101ST GENERAL ASSEMBLY
State of Illinois
2019 and 2020
HB4716
 
Introduced , by Rep. Terri Bryant
 
SYNOPSIS AS INTRODUCED:






20 ILCS 415/4d from Ch. 127, par. 63b104d
225 ILCS 65/60-45 new

 Amends the personnel Code. Provides that registered nurses, including those employed by the Department of Public Health, are completely exempt from the jurisdiction of the Department of Central Management Services with respect to the hiring of those individuals. Amends the Nurse Practice Act. Provides that when hiring a registered nurse, no State agency shall take into consideration the accreditation status of the nursing school or program of the applicant if he or she is licensed as a registered nurse by the Department of Financial and Professional Regulation.



LRB101 16980 RJF 66380 b


 
 
A BILL FOR
 


HB4716LRB101 16980 RJF 66380 b



1 AN ACT concerning State government.


2 Be it enacted by the People of the State of Illinois,

3represented in the General Assembly:



4 Section 5. The Personnel Code is amended by changing 
5Section 4d as follows:




6 (20 ILCS 415/4d) (from Ch. 127, par. 63b104d)



7 Sec. 4d. Partial exemptions. The following positions in 
8State service are
exempt from jurisdictions A, B, and C to the 
9extent stated for each, unless
those jurisdictions are extended 
10as provided in this Act:

11  (1) In each department, board or commission that now 
12 maintains or may
hereafter maintain a major administrative 
13 division, service or office in
both Sangamon County and 
14 Cook County, 2 private secretaries for the
director or 
15 chairman thereof, one located in the Cook County office and 
16 the
other located in the Sangamon County office, shall be 
17 exempt from
jurisdiction B; in all other departments, 
18 boards and commissions one
private secretary for the 
19 director or chairman thereof shall be exempt from

20 jurisdiction B. In all departments, boards and commissions 
21 one confidential
assistant for the director or chairman 
22 thereof shall be exempt from
jurisdiction B. This paragraph 
23 is subject to such modifications or waiver
of the 
 
 
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1 exemptions as may be necessary to assure the continuity of 
2 federal
contributions in those agencies supported in whole 
3 or in part by federal
funds.

4  (2) The resident administrative head of each State 
5 charitable, penal and
correctional institution, the 
6 chaplains thereof, and all member, patient
and inmate 
7 employees are exempt from jurisdiction B.

8  (3) The Civil Service Commission, upon written 
9 recommendation of the
Director of Central Management 
10 Services, shall exempt
from jurisdiction B other positions

11 which, in the judgment of the Commission, involve either 
12 principal
administrative responsibility for the 
13 determination of policy or principal
administrative 
14 responsibility for the way in which policies are carried

15 out, except positions in agencies which receive federal 
16 funds if such
exemption is inconsistent with federal 
17 requirements, and except positions
in agencies supported 
18 in whole by federal funds.

19  (4) All beauticians and teachers of beauty culture and 
20 teachers of
barbering, and all positions heretofore paid 
21 under Section 1.22 of "An Act
to standardize position 
22 titles and salary rates", approved June 30, 1943,
as 
23 amended, shall be exempt from jurisdiction B.

24  (5) Licensed attorneys in positions as legal or 
25 technical advisors; positions in the Department of Natural 
26 Resources requiring incumbents
to be either a registered 
 
 
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1 professional engineer or to hold a bachelor's degree
in 
2 engineering from a recognized college or university;

3 licensed physicians in positions of medical administrator 
4 or physician or
physician specialist (including 
5 psychiatrists); all positions within the Department of 
6 Juvenile Justice requiring licensure by the State Board of 
7 Education under Article 21B of the School Code; all 
8 positions within the Illinois School for the Deaf and the 
9 Illinois School for the Visually Impaired requiring 
10 licensure by the State Board of Education under Article 21B 
11 of the School Code and all rehabilitation/mobility 
12 instructors and rehabilitation/mobility instructor 
13 trainees at the Illinois School for the Visually Impaired; 
14 and registered nurses (except
those registered nurses 
15 employed by the Department of Public Health); except
those 
16 in positions in agencies which receive federal funds if 
17 such
exemption is inconsistent with federal requirements 
18 and except those in
positions in agencies supported in 
19 whole by federal funds, are exempt from
jurisdiction B only 
20 to the extent that the requirements of Section 8b.1,
8b.3 
21 and 8b.5 of this Code need not be met.

22  (6) All positions established outside the geographical 
23 limits of the
State of Illinois to which appointments of 
24 other than Illinois citizens may
be made are exempt from 
25 jurisdiction B.

26  (7) Staff attorneys reporting directly to individual 
 
 
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1 Commissioners of
the Illinois Workers' Compensation

2 Commission are exempt from jurisdiction B.

3  (8) Twenty-one senior public service administrator 
4 positions within the Department of Healthcare and Family 
5 Services, as set forth in this paragraph (8), requiring the 
6 specific knowledge of healthcare administration, 
7 healthcare finance, healthcare data analytics, or 
8 information technology described are exempt from 
9 jurisdiction B only to the extent that the requirements of 
10 Sections 8b.1, 8b.3, and 8b.5 of this Code need not be met. 
11 The General Assembly finds that these positions are all 
12 senior policy makers and have spokesperson authority for 
13 the Director of the Department of Healthcare and Family 
14 Services. When filling positions so designated, the 
15 Director of Healthcare and Family Services shall cause a 
16 position description to be published which allots points to 
17 various qualifications desired. After scoring qualified 
18 applications, the Director shall add Veteran's Preference 
19 points as enumerated in Section 8b.7 of this Code. The 
20 following are the minimum qualifications for the senior 
21 public service administrator positions provided for in 
22 this paragraph (8):
23   (A) HEALTHCARE ADMINISTRATION.
24    Medical Director: Licensed Medical Doctor in 
25 good standing; experience in healthcare payment 
26 systems, pay for performance initiatives, medical 
 
 
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1 necessity criteria or federal or State quality 
2 improvement programs; preferred experience serving 
3 Medicaid patients or experience in population 
4 health programs with a large provider, health 
5 insurer, government agency, or research 
6 institution.
7    Chief, Bureau of Quality Management: Advanced 
8 degree in health policy or health professional 
9 field preferred; at least 3 years experience in 
10 implementing or managing healthcare quality 
11 improvement initiatives in a clinical setting.
12    Quality Management Bureau: Manager, Care 
13 Coordination/Managed Care Quality: Clinical degree 
14 or advanced degree in relevant field required; 
15 experience in the field of managed care quality 
16 improvement, with knowledge of HEDIS measurements, 
17 coding, and related data definitions.
18    Quality Management Bureau: Manager, Primary 
19 Care Provider Quality and Practice Development: 
20 Clinical degree or advanced degree in relevant 
21 field required; experience in practice 
22 administration in the primary care setting with a 
23 provider or a provider association or an 
24 accrediting body; knowledge of practice standards 
25 for medical homes and best evidence based 
26 standards of care for primary care.
 
 
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1    Director of Care Coordination Contracts and 
2 Compliance: Bachelor's degree required; multi-year 
3 experience in negotiating managed care contracts, 
4 preferably on behalf of a payer; experience with 
5 health care contract compliance.
6    Manager, Long Term Care Policy: Bachelor's 
7 degree required; social work, gerontology, or 
8 social service degree preferred; knowledge of 
9 Olmstead and other relevant court decisions 
10 required; experience working with diverse long 
11 term care populations and service systems, federal 
12 initiatives to create long term care community 
13 options, and home and community-based waiver 
14 services required. The General Assembly finds that 
15 this position is necessary for the timely and 
16 effective implementation of this amendatory Act of 
17 the 97th General Assembly. 
18    Manager, Behavioral Health Programs: Clinical 
19 license or advanced degree required, preferably in 
20 psychology, social work, or relevant field; 
21 knowledge of medical necessity criteria and 
22 governmental policies and regulations governing 
23 the provision of mental health services to 
24 Medicaid populations, including children and 
25 adults, in community and institutional settings of 
26 care. The General Assembly finds that this 
 
 
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1 position is necessary for the timely and effective 
2 implementation of this amendatory Act of the 97th 
3 General Assembly. 
4    Manager, Office of Accountable Care Entity 
5 Development: Bachelor's degree required, clinical 
6 degree or advanced degree in relevant field 
7 preferred; experience in developing integrated 
8 delivery systems, including knowledge of health 
9 homes and evidence-based standards of care 
10 delivery; multi-year experience in health care or 
11 public health management; knowledge of federal ACO 
12 or other similar delivery system requirements and 
13 strategies for improving health care delivery.
14    Manager of Federal Regulatory Compliance: 
15 Bachelor's degree required, advanced degree 
16 preferred, in healthcare management or relevant 
17 field; experience in healthcare administration or 
18 Medicaid State Plan amendments preferred; 
19 experience interpreting federal rules; experience 
20 with either federal health care agency or with a 
21 State agency in working with federal regulations.
22    Manager, Office of Medical Project Management: 
23 Bachelor's degree required, project management 
24 certification preferred; multi-year experience in 
25 project management and developing business analyst 
26 skills; leadership skills to manage multiple and 
 
 
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1 complex projects. 
2    Manager of Medicare/Medicaid Coordination: 
3 Bachelor's degree required, knowledge and 
4 experience with Medicare Advantage rules and 
5 regulations, knowledge of Medicaid laws and 
6 policies; experience with contract drafting 
7 preferred.
8    Chief, Bureau of Eligibility Integrity: 
9 Bachelor's degree required, advanced degree in 
10 public administration or business administration 
11 preferred; experience equivalent to 4 years of 
12 administration in a public or business 
13 organization required; experience with managing 
14 contract compliance required; knowledge of 
15 Medicaid eligibility laws and policy preferred; 
16 supervisory experience preferred. The General 
17 Assembly finds that this position is necessary for 
18 the timely and effective implementation of this 
19 amendatory Act of the 97th General Assembly. 
20   (B) HEALTHCARE FINANCE.
21    Director of Care Coordination Rate and 
22 Finance: MBA, CPA, or Actuarial degree required; 
23 experience in managed care rate setting, 
24 including, but not limited to, baseline costs and 
25 growth trends; knowledge and experience with 
26 Medical Loss Ratio standards and measurements.
 
 
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1    Director of Encounter Data Program: Bachelor's 
2 degree required, advanced degree preferred, 
3 preferably in health care, business, or 
4 information systems; at least 2 years healthcare 
5 or other similar data reporting experience, 
6 including, but not limited to, data definitions, 
7 submission, and editing; background in HIPAA 
8 transactions relevant to encounter data 
9 submission; experience with large provider, health 
10 insurer, government agency, or research 
11 institution or other knowledge of healthcare 
12 claims systems.
13    Manager of Medical Finance, Division of 
14 Finance: Requires relevant advanced degree or 
15 certification in relevant field, such as Certified 
16 Public Accountant; coursework in business or 
17 public administration, accounting, finance, data 
18 analysis, or statistics preferred; experience in 
19 control systems and GAAP; financial management 
20 experience in a healthcare or government entity 
21 utilizing Medicaid funding.
22   (C) HEALTHCARE DATA ANALYTICS.
23    Data Quality Assurance Manager: Bachelor's 
24 degree required, advanced degree preferred, 
25 preferably in business, information systems, or 
26 epidemiology; at least 3 years of extensive 
 
 
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1 healthcare data reporting experience with a large 
2 provider, health insurer, government agency, or 
3 research institution; previous data quality 
4 assurance role or formal data quality assurance 
5 training.
6    Data Analytics Unit Manager: Bachelor's degree 
7 required, advanced degree preferred, in 
8 information systems, applied mathematics, or 
9 another field with a strong analytics component; 
10 extensive healthcare data reporting experience 
11 with a large provider, health insurer, government 
12 agency, or research institution; experience as a 
13 business analyst interfacing between business and 
14 information technology departments; in-depth 
15 knowledge of health insurance coding and evolving 
16 healthcare quality metrics; working knowledge of 
17 SQL and/or SAS.
18    Data Analytics Platform Manager: Bachelor's 
19 degree required, advanced degree preferred, 
20 preferably in business or information systems; 
21 extensive healthcare data reporting experience 
22 with a large provider, health insurer, government 
23 agency, or research institution; previous 
24 experience working on a health insurance data 
25 analytics platform; experience managing contracts 
26 and vendors preferred.
 
 
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1   (D) HEALTHCARE INFORMATION TECHNOLOGY.
2    Manager of MMIS Claims Unit: Bachelor's degree 
3 required, with preferred coursework in business, 
4 public administration, information systems; 
5 experience equivalent to 4 years of administration 
6 in a public or business organization; working 
7 knowledge with design and implementation of 
8 technical solutions to medical claims payment 
9 systems; extensive technical writing experience, 
10 including, but not limited to, the development of 
11 RFPs, APDs, feasibility studies, and related 
12 documents; thorough knowledge of IT system design, 
13 commercial off the shelf software packages and 
14 hardware components.
15    Assistant Bureau Chief, Office of Information 
16 Systems: Bachelor's degree required, with 
17 preferred coursework in business, public 
18 administration, information systems; experience 
19 equivalent to 5 years of administration in a public 
20 or private business organization; extensive 
21 technical writing experience, including, but not 
22 limited to, the development of RFPs, APDs, 
23 feasibility studies and related documents; 
24 extensive healthcare technology experience with a 
25 large provider, health insurer, government agency, 
26 or research institution; experience as a business 
 
 
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1 analyst interfacing between business and 
2 information technology departments; thorough 
3 knowledge of IT system design, commercial off the 
4 shelf software packages and hardware components.
5    Technical System Architect: Bachelor's degree 
6 required, with preferred coursework in computer 
7 science or information technology; prior 
8 experience equivalent to 5 years of computer 
9 science or IT administration in a public or 
10 business organization; extensive healthcare 
11 technology experience with a large provider, 
12 health insurer, government agency, or research 
13 institution; experience as a business analyst 
14 interfacing between business and information 
15 technology departments.
16 The provisions of this paragraph (8), other than this 
17 sentence, are inoperative after January 1, 2014. 
18(Source: P.A. 99-45, eff. 7-15-15; 100-258, eff. 8-22-17; 
19100-771, eff. 8-10-18.)


20 Section 10. The Nurse Practice Act is amended by adding 
21Section 60-45 as follows:

22 (225 ILCS 65/60-45 new)
23 Sec. 60-45. State agency registered nurse hiring; 
24accreditation. Notwithstanding any provision of law to the 
 
 
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1contrary, when hiring a registered nurse, no State agency shall 
2take into consideration the accreditation status of the nursing 
3school or program of the applicant if he or she is licensed as 
4a registered nurse by the Department under this Act.