Bill Text: IL HR0004 | 2013-2014 | 98th General Assembly | Introduced

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Bill Title: Creates the Medicaid Managed Care Oversight Task Force to monitor how Illinois approaches and manages a new form of health care delivery system based on a managed care model, particularly for people with disabilities and the elderly.

Spectrum: Partisan Bill (Democrat 3-0)

Status: (Passed) 2013-05-22 - Resolution Adopted 116-001-000 [HR0004 Detail]

Download: Illinois-2013-HR0004-Introduced.html

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HOUSE RESOLUTION
WHEREAS, Due to federal health care reform, an integrated
care pilot program in Northern Illinois, and statewide Medicaid
reform, a managed care approach to providing Medicaid coverage
is no longer up for debate making Medicaid managed care a
reality in Illinois; and
WHEREAS, Managed care has proven a sometimes inefficient
provider of health care coverage especially for long-term care
and those individuals - typically the elderly or people with
disabilities - receiving it; and
WHEREAS, Illinois' pilot program and the recent Medicaid
reform law make it mandatory for managed care to provide the
services expected in a long-term care setting, which is a
potentially risky scenario for those receiving these kinds of
services; and
WHEREAS, A number of other states have discontinued managed
care for people with disabilities and the elderly, including
California which found it more cost-effective not to utilize
managed care after an extensive overhaul of the state's health
care program; and
WHEREAS, The State of Illinois is setting forth on this

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venture with two for-profit managed care organizations under
contract, while not exploring other entities to provide quality
care, such as not-for-profit organizations; and
WHEREAS, The Institute on Disability and Human Development
at the University of Illinois at Chicago (UIC) is overseeing
the consumer satisfaction levels and the managed care
organizations' competency for the test population in the pilot
program; nonetheless, only an estimated 40,000 individuals
with disabilities are in the pilot program area and targeted to
receive services; as Illinois Medicaid reform and federal
health care reform become the norm for Medicaid recipients in
this State, a conservative estimate is that 2.4 million people
currently receive Medicaid, and approximately 1.2 million
people - or 50% of the Medicaid population - under that program
will move into a managed care system, as mandated by the
Illinois Medicaid reform law; this increased number will not
receive monitoring from UIC and, possibly, will not receive the
adequate follow-up, thereby, leaving them more susceptible to
fraudulent practices, abuse, neglect, and insufficient care
through providers and the managed care organizations; as
Illinois moves toward transitioning 50% of the Medicaid
population to a managed care system, as with the pilot program,
no other plans except those involving for-profit managed care
organizations are presently receiving serious discussion;
therefore, be it

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RESOLVED, BY THE HOUSE OF REPRESENTATIVES OF THE
NINETY-EIGHTH GENERAL ASSEMBLY OF THE STATE OF ILLINOIS, that
there is created in the Department of Healthcare and Family
Services the Medicaid Managed Care Oversight Task Force to
monitor how Illinois approaches and manages a new form of
health care delivery system based on a managed care model,
particularly for people with disabilities and the elderly; and
be it further
RESOLVED, That the Task Force shall consist of the
following: (1) 3 members, appointed by the Speaker of the
Illinois House of Representatives; (2) 3 members, appointed by
the Minority Leader of the Illinois House of Representatives;
and (3) 4 members, appointed by the Governor; the Task Force
shall elect a chairperson from their membership; and be it
further
RESOLVED, That the Department of Healthcare and Family
Services shall facilitate the Task Force and provide the Task
Force with administrative support, but shall have no hand in
guiding its direction or ascertaining its results; the Task
Force shall meet quarterly and report on its findings to the
General Assembly and its appropriate committees; reports from
the Task Force shall indicate (i) whether individuals within
the pilot program and the intended 50% of Medicaid recipients

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transitioned into managed care are satisfied with their health
outcomes, can access all necessary forms of medical care, and
received all necessary information from the State and the
Department regarding the changes to their health care delivery
system; and (ii) any other satisfaction indicators deemed
applicable by the Task Force, especially with the knowledge of
how UIC conducted satisfaction surveys; the Task Force's life
span shall continue until January 1, 2017, unless the General
Assembly deems a longer tenure necessary, as that date would
mark the two-year anniversary of the transition of Medicaid
enrollees into managed care programs, as mandated by the newly
enacted Medicaid reform law in Illinois; and be it further
RESOLVED, That upon receiving reports from the Task Force,
the General Assembly and all appropriate committees therein
must take the necessary steps to ensure all individuals
receiving health care through a managed care delivery system
are satisfied with that care and are not receiving worse care
as a result; if the General Assembly finds negative outcomes
per reports from the Task Force, it should amend the process by
which managed care is put to use for Medicaid recipients,
especially for people with disabilities and the elderly, and
further, if the reports are positive or neutral, the General
Assembly should decide whether to continue monitoring the
program for a set period to ensure that all recipients receive
the best quality health care available to them under a managed

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care process; and be it further
RESOLVED, That as changes to health care delivery improve
or changes come to pass based on new laws passed by the State
or federal government, the General Assembly must decide if
continuing the use of the managed care approach is the most
appropriate, cost-effective, and beneficial means in providing
health care to Medicaid recipients in Illinois; and be it
further
RESOLVED, That suitable copies of this resolution be
delivered to the Governor and to the Director of the Department
of Healthcare and Family Services.