HB5867 101ST GENERAL ASSEMBLY

LRB101 23210 KTG 74354 b

101ST GENERAL ASSEMBLY
State of Illinois
2019 and 2020
HB5867

Introduced , by Rep. Fred Crespo

SYNOPSIS AS INTRODUCED:

305 ILCS 5/5-30.15 new

Amends the Illinois Public Aid Code. Provides that capitation rates established by the Department of Healthcare and Family Services for managed care organizations shall be reduced by 20% for the duration of a disaster proclamation, and any subsequent disaster proclamation, issued by the Governor in response to the COVID-19 public health emergency. Requires the Department to reduce future capitation payments to managed care organizations on a prorated basis to reflect any amounts paid by the Department before the effective date of the amendatory Act that were in excess of the lower capitation rates authorized by the amendatory Act. Provides that the amendatory Act applies to capitation rates in effect during a disaster period established by the Gubernatorial Disaster Proclamation issued by the Governor on March 9, 2020 concerning the COVID-19 public health emergency and any subsequent Gubernatorial Disaster Proclamation issued by the Governor in response to the COVID-19 public health emergency. Effective immediately.

FISCAL NOTE ACT MAY APPLY

A BILL FOR

AN ACT concerning public aid.

Be it enacted by the People of the State of Illinois, represented in the General Assembly:

Section 5. The Illinois Public Aid Code is amended by adding Section 5-30.15 as follows:

(305 ILCS 5/5-30.15 new)

Sec. 5-30.15. COVID-19 public health emergency; capitated payment reduction.

(a) In this Section:

"COVID-19" means the novel coronavirus virus disease deemed COVID-19 by the World Health Organization on February 11, 2020.

"Disaster" has the meaning ascribed to that term in Section 4 of the Illinois Emergency Management Agency Act.

"Managed care organization" has the meaning ascribed to that term in Section 5-30.1.

"Public health emergency" has the meaning ascribed to that term in Section 4 of the Illinois Emergency Management Agency Act.

(b) Capitation rates established by the Department for managed care organizations shall be reduced by 20% for the duration of a disaster proclamation, and any subsequent disaster proclamation, issued by the Governor in response to the COVID-19 public health emergency.

(c) The Department shall reduce future capitation payments to managed care organizations on a prorated basis to reflect any amounts paid by the Department before the effective date of this amendatory Act of the 101st General Assembly that were in excess of the lower capitation rates authorized under subsection (a).

(d) This Section applies to capitation rates in effect during a disaster period established by the Gubernatorial Disaster Proclamation issued by the Governor on March 9, 2020 concerning the COVID-19 public health emergency and any subsequent Gubernatorial Disaster Proclamation issued by the Governor in response to the COVID-19 public health emergency.

Section 99. Effective date. This Act takes effect upon becoming law.