SB2306sam001 99TH GENERAL ASSEMBLY

Sen. Heather A. Steans

Filed: 4/1/2016

09900SB2306sam001 LRB099 19419 KTG 44684 a

AMENDMENT TO SENATE BILL 2306

AMENDMENT NO. ______. Amend Senate Bill 2306 by replacing everything after the enacting clause with the following:

"Section 5. The Illinois Public Aid Code is amended by adding Section 5-30.3 as follows:

(305 ILCS 5/5-30.3 new)

Sec. 5-30.3. Managed care; automatic assignment. The Department shall develop and implement an algorithm that is based on quality scores and other operational proficiency criteria developed, defined, and adopted by the Department, by rule, to automatically assign Medicaid enrollees served under the Family Health Plan and the Integrated Care Program and those Medicaid enrollees eligible for medical assistance pursuant to the Patient Protection and Affordable Care Act (P.L. 111-148) into managed care entities, including Accountable Care Entities, Care Coordination Entities, Children with Special Needs Care Coordination Entities, Managed Care Community Networks, and Managed Care Organizations. The algorithm developed and implemented shall favor assignment into managed care entities with the highest quality scores and levels of compliance with the operational proficiency criteria established.".