Bill Text: IL HB1909 | 2021-2022 | 102nd General Assembly | Introduced
Bill Title: Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that if a Medicaid enrollee of a managed care organization selects a plan based on the in-network status of (i) an existing primary care provider or (ii) up to 2 existing specialty care providers for an existing condition that is under active treatment, the managed care organization may not change the Medicaid enrollee's selected provider in (i) or (ii) for the remainder of the 12-month period following enrollment in the managed care health plan without permission by the Medicaid enrollee. Permits the Department of Healthcare and Family Services to adopt any rules necessary to administer the amendatory Act. Provides that nothing in the amendatory Act shall be construed to prohibit a Medicaid enrollee from changing his or her primary care provider as authorized by Department rules.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2021-03-27 - Rule 19(a) / Re-referred to Rules Committee [HB1909 Detail]
Download: Illinois-2021-HB1909-Introduced.html
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1 | AN ACT concerning public aid.
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2 | Be it enacted by the People of the State of Illinois,
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3 | represented in the General Assembly:
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4 | Section 5. The Illinois Public Aid Code is amended by | ||||||||||||||||||||||||
5 | adding Section 5-30.15 as follows:
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6 | (305 ILCS 5/5-30.15 new) | ||||||||||||||||||||||||
7 | Sec. 5-30.15. Change in provider; managed care | ||||||||||||||||||||||||
8 | restrictions. If a Medicaid enrollee of a managed care | ||||||||||||||||||||||||
9 | organization selects a plan based on the in-network status of | ||||||||||||||||||||||||
10 | (i) an existing primary care provider or (ii) up to 2 existing | ||||||||||||||||||||||||
11 | specialty care providers for an existing condition that is | ||||||||||||||||||||||||
12 | under active treatment, the managed care organization may not | ||||||||||||||||||||||||
13 | change the Medicaid enrollee's selected provider in (i) or | ||||||||||||||||||||||||
14 | (ii) for the remainder of the 12-month period following | ||||||||||||||||||||||||
15 | enrollment in the managed care health plan without permission | ||||||||||||||||||||||||
16 | by the Medicaid enrollee. The Department may adopt any rules | ||||||||||||||||||||||||
17 | necessary to administer this Section. Nothing in this Section | ||||||||||||||||||||||||
18 | shall be construed to prohibit a Medicaid enrollee from | ||||||||||||||||||||||||
19 | changing his or her primary care provider as authorized by | ||||||||||||||||||||||||
20 | Department rules.
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