Sen. Heather A. Steans

Filed: 4/1/2016

 

 


 

 


 
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1
AMENDMENT TO SENATE BILL 2306

2    AMENDMENT NO. ______. Amend Senate Bill 2306 by replacing
3everything after the enacting clause with the following:
 
4    "Section 5. The Illinois Public Aid Code is amended by
5adding Section 5-30.3 as follows:
 
6    (305 ILCS 5/5-30.3 new)
7    Sec. 5-30.3. Managed care; automatic assignment. The
8Department shall develop and implement an algorithm that is
9based on quality scores and other operational proficiency
10criteria developed, defined, and adopted by the Department, by
11rule, to automatically assign Medicaid enrollees served under
12the Family Health Plan and the Integrated Care Program and
13those Medicaid enrollees eligible for medical assistance
14pursuant to the Patient Protection and Affordable Care Act
15(P.L. 111-148) into managed care entities, including
16Accountable Care Entities, Care Coordination Entities,

 

 

09900SB2306sam001- 2 -LRB099 19419 KTG 44684 a

1Children with Special Needs Care Coordination Entities,
2Managed Care Community Networks, and Managed Care
3Organizations. The algorithm developed and implemented shall
4favor assignment into managed care entities with the highest
5quality scores and levels of compliance with the operational
6proficiency criteria established.".