Bill Text: IL SB1762 | 2011-2012 | 97th General Assembly | Chaptered

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Bill Title: Amends the Department of Professional Regulation Law of the Civil Administrative Code of Illinois. Provides that any licensed health care worker, who has been (1) convicted of committing a sexual criminal act that requires registration under the Sex Offender Registration Act against a patient in the course of patient care or treatment, (2) has been convicted of a criminal battery against any patient, (3) a forcible felony, or (4) required as part of a criminal sentence to register under the Sex Offender Registration Act, then the license of the health care worker shall by operation of law be permanently revoked without a hearing. Provides that no person registered as a sex offender may receive a license as a health care worker in Illinois. Requires that within 15 business days after receiving notice from the State's Attorney of the filing of criminal charges against the health care worker, the Secretary shall issue an administrative order that the health care worker may only practice with a chaperone during all patient encounters pending the outcome of the criminal proceedings. Adds provisions concerning the confidentiality of certain information and documents. Effective immediately.

Spectrum: Bipartisan Bill

Status: (Passed) 2011-12-30 - Public Act . . . . . . . . . 97-0649 [SB1762 Detail]

Download: Illinois-2011-SB1762-Chaptered.html

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Public Act 097-0649
SB1762 Enrolled LRB097 06104 CEL 46177 b
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 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 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), 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.
(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 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.
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 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.
Chief, Bureau of Pharmacy Services: Bachelor's
degree required; pharmacy degree preferred; in
formulary development and management from both a
clinical and financial perspective, experience in
prescription drug utilization review and utilization
control policies, knowledge of retail pharmacy
reimbursement policies and methodologies and available
benchmarks, knowledge of Medicare Part D benefit
design.
Chief, Bureau of Maternal and Child Health
Promotion: Bachelor's degree required, advanced degree
preferred, in public health, health care management,
or a clinical field; multi-year experience in health
care or public health management; knowledge of federal

EPSDT requirements and strategies for improving health
care for children as well as improving birth outcomes.
Director of Dental Program: Bachelor's degree
required, advanced degree preferred, in healthcare
management or relevant field; experience in healthcare
administration; experience in administering dental
healthcare programs, knowledge of practice standards
for dental care and treatment services; knowledge of
the public dental health infrastructure.
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.
(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 business or information systems; at least 2 years
healthcare data reporting experience, including, but
not limited to, data definitions, submission, and

editing; strong background in HIPAA transactions
relevant to encounter data submission; knowledge of
healthcare claims systems.
Chief, Bureau of Rate Development and Analysis:
Bachelor's degree required, advanced degree preferred,
with preferred coursework in business or public
administration, accounting, finance, data analysis, or
statistics; experience with Medicaid reimbursement
methodologies and regulations; experience with
extracting data from large systems for analysis.
Manager of Medical Finance, Division of 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 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 Recipient Provider Reference Unit:
Bachelor's degree required; experience equivalent to 4
years of administration in a public or business
organization; 3 years of administrative experience in
a computer-based management information system.

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
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
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. 93-721, eff. 1-1-05.)