IL SB3080 | 2015-2016 | 99th General Assembly

Status

Completed Legislative Action
Spectrum: Moderate Partisan Bill (Democrat 6-1)
Status: Passed on August 5 2016 - 100% progression
Action: 2016-08-05 - Public Act . . . . . . . . . 99-0751
Text: Latest bill text (Chaptered) [HTML]

Summary

Amends the Medical Assistance Article of the Illinois Public Aid Code. In a provision concerning network adequacy for managed care organizations (MCO) contracted with the Department of Healthcare and Family Services, provides that each MCO shall (i) on a monthly basis, jointly validate with contracted providers any changes in provider information, including, but not limited to, changes concerning new providers, terminated providers, updated address information, hours of operation, or other information that is material to a Medicaid beneficiary in the enrollment and provider selection process; and (ii) be required to produce system reports that validate that all MCO systems reflect updated provider information. Provides that in situations in which an enrolled Medicaid provider renders services based on information obtained after verifying a patient's eligibility and coverage plan through either the Department's current enrollment system or the coverage plan identified by the patient presenting for services, such services shall be considered rendered in good faith. Requires the Department to create and maintain a MCO Performance Metrics Comparison Tool that provides periodic reporting, on at least a quarterly basis, of each MCO's performance in various administrative measures. Requires the tool to be accessible in both a print and online format, with the online format allowing for Medicaid beneficiaries and providers to access additional detailed MCO performance information. Effective immediately.

Tracking Information

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Title

DHFS-MCO PERFORMANCE METRICS

Sponsors


Roll Calls

2016-05-27 - House - Third Reading in House (Y: 107 N: 1 NV: 1 Abs: 2) [PASS]
2016-05-12 - Senate - Third Reading in Senate (Y: 55 N: 0 NV: 4 Abs: 0) [PASS]

History

DateChamberAction
2016-08-05SenatePublic Act . . . . . . . . . 99-0751
2016-08-05SenateEffective Date August 5, 2016
2016-08-05SenateGovernor Approved
2016-06-27SenateSent to the Governor
2016-05-27SenatePassed Both Houses
2016-05-27HouseAdded Alternate Chief Co-Sponsor Rep. Eddie Lee Jackson, Sr.
2016-05-27HouseThird Reading - Short Debate - Passed 107-001-000
2016-05-25HousePlaced on Calendar Order of 3rd Reading - Short Debate
2016-05-25HouseSecond Reading - Short Debate
2016-05-25HousePlaced on Calendar 2nd Reading - Short Debate
2016-05-24HouseDo Pass / Short Debate Human Services Committee; 013-000-000
2016-05-24HouseAdded Alternate Chief Co-Sponsor Rep. Patricia R. Bellock
2016-05-17HouseFinal Action Deadline Extended-9(b) May 27, 2016
2016-05-17HouseAssigned to Human Services Committee
2016-05-17HouseAlternate Chief Sponsor Changed to Rep. Gregory Harris
2016-05-16HouseReferred to Rules Committee
2016-05-16HouseFirst Reading
2016-05-13HouseChief House Sponsor Rep. Barbara Flynn Currie
2016-05-13HouseArrived in House
2016-05-12SenateThird Reading - Passed; 055-000-000
2016-05-12SenatePlaced on Calendar Order of 3rd Reading
2016-05-12SenateSenate Floor Amendment No. 1 Adopted; Trotter
2016-05-12SenateRecalled to Second Reading
2016-05-12SenateSenate Floor Amendment No. 1 Recommend Do Adopt Human Services; 007-000-000
2016-05-11SenateSenate Floor Amendment No. 1 Assignments Refers to Human Services
2016-05-11SenateSenate Floor Amendment No. 1 Referred to Assignments
2016-05-11SenateSenate Floor Amendment No. 1 Filed with Secretary by Sen. Donne E. Trotter
2016-04-28SenateRule 2-10 Committee/3rd Reading Deadline Established As May 13, 2016
2016-04-20SenatePlaced on Calendar Order of 3rd Reading April 21, 2016
2016-04-20SenateSecond Reading
2016-04-14SenateAdded as Chief Co-Sponsor Sen. William Delgado
2016-04-14SenatePlaced on Calendar Order of 2nd Reading April 18, 2016
2016-04-14SenateDo Pass Special Committee on Oversight of Medicaid Managed Care; 009-000-000
2016-04-13SenateAdded as Chief Co-Sponsor Sen. Jacqueline Y. Collins
2016-04-13SenateAdded as Chief Co-Sponsor Sen. Mattie Hunter
2016-04-08SenateRule 2-10 Committee Deadline Established As April 22, 2016
2016-03-08SenateAssigned to Special Committee on Oversight of Medicaid Managed Care
2016-02-19SenateReferred to Assignments
2016-02-19SenateFirst Reading
2016-02-19SenateFiled with Secretary by Sen. Donne E. Trotter

Code Citations

ChapterArticleSectionCitation TypeStatute Text
30555-30.1Amended CodeCitation Text

Illinois State Sources


Bill Comments

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