Bill Text: IL HB3381 | 2017-2018 | 100th General Assembly | Introduced

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Bill Title: Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that notwithstanding any other provision of the Code, the Department of Healthcare and Family Services shall not require Medicaid managed care organizations, including managed care community networks, to cover material changes to the medical assistance program, including, but not limited to, additional services, increases to rates, or substantive changes to utilization controls, until capitation rates have been updated accordingly and are deemed actuarially sound. Provides that the prohibition does not apply to services for which the Department reimburses Medicaid managed care organizations directly without regard to capitation payments.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Failed) 2019-01-08 - Session Sine Die [HB3381 Detail]

Download: Illinois-2017-HB3381-Introduced.html

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100TH GENERAL ASSEMBLY State of Illinois 2017 and 2018 HB3381 Introduced , by Rep. Sara Feigenholtz SYNOPSIS AS INTRODUCED:
305 ILCS 5/5-30.6 new
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that notwithstanding any other provision of the Code, the Department of Healthcare and Family Services shall not require Medicaid managed care organizations, including managed care community networks, to cover material changes to the medical assistance program, including, but not limited to, additional services, increases to rates, or substantive changes to utilization controls, until capitation rates have been updated accordingly and are deemed actuarially sound. Provides that the prohibition does not apply to services for which the Department reimburses Medicaid managed care organizations directly without regard to capitation payments.
LRB100 10908 KTG 21144 b
FISCAL NOTE ACT MAY APPLY
A BILL FOR
HB3381 LRB100 10908 KTG 21144 b
AN ACT concerning public aid.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Illinois Public Aid Code is amended by
adding Section 5-30.6 as follows:
(305 ILCS 5/5-30.6 new)
Sec. 5-30.6. Updates to capitation rates; managed care
organizations. Notwithstanding any other provision of this
Code, the Department shall not require Medicaid managed care
organizations, including managed care community networks, to
cover material changes to the medical assistance program,
including, but not limited to, additional services, increases
to rates, or substantive changes to utilization controls
required under this Article, until capitation rates have been
updated accordingly and are deemed actuarially sound. The
prohibition in the preceding sentence does not apply to
services for which the Department reimburses Medicaid managed
care organizations directly without regard to capitation
payments.