96TH GENERAL ASSEMBLY
State of Illinois
2009 and 2010
SB3302

 

Introduced 2/9/2010, by Sen. Deanna Demuzio

 

SYNOPSIS AS INTRODUCED:
 
215 ILCS 106/65 new
215 ILCS 170/54 new
305 ILCS 5/5-5.06 new

    Amends the Children's Health Insurance Program Act, Covering ALL KIDS Health Insurance Act, and Illinois Public Aid Code. Provides that beginning on July 1, 2010, the Department of Healthcare and Family Services shall develop incentive programs for dentists who perform dental services on adults and children covered under the respective Acts. Provides that the incentive programs shall include pilot programs in designated shortage areas that increase rates up to 64% of the reimbursement level that the State reimburses dentists for dental services provided to State employees. Provides that the Department shall increase the rate level of dental specialty services that are provided to children to equal that which the State reimburses dentists for dental services provided to State employees for certain services. Provides that the Department shall develop and implement an incentive program that rewards dentists who are enrolled in the program with a bonus for providing services to a higher annual percentage of patients relative to the number of patients to whom the dentist provided services in the previous year. Provides that the bonus payments shall be based and paid on a graduated scale.


LRB096 17599 RPM 32956 b

FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

SB3302 LRB096 17599 RPM 32956 b

1     AN ACT concerning insurance.
 
2     Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
 
4     Section 5. The Children's Health Insurance Program Act is
5 amended by adding Section 65 as follows:
 
6     (215 ILCS 106/65 new)
7     Sec. 65. Provider incentives. Beginning on July 1, 2010,
8 the Department shall develop incentive programs for dentists
9 who perform dental services on children covered under this Act.
10 The incentive programs shall include pilot programs in
11 designated shortage areas that increase rates up to 64% of the
12 reimbursement level that the State reimburses dentists for
13 dental services provided to State employees under the State
14 Employees Group Insurance Act. The Department shall increase
15 the rate level of dental specialty services that are provided
16 to children covered under this Act to equal that which the
17 State reimburses dentists for dental services provided to State
18 employees under the State Employees Group Insurance Act for the
19 services defined by the Code of Dental Terminology as specialty
20 codes. The Department shall develop and implement an incentive
21 program that rewards dentists who are enrolled in the program
22 with a bonus for providing services to a higher annual
23 percentage of patients relative to the number of patients to

 

 

SB3302 - 2 - LRB096 17599 RPM 32956 b

1 whom the dentist provided services in the previous year; the
2 bonus payments shall be based and paid on a graduated scale of
3 25% increase, 50% increase, 75% increase, and 100% increase in
4 new patients treated.
 
5     Section 10. The Covering ALL KIDS Health Insurance Act is
6 amended by adding Section 54 as follows:
 
7     (215 ILCS 170/54 new)
8     Sec. 54. Provider incentives. Beginning on July 1, 2010,
9 the Department shall develop incentive programs for dentists
10 who perform dental services on children covered under this Act.
11 The incentive programs shall include pilot programs in
12 designated shortage areas that increase rates up to 64% of the
13 reimbursement level that the State reimburses dentists for
14 dental services provided to State employees under the State
15 Employees Group Insurance Act. The Department shall increase
16 the rate level of dental specialty services that are provided
17 to children covered under this Act to equal that which the
18 State reimburses dentists for dental services provided to State
19 employees under the State Employees Group Insurance Act for the
20 services defined by the Code of Dental Terminology as specialty
21 codes. The Department shall develop and implement an incentive
22 program that rewards dentists who are enrolled in the program
23 with a bonus for providing services to a higher annual
24 percentage of patients relative to the number of patients to

 

 

SB3302 - 3 - LRB096 17599 RPM 32956 b

1 whom the dentist provided services in the previous year; the
2 bonus payments shall be based and paid on a graduated scale of
3 25% increase, 50% increase, 75% increase, and 100% increase in
4 new patients treated.
 
5     Section 15. The Illinois Public Aid Code is amended by
6 adding Section 5-5.06 as follows:
 
7     (305 ILCS 5/5-5.06 new)
8     Sec. 5-5.06. Provider incentives. Beginning on July 1,
9 2010, the Department of Healthcare and Family Services shall
10 develop incentive programs for dentists who perform dental
11 services on adults and children covered under this Act. The
12 incentive programs shall include pilot programs in designated
13 shortage areas that increase rates up to 64% of the
14 reimbursement level that the State reimburses dentists for
15 dental services provided to State employees under the State
16 Employees Group Insurance Act. The Department shall increase
17 the rate level of dental specialty services that are provided
18 to children covered under this Act to equal that which the
19 State reimburses dentists for dental services provided to State
20 employees under the State Employees Group Insurance Act for the
21 services defined by the Code of Dental Terminology as specialty
22 codes. The Department shall develop and implement an incentive
23 program that rewards dentists who are enrolled in the program
24 with a bonus for providing services to a higher annual

 

 

SB3302 - 4 - LRB096 17599 RPM 32956 b

1 percentage of patients relative to the number of patients to
2 whom the dentist provided services in the previous year; the
3 bonus payments shall be based and paid on a graduated scale of
4 25% increase, 50% increase, 75% increase, and 100% increase in
5 new patients treated.