Bill Text: IL SB1378 | 2017-2018 | 100th General Assembly | Introduced

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Bill Title: Amends the Personnel Code to provide for partial jurisdiction B exemption for certain positions within the Department of Human Services.

Sponsorship: Partisan Bill (Republican 1)

Status: (Failed) 2019-01-09 - Session Sine Die [SB1378 Detail]

Download: Illinois-2017-SB1378-Introduced.html

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100TH GENERAL ASSEMBLY State of Illinois 2017 and 2018 SB1378 Introduced 2/9/2017, by Sen. Jil Tracy SYNOPSIS AS INTRODUCED:
20 ILCS 415/4d from Ch. 127, par. 63b104d
Amends the Personnel Code to provide for partial jurisdiction B exemption for certain positions within the Department of Human Services.
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A BILL FOR
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AN ACT concerning State government.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Personnel Code is amended by changing
Section 4d as follows:
(20 ILCS 415/4d) (from Ch. 127, par. 63b104d)
Sec. 4d. Partial exemptions. The following positions in
State service are exempt from jurisdictions A, B, and C to the
extent stated for each, unless those jurisdictions are extended
as provided in this Act:
(1) In each department, board or commission that now
maintains or may hereafter maintain a major administrative
division, service or office in both Sangamon County and
Cook County, 2 private secretaries for the director or
chairman thereof, one located in the Cook County office and
the other located in the Sangamon County office, shall be
exempt from jurisdiction B; in all other departments,
boards and commissions one private secretary for the
director or chairman thereof shall be exempt from
jurisdiction B. In all departments, boards and commissions
one confidential assistant for the director or chairman
thereof shall be exempt from jurisdiction B. This paragraph
is subject to such modifications or waiver of the

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exemptions as may be necessary to assure the continuity of
federal contributions in those agencies supported in whole
or in part by federal funds.
(2) The resident administrative head of each State
charitable, penal and correctional institution, the
chaplains thereof, and all member, patient and inmate
employees are exempt from jurisdiction B.
(3) The Civil Service Commission, upon written
recommendation of the Director of Central Management
Services, shall exempt from jurisdiction B other positions
which, in the judgment of the Commission, involve either
principal administrative responsibility for the
determination of policy or principal administrative
responsibility for the way in which policies are carried
out, except positions in agencies which receive federal
funds if such exemption is inconsistent with federal
requirements, and except positions in agencies supported
in whole by federal funds.
(4) All beauticians and teachers of beauty culture and
teachers of barbering, and all positions heretofore paid
under Section 1.22 of "An Act to standardize position
titles and salary rates", approved June 30, 1943, as
amended, shall be exempt from jurisdiction B.
(5) Licensed attorneys in positions as legal or
technical advisors; positions in the Department of Natural
Resources requiring incumbents to be either a registered

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professional engineer or to hold a bachelor's degree in
engineering from a recognized college or university;
licensed physicians in positions of medical administrator
or physician or physician specialist (including
psychiatrists); all positions within the Department of
Juvenile Justice requiring licensure by the State Board of
Education under Article 21B of the School Code; from the
effective date of this amendatory Act of the 99th General
Assembly until January 1, 2017, all positions within the
Illinois School for the Deaf and the Illinois School for
the Visually Impaired requiring licensure by the State
Board of Education under Article 21B of the School Code;
and registered nurses (except those registered nurses
employed by the Department of Public Health); except those
in positions in agencies which receive federal funds if
such exemption is inconsistent with federal requirements
and except those in positions in agencies supported in
whole by federal funds, are exempt from jurisdiction B only
to the extent that the requirements of Section 8b.1, 8b.3
and 8b.5 of this Code need not be met.
(5.5) The following positions within the Department of
Human Services are exempt from jurisdiction B only to the
extent that the requirements of Section 8b.1, 8b.3 and 8b.5
of this Code need not be met: Clinical Pharmacist, Clinical
Psychologist, Dentist 1, Dentist 2, Educator (Options A, B,
C, and E), Hearing and Speech Specialist, Licensed

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Practical Nurse 1, Licensed Practical Nurse 2,
Nutritionist, Occupational Therapist, Occupational
Therapist Program Coordinator, Occupational Therapist
Supervisor, Pharmacy Lead Technician, Pharmacy Manager,
Pharmacy Technician, Physical therapist, Public Service
Administrator (Options 8C, 8J, 8K, 8O, 8P, 8S, 8T, 8U, 8V,
and 9A), Senior Public Service Administrator (Options 8K,
8O, 8P, 8S, and 8T), Social Worker 4, and Staff Pharmacist.
(6) All positions established outside the geographical
limits of the State of Illinois to which appointments of
other than Illinois citizens may be made are exempt from
jurisdiction B.
(7) Staff attorneys reporting directly to individual
Commissioners of the Illinois Workers' Compensation
Commission are exempt from jurisdiction B.
(8) Twenty-one senior public service administrator
positions within the Department of Healthcare and Family
Services, as set forth in this paragraph (8), requiring the
specific knowledge of healthcare administration,
healthcare finance, healthcare data analytics, or
information technology described are exempt from
jurisdiction B only to the extent that the requirements of
Sections 8b.1, 8b.3, and 8b.5 of this Code need not be met.
The General Assembly finds that these positions are all
senior policy makers and have spokesperson authority for
the Director of the Department of Healthcare and Family

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Services. When filling positions so designated, the
Director of Healthcare and Family Services shall cause a
position description to be published which allots points to
various qualifications desired. After scoring qualified
applications, the Director shall add Veteran's Preference
points as enumerated in Section 8b.7 of this Code. The
following are the minimum qualifications for the senior
public service administrator positions provided for in
this paragraph (8):
(A) HEALTHCARE ADMINISTRATION.
Medical Director: Licensed Medical Doctor in
good standing; experience in healthcare payment
systems, pay for performance initiatives, medical
necessity criteria or federal or State quality
improvement programs; preferred experience serving
Medicaid patients or experience in population
health programs with a large provider, health
insurer, government agency, or research
institution.
Chief, Bureau of Quality Management: Advanced
degree in health policy or health professional
field preferred; at least 3 years experience in
implementing or managing healthcare quality
improvement initiatives in a clinical setting.
Quality Management Bureau: Manager, Care
Coordination/Managed Care Quality: Clinical degree

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or advanced degree in relevant field required;
experience in the field of managed care quality
improvement, with knowledge of HEDIS measurements,
coding, and related data definitions.
Quality Management Bureau: Manager, Primary
Care Provider Quality and Practice Development:
Clinical degree or advanced degree in relevant
field required; experience in practice
administration in the primary care setting with a
provider or a provider association or an
accrediting body; knowledge of practice standards
for medical homes and best evidence based
standards of care for primary care.
Director of Care Coordination Contracts and
Compliance: Bachelor's degree required; multi-year
experience in negotiating managed care contracts,
preferably on behalf of a payer; experience with
health care contract compliance.
Manager, Long Term Care Policy: Bachelor's
degree required; social work, gerontology, or
social service degree preferred; knowledge of
Olmstead and other relevant court decisions
required; experience working with diverse long
term care populations and service systems, federal
initiatives to create long term care community
options, and home and community-based waiver

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services required. The General Assembly finds that
this position is necessary for the timely and
effective implementation of this amendatory Act of
the 97th General Assembly.
Manager, Behavioral Health Programs: Clinical
license or Advanced degree required, preferably in
psychology, social work, or relevant field;
knowledge of medical necessity criteria and
governmental policies and regulations governing
the provision of mental health services to
Medicaid populations, including children and
adults, in community and institutional settings of
care. The General Assembly finds that this
position is necessary for the timely and effective
implementation of this amendatory Act of the 97th
General Assembly.
Manager, Office of Accountable Care Entity
Development: Bachelor's degree required, clinical
degree or advanced degree in relevant field
preferred; experience in developing integrated
delivery systems, including knowledge of health
homes and evidence-based standards of care
delivery; multi-year experience in health care or
public health management; knowledge of federal ACO
or other similar delivery system requirements and
strategies for improving health care delivery.

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Manager of Federal Regulatory Compliance:
Bachelor's degree required, advanced degree
preferred, in healthcare management or relevant
field; experience in healthcare administration or
Medicaid State Plan amendments preferred;
experience interpreting federal rules; experience
with either federal health care agency or with a
State agency in working with federal regulations.
Manager, Office of Medical Project Management:
Bachelor's degree required, project management
certification preferred; multi-year experience in
project management and developing business analyst
skills; leadership skills to manage multiple and
complex projects.
Manager of Medicare/Medicaid Coordination:
Bachelor's degree required, knowledge and
experience with Medicare Advantage rules and
regulations, knowledge of Medicaid laws and
policies; experience with contract drafting
preferred.
Chief, Bureau of Eligibility Integrity:
Bachelor's degree required, advanced degree in
public administration or business administration
preferred; experience equivalent to 4 years of
administration in a public or business
organization required; experience with managing

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contract compliance required; knowledge of
Medicaid eligibility laws and policy preferred;
supervisory experience preferred. The General
Assembly finds that this position is necessary for
the timely and effective implementation of this
amendatory Act of the 97th General Assembly.
(B) HEALTHCARE FINANCE.
Director of Care Coordination Rate and
Finance: MBA, CPA, or Actuarial degree required;
experience in managed care rate setting,
including, but not limited to, baseline costs and
growth trends; knowledge and experience with
Medical Loss Ratio standards and measurements.
Director of Encounter Data Program: Bachelor's
degree required, advanced degree preferred,
preferably in health care, business, or
information systems; at least 2 years healthcare
or other similar data reporting experience,
including, but not limited to, data definitions,
submission, and editing; background in HIPAA
transactions relevant to encounter data
submission; experience with large provider, health
insurer, government agency, or research
institution or other knowledge of healthcare
claims systems.
Manager of Medical Finance, Division of

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Finance: Requires relevant advanced degree or
certification in relevant field, such as Certified
Public Accountant; coursework in business or
public administration, accounting, finance, data
analysis, or statistics preferred; experience in
control systems and GAAP; financial management
experience in a healthcare or government entity
utilizing Medicaid funding.
(C) HEALTHCARE DATA ANALYTICS.
Data Quality Assurance Manager: Bachelor's
degree required, advanced degree preferred,
preferably in business, information systems, or
epidemiology; at least 3 years of extensive
healthcare data reporting experience with a large
provider, health insurer, government agency, or
research institution; previous data quality
assurance role or formal data quality assurance
training.
Data Analytics Unit Manager: Bachelor's degree
required, advanced degree preferred, in
information systems, applied mathematics, or
another field with a strong analytics component;
extensive healthcare data reporting experience
with a large provider, health insurer, government
agency, or research institution; experience as a
business analyst interfacing between business and

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information technology departments; in-depth
knowledge of health insurance coding and evolving
healthcare quality metrics; working knowledge of
SQL and/or SAS.
Data Analytics Platform Manager: Bachelor's
degree required, advanced degree preferred,
preferably in business or information systems;
extensive healthcare data reporting experience
with a large provider, health insurer, government
agency, or research institution; previous
experience working on a health insurance data
analytics platform; experience managing contracts
and vendors preferred.
(D) HEALTHCARE INFORMATION TECHNOLOGY.
Manager of MMIS Claims Unit: Bachelor's degree
required, with preferred coursework in business,
public administration, information systems;
experience equivalent to 4 years of administration
in a public or business organization; working
knowledge with design and implementation of
technical solutions to medical claims payment
systems; extensive technical writing experience,
including, but not limited to, the development of
RFPs, APDs, feasibility studies, and related
documents; thorough knowledge of IT system design,
commercial off the shelf software packages and

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hardware components.
Assistant Bureau Chief, Office of Information
Systems: Bachelor's degree required, with
preferred coursework in business, public
administration, information systems; experience
equivalent to 5 years of administration in a public
or private business organization; extensive
technical writing experience, including, but not
limited to, the development of RFPs, APDs,
feasibility studies and related documents;
extensive healthcare technology experience with a
large provider, health insurer, government agency,
or research institution; experience as a business
analyst interfacing between business and
information technology departments; thorough
knowledge of IT system design, commercial off the
shelf software packages and hardware components.
Technical System Architect: Bachelor's degree
required, with preferred coursework in computer
science or information technology; prior
experience equivalent to 5 years of computer
science or IT administration in a public or
business organization; extensive healthcare
technology experience with a large provider,
health insurer, government agency, or research
institution; experience as a business analyst

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interfacing between business and information
technology departments.
The provisions of this paragraph (8), other than this
sentence, are inoperative after January 1, 2014.
(Source: P.A. 98-104, eff. 7-22-13; 98-1146, eff. 12-30-14;
99-45, eff. 7-15-15.)