Sen. Donne E. Trotter

Filed: 6/9/2004

 

 


 

 


 
09300HB0953sam001 LRB093 05762 DRJ 52098 a

1
AMENDMENT TO HOUSE BILL 953

2     AMENDMENT NO. ______. Amend House Bill 953 by replacing
3 everything after the enacting clause with the following:
 
4     "Section 5. The State Finance Act is amended by changing
5 Section 8h and by adding Sections 5.625 and 6z-62 as follows:
 
6     (30 ILCS 105/5.625 new)
7     Sec. 5.625. The Medicaid Provider Relief Fund.
 
8     (30 ILCS 105/6z-62 new)
9     Sec. 6z-62. Medicaid Provider Relief Fund.
10     (a) The Medicaid Provider Relief Fund ("the Fund") is
11 created as a special fund in the State treasury. The Fund is
12 created for the purpose of paying medical bills for which the
13 State is responsible under Title XIX of the Social Security Act
14 and under the Children's Health Insurance Program Act.
15     (b) The Fund shall consist of the following:
16         (1) All moneys received by the State from short-term
17     borrowing pursuant to the Short Term Borrowing Act or the
18     Medicaid Liability Liquidity Borrowing Act on or after the
19     effective date of this amendatory Act of the 93rd General
20     Assembly and before July 1, 2004.
21         (2) All federal matching funds received as a result of
22     expenditures that are attributable to moneys deposited
23     into the Fund.

 

 

09300HB0953sam001 - 2 - LRB093 05762 DRJ 52098 a

1         (3) Interest earned on moneys in the Fund.
2     (c) On July 1, 2004, the State Treasurer and the
3 Comptroller shall transfer the balance in the Medicaid Provider
4 Relief Fund to the General Revenue Fund. After July 1, 2004,
5 the State Treasurer and the Comptroller shall automatically
6 transfer all moneys deposited into the Medicaid Provider Relief
7 Fund from that Fund to the General Revenue Fund.
8     (d) This Section is repealed on June 30, 2005, and the
9 State Treasurer and the Comptroller shall promptly transfer the
10 balance remaining in the Fund on that date to the General
11 Revenue Fund.
 
12     (30 ILCS 105/8h)
13     Sec. 8h. Transfers to General Revenue Fund.
14 Notwithstanding any other State law to the contrary, the
15 Director of the Governor's Office of Management and Budget may
16 from time to time direct the State Treasurer and Comptroller to
17 transfer a specified sum from any fund held by the State
18 Treasurer to the General Revenue Fund in order to help defray
19 the State's operating costs for the fiscal year. The total
20 transfer under this Section from any fund in any fiscal year
21 shall not exceed the lesser of 8% of the revenues to be
22 deposited into the fund during that year or 25% of the
23 beginning balance in the fund. No transfer may be made from a
24 fund under this Section that would have the effect of reducing
25 the available balance in the fund to an amount less than the
26 amount remaining unexpended and unreserved from the total
27 appropriation from that fund for that fiscal year. This Section
28 does not apply to any funds that are restricted by federal law
29 to a specific use or to any funds in the Motor Fuel Tax Fund, or
30 the Hospital Provider Fund, or the Medicaid Provider Relief
31 Fund. Notwithstanding any other provision of this Section, the
32 total transfer under this Section from the Road Fund or the
33 State Construction Account Fund shall not exceed 5% of the

 

 

09300HB0953sam001 - 3 - LRB093 05762 DRJ 52098 a

1 revenues to be deposited into the fund during that year.
2     In determining the available balance in a fund, the
3 Director of the Governor's Office of Management and Budget may
4 include receipts, transfers into the fund, and other resources
5 anticipated to be available in the fund in that fiscal year.
6     The State Treasurer and Comptroller shall transfer the
7 amounts designated under this Section as soon as may be
8 practicable after receiving the direction to transfer from the
9 Director of the Governor's Office of Management and Budget.
10 (Source: P.A. 93-32, eff. 6-20-03; 93-659, eff. 2-3-04.)
 
11     Section 10. The Short Term Borrowing Act is amended by
12 changing Section 3 as follows:
 
13     (30 ILCS 340/3)  (from Ch. 120, par. 408)
14     Sec. 3. There shall be prepared under the direction of the
15 officers named in this Act such form of bonds or certificates
16 as they shall deem advisable, which, when issued, shall be
17 signed by the Governor, Comptroller and Treasurer, and shall be
18 recorded by the Comptroller in a book to be kept by him or her
19 for that purpose. The interest and principal of such loan shall
20 be paid by the treasurer out of the General Obligation Bond
21 Retirement and Interest Fund.
22     There is hereby appropriated out of any money in the
23 Treasury a sum sufficient for the payment of the interest and
24 principal of any debts contracted under this Act.
25     The Governor, Comptroller, and Treasurer are authorized to
26 order pursuant to the proceedings authorizing those debts the
27 transfer of any moneys on deposit in the treasury into the
28 General Obligation Bond Retirement and Interest Fund at times
29 and in amounts they deem necessary to provide for the payment
30 of that interest and principal.
31     The Comptroller is hereby authorized and directed to draw
32 his warrant on the State Treasurer for the amount of all such

 

 

09300HB0953sam001 - 4 - LRB093 05762 DRJ 52098 a

1 payments.
2     The directive authorizing borrowing under Section 1 or 1.1
3 of this Act shall set forth a pro forma cash flow statement
4 that identifies estimated monthly receipts and expenditures
5 with identification of sources for repaying the borrowed funds.
6     All proceeds from any borrowing under this Act received by
7 the State on or after the effective date of this amendatory Act
8 of the 93rd General Assembly and before July 1, 2004 shall be
9 deposited into the Medicaid Provider Relief Fund.
10 (Source: P.A. 87-838; 87-860; 88-669, eff. 11-29-94.)
 
11     Section 15. The Medicaid Liability Liquidity Borrowing Act
12 is amended by changing Sections 5 and 10 as follows:
 
13     (30 ILCS 342/5)
14     Sec. 5. Borrowing authorized. For the period June 9, 2004
15 July 1, 1994 through June 30, 2004 1995, borrowing pursuant to
16 this Section is authorized under subsection (b) of Section 9 of
17 Article IX of the Illinois Constitution. The purpose of the
18 borrowing shall be Whenever casual deficits or failures in
19 revenues of the State occur, and those casual deficits or
20 failures in revenues affect the State's ability to pay for
21 medical services provided under the Illinois Public Aid Code or
22 the Children's Health Insurance Program Act , in order to meet
23 those casual deficits or failures in revenues, and the
24 Governor, after having obtained the written consent of both the
25 Comptroller and the Treasurer, may contract debts, under this
26 Section, for principal amounts not to exceed $850,000,000, as
27 supported by properly enacted State fiscal year 2004
28 appropriations for this purpose $900,000,000. This contracted
29 debt, when added to amounts borrowed under the Short Term
30 Borrowing Act during the then current fiscal year, may not
31 exceed 15% of the State's appropriations for that fiscal year.
32 Moneys thus borrowed shall be applied to the purpose of paying

 

 

09300HB0953sam001 - 5 - LRB093 05762 DRJ 52098 a

1 for medical services as described in this Section, or to pay
2 the debts and associated expenses thus incurred created, and to
3 no other purpose. All proceeds from any borrowing under this
4 Act received by the State on or after the effective date of
5 this amendatory Act of the 93rd General Assembly and before
6 July 1, 2004 shall be deposited into the Medicaid Provider
7 Relief Fund. The Governor shall direct the proceeds of this
8 borrowing into any State fund from which there are
9 appropriations for medical assistance under the Illinois
10 Public Aid Code. All moneys so borrowed shall be borrowed for
11 no longer time than one year.
12 (Source: P.A. 88-554, eff. 7-26-94; 89-626, eff. 8-9-96.)
 
13     (30 ILCS 342/10)
14     Sec. 10. Advertising for loan. Whenever the borrowing of
15 money under Section 5 is contemplated, it is the duty of the
16 Director of the Governor's Office of Management and Budget
17 Bureau of the Budget acting at the direction of the Governor to
18 advertise for proposals for the loan in the manner that is
19 determined by the Director of the Governor's Office of
20 Management and Budget Bureau of the Budget to give reasonable
21 notice of the request for proposals. The advertisements shall
22 set forth the amount of debt proposed to be contracted and the
23 time and place for the payment of the principal and interest.
24 The loan shall be awarded to the person or persons agreeing to
25 take it at the lowest rate of interest not exceeding the
26 maximum rate authorized by the Bond Authorization Act, as
27 amended at the time of the making of the contract.
28 (Source: P.A. 88-554, eff. 7-26-94; revised 8-23-03.)
 
29     Section 20. The Illinois Public Aid Code is amended by
30 adding Section 5-16.13 as follows:
 
31     (305 ILCS 5/5-16.13 new)

 

 

09300HB0953sam001 - 6 - LRB093 05762 DRJ 52098 a

1     Sec. 5-16.13. Medicaid Managed Care Task Force.
2     (a) Medicaid, the medical assistance program jointly
3 administered by the State of Illinois and the United States
4 governments for low-income and uninsured populations, is the
5 largest single insurance provider in the State. In Illinois,
6 one in every 7 adults, one in 3 children, and 2 of every 3
7 nursing home residents are all provided health care under the
8 State's Medicaid program.
9     Over the past 10 years, Medicaid in Illinois has grown an
10 average of 8% annually, which requires at least $500,000,000 in
11 additional State resources every year.
12     Medicaid in Illinois is a cost-reimbursement system that
13 does little to promote health or encourage improvements in the
14 quality of health care services being delivered to the growing
15 populations needing assistance.
16     The advent of managed care plans in the insurance industry
17 has driven down health care costs for many while amply managing
18 individual needs in a system to deliver cost-efficient health
19 care services.
20     (b) To better examine and evaluate the application of
21 managed care within the State's Medicaid program, there is
22 hereby established the bipartisan Medicaid Managed Care Task
23 Force.
24     The Task Force shall consist of 8 voting members, as
25 follows: 2 members of the Senate appointed by the President of
26 the Senate, 2 members of the Senate appointed by the Senate
27 Minority Leader, 2 members of the House of Representatives
28 appointed by the Speaker of the House of Representatives, and 2
29 members of the House of Representatives appointed by the House
30 Minority Leader. All actions of the Task Force require the
31 affirmative vote of at least 5 voting members.
32     Members appointed to the Task Force shall elect from among
33 themselves 2 co-chairs.
34     Members appointed by the legislative leaders shall be

 

 

09300HB0953sam001 - 7 - LRB093 05762 DRJ 52098 a

1 appointed for the duration of the Task Force; in the event of a
2 vacancy, the appointment to fill the vacancy shall be made by
3 the same legislative leader who made the original appointment.
4     The following persons shall serve, ex officio, as nonvoting
5 members of the Task Force: the Director of the Governor's
6 Office of Management and Budget, the Director of Public Aid,
7 and the Secretary of Human Services.
8     The Task Force shall begin to conduct business upon the
9 appointment of a majority of the voting members. If the
10 co-chairs have not both been appointed, the co-chair that has
11 been appointed shall preside.
12     Members shall serve without compensation but may be
13 reimbursed for their expenses from appropriations for that
14 purpose.
15     (c) The Task Force shall gather information and make
16 recommendations relating to the financing and expenditures of
17 the Illinois Medicaid program and the program's level of
18 ability to provide quality health care services in the most
19 cost-efficient manner. The Task Force shall examine and
20 evaluate the application of managed care within the State's
21 Medicaid program. The Task Force shall further assess whether
22 the State's Medicaid services delivery system meets or exceeds
23 the goals of quality, efficiency, accountability, and
24 financial responsibility and shall make recommendations in
25 keeping with those goals concerning the cost-efficient
26 delivery of Medicaid services throughout Illinois.
27     (d) The Task Force shall conduct at least 6 public hearings
28 beginning the later of July 2004 or upon the appointment of a
29 majority of its members, through October 2004.
30     Locations for public hearings are to be different and
31 determined by the co-chairs in consultation with the other
32 members of the Task Force.
33     Comment and testimony at public hearing is to be sought
34 from Medicaid recipients, health care providers and other

 

 

09300HB0953sam001 - 8 - LRB093 05762 DRJ 52098 a

1 health care professionals, related advocates, health care
2 finance experts, insurance industry professionals, and public
3 officials from throughout the State.
4     (e) The Governor's Office of Management and Budget, the
5 Department of Public Aid, and the Department of Human Services
6 are directed to provide information and assistance to the Task
7 Force.
8     (f) The Task Force shall submit a full report of its
9 findings and recommendations to the General Assembly not later
10 than November 8, 2004. It may submit other reports as it deems
11 appropriate.
12     (g) The Task Force is abolished and this Section is
13 repealed on December 31, 2004.
 
14     Section 99. Effective date. This Act takes effect upon
15 becoming law.".