Bill Text: IL SB1948 | 2011-2012 | 97th General Assembly | Amended
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-Amended.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-Amended.html
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1 | AMENDMENT TO SENATE BILL 1948
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2 | AMENDMENT NO. ______. Amend Senate Bill 1948 by replacing | ||||||
3 | everything after the enacting clause with the following:
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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. Subject to appropriations, | ||||||
8 | beginning on July 1, 2011,
the Department shall develop | ||||||
9 | incentive programs for dentists
who perform dental services on | ||||||
10 | children covered under this Act.
The incentive programs shall | ||||||
11 | include a pilot program in a rural and urban
designated | ||||||
12 | shortage area that increases rates up to 64% of the
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13 | reimbursement level that the dentists charge for those services | ||||||
14 | covered.
In addition, subject to appropriations, the | ||||||
15 | Department shall increase
the rate level of dental specialty | ||||||
16 | services that are provided
to children covered under this Act |
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1 | to equal 64% of the dentist's usual and customary charges. | ||||||
2 | Subject to appropriations, the Department shall also develop | ||||||
3 | and implement an incentive
program that rewards dentists who | ||||||
4 | are enrolled as a "dental home"
with a bonus for providing | ||||||
5 | services to children enrolled and covered under this Act.
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6 | Section 10. The Covering ALL KIDS Health Insurance Act is | ||||||
7 | amended by adding Section 54 as follows:
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8 | (215 ILCS 170/54 new) | ||||||
9 | Sec. 54. Provider incentives. Subject to appropriations, | ||||||
10 | beginning on July 1, 2011,
the Department shall develop | ||||||
11 | incentive programs for dentists
who perform dental services on | ||||||
12 | children covered under this Act.
The incentive programs shall | ||||||
13 | include a pilot program in a rural and urban
designated | ||||||
14 | shortage area that increases rates up to 64% of the
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15 | reimbursement level that the dentists charge for those services | ||||||
16 | covered.
In addition, subject to appropriations, the | ||||||
17 | Department shall increase
the rate level of dental specialty | ||||||
18 | services that are provided
to children covered under this Act | ||||||
19 | to equal 64% of the dentist's usual and customary charges. | ||||||
20 | Subject to appropriations, the Department shall also develop | ||||||
21 | and implement an incentive
program that rewards dentists who | ||||||
22 | are enrolled as a "dental home"
with a bonus for providing | ||||||
23 | services to children enrolled and covered under this Act.
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1 | Section 15. The Illinois Public Aid Code is amended by | ||||||
2 | adding Section 5-5.06 as follows:
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3 | (305 ILCS 5/5-5.06 new) | ||||||
4 | Sec. 5-5.06. Provider incentives. Subject to | ||||||
5 | appropriations, beginning on July 1, 2011,
the Department shall | ||||||
6 | develop incentive programs for dentists
who perform dental | ||||||
7 | services on children covered under this Article.
The incentive | ||||||
8 | programs shall include a pilot program in a rural and urban
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9 | designated shortage area that increases rates up to 64% of the
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10 | reimbursement level that the dentists charge for those services | ||||||
11 | covered.
In addition, subject to appropriations, the | ||||||
12 | Department shall increase
the rate level of dental specialty | ||||||
13 | services that are provided
to children covered under this | ||||||
14 | Article to equal 64% of the dentist's usual and customary | ||||||
15 | charges. Subject to appropriations, the Department shall also | ||||||
16 | develop and implement an incentive
program that rewards | ||||||
17 | dentists who are enrolled as a "dental home"
with a bonus for | ||||||
18 | providing services to children enrolled and covered under this | ||||||
19 | Article.
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20 | Section 99. Effective date. This Act takes effect upon | ||||||
21 | becoming law.".
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