97TH GENERAL ASSEMBLY
State of Illinois
2011 and 2012
HB5907

 

Introduced 2/16/2012, by Rep. Patricia R. Bellock

 

SYNOPSIS AS INTRODUCED:
 
305 ILCS 5/5-24

    Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall undertake a pilot project to study patient outcomes, for patients with chronic diseases or patients at risk of low birth weight or premature birth, associated with the use of disease management programs and services for chronic condition management (rather than subject to appropriations, the Department of Healthcare and Family Services may undertake a pilot project to study patient outcomes, for patients with chronic diseases or patients at risk of low birth weight or premature birth, associated with the use of disease management programs and services for chronic condition management). Effective immediately.


LRB097 17023 KTG 62219 b

FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

HB5907LRB097 17023 KTG 62219 b

1    AN ACT concerning public aid.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Illinois Public Aid Code is amended by
5changing Section 5-24 as follows:
 
6    (305 ILCS 5/5-24)
7    (Section scheduled to be repealed on January 1, 2014)
8    Sec. 5-24. Disease management programs and services for
9chronic conditions; pilot project.
10    (a) In this Section, "disease management programs and
11services" means services administered to patients in order to
12improve their overall health and to prevent clinical
13exacerbations and complications, using cost-effective,
14evidence-based practice guidelines and patient self-management
15strategies. Disease management programs and services include
16all of the following:
17        (1) A population identification process.
18        (2) Evidence-based or consensus-based clinical
19    practice guidelines, risk identification, and matching of
20    interventions with clinical need.
21        (3) Patient self-management and disease education.
22        (4) Process and outcomes measurement, evaluation,
23    management, and reporting.

 

 

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1    (b) The Subject to appropriations, the Department of
2Healthcare and Family Services shall may undertake a pilot
3project to study patient outcomes, for patients with chronic
4diseases or patients at risk of low birth weight or premature
5birth, associated with the use of disease management programs
6and services for chronic condition management. "Chronic
7diseases" include, but are not limited to, diabetes, congestive
8heart failure, and chronic obstructive pulmonary disease. Low
9birth weight and premature birth include all medical and other
10conditions that lead to poor birth outcomes or problematic
11pregnancies.
12    (c) The disease management programs and services pilot
13project shall examine whether chronic disease management
14programs and services for patients with specific chronic
15conditions do any or all of the following:
16        (1) Improve the patient's overall health in a more
17    expeditious manner.
18        (2) Lower costs in other aspects of the medical
19    assistance program, such as hospital admissions, days in
20    skilled nursing homes, emergency room visits, or more
21    frequent physician office visits.
22    (d) In carrying out the pilot project, the Department of
23Healthcare and Family Services shall examine all relevant
24scientific literature and shall consult with health care
25practitioners including, but not limited to, physicians,
26surgeons, registered pharmacists, and registered nurses.

 

 

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1    (e) The Department of Healthcare and Family Services shall
2consult with medical experts, disease advocacy groups, and
3academic institutions to develop criteria to be used in
4selecting a vendor for the pilot project.
5    (f) The Department of Healthcare and Family Services may
6adopt rules to implement this Section.
7    (g) This Section is repealed 10 years after the effective
8date of this amendatory Act of the 93rd General Assembly.
9(Source: P.A. 95-331, eff. 8-21-07; 96-799, eff. 10-28-09.)
 
10    Section 99. Effective date. This Act takes effect upon
11becoming law.