Bill Status of HB 5671   99th General Assembly

Short Description:  DHFS-MCO PERFORMANCE METRICS

House Sponsors
Rep. Gregory Harris, Carol Ammons, Cynthia Soto, Laura Fine, Al Riley and Daniel V. Beiser

Last Action  View All Actions

DateChamber Action
  1/10/2017HouseSession Sine Die

Statutes Amended In Order of Appearance
305 ILCS 5/5-30.1

Synopsis As Introduced
Amends the Medical Assistance Article of the Illinois Public Aid Code. In a provision concerning network adequacy for managed care organizations (MCO) contracted with the Department of Healthcare and Family Services, provides that each MCO shall (i) on a monthly basis, jointly validate with contracted providers any changes in provider information, including, but not limited to, changes concerning new providers, terminated providers, updated address information, hours of operation, or other information that is material to a Medicaid beneficiary in the enrollment and provider selection process; and (ii) be required to produce system reports that validate that all MCO systems reflect updated provider information. Provides that in situations in which an enrolled Medicaid provider renders services based on information obtained after verifying a patient's eligibility and coverage plan through either the Department's current enrollment system or the coverage plan identified by the patient presenting for services, such services shall be considered rendered in good faith. Requires the Department to create and maintain a MCO Performance Metrics Comparison Tool that provides periodic reporting, on at least a quarterly basis, of each MCO's performance in various administrative measures. Requires the tool to be accessible in both a print and online format, with the online format allowing for Medicaid beneficiaries and providers to access additional detailed MCO performance information. Effective immediately.

 Land Conveyance Appraisal Note (Dept. of Transportation)
 No land conveyances are included in this legislation, therefore, there are no appraisals to be filed.

 Correctional Note (Dept of Corrections)
 HB 5671 has no fiscal or population impact on the Department.

 Judicial Note (Admin Office of the Illinois Courts)
 This bill would neither increase nor decrease the number of judges needed in the State.

 Pension Note (Government Forecasting & Accountability)
 HB 5671 will not impact any public pension fund or retirement system in Illinois.

 State Debt Impact Note (Government Forecasting & Accountability)
 HB 5671 would not change the amount of authorization for any type of State-issued of State-supported bond, and, therefore, would not affect the level of State indebtedness.

 Housing Affordability Impact Note (Housing Development Authority)
 This bill will have no effect on the cost of constructing, purchasing, owning, or selling a single-family residence.

 Fiscal Note (Dept. of Healthcare & Family Services)
 It is estimated that the Client Enrollment Broker contract would need to be amended to add an additional $1.7 million in costs for this proposed legislation in FYI7. These estimated costs account for the additional quarterly and annual call center staffing, training and monitoring needs, additional enrollment packet and open enrollment packet materials and postage, and program website and translation requirement that would result from this proposed legislation.

 Balanced Budget Note (Office of Management and Budget)
 This bill will likely have a negative fiscal impact to the state's Medicaid program. The Department of Healthcare and Family Services estimates a cost of $1.7 million for printing the MCO Performance Metrics Comparison Tool, plus additional staffing costs related to creating and maintaining the tool. Medicaid MCOs could absorb additional costs due to the provider reimbursement provision; it is possible that such increased costs would be factored into future MCO capitation rates paid by the Department of Healthcare and Family Services. Passage of this bill without an accompanying source ofrevenue will result in an unbalanced budget.

Actions 
DateChamber Action
  2/10/2016HouseFiled with the Clerk by Rep. Gregory Harris
  2/10/2016HouseFirst Reading
  2/10/2016HouseReferred to Rules Committee
  3/2/2016HouseAdded Co-Sponsor Rep. Carol Ammons
  3/23/2016HouseAssigned to Human Services Committee
  3/30/2016HouseAdded Co-Sponsor Rep. Cynthia Soto
  3/31/2016HouseAdded Co-Sponsor Rep. Laura Fine
  4/5/2016HouseDo Pass / Short Debate Human Services Committee; 014-000-000
  4/5/2016HousePlaced on Calendar 2nd Reading - Short Debate
  4/7/2016HouseAdded Co-Sponsor Rep. Al Riley
  4/11/2016HouseLand Conveyance Appraisal Note Filed
  4/11/2016HouseCorrectional Note Filed
  4/11/2016HouseJudicial Note Filed
  4/12/2016HousePension Note Filed
  4/12/2016HouseState Debt Impact Note Filed
  4/13/2016HouseAdded Co-Sponsor Rep. Daniel V. Beiser
  4/15/2016HouseHousing Affordability Impact Note Filed
  4/15/2016HouseSecond Reading - Short Debate
  4/15/2016HouseHeld on Calendar Order of Second Reading - Short Debate
  4/15/2016HouseFiscal Note Filed
  4/15/2016HouseBalanced Budget Note Filed
  4/22/2016HouseRule 19(a) / Re-referred to Rules Committee
  1/10/2017HouseSession Sine Die

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