Full Text of SB2043 96th General Assembly
SB2043eng 96TH GENERAL ASSEMBLY
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| AN ACT concerning public aid.
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| Be it enacted by the People of the State of Illinois,
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| represented in the General Assembly:
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| Section 5. The Illinois Public Aid Code is amended by | 5 |
| changing Sections 5-24 and 12-4.201 as follows:
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| (305 ILCS 5/5-24)
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| (Section scheduled to be repealed on January 1, 2014)
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| Sec. 5-24. Disease management programs and services for
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| chronic conditions; pilot project.
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| (a) In this Section, "disease management programs and
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| services" means services administered to patients in order to | 12 |
| improve
their overall health and to prevent clinical | 13 |
| exacerbations and
complications, using cost-effective, | 14 |
| evidence-based practice
guidelines and patient self-management | 15 |
| strategies. Disease
management programs and services include | 16 |
| all of the following:
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| (1) A population identification process.
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| (2) Evidence-based or consensus-based clinical | 19 |
| practice
guidelines, risk identification, and matching of | 20 |
| interventions with
clinical need.
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| (3) Patient self-management and disease education.
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| (4) Process and outcomes measurement, evaluation, | 23 |
| management, and
reporting.
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| (b) Subject to appropriations, the Department of | 2 |
| Healthcare and Family Services may
undertake a pilot project to | 3 |
| study patient outcomes, for patients with chronic
diseases or | 4 |
| patients at risk of low birth weight or premature birth , | 5 |
| associated with the use of disease management programs and | 6 |
| services
for chronic condition management. "Chronic diseases" | 7 |
| include, but are not
limited to, diabetes, congestive heart | 8 |
| failure, and chronic obstructive
pulmonary disease. Low birth | 9 |
| weight and premature birth include all medical and other | 10 |
| conditions that lead to poor birth outcomes or problematic | 11 |
| pregnancies.
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| (c) The disease management programs and services pilot
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| project shall examine whether chronic disease management | 14 |
| programs and
services for patients with specific chronic | 15 |
| conditions do any or all
of the following:
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| (1) Improve the patient's overall health in a more | 17 |
| expeditious
manner.
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| (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.
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| (d) In carrying out the pilot project, the Department of | 23 |
| Healthcare and Family Services shall
examine all relevant | 24 |
| scientific literature and shall consult with
health care | 25 |
| practitioners including, but not limited to, physicians,
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| surgeons, registered pharmacists, and registered nurses.
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| (e) The Department of Healthcare and Family Services shall | 2 |
| consult with medical experts,
disease advocacy groups, and | 3 |
| academic institutions to develop criteria
to be used in | 4 |
| selecting a vendor for the pilot project.
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| (f) The Department of Healthcare and Family Services may | 6 |
| adopt rules to implement this
Section.
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| (g) This Section is repealed 10 years after the effective | 8 |
| date of this
amendatory Act of the 93rd General Assembly.
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| (Source: P.A. 95-331, eff. 8-21-07.)
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| (305 ILCS 5/12-4.201)
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| Sec. 12-4.201. (a) Data warehouse concerning medical and | 12 |
| related
services. The Department of Healthcare and Family | 13 |
| Services may purchase services and
materials associated with | 14 |
| the costs of developing and implementing a data
warehouse | 15 |
| comprised of management and decision making information in
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| regard to the liability associated with, and utilization of, | 17 |
| medical and
related services, out of moneys available for that | 18 |
| purpose. | 19 |
| (b) The Department of Healthcare and Family Services shall | 20 |
| perform all necessary administrative functions to expand its | 21 |
| linearly-scalable data warehouse to encompass other healthcare | 22 |
| data sources at both the Department of Human Services and the | 23 |
| Department of Public Health. The Department of Healthcare and | 24 |
| Family Services shall leverage the inherent capabilities of the | 25 |
| data warehouse to accomplish this expansion with marginal |
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| additional technical administration. The purpose of
this | 2 |
| expansion is to allow for programmatic review and analysis | 3 |
| including the interrelatedness among the various healthcare | 4 |
| programs in order to ascertain effectiveness toward, and | 5 |
| ultimate impact on, clients. Beginning
July 1, 2005, the | 6 |
| Department of Healthcare and Family Services (formerly | 7 |
| Department of Public Aid) shall supply quarterly reports to the | 8 |
| Commission on Government Forecasting and Accountability | 9 |
| detailing progress toward this mandate.
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| (c) The Department of Healthcare and Family Services shall | 11 |
| integrate into
its data warehouse data collected and housed at | 12 |
| the Illinois
Department of Public Health and the Illinois | 13 |
| Department of Human
Services that pertains to maternal and | 14 |
| child health, including, but not
limited to, the following data | 15 |
| sets: | 16 |
| (1) United States Census. | 17 |
| (2) Vital Records as they relate to births and birth | 18 |
| outcomes. | 19 |
| (3) Pregnancy Risk Assessment Monitoring System | 20 |
| (PRAMS). | 21 |
| (4) Adverse Pregnancy Outcomes Reporting System | 22 |
| (APORS). | 23 |
| (5) Behavioral Risk Factor Surveillance System | 24 |
| (BRFSS). | 25 |
| (6) Fetal Infant Mortality Review (FIMR). | 26 |
| (7) Perinatal Mortality Review Database. |
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| (8) Maternal Mortality Review Database. | 2 |
| (9) Genetics/Newborn Screenings/SIDS. | 3 |
| (10) Hospital Discharge Records. | 4 |
| (11) Cornerstone (WIC, FCM, Teen Parents, | 5 |
| Immunization). | 6 |
| (12) Medicaid Claims Data. | 7 |
| (13) Illinois Project for Local Assessments of Needs | 8 |
| (IPLAN). | 9 |
| (14) I-CARE. | 10 |
| (15) Children with Special Healthcare Needs Data. | 11 |
| (16) Sexually Transmitted Infection (excluding | 12 |
| HIV/AIDS Surveillance). | 13 |
| The Departments shall cross-train personnel in the | 14 |
| operation of the data warehouse so that all 3 agencies | 15 |
| collaborate in utilizing this data warehouse to improve | 16 |
| maternal and child health
outcomes, and in particular improve | 17 |
| birth outcomes, and to reduce racial health disparities in this | 18 |
| area. | 19 |
| (Source: P.A. 94-267, eff. 7-19-05; 95-331, eff. 8-21-07.)
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| Section 99. Effective date. This Act takes effect upon | 21 |
| becoming law.
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