previous data quality | 3 | | assurance role or formal data quality assurance | 4 | | training. | 5 | | Data Analytics Unit Manager: Bachelor's degree | 6 | | required, advanced degree preferred, in | 7 | | information systems, applied mathematics, or | 8 | | another field with a strong analytics component; | 9 | | extensive healthcare data reporting experience | 10 | | with a large provider, health insurer, government | 11 | | agency, or research institution; experience as a | 12 | | business analyst interfacing between business and | 13 | | information technology departments; in-depth | 14 | | knowledge of health insurance coding and evolving | 15 | | healthcare quality metrics; working knowledge of | 16 | | SQL and/or SAS. | 17 | | Data Analytics Platform Manager: Bachelor's | 18 | | degree required, advanced degree preferred, | 19 | | preferably in business or information systems; | 20 | | extensive healthcare data reporting experience | 21 | | with a large provider, health insurer, government | 22 | | agency, or research institution; previous | 23 | | experience working on a health insurance data | 24 | | analytics platform; experience managing contracts | 25 | | and vendors preferred. | 26 | | (D) HEALTHCARE INFORMATION TECHNOLOGY. |
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| 1 | | Manager of MMIS Claims Unit: Bachelor's degree | 2 | | required, with preferred coursework in business, | 3 | | public administration, information systems; | 4 | | experience equivalent to 4 years of administration | 5 | | in a public or business organization; working | 6 | | knowledge with design and implementation of | 7 | | technical solutions to medical claims payment | 8 | | systems; extensive technical writing experience, | 9 | | including, but not limited to, the development of | 10 | | RFPs, APDs, feasibility studies, and related | 11 | | documents; thorough knowledge of IT system design, | 12 | | commercial off the shelf software packages and | 13 | | hardware components. | 14 | | Assistant Bureau Chief, Office of Information | 15 | | Systems: Bachelor's degree required, with | 16 | | preferred coursework in business, public | 17 | | administration, information systems; experience | 18 | | equivalent to 5 years of administration in a public | 19 | | or private business organization; extensive | 20 | | technical writing experience, including, but not | 21 | | limited to, the development of RFPs, APDs, | 22 | | feasibility studies and related documents; | 23 | | extensive healthcare technology experience with a | 24 | | large provider, health insurer, government agency, | 25 | | or research institution; experience as a business | 26 | | analyst interfacing between business and |
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| 1 | | information technology departments; thorough | 2 | | knowledge of IT system design, commercial off the | 3 | | shelf software packages and hardware components. | 4 | | Technical System Architect: Bachelor's degree | 5 | | required, with preferred coursework in computer | 6 | | science or information technology; prior | 7 | | experience equivalent to 5 years of computer | 8 | | science or IT administration in a public or | 9 | | business organization; extensive healthcare | 10 | | technology experience with a large provider, | 11 | | health insurer, government agency, or research | 12 | | institution; experience as a business analyst | 13 | | interfacing between business and information | 14 | | technology departments. | 15 | | The provisions of this paragraph (8), other than this | 16 | | sentence, are inoperative after January 1, 2014. | 17 | | (Source: P.A. 98-104, eff. 7-22-13; 98-1146, eff. 12-30-14; | 18 | | 99-45, eff. 7-15-15.)
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