Illinois General Assembly - Bill Status for HB 175

Replaces everything after the enacting clause. Amends the Illinois Public Aid Code. Requires long-term care providers to submit all changes in resident status, including, but not limited to, death, discharge, changes in patient credit, third party liability, and Medicare coverage to the Department of Healthcare and Family Services through the Medical Electronic Data Interchange System, the Recipient Eligibility Verification System, or the Electronic Data Interchange System under a specified schedule. Requires the Department of Healthcare and Family Services to serve as the lead agency assuming primary responsibility for the full implementation of provisions concerning expedited long-term care eligibility determinations, renewals, enrollments, and payments, including the establishment and operation of the expedited long-term care system. Provides that beginning on June 29, 2018, provisional eligibility must be issued to any applicant who has not received a final eligibility determination on his or her application for Medicaid or Medicaid long-term care benefits or a notice of an opportunity for a hearing within the federally prescribed deadlines for the processing of such applications. Requires the Department to maintain the applicant's provisional Medicaid enrollment status until a final eligibility determination is approved or the applicant's appeal has been adjudicated and eligibility is denied. Provides that the Department or the managed care organization, if applicable, must reimburse providers for all services rendered during an applicant's provisional eligibility period. Requires the Department to adopt, by rule, policies and procedures to ensure prospective compliance with the federal deadlines for Medicaid and Medicaid long-term care benefits eligibility determinations. Sets forth certain standards and principles the policies must address, including: (i) a streamlined application and enrollment process; (ii) protocols to expedite the eligibility processing system for applicants meeting certain guidelines, regardless of the age of the application; (iii) the review of applications for long-term care benefits when there exists credible evidence that an applicant has transferred assets with the intent of defrauding the State; and other matters. Contains provisions concerning: (1) the adoption of policies and procedures to improve communication between long-term care benefits central office personnel, applicants, and facilities in which the applicants reside; the establishment of policies and procedures to improve accountability and provide for the expedited payment of services rendered; (3) the Department's investigation of public-private partnerships in use in Ohio, Michigan, and Minnesota that are aimed at redeploying caseworkers to targeted high-Medicaid facilities for the purpose of expediting initial Medicaid and Medicaid long-term care benefits applications, renewals, and all other things related to enrollment, reimbursement, and application processing; (4) provider association meetings; (5) presumptive eligibility of benefits; (6) the prioritization of processing applications on a last-in, first-out basis; and other matters. Effective immediately.

Replaces everything after the enacting clause. Reinserts the provisions of the engrossed bill, but with the following changes: Provides that an applicant with provisional enrollment status must have his or her benefits paid for under the State's fee-for-service system until such time as the State makes a final determination on the applicant's Medicaid or Medicaid long-term care application (rather than an applicant with provisional enrollment status, who is not enrolled in a managed care organization at the time the applicant's provisional status is issued, must continue to have his or her benefits paid for under the State's fee-for-service system until such time as the State makes a final determination on the applicant's Medicaid or Medicaid long-term care application). Provides that if an individual is enrolled with a managed care organization for community benefits at the time the individual's provisional status is issued, the managed care organization is only responsible for paying benefits covered under the capitation payment received by the managed care organization for the individual. Requires the Department of Healthcare and Family Services to clearly identify as provisional eligibility vouchers those vouchers submitted to the Office of the Comptroller on behalf of applicants with provisional enrollment status. Adds a definition for the term "renewal". Effective immediately.

Date	Chamber	Action
1/8/2019	House	Session Sine Die

Date	Chamber	Action
12/5/2016	House	Prefiled with Clerk by Rep. Michael J. Madigan
1/11/2017	House	First Reading
1/11/2017	House	Referred to Rules Committee
1/25/2017	House	Assigned to Executive Committee
2/8/2017	House	Do Pass / Short Debate Executive Committee; 007-003-000
2/8/2017	House	Placed on Calendar 2nd Reading - Short Debate **
2/16/2017	House	Second Reading - Short Debate
2/16/2017	House	Held on Calendar Order of Second Reading - Short Debate **
4/28/2017	House	Rule 19(a) / Re-referred to Rules Committee
4/24/2018	House	Approved for Consideration Rules Committee; 004-000-000
4/24/2018	House	Placed on Calendar 2nd Reading - Short Debate
4/24/2018	House	House Floor Amendment No. 1 Filed with Clerk by Rep. Jay Hoffman
4/24/2018	House	House Floor Amendment No. 1 Referred to Rules Committee
4/24/2018	House	House Floor Amendment No. 1 Rules Refers to Human Services Committee
4/24/2018	House	Chief Sponsor Changed to Rep. Jay Hoffman
4/25/2018	House	House Floor Amendment No. 1 Recommends Be Adopted Human Services Committee; 012-000-000
4/27/2018	House	House Floor Amendment No. 1 Adopted
4/27/2018	House	Placed on Calendar Order of 3rd Reading - Short Debate
4/27/2018	House	Third Reading - Short Debate - Passed 099-000-000
5/1/2018	Senate	Arrive in Senate
5/1/2018	Senate	Placed on Calendar Order of First Reading
5/1/2018	Senate	Chief Senate Sponsor Sen. John G. Mulroe
5/1/2018	Senate	First Reading
5/1/2018	Senate	Referred to Assignments
5/2/2018	Senate	Approved for Consideration Assignments
5/2/2018	Senate	Placed on Calendar Order of 2nd Reading May 3, 2018
5/2/2018	Senate	Added as Alternate Co-Sponsor Sen. Toi W. Hutchinson
5/3/2018	Senate	Added as Alternate Co-Sponsor Sen. Omar Aquino
5/4/2018	Senate	Added as Alternate Co-Sponsor Sen. Emil Jones, III
5/7/2018	Senate	Senate Floor Amendment No. 1 Filed with Secretary by Sen. John G. Mulroe
5/7/2018	Senate	Senate Floor Amendment No. 1 Referred to Assignments
5/8/2018	Senate	Senate Floor Amendment No. 1 Assignments Refers to Public Health
5/9/2018	Senate	Senate Floor Amendment No. 1 Recommend Do Adopt Public Health; 007-000-000
5/10/2018	Senate	Senate Floor Amendment No. 1 Adopted; Mulroe
5/10/2018	Senate	Second Reading
5/10/2018	Senate	Placed on Calendar Order of 3rd Reading May 15, 2018
5/15/2018	Senate	Added as Alternate Co-Sponsor Sen. David Koehler
5/17/2018	Senate	Added as Alternate Co-Sponsor Sen. Terry Link
5/17/2018	Senate	Added as Alternate Co-Sponsor Sen. Andy Manar
5/22/2018	Senate	Added as Alternate Co-Sponsor Sen. Patricia Van Pelt
5/23/2018	Senate	Added as Alternate Chief Co-Sponsor Sen. Iris Y. Martinez
5/25/2018	Senate	Rule 2-10 Third Reading Deadline Established As May 31, 2018
5/31/2018	Senate	Rule 3-9(a) / Re-referred to Assignments
11/8/2018	Senate	Alternate Chief Sponsor Changed to Sen. John J. Cullerton
1/8/2019	House	Session Sine Die

	Deletes reference to:
	305 ILCS 5/3-2

	Adds reference to:
	305 ILCS 5/5-5g new