Bill Text: IL SB1948 | 2011-2012 | 97th General Assembly | Introduced
NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Amends the Children's Health Insurance Program Act, the Covering ALL KIDS Health Insurance Act, and the Medical Assistance Article of the Illinois Public Aid Code. Provides that beginning on July 1, 2011, the Department of Healthcare and Family Services shall develop incentive programs for dentists who perform dental services on children covered under the Children's Health Insurance Program, the Covering ALL KIDS Health Insurance Program, and the Medicaid program. Requires the incentive programs to include a pilot program in a rural and urban designated shortage area that increases rates up to 64% of the reimbursement level that the dentists charge for those services covered. Provides that the Department shall increase the rate level of dental specialty services that are provided to eligible children to equal 64% of the dentist's usual and customary charges. Requires the Department to develop and implement an incentive program that rewards dentists who are enrolled as a "dental home". Effective immediately.
Spectrum: Moderate Partisan Bill (Democrat 14-3)
Status: (Passed) 2011-08-09 - Public Act . . . . . . . . . 97-0283 [SB1948 Detail]
Download: Illinois-2011-SB1948-Introduced.html
Bill Title: Amends the Children's Health Insurance Program Act, the Covering ALL KIDS Health Insurance Act, and the Medical Assistance Article of the Illinois Public Aid Code. Provides that beginning on July 1, 2011, the Department of Healthcare and Family Services shall develop incentive programs for dentists who perform dental services on children covered under the Children's Health Insurance Program, the Covering ALL KIDS Health Insurance Program, and the Medicaid program. Requires the incentive programs to include a pilot program in a rural and urban designated shortage area that increases rates up to 64% of the reimbursement level that the dentists charge for those services covered. Provides that the Department shall increase the rate level of dental specialty services that are provided to eligible children to equal 64% of the dentist's usual and customary charges. Requires the Department to develop and implement an incentive program that rewards dentists who are enrolled as a "dental home". Effective immediately.
Spectrum: Moderate Partisan Bill (Democrat 14-3)
Status: (Passed) 2011-08-09 - Public Act . . . . . . . . . 97-0283 [SB1948 Detail]
Download: Illinois-2011-SB1948-Introduced.html
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1 | AN ACT concerning public aid.
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2 | Be it enacted by the People of the State of Illinois,
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3 | represented in the General Assembly:
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4 | Section 5. The Children's Health Insurance Program Act is | ||||||||||||||||||||||||||||
5 | amended by adding Section 65 as follows:
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6 | (215 ILCS 106/65 new) | ||||||||||||||||||||||||||||
7 | Sec. 65. Provider incentives. Beginning on July 1, 2011,
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8 | the Department shall develop incentive programs for dentists
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9 | who perform dental services on children covered under this Act.
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10 | The incentive programs shall include a pilot program in a rural | ||||||||||||||||||||||||||||
11 | and urban
designated shortage area that increases rates up to | ||||||||||||||||||||||||||||
12 | 64% of the
reimbursement level that the dentists charge for | ||||||||||||||||||||||||||||
13 | those services covered.
In addition, the Department shall | ||||||||||||||||||||||||||||
14 | increase
the rate level of dental specialty services that are | ||||||||||||||||||||||||||||
15 | provided
to children covered under this Act to equal 64% of the | ||||||||||||||||||||||||||||
16 | dentist's usual and customary charges. The Department shall | ||||||||||||||||||||||||||||
17 | also develop and implement an incentive
program that rewards | ||||||||||||||||||||||||||||
18 | dentists who are enrolled as a "dental home"
with a bonus for | ||||||||||||||||||||||||||||
19 | providing services to children enrolled and covered under this | ||||||||||||||||||||||||||||
20 | Act.
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21 | Section 10. The Covering ALL KIDS Health Insurance Act is | ||||||||||||||||||||||||||||
22 | amended by adding Section 54 as follows:
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1 | (215 ILCS 170/54 new) | ||||||
2 | Sec. 54. Provider incentives. Beginning on July 1, 2011,
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3 | the Department shall develop incentive programs for dentists
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4 | who perform dental services on children covered under this Act.
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5 | The incentive programs shall include a pilot program in a rural | ||||||
6 | and urban
designated shortage area that increases rates up to | ||||||
7 | 64% of the
reimbursement level that the dentists charge for | ||||||
8 | those services covered.
In addition, the Department shall | ||||||
9 | increase
the rate level of dental specialty services that are | ||||||
10 | provided
to children covered under this Act to equal 64% of the | ||||||
11 | dentist's usual and customary charges. The Department shall | ||||||
12 | also develop and implement an incentive
program that rewards | ||||||
13 | dentists who are enrolled as a "dental home"
with a bonus for | ||||||
14 | providing services to children enrolled and covered under this | ||||||
15 | Act.
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16 | Section 15. The Illinois Public Aid Code is amended by | ||||||
17 | adding Section 5-5.06 as follows:
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18 | (305 ILCS 5/5-5.06 new) | ||||||
19 | Sec. 5-5.06. Provider incentives. Beginning on July 1, | ||||||
20 | 2011,
the Department shall develop incentive programs for | ||||||
21 | dentists
who perform dental services on children covered under | ||||||
22 | this Article.
The incentive programs shall include a pilot | ||||||
23 | program in a rural and urban
designated shortage area that |
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1 | increases rates up to 64% of the
reimbursement level that the | ||||||
2 | dentists charge for those services covered.
In addition, the | ||||||
3 | Department shall increase
the rate level of dental specialty | ||||||
4 | services that are provided
to children covered under this | ||||||
5 | Article to equal 64% of the dentist's usual and customary | ||||||
6 | charges. The Department shall also develop and implement an | ||||||
7 | incentive
program that rewards dentists who are enrolled as a | ||||||
8 | "dental home"
with a bonus for providing services to children | ||||||
9 | enrolled and covered under this Article.
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10 | Section 99. Effective date. This Act takes effect upon | ||||||
11 | becoming law.
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