Sen. Dale A. Righter
Filed: 5/13/2004
|
|||||||
| |||||||
| |||||||
1 | AMENDMENT TO HOUSE BILL 2268
| ||||||
2 | AMENDMENT NO. ______. Amend House Bill 2268, AS AMENDED, by | ||||||
3 | replacing everything after the enacting clause with the | ||||||
4 | following:
| ||||||
5 | "Section 1. Short title. This Act may be cited as the | ||||||
6 | Health Care
Justice Act.
| ||||||
7 | Section 5. Legislative findings. The General Assembly | ||||||
8 | recognizes that the
U.S. census reported that on any given day | ||||||
9 | an
estimated
1,800,000 Illinoisans are without health | ||||||
10 | insurance,
and according to a March 2003 Robert Wood Johnson | ||||||
11 | study, nearly 30% of the
non-elderly Illinois population | ||||||
12 | (3,122,000) during all or a large part of 2001 or 2002 were
| ||||||
13 | uninsured;
a growing number of
Illinoisans are under-insured, | ||||||
14 | the consumer's share of the cost of health
insurance is | ||||||
15 | growing, coverage in benefit packages is decreasing, and
record | ||||||
16 | numbers of consumer complaints are lodged against managed care
| ||||||
17 | companies regarding access to necessary health care services. | ||||||
18 | The
General Assembly believes that the State must work to | ||||||
19 | assure access to
quality health care for all citizens of | ||||||
20 | Illinois, and at the same time, the
State must contain health | ||||||
21 | care costs while maintaining and improving the
quality of | ||||||
22 | health care.
| ||||||
23 | Section 10. Policy. It is a policy goal of the State of |
| |||||||
| |||||||
1 | Illinois to insure
that all citizens
have access to quality | ||||||
2 | health care at costs that are affordable.
| ||||||
3 | Section 15. Adequate Health Care Task Force.
There is | ||||||
4 | created an Adequate Health Care Task Force. The Task Force
| ||||||
5 | shall consist of 29 members, including
the Director of Public | ||||||
6 | Health or his or her designee, the
Director of Aging or his or | ||||||
7 | her designee, the Director of
Public Aid or his or her | ||||||
8 | designee, the Director of
Insurance or his or her designee, and | ||||||
9 | the Secretary of
Human Services or his or her designee,
all of | ||||||
10 | whom shall be
ex-officio voting members.
Of the remaining 24 | ||||||
11 | members, 6 shall be appointed by the President of the Senate,
6 | ||||||
12 | shall be appointed by the Minority Leader of the Senate, 6 | ||||||
13 | shall be
appointed by the Speaker of the House of | ||||||
14 | Representatives, and 6 shall be
appointed by the Minority | ||||||
15 | Leader of the House of Representatives. The voting
members
| ||||||
16 | should include a broad representation of health care consumers,
| ||||||
17 | advocates
for
health care consumers, health care providers, | ||||||
18 | health policy analysts,
organized labor, the business
| ||||||
19 | community or a business association, economists, a statewide | ||||||
20 | advocacy
organization for persons with disabilities, | ||||||
21 | physicians, nurses, social
workers, a hospital or hospital | ||||||
22 | network or association, an insurer or insurance
group, an | ||||||
23 | insurance agent or broker, and health care
administrators.
| ||||||
24 | Appointment of members of the Task Force shall ensure
| ||||||
25 | proportional representation with respect to geography, | ||||||
26 | ethnicity, race,
gender, and age. The Task Force shall have a | ||||||
27 | chairman and a vice-chairman who
shall be elected by the voting | ||||||
28 | members at the first meeting
of the Task Force. The members of | ||||||
29 | the Task Force shall be appointed
within 30 days after the | ||||||
30 | effective date of this Act. The departments of State
government | ||||||
31 | represented on
the Task Force shall work cooperatively to | ||||||
32 | provide administrative
support for the Task Force; the | ||||||
33 | Department of Public Health shall be the
primary agency in |
| |||||||
| |||||||
1 | providing that administrative support.
| ||||||
2 | Section 20. Public hearings.
| ||||||
3 | (a) The Task Force shall seek public
input on the | ||||||
4 | development of a plan for the cost-effective delivery of health | ||||||
5 | care by holding
at least 5 hearings starting no later than | ||||||
6 | January 1, 2005 and
ending on November 30, 2005. Each State | ||||||
7 | Representative and State Senator
shall be invited to | ||||||
8 | participate in
the hearing and help to gather input from | ||||||
9 | interested parties. A web site for the Task Force shall be | ||||||
10 | developed and
linked to
the General Assembly's home page and | ||||||
11 | the Governor's home page for input to be
provided and to keep | ||||||
12 | the public informed. The Task Force's web site shall be
| ||||||
13 | specifically highlighted and have independent pages reporting | ||||||
14 | all activities
and linkages
for people to access. Minutes from | ||||||
15 | all of the Task Force's meetings shall be
available on
the web | ||||||
16 | site, and a hard copy of this information shall also be made | ||||||
17 | available
for those
persons without access to the Task Force's | ||||||
18 | web site.
The Task Force may also consult with
health care | ||||||
19 | providers, health care consumers, and other appropriate
| ||||||
20 | individuals and organizations to assist in the study.
| ||||||
21 | (b) Not later than September 1, 2004, the Illinois | ||||||
22 | Department of Public
Health,
subject to appropriation or the | ||||||
23 | availability of other funds for such purposes
and using a | ||||||
24 | public request for proposals process, shall
contract with an
| ||||||
25 | independent research entity experienced in assessing health | ||||||
26 | care reforms,
health care financing, and health care delivery | ||||||
27 | models. Upon the request of at
least one-fourth of the Task | ||||||
28 | Force members, the research entity
shall be
available to the | ||||||
29 | Task Force for the purpose of assessing financial costs and
the | ||||||
30 | different
health care models being discussed. All inquiries | ||||||
31 | made by Task Force members to
the
independent research entity | ||||||
32 | shall be made available on the Task Force's web
site.
|
| |||||||
| |||||||
1 | Section 25. Final report.
No later than March 15, 2006, the | ||||||
2 | Task Force shall submit its final report,
containing options | ||||||
3 | for the cost-effective delivery of health care, to the General | ||||||
4 | Assembly and the
Governor. The final report may recommend a | ||||||
5 | combination of more than one type
of plan
and alternative | ||||||
6 | methods of funding the plan. The final report by the
Task Force
| ||||||
7 | may offer
recommendations for the cost-effective delivery of | ||||||
8 | health care
that would
provide access to a full
range of | ||||||
9 | preventive, acute, and long-term health care services to | ||||||
10 | citizens
of the State of Illinois by July 1, 2007. The final | ||||||
11 | report of the Task Force may evaluate the following:
| ||||||
12 | (1) an integrated system or systems of health care | ||||||
13 | delivery;
| ||||||
14 | (2) incentives to be used to contain costs;
| ||||||
15 | (3) benefits that would be provided under each type of | ||||||
16 | plan;
| ||||||
17 | (4) reimbursement mechanisms for health care | ||||||
18 | providers;
| ||||||
19 | (5) administrative efficiencies of public or | ||||||
20 | State-sponsored health care programs;
| ||||||
21 | (6) mechanisms for generating spending priorities | ||||||
22 | based on
multidisciplinary standards of care established | ||||||
23 | by verifiable replicated
research studies demonstrating | ||||||
24 | quality and cost effectiveness of
interventions, | ||||||
25 | providers, and facilities;
| ||||||
26 | (7) methods for reducing the cost of prescription drugs | ||||||
27 | both as part of,
and as
separate from, the delivery of | ||||||
28 | health care;
| ||||||
29 | (8) analysis of the allocation of existing health care | ||||||
30 | resources;
| ||||||
31 | (9) equitable financing of each proposal; and
| ||||||
32 | (10) recommendations concerning the delivery of | ||||||
33 | long-term care services,
including:
| ||||||
34 | (A) those currently covered under Title XIX of the |
| |||||||
| |||||||
1 | Social Security
Act;
| ||||||
2 | (B) recommendations on potential cost sharing | ||||||
3 | arrangements for
long-term care services and the | ||||||
4 | phasing in of such arrangements over
time;
| ||||||
5 | (C) consideration of the potential for utilizing | ||||||
6 | informal care-giving by
friends and family members;
| ||||||
7 | (D) recommendations on cost-containment strategies | ||||||
8 | for long-term
care services;
| ||||||
9 | (E) the possibility of using independent financing | ||||||
10 | for the provision of
long-term care services; and
| ||||||
11 | (F) the projected cost to the State of Illinois | ||||||
12 | over the next 20 years
if
no changes were made in the | ||||||
13 | present system of delivering and paying
for long-term | ||||||
14 | care services.
| ||||||
15 | (11) the maintenance and improvement of the quality of | ||||||
16 | health care services offered
to Illinois citizens;
| ||||||
17 | (12) providing for the portability of coverage, | ||||||
18 | regardless of employment status;
| ||||||
19 | (13) encouraging regional and local consumer | ||||||
20 | participation;
| ||||||
21 | (14) providing a mechanism for reviewing and | ||||||
22 | implementing multiple
approaches to preventive medicine | ||||||
23 | based on new technologies; and
| ||||||
24 | (15) promoting affordable coverage options for | ||||||
25 | Illinois employees including consumer-driven models. | ||||||
26 | Section 30. Cost Analysis. A thorough cost analysis of each | ||||||
27 | recommendation of the Task Force must be included in the final | ||||||
28 | report. | ||||||
29 | Section 35. Further legislative action. No later than | ||||||
30 | December 31, 2006, the General Assembly may consider
| ||||||
31 | legislation addressing the recommendations of the Task Force.
|
| |||||||
| |||||||
1 | Section 99. Effective date. This Act takes effect July 1, | ||||||
2 | 2004.".
|