Bill Text: IL HR0755 | 2017-2018 | 100th General Assembly | Introduced
Bill Title: Strongly urges the Department of Healthcare and Family Services to delay the implementation of the Health Choice Illinois Medicaid Managed Care Program.
Spectrum: Partisan Bill (Democrat 46-0)
Status: (Passed) 2018-05-10 - Resolution Adopted [HR0755 Detail]
Download: Illinois-2017-HR0755-Introduced.html
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1 | HOUSE RESOLUTION
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2 | WHEREAS, The Health Choice Illinois Medicaid Managed Care | ||||||
3 | Program is a program proposed by the Illinois Department of | ||||||
4 | Healthcare and Family Services (HFS), which seeks to completely | ||||||
5 | change the way the State of Illinois administers its Medicaid | ||||||
6 | program; and
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7 | WHEREAS, The purpose of the Health Choice Illinois Medicaid | ||||||
8 | Managed Care Program is to increase the number of people | ||||||
9 | enrolled in the state's Medicaid Managed Care Program from the | ||||||
10 | current 60 percent of Medicaid beneficiaries, to 80 percent and | ||||||
11 | to launch the program in all 102 counties (currently, it is | ||||||
12 | only in 30 counties); and
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13 | WHEREAS, The Health Choice Illinois Medicaid Managed Care | ||||||
14 | Program was implemented as of January 1, 2018; and
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15 | WHEREAS, The transformation into the Health Choice | ||||||
16 | Illinois Medicaid Managed Care Program stands to drastically | ||||||
17 | affect the providers of Medicaid healthcare services for the | ||||||
18 | state's most vulnerable populations, especially residents in | ||||||
19 | nursing homes; and
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20 | WHEREAS, It is important that the new program safeguards | ||||||
21 | the needs of nursing home residents because of their unique |
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1 | challenges, while also addressing any additional complications | ||||||
2 | for nursing homes in complying with and implementing any new | ||||||
3 | managed care agreements; and
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4 | WHEREAS, The Health Choice Illinois Medicaid Managed Care | ||||||
5 | Program lacked transparency from its inception, since it was | ||||||
6 | procured outside of the standard procurement process, had no | ||||||
7 | independent review, and was not subject to the transparency and | ||||||
8 | ethics requirements of a standard procurement, despite the fact | ||||||
9 | that it was the largest procurement in the history of the State | ||||||
10 | of Illinois, with a value of $63 billion; and
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11 | WHEREAS, The Illinois General Assembly passed legislation | ||||||
12 | to increase oversight for the Health Choice Illinois Medicaid | ||||||
13 | Managed Care Program and place the awarding of the Managed Care | ||||||
14 | Organization (MCO) contracts within the Illinois Procurement | ||||||
15 | Code; however, this legislation was vetoed by Governor Rauner; | ||||||
16 | and
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17 | WHEREAS, HFS had sole discretion in awarding the winning | ||||||
18 | contracts to the MCOs with no oversight from the legislature, | ||||||
19 | the Chief Procurement Officer, the Illinois Office of the | ||||||
20 | Comptroller, or other independent oversight agencies to ensure | ||||||
21 | a clear and transparent procurement process; and
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22 | WHEREAS, The Health Choice Illinois Medicaid Managed Care |
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1 | Program required the State of Illinois and the Department of | ||||||
2 | Healthcare and Family Services to sign a master contract with | ||||||
3 | the MCOs; and
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4 | WHEREAS, The Medicaid MCOs are now pursuing individual | ||||||
5 | contracts with providers to maintain an adequate network for | ||||||
6 | Medicaid beneficiaries; and
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7 | WHEREAS, There are major issues with the MCO contracts that | ||||||
8 | are being offered to providers, with some contracts not | ||||||
9 | complying with the provisions of the master contract between | ||||||
10 | HFS and the MCOs; and
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11 | WHEREAS, During a review of the provider contract language | ||||||
12 | with the MCOs, it has been noted that there are provisions that | ||||||
13 | may violate federal or state law; and
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14 | WHEREAS, It is unjust that providers be pressured to sign | ||||||
15 | contracts to be a part of the Health Choice Illinois Medicaid | ||||||
16 | Managed Care Program until these compliance issues are | ||||||
17 | resolved; providers deserve to know the terms and conditions to | ||||||
18 | which they are agreeing, with appropriate due diligence and | ||||||
19 | review; and
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20 | WHEREAS, Some providers have already signed these provider | ||||||
21 | contracts after threats were made by HFS that the provider |
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1 | either sign the contract now or not have an opportunity to sign | ||||||
2 | the contract at a later date; and
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3 | WHEREAS, In the event that addendums to these provider | ||||||
4 | contracts are issued by HFS in the future, providers will not | ||||||
5 | have the opportunity to review them prior to being | ||||||
6 | contractually bound to obey them; therefore, be it
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7 | RESOLVED, BY THE HOUSE OF REPRESENTATIVES OF THE ONE | ||||||
8 | HUNDREDTH GENERAL ASSEMBLY OF THE STATE OF ILLINOIS, that we | ||||||
9 | strongly urge the Department of Healthcare and Family Services | ||||||
10 | to delay the implementation of the Health Choice Illinois | ||||||
11 | Medicaid Managed Care Program for nursing homes for 60 to 90 | ||||||
12 | days to give the providers and the MCOs the opportunity to | ||||||
13 | correct these contractual deficiencies and help to ensure a | ||||||
14 | seamless transition for this new program; and be it further
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15 | RESOLVED, That in the event that any provisions within the | ||||||
16 | provider contracts are in conflict with state or federal law, | ||||||
17 | that the state or federal law will govern; and be it further
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18 | RESOLVED, That suitable copies of this resolution be | ||||||
19 | delivered to the Governor of the State of Illinois and the | ||||||
20 | Director of the Department of healthcare and Family Services.
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