Illinois House Bill 5433 (Prior Session Legislation)

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Completed Legislative Action
Spectrum: Partisan Bill (Democrat 2-0)
Status: Failed on January 8 2019 - 100% progression
Action: 2019-01-08 - Session Sine Die
Text: Latest bill text (Introduced) [HTML]

Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to calculate the payout ratios reported by managed care organizations no less frequently than annually and to post these calculations on its website. Provides that the minimum payout ratio shall be 85% and that a managed care organization not meeting the 85% threshold must refund to the State, for each coverage year, an amount equal to the difference between the calculated payout ratio and 85% multiplied by coverage year revenue for that managed care organization. Defines "payment ratio". Requires the Department to exclusively use paid claims data submitted by managed care organizations in establishing managed care capitation rates. Provides that managed care organizations shall not be reimbursed by the State for any costs associated with health insurance fees.

MEDICAID-MCO-PAYOUT RATIOS

Rep. Fred Crespo [D]

Rep. Emanuel Welch [D]

Date	Chamber	Action
2019-01-08	House	Session Sine Die
2018-04-18	House	Added Chief Co-Sponsor Rep. Emanuel Chris Welch
2018-04-13	House	Rule 19(a) / Re-referred to Rules Committee
2018-04-11	House	House Committee Amendment No. 1 Referred to Rules Committee
2018-04-11	House	House Committee Amendment No. 1 Filed with Clerk by Rep. Fred Crespo
2018-03-05	House	Assigned to Appropriations-Human Services Committee
2018-02-16	House	Referred to Rules Committee
2018-02-16	House	First Reading
2018-02-16	House	Filed with the Clerk by Rep. Fred Crespo

Chapter	Article	Section	Citation Type	Statute Text
305	5	5-30	Amended Code	Citation Text

Type	Source
Summary	https://www.ilga.gov/legislation/BillStatus.asp?DocNum=5433&GAID=14&DocTypeID=HB&SessionID=91&GA=100
Text	https://www.ilga.gov/legislation/100/HB/10000HB5433.htm
Amendment	https://www.ilga.gov/legislation/100/HB/10000HB5433ham001.htm