Full Text of HB5907 97th General Assembly
HB5907 97TH GENERAL ASSEMBLY |
| | 97TH GENERAL ASSEMBLY
State of Illinois
2011 and 2012 HB5907 Introduced 2/16/2012, by Rep. Patricia R. Bellock SYNOPSIS AS INTRODUCED: |
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Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall undertake a pilot project to study patient outcomes, for patients with chronic
diseases or patients at risk of low birth weight or premature birth, associated with the use of disease management programs and services
for chronic condition management (rather than subject to appropriations, the Department of Healthcare and Family Services may undertake a pilot project to study patient outcomes, for patients with chronic
diseases or patients at risk of low birth weight or premature birth, associated with the use of disease management programs and services
for chronic condition management). Effective immediately.
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| | | FISCAL NOTE ACT MAY APPLY | |
| | A BILL FOR |
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| | | HB5907 | | LRB097 17023 KTG 62219 b |
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| 1 | | AN ACT concerning public aid.
| 2 | | Be it enacted by the People of the State of Illinois,
| 3 | | represented in the General Assembly:
| 4 | | Section 5. The Illinois Public Aid Code is amended by | 5 | | changing Section 5-24 as follows:
| 6 | | (305 ILCS 5/5-24)
| 7 | | (Section scheduled to be repealed on January 1, 2014)
| 8 | | Sec. 5-24. Disease management programs and services for
| 9 | | chronic conditions; pilot project. | 10 | | (a) In this Section, "disease management programs and
| 11 | | services" means services administered to patients in order to | 12 | | improve
their overall health and to prevent clinical | 13 | | exacerbations and
complications, using cost-effective, | 14 | | evidence-based practice
guidelines and patient self-management | 15 | | strategies. Disease
management programs and services include | 16 | | all of the following:
| 17 | | (1) A population identification process.
| 18 | | (2) Evidence-based or consensus-based clinical | 19 | | practice
guidelines, risk identification, and matching of | 20 | | interventions with
clinical need.
| 21 | | (3) Patient self-management and disease education.
| 22 | | (4) Process and outcomes measurement, evaluation, | 23 | | management, and
reporting.
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| | | HB5907 | - 2 - | LRB097 17023 KTG 62219 b |
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| 1 | | (b) The Subject to appropriations, the Department of | 2 | | Healthcare and Family Services shall may
undertake a pilot | 3 | | project to study patient outcomes, for patients with chronic
| 4 | | diseases or patients at risk of low birth weight or premature | 5 | | birth, associated with the use of disease management programs | 6 | | and services
for chronic condition management. "Chronic | 7 | | diseases" include, but are not
limited to, diabetes, congestive | 8 | | heart failure, and chronic obstructive
pulmonary disease. Low | 9 | | birth weight and premature birth include all medical and other | 10 | | conditions that lead to poor birth outcomes or problematic | 11 | | pregnancies.
| 12 | | (c) The disease management programs and services pilot
| 13 | | project shall examine whether chronic disease management | 14 | | programs and
services for patients with specific chronic | 15 | | conditions do any or all
of the following:
| 16 | | (1) Improve the patient's overall health in a more | 17 | | expeditious
manner.
| 18 | | (2) Lower costs in other aspects of the medical | 19 | | assistance program, such
as hospital admissions, days in | 20 | | skilled nursing homes, emergency room
visits, or more | 21 | | frequent physician office visits.
| 22 | | (d) In carrying out the pilot project, the Department of | 23 | | Healthcare and Family Services shall
examine all relevant | 24 | | scientific literature and shall consult with
health care | 25 | | practitioners including, but not limited to, physicians,
| 26 | | surgeons, registered pharmacists, and registered nurses.
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| 1 | | (e) The Department of Healthcare and Family Services shall | 2 | | consult with medical experts,
disease advocacy groups, and | 3 | | academic institutions to develop criteria
to be used in | 4 | | selecting a vendor for the pilot project.
| 5 | | (f) The Department of Healthcare and Family Services may | 6 | | adopt rules to implement this
Section.
| 7 | | (g) This Section is repealed 10 years after the effective | 8 | | date of this
amendatory Act of the 93rd General Assembly.
| 9 | | (Source: P.A. 95-331, eff. 8-21-07; 96-799, eff. 10-28-09.)
| 10 | | Section 99. Effective date. This Act takes effect upon | 11 | | becoming law.
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