SB1685 101ST GENERAL ASSEMBLY

LRB101 09613 KTG 54711 b

101ST GENERAL ASSEMBLY
State of Illinois
2019 and 2020
SB1685

Introduced 2/15/2019, by Sen. Emil Jones, III

SYNOPSIS AS INTRODUCED:

305 ILCS 5/5-36 new

Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Auditor General to perform a performance and financial audit of the State's managed care medical assistance program. Provides that any safety-net hospital that received grant funding in State Fiscal Year 2019 shall not be obligated to pay any assessment amount, including penalties, that is past due and payable to the Department of Healthcare and Family Services until the Auditor General determines through the required audits that the average denial rate for MCO payments to safety-net hospitals is below 10%.

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 5-36 as follows:

(305 ILCS 5/5-36 new)

Sec. 5-36. Performance and financial audit; managed care. The Auditor General shall perform a performance and financial audit of the State's managed care medical assistance program in accordance with and subject to the Illinois State Auditing Act. Any safety-net hospital, as defined in Section 5-5e.1 of this Code, that received grant funding in State Fiscal Year 2019 shall not be obligated to pay any assessment amount, including penalties, that is past due and payable to the Department of Healthcare and Family Services until the Auditor General determines through the audits required under this Section that the average denial rate for MCO payments to safety-net hospitals is below 10%. As used in this Section, "MCO" has the meaning ascribed to that term in Section 5-30.1 of this Code.