Bill Text: IL SB0781 | 2011-2012 | 97th General Assembly | Introduced
Bill Title: Amends the Illinois Public Aid Code. Makes a technical change in a Section concerning disease management programs and services for chronic conditions.
Sponsorship: Partisan Bill (Democrat 1)
Status: (Failed) 2013-01-08 - Session Sine Die [SB0781 Detail]
Download: Illinois-2011-SB0781-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 | changing Section 5-24 as follows:
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| 6 | (305 ILCS 5/5-24)
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| 7 | (Section scheduled to be repealed on January 1, 2014)
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| 8 | Sec. 5-24. Disease management programs and services for
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| 9 | chronic conditions; pilot project. | |||||||||||||||||||
| 10 | (a) In this Section, "disease management programs and
and
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| 11 | services" means services administered to patients in order to | |||||||||||||||||||
| 12 | improve
their overall health and to prevent clinical | |||||||||||||||||||
| 13 | exacerbations and
complications, using cost-effective, | |||||||||||||||||||
| 14 | evidence-based practice
guidelines and patient self-management | |||||||||||||||||||
| 15 | strategies. Disease
management programs and services include | |||||||||||||||||||
| 16 | all of the following:
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| 17 | (1) A population identification process.
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| 18 | (2) Evidence-based or consensus-based clinical | |||||||||||||||||||
| 19 | practice
guidelines, risk identification, and matching of | |||||||||||||||||||
| 20 | interventions with
clinical need.
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| 21 | (3) Patient self-management and disease education.
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| 22 | (4) Process and outcomes measurement, evaluation, | |||||||||||||||||||
| 23 | management, and
reporting.
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| 1 | (b) Subject to appropriations, the Department of | ||||||
| 2 | Healthcare and Family Services may
undertake a pilot project to | ||||||
| 3 | study patient outcomes, for patients with chronic
diseases or | ||||||
| 4 | patients at risk of low birth weight or premature birth, | ||||||
| 5 | associated with the use of disease management programs and | ||||||
| 6 | services
for chronic condition management. "Chronic diseases" | ||||||
| 7 | include, but are not
limited to, diabetes, congestive heart | ||||||
| 8 | failure, and chronic obstructive
pulmonary disease. Low birth | ||||||
| 9 | weight and premature birth include all medical and other | ||||||
| 10 | conditions that lead to poor birth outcomes or problematic | ||||||
| 11 | pregnancies.
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| 12 | (c) The disease management programs and services pilot
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| 13 | project shall examine whether chronic disease management | ||||||
| 14 | programs and
services for patients with specific chronic | ||||||
| 15 | conditions do any or all
of the following:
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| 16 | (1) Improve the patient's overall health in a more | ||||||
| 17 | expeditious
manner.
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| 18 | (2) Lower costs in other aspects of the medical | ||||||
| 19 | assistance program, such
as hospital admissions, days in | ||||||
| 20 | skilled nursing homes, emergency room
visits, or more | ||||||
| 21 | frequent physician office visits.
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| 22 | (d) In carrying out the pilot project, the Department of | ||||||
| 23 | Healthcare and Family Services shall
examine all relevant | ||||||
| 24 | scientific literature and shall consult with
health care | ||||||
| 25 | practitioners including, but not limited to, physicians,
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| 26 | surgeons, registered pharmacists, and registered nurses.
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| 1 | (e) The Department of Healthcare and Family Services shall | ||||||
| 2 | consult with medical experts,
disease advocacy groups, and | ||||||
| 3 | academic institutions to develop criteria
to be used in | ||||||
| 4 | selecting a vendor for the pilot project.
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| 5 | (f) The Department of Healthcare and Family Services may | ||||||
| 6 | adopt rules to implement this
Section.
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| 7 | (g) This Section is repealed 10 years after the effective | ||||||
| 8 | date of this
amendatory Act of the 93rd General Assembly.
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| 9 | (Source: P.A. 95-331, eff. 8-21-07; 96-799, eff. 10-28-09.)
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