Bill Text: IL SB3302 | 2009-2010 | 96th General Assembly | Introduced

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Bill Title: Amends the Children's Health Insurance Program Act, Covering ALL KIDS Health Insurance Act, and Illinois Public Aid Code. Provides that beginning on July 1, 2010, the Department of Healthcare and Family Services shall develop incentive programs for dentists who perform dental services on adults and children covered under the respective Acts. Provides that the incentive programs shall include pilot programs in designated shortage areas that increase rates up to 64% of the reimbursement level that the State reimburses dentists for dental services provided to State employees. Provides that the Department shall increase the rate level of dental specialty services that are provided to children to equal that which the State reimburses dentists for dental services provided to State employees for certain services. Provides that the Department shall develop and implement an incentive program that rewards dentists who are enrolled in the program with a bonus for providing services to a higher annual percentage of patients relative to the number of patients to whom the dentist provided services in the previous year. Provides that the bonus payments shall be based and paid on a graduated scale.

Sponsorship: Partisan Bill (Democrat 2)

Status: (Introduced - Dead) 2010-06-27 - Pursuant to Senate Rule 3-9(b) / Referred to Assignments [SB3302 Detail]

Download: Illinois-2009-SB3302-Introduced.html

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96TH GENERAL ASSEMBLY State of Illinois 2009 and 2010 SB3302 Introduced 2/9/2010, by Sen. Deanna Demuzio SYNOPSIS AS INTRODUCED:
215 ILCS 106/65 new
215 ILCS 170/54 new
305 ILCS 5/5-5.06 new
Amends the Children's Health Insurance Program Act, Covering ALL KIDS Health Insurance Act, and Illinois Public Aid Code. Provides that beginning on July 1, 2010, the Department of Healthcare and Family Services shall develop incentive programs for dentists who perform dental services on adults and children covered under the respective Acts. Provides that the incentive programs shall include pilot programs in designated shortage areas that increase rates up to 64% of the reimbursement level that the State reimburses dentists for dental services provided to State employees. Provides that the Department shall increase the rate level of dental specialty services that are provided to children to equal that which the State reimburses dentists for dental services provided to State employees for certain services. Provides that the Department shall develop and implement an incentive program that rewards dentists who are enrolled in the program with a bonus for providing services to a higher annual percentage of patients relative to the number of patients to whom the dentist provided services in the previous year. Provides that the bonus payments shall be based and paid on a graduated scale.
LRB096 17599 RPM 32956 b
FISCAL NOTE ACT MAY APPLY
A BILL FOR
SB3302 LRB096 17599 RPM 32956 b
AN ACT concerning insurance.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Children's Health Insurance Program Act is
amended by adding Section 65 as follows:
(215 ILCS 106/65 new)
Sec. 65. Provider incentives. Beginning on July 1, 2010,
the Department shall develop incentive programs for dentists
who perform dental services on children covered under this Act.
The incentive programs shall include pilot programs in
designated shortage areas that increase rates up to 64% of the
reimbursement level that the State reimburses dentists for
dental services provided to State employees under the State
Employees Group Insurance Act. The Department shall increase
the rate level of dental specialty services that are provided
to children covered under this Act to equal that which the
State reimburses dentists for dental services provided to State
employees under the State Employees Group Insurance Act for the
services defined by the Code of Dental Terminology as specialty
codes. The Department shall develop and implement an incentive
program that rewards dentists who are enrolled in the program
with a bonus for providing services to a higher annual
percentage of patients relative to the number of patients to

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whom the dentist provided services in the previous year; the
bonus payments shall be based and paid on a graduated scale of
25% increase, 50% increase, 75% increase, and 100% increase in
new patients treated.
Section 10. The Covering ALL KIDS Health Insurance Act is
amended by adding Section 54 as follows:
(215 ILCS 170/54 new)
Sec. 54. Provider incentives. Beginning on July 1, 2010,
the Department shall develop incentive programs for dentists
who perform dental services on children covered under this Act.
The incentive programs shall include pilot programs in
designated shortage areas that increase rates up to 64% of the
reimbursement level that the State reimburses dentists for
dental services provided to State employees under the State
Employees Group Insurance Act. The Department shall increase
the rate level of dental specialty services that are provided
to children covered under this Act to equal that which the
State reimburses dentists for dental services provided to State
employees under the State Employees Group Insurance Act for the
services defined by the Code of Dental Terminology as specialty
codes. The Department shall develop and implement an incentive
program that rewards dentists who are enrolled in the program
with a bonus for providing services to a higher annual
percentage of patients relative to the number of patients to

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whom the dentist provided services in the previous year; the
bonus payments shall be based and paid on a graduated scale of
25% increase, 50% increase, 75% increase, and 100% increase in
new patients treated.
Section 15. The Illinois Public Aid Code is amended by
adding Section 5-5.06 as follows:
(305 ILCS 5/5-5.06 new)
Sec. 5-5.06. Provider incentives. Beginning on July 1,
2010, the Department of Healthcare and Family Services shall
develop incentive programs for dentists who perform dental
services on adults and children covered under this Act. The
incentive programs shall include pilot programs in designated
shortage areas that increase rates up to 64% of the
reimbursement level that the State reimburses dentists for
dental services provided to State employees under the State
Employees Group Insurance Act. The Department shall increase
the rate level of dental specialty services that are provided
to children covered under this Act to equal that which the
State reimburses dentists for dental services provided to State
employees under the State Employees Group Insurance Act for the
services defined by the Code of Dental Terminology as specialty
codes. The Department shall develop and implement an incentive
program that rewards dentists who are enrolled in the program
with a bonus for providing services to a higher annual

SB3302 - 4 - LRB096 17599 RPM 32956 b
percentage of patients relative to the number of patients to
whom the dentist provided services in the previous year; the
bonus payments shall be based and paid on a graduated scale of
25% increase, 50% increase, 75% increase, and 100% increase in
new patients treated.