Full Text of SB2581 93rd General Assembly
SB2581 93RD GENERAL ASSEMBLY
|
|
|
93RD GENERAL ASSEMBLY
State of Illinois
2003 and 2004 SB2581
Introduced 2/4/2004, by Barack Obama, Vince Demuzio, Debbie DeFrancesco Halvorson SYNOPSIS AS INTRODUCED: |
|
|
Creates the Health Care
Justice Act. Provides that by July 1, 2007, the State of
Illinois
shall implement a health care access plan that provides access to
a full range
of preventive, acute, and long-term health care services and contains other
features. Establishes the
Adequate
Health Care Task Force with members appointed by the Governor.
Provides for public hearings and
requires a final report from the Task Force by
March 15, 2006.
Requires enactment of legislation by
December 31, 2006.
Effective July 1, 2004.
|
|
|
|
|
| FISCAL NOTE ACT MAY APPLY | |
|
|
A BILL FOR
|
|
|
|
|
SB2581 |
|
LRB093 17705 DRJ 43382 b |
|
| 1 |
| AN ACT concerning health care.
| 2 |
| Be it enacted by the People of the State of Illinois,
| 3 |
| represented in the General Assembly:
| 4 |
| Section 1. Short title. This Act may be cited as the Health | 5 |
| Care
Justice Act.
| 6 |
| Section 5. Legislative findings. The General Assembly | 7 |
| recognizes that the
U.S. census reported that on any given day | 8 |
| an
estimated
1,800,000 Illinoisans are without health | 9 |
| insurance,
and according to a March 2003 Robert Wood Johnson | 10 |
| study, nearly 30% of the
non-elderly Illinois population | 11 |
| (3,122,000) during all or a large part of 2001 or 2002 were
| 12 |
| uninsured;
a growing number of
Illinoisans are under-insured, | 13 |
| the consumer's share of the cost of health
insurance is | 14 |
| growing, coverage in benefit packages is decreasing, and
record | 15 |
| numbers of consumer complaints are lodged against managed care
| 16 |
| companies regarding access to necessary health care services. | 17 |
| The
General Assembly believes that the State must work to | 18 |
| assure access to
quality health care for all residents of | 19 |
| Illinois, and at the same time, the
State must contain health | 20 |
| care costs while maintaining and improving the
quality of | 21 |
| health care. The General Assembly finds that community-based
| 22 |
| primary health care services provided by a wide range of | 23 |
| qualified health
care providers is the most effective way to | 24 |
| achieve the health and well-being
of residents of Illinois.
| 25 |
| Section 10. Policy. It is the policy of the State of | 26 |
| Illinois to insure
that all residents
have access to quality | 27 |
| health care at costs that are affordable.
| 28 |
| Section 15. Health care access plan. On or before July 1, | 29 |
| 2007, the
State of
Illinois shall implement a health care | 30 |
| access plan that does the
following:
|
|
|
|
SB2581 |
- 2 - |
LRB093 17705 DRJ 43382 b |
|
| 1 |
| (1) provides access to a full range of preventive, | 2 |
| acute, and
long-term health care services;
| 3 |
| (2) maintains and improves the quality of health care | 4 |
| services offered
to Illinois residents;
| 5 |
| (3) provides portability of coverage, regardless of | 6 |
| employment status;
| 7 |
| (4) provides core benefits for all Illinois residents;
| 8 |
| (5) encourages regional and local consumer | 9 |
| participation;
| 10 |
| (6) contains cost-containment measures;
| 11 |
| (7) provides a mechanism for reviewing and | 12 |
| implementing multiple
approaches to preventive medicine | 13 |
| based on new technologies; and
| 14 |
| (8) promotes affordable coverage options for the small | 15 |
| business market.
| 16 |
| Section 20. Adequate Health Care Task Force.
There is | 17 |
| created an Adequate Health Care Task Force. The Task Force
| 18 |
| shall consist of 24 members, including
the Director of Public | 19 |
| Health or his or her designee, the
Director of Aging or his or | 20 |
| her designee, the Director of
Public Aid or his or her | 21 |
| designee, the Director of
Insurance or his or her designee, and | 22 |
| the Secretary of
Human Services or his or her designee,
all of | 23 |
| whom shall be
ex-officio non-voting members.
The remaining 19 | 24 |
| members of the Task Force shall be voting members and shall be
| 25 |
| appointed by
the Governor, one from each congressional district | 26 |
| in Illinois. These voting
members
shall be appointed to include | 27 |
| representation of health care consumers,
advocates
for
health | 28 |
| care consumers, health care providers, health policy analysts,
| 29 |
| organized labor, the business
community or a business | 30 |
| association, economists, a statewide advocacy
organization for | 31 |
| persons with disabilities, physicians, nurses, social
workers, | 32 |
| a hospital or hospital network or association, an insurer or | 33 |
| insurance
group, and health care
administrators.
Appointment | 34 |
| of members of the Task Force shall ensure
proportional | 35 |
| representation with respect to geography, ethnicity, race,
|
|
|
|
SB2581 |
- 3 - |
LRB093 17705 DRJ 43382 b |
|
| 1 |
| gender, and age. The Task Force shall have a chairman and a | 2 |
| vice-chairman who
shall be elected by the voting members at the | 3 |
| first meeting
of the Task Force. The members of the Task Force | 4 |
| shall be appointed
within 30 days after the effective date of | 5 |
| this Act. The departments of State
government represented on
| 6 |
| the Task Force shall work cooperatively to provide | 7 |
| administrative
support for the Task Force, with the Department | 8 |
| of Public Health taking the
lead.
| 9 |
| Section 25. Public hearings.
| 10 |
| (a) The Task Force shall seek public
input on the | 11 |
| development of the health care access plan by holding
a public | 12 |
| hearing in each Illinois congressional district starting no | 13 |
| later than January 1, 2005 and
ending on November 30, 2005. | 14 |
| Each State Representative and State Senator
located in
each | 15 |
| such congressional district shall host or otherwise involve | 16 |
| themselves in
the hearing in that district
and help to gather | 17 |
| input. A web site for the Task Force shall be developed and
| 18 |
| linked to
the General Assembly's home page and the Governor's | 19 |
| home page for input to be
provided and to keep the public | 20 |
| informed. The Task Force's web site shall be
specifically | 21 |
| highlighted and have independent pages reporting all | 22 |
| activities
and linkages
for people to access. Minutes from all | 23 |
| of the Task Force's meetings shall be
available on
the web | 24 |
| site, and a hard copy of this information shall also be made | 25 |
| available
for those
persons without access to the Task Force's | 26 |
| web site.
The Task Force may also consult with
health care | 27 |
| providers, health care consumers, and other appropriate
| 28 |
| individuals and organizations to assist in the development of | 29 |
| the
health care access plan.
| 30 |
| (b) Not later than September 1, 2004, the Illinois | 31 |
| Department of Public
Health,
subject to appropriation or the | 32 |
| availability of other funds for such purposes
and using a | 33 |
| public request for proposals process, shall
contract with an
| 34 |
| independent research entity experienced in assessing health | 35 |
| care reforms,
health care financing, and health care delivery |
|
|
|
SB2581 |
- 4 - |
LRB093 17705 DRJ 43382 b |
|
| 1 |
| models. Upon the request of at
least one-fourth of the Task | 2 |
| Force members, the research entity
shall be
available to the | 3 |
| Task Force for the purpose of assessing financial costs and
the | 4 |
| different
health care models being discussed. All inquiries | 5 |
| made by Task Force members to
the
independent research entity | 6 |
| shall be made available on the Task Force's web
site.
| 7 |
| Section 30. Final report.
No later than March 15, 2006, the | 8 |
| Task Force shall submit its final report
on the health care | 9 |
| access plan to the General Assembly and the
Governor. The final | 10 |
| report may recommend a combination of more than one type
of | 11 |
| plan
and alternative methods of funding the plan. The final | 12 |
| report by the
Task Force
shall make
recommendations that shall | 13 |
| be the basis for a health care access plan or plans
that shall | 14 |
| attempt to answer all or some of the following issues that | 15 |
| would
provide access to a full
range of preventive, acute, and | 16 |
| long-term health care services to residents
of the State of | 17 |
| Illinois by July 1, 2007, including:
| 18 |
| (1) an integrated system or systems of health care | 19 |
| delivery;
| 20 |
| (2) incentives to be used to contain costs;
| 21 |
| (3) core benefits that would be provided under each | 22 |
| type of plan;
| 23 |
| (4) reimbursement mechanisms for health care | 24 |
| providers;
| 25 |
| (5) administrative efficiencies;
| 26 |
| (6) mechanisms for generating spending priorities | 27 |
| based on
multidisciplinary standards of care established | 28 |
| by verifiable replicated
research studies demonstrating | 29 |
| quality and cost effectiveness of
interventions, | 30 |
| providers, and facilities;
| 31 |
| (7) methods for reducing the cost of prescription drugs | 32 |
| both as part of,
and as
separate from, the health care | 33 |
| access plan;
| 34 |
| (8) appropriate reallocation of existing health care | 35 |
| resources;
|
|
|
|
SB2581 |
- 5 - |
LRB093 17705 DRJ 43382 b |
|
| 1 |
| (9) equitable financing of each proposal; and
| 2 |
| (10) recommendations concerning the delivery of | 3 |
| long-term care services,
including:
| 4 |
| (A) those currently covered under Title XIX of the | 5 |
| Social Security
Act;
| 6 |
| (B) recommendations on potential cost sharing | 7 |
| arrangements for
long-term care services and the | 8 |
| phasing in of such arrangements over
time;
| 9 |
| (C) consideration of the potential for utilizing | 10 |
| informal care-giving by
friends and family members;
| 11 |
| (D) recommendations on cost-containment strategies | 12 |
| for long-term
care services;
| 13 |
| (E) the possibility of using independent financing | 14 |
| for the provision of
long-term care services; and
| 15 |
| (F) the projected cost to the State of Illinois | 16 |
| over the next 20 years
if
no changes were made in the | 17 |
| present system of delivering and paying
for long-term | 18 |
| care services.
| 19 |
| Section 35. Further legislative action.
No later than | 20 |
| December 31, 2006, the General Assembly shall vote on
| 21 |
| legislation that either enacts the Task Force's recommendation | 22 |
| or provides for
another
health care access plan that meets the | 23 |
| criteria set forth in Section 15.
| 24 |
| Section 99. Effective Date. This Act takes effect on July | 25 |
| 1, 2004.
|
|