100TH GENERAL ASSEMBLY
State of Illinois
2017 and 2018
HB5151
 
Introduced , by Rep. C.D. Davidsmeyer
 
SYNOPSIS AS INTRODUCED:
 

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

     Amends the Personnel Code to provide for partial jurisdiction B exemption for certain positions within the Department of Human Services.
  


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A BILL FOR
 

  
HB5151LRB100 16241 RJF 31364 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; from July 
8    15, 2015 (the effective date of Public Act 99-45) until 
9    August 30, 2019, all positions within the Illinois School 
10    for the Deaf and the Illinois School for the Visually 
11    Impaired requiring licensure by the State Board of 
12    Education under Article 21B of the School Code and all 
13    rehabilitation/mobility instructors and 
14    rehabilitation/mobility instructor trainees at the 
15    Illinois School for the Visually Impaired;   and registered 
16    nurses (except
those registered nurses employed by the 
17    Department of Public Health); except
those in positions in 
18    agencies which receive federal funds if such
exemption is 
19    inconsistent with federal requirements and except those in

20    positions in agencies supported in whole by federal funds, 
21    are exempt from
jurisdiction B only to the extent that the 
22    requirements of Section 8b.1,
8b.3 and 8b.5 of this Code 
23    need not be met.

24        (5.5) The following positions within the Department of 
25    Human Services are exempt from jurisdiction B only to the 
26    extent that the requirements of Section 8b.1, 8b.3 and 8b.5 
 
 
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1    of this Code need not be met: Clinical Pharmacist, Clinical 
2    Psychologist, Dentist 1, Dentist 2, Educator (Options A, B, 
3    C, and E), Hearing and Speech Specialist, Licensed 
4    Practical Nurse 1, Licensed Practical Nurse 2, 
5    Nutritionist, Occupational Therapist, Occupational 
6    Therapist Program Coordinator, Occupational Therapist 
7    Supervisor, Pharmacy Lead Technician, Pharmacy Manager, 
8    Pharmacy Technician, Physical therapist, Public Service 
9    Administrator (Options 8C, 8J, 8K, 8O, 8P, 8S, 8T, 8U, 8V, 
10    and 9A), Senior Public Service Administrator (Options 8K, 
11    8O, 8P, 8S, and 8T), Social Worker 4, and Staff Pharmacist. 
12        (6) All positions established outside the geographical 
13    limits of the
State of Illinois to which appointments of 
14    other than Illinois citizens may
be made are exempt from 
15    jurisdiction B.

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


18    Commission are exempt from jurisdiction B.

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