101ST GENERAL ASSEMBLY
State of Illinois
2019 and 2020
HB4716

 

Introduced 2/18/2020, 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.