Full Text of HB2268 93rd General Assembly
HB2268enr 93RD GENERAL ASSEMBLY
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| AN ACT to create the Health Care Justice Act.
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| Be it enacted by the People of the State of Illinois, | 3 |
| represented in the General Assembly:
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| Section 1. Short title. This Act may be cited as the Health | 5 |
| Care
Justice Act.
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| 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
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| 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
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| 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.
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| Section 10. Policy. It is a policy goal of the State of | 23 |
| Illinois to insure
that all residents
have access to quality | 24 |
| health care at costs that are affordable.
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| Section 15. Health care access plan. On or before July 1, | 26 |
| 2007, the
State of
Illinois is strongly encouraged to implement | 27 |
| a health care access plan that does the
following:
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| (1) provides access to a full range of preventive, | 29 |
| acute, and
long-term health care services;
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| (2) maintains and improves the quality of health care |
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| services offered
to Illinois residents;
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| (3) provides portability of coverage, regardless of | 3 |
| employment status;
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| (4) provides core benefits for all Illinois residents;
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| (5) encourages regional and local consumer | 6 |
| participation;
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| (6) contains cost-containment measures;
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| (7) provides a mechanism for reviewing and | 9 |
| implementing multiple
approaches to preventive medicine | 10 |
| based on new technologies; and
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| (8) promotes affordable coverage options for the small | 12 |
| business market.
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| Section 20. Adequate Health Care Task Force.
There is | 14 |
| created an Adequate Health Care Task Force. The Task Force
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| shall consist of 29 voting members appointed as follows: 5 | 16 |
| shall be appointed by the Governor; 6 shall be appointed by the | 17 |
| President of the Senate,
6 shall be appointed by the Minority | 18 |
| Leader of the Senate, 6 shall be
appointed by the Speaker of | 19 |
| the House of Representatives, and 6 shall be
appointed by the | 20 |
| Minority Leader of the House of Representatives. The Task Force | 21 |
| shall have a chairman and a vice-chairman who
shall be elected | 22 |
| by the voting members at the first meeting
of the Task Force. | 23 |
| The Director of Public
Health or his or her designee, the | 24 |
| Director of Aging or his or
her designee, the Director of | 25 |
| Public Aid or his or her
designee, the Director of Insurance or | 26 |
| his or her designee, and
the Secretary of Human Services or his | 27 |
| or her designee shall represent their respective departments | 28 |
| and shall be invited to attend Task Force meetings, but shall | 29 |
| not be members of the Task Force. The members of the Task Force | 30 |
| shall be appointed
within 30 days after the effective date of | 31 |
| this Act. The departments of State
government represented on
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| the Task Force shall work cooperatively to provide | 33 |
| administrative
support for the Task Force; the Department of | 34 |
| Public Health shall be the
primary agency in providing that | 35 |
| administrative support.
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| Section 25. Public hearings.
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| (a) The Task Force shall seek public
input on the | 3 |
| development of the health care access plan by holding
a public | 4 |
| hearing in each Illinois congressional district starting no | 5 |
| later than January 1, 2005 and
ending on November 30, 2005. | 6 |
| Each State Representative and State Senator
located in
each | 7 |
| such congressional district shall be invited to participate in
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| the hearing in that district
and help to gather input from | 9 |
| interested parties. A web site for the Task Force shall be | 10 |
| developed and
linked to
the Governor's home page for input to | 11 |
| be
provided and to keep the public informed. The Task Force's | 12 |
| web site shall be
specifically highlighted and have independent | 13 |
| pages reporting all activities
and linkages
for people to | 14 |
| access. Minutes from all of the Task Force's meetings shall be
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| available on
the web site, and a hard copy of this information | 16 |
| shall also be made available
for those
persons without access | 17 |
| to the Task Force's web site.
The Task Force may also consult | 18 |
| with
health care providers, health care consumers, and other | 19 |
| appropriate
individuals and organizations to assist in the | 20 |
| development of the
health care access plan.
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| (b) Not later than September 1, 2004, the Illinois | 22 |
| Department of Public
Health,
subject to appropriation or the | 23 |
| availability of other funds for such purposes
and using a | 24 |
| public request for proposals process, shall
contract with an
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| independent research entity experienced in assessing health | 26 |
| care reforms,
health care financing, and health care delivery | 27 |
| models. Upon the request of at
least one-fourth of the Task | 28 |
| Force members, the research entity
shall be
available to the | 29 |
| Task Force for the purpose of assessing financial costs and
the | 30 |
| different
health care models being discussed. All inquiries | 31 |
| made by Task Force members to
the
independent research entity | 32 |
| shall be made available on the Task Force's web
site.
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| Section 30. Final report.
No later than March 15, 2006, the | 34 |
| Task Force shall submit its final report
on the health care |
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| access plan to the General Assembly and the
Governor. The final | 2 |
| report may recommend a combination of more than one type
of | 3 |
| plan
and alternative methods of funding the plan. The final | 4 |
| report by the
Task Force
shall make
recommendations for a | 5 |
| health care access plan or plans
that would
provide access to a | 6 |
| full
range of preventive, acute, and long-term health care | 7 |
| services to residents
of the State of Illinois by July 1, 2007, | 8 |
| including:
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| (1) an integrated system or systems of health care | 10 |
| delivery;
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| (2) incentives to be used to contain costs;
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| (3) core benefits that would be provided under each | 13 |
| type of plan;
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| (4) reimbursement mechanisms for health care | 15 |
| providers;
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| (5) administrative efficiencies;
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| (6) mechanisms for generating spending priorities | 18 |
| based on
multidisciplinary standards of care established | 19 |
| by verifiable replicated
research studies demonstrating | 20 |
| quality and cost effectiveness of
interventions, | 21 |
| providers, and facilities;
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| (7) methods for reducing the cost of prescription drugs | 23 |
| both as part of,
and as
separate from, the health care | 24 |
| access plan;
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| (8) appropriate reallocation of existing health care | 26 |
| resources;
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| (9) equitable financing of each proposal; and
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| (10) recommendations concerning the delivery of | 29 |
| long-term care services,
including:
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| (A) those currently covered under Title XIX of the | 31 |
| Social Security
Act;
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| (B) recommendations on potential cost sharing | 33 |
| arrangements for
long-term care services and the | 34 |
| phasing in of such arrangements over
time;
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| (C) consideration of the potential for utilizing | 36 |
| informal care-giving by
friends and family members;
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| (D) recommendations on cost-containment strategies | 2 |
| for long-term
care services;
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| (E) the possibility of using independent financing | 4 |
| for the provision of
long-term care services; and
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| (F) the projected cost to the State of Illinois | 6 |
| over the next 20 years
if
no changes were made in the | 7 |
| present system of delivering and paying
for long-term | 8 |
| care services.
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| Section 35. Further legislative action. No later than | 10 |
| December 31, 2006, the General Assembly is strongly encouraged | 11 |
| to vote on
legislation that either enacts the Task Force's | 12 |
| recommendation or provides for
another
health care access plan | 13 |
| that meets the criteria set forth in Section 15.
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| Section 99. This Act takes effect July 1, 2004.
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