ZICKUS-PUGH-LEITCH-SCHOENBERG-FLOWERS. (DONAHUE-PARKER-CLAYBORNE-TROTTER-DEL VALLE) 305 ILCS 5/5-1 from Ch. 23, par. 5-1 Amends the Medicaid Article of the Public Aid Code. Makes a stylistic change in a Section concerning purpose of the Medicaid program. FISCAL NOTE, H-AM 1 (Dpt. Public Aid) No fiscal impact anticipated. HOUSE AMENDMENT NO. 1. Deletes reference to: 305 ILCS 5/5-1 Adds reference to: 215 ILCS 125/2-1 from Ch. 111 1/2, par. 1403 305 ILCS 5/5-11 from Ch. 23, par. 5-11 305 ILCS 5/15-2 from Ch. 23, par. 15-2 305 ILCS 5/15-3 from Ch. 23, par. 15-3 305 ILCS 5/15-5 from Ch. 23, par. 15-5 Deletes everything. Amends the HMO Act and the Public Aid Code. Provides for certification of managed care community networks (which do not include HMOs) by the Department of Public Aid. Authorizes contracts between those networks and the Department for health care services for individuals participating in Department programs. Authorizes a county provider to contract with the Department to provide services as a managed care community network. Effective immediately. SENATE AMENDMENT NO. 1. Deletes authority for the Department of Insurance to use emergency rulemaking to implement provisions concerning exemption of managed care community networks certified by the Department of Public Aid from application of the Health Maintenance Organization Act. Imposes certain requirements on a managed care community network that contracts with the Department of Public Aid to furnish health care services to or arrange those services for enrollees participating in programs administered by the Department, including: (1) allow providers to provide services on a fee-for-service basis to Department clients not enrolled in the entity; (2) provide client education services; (3) allow enrollees to choose the site for services and the panel of health care providers; (4) not discriminate in enrollment or disenrollment practices based on health status; (5) provide a quality assurance and utilization review program; (6) issue ID cards; (7) ensure that primary care physicians and pharmacies meet standards established by the Department; (8) provide a procedure for handling complaints; (9) maintain records; and (10) provide that its pharmacy formulary be no more restrictive than the Department's pharmaceutical program. 98-02-17 H FILED WITH CLERK 98-02-17 H FIRST READING 98-02-17 H REFERRED TO HOUSE RULES COMMITTEE RULES 98-03-11 H ASSIGNED TO COMMITTEE HUMAN SERVS 98-03-19 H DO PASS/SHORT DEBATE 011-000-000 HHSV 98-03-19 H PLACED CALENDAR 2ND READING-SHORT DEBATE 98-03-23 H SECOND READING-SHORT DEBATE 98-03-23 H PLCD CAL ORDER 3RD READING-SHORT DEBATE 98-03-31 H RECALLED TO SECOND READING-SHORT DEBATE 98-03-31 H AMENDMENT NO. 01-ZICKUS 98-03-31 H AMENDMENT REFERRED TO HRUL 98-03-31 H HELD ON CAL ORDER 2ND RDG - SHORT DEBATE 98-03-31 H ADDED AS A JOINT SPONSOR PUGH 98-04-01 H FISCAL NOTE FILED AS AMENDED 98-04-01 H ADDED AS A CO-SPONSOR LEITCH 98-04-01 H ADDED AS A CO-SPONSOR SCHOENBERG 98-04-01 H ADDED AS A CO-SPONSOR FLOWERS 98-04-01 H AMENDMENT NO. 01-ZICKUS 98-04-01 H RULES REFERS TO HHSV 98-04-01 H BE APPROVED FOR CONSIDERATION HHSV 98-04-01 H AMENDMENT NO. 01-ZICKUS 98-04-01 H ADOPTED 98-04-01 H PLCD CAL ORDER 3RD READING-SHORT DEBATE 98-04-01 H THIRD READING/SHORT DEBATE/PASSED 116-000-000 98-04-02 S ARRIVE IN SENATE 98-04-02 S PLACED CALENDAR ORDER OF FIRST READING 98-04-02 S CHIEF SPONSOR DONAHUE 98-04-02 S ADDED AS A CHIEF CO-SPONSOR PARKER 98-04-02 S ADDED AS A CHIEF CO-SPONSOR CLAYBORNE 98-04-02 S ADDED AS A CHIEF CO-SPONSOR TROTTER 98-04-02 S ADDED AS A CO-SPONSOR DUDYCZ 98-04-02 S FIRST READING 98-04-02 S REFERRED TO SENATE RULES COMMITTEE RULES 98-04-28 S ASSIGNED TO COMMITTEE PUBLIC HEALTH 98-04-29 S ADDED AS A CO-SPONSOR REA 98-04-29 S ADDED AS A CO-SPONSOR HENDON 98-04-29 S ADDED AS A CO-SPONSOR GARCIA 98-04-29 S ADDED AS A CO-SPONSOR OBAMA 98-04-29 S ADDED AS A CO-SPONSOR SMITH 98-04-29 S ADDED AS A CHIEF CO-SPONSOR DEL VALLE 98-05-04 S ADDED AS A CO-SPONSOR FARLEY 98-05-05 S ADDED AS A CO-SPONSOR KEHOE 98-05-06 S ADDED AS A CO-SPONSOR BOWLES 98-05-07 S AMENDMENT NO. 01-PUB HEALTH S 98-05-07 S ADOPTED 98-05-07 S DO PASS AS AMENDED 006-000-000 SPBH 98-05-07 S PLACED ON CALENDAR ORDER OF 2ND READING 98-05-12 98-05-07 S ADDED AS A CO-SPONSOR DELEO 98-05-12 S SECOND READING 98-05-12 S PLACED ON CALENDAR ORDER OF 3RD READING 98-05-13 98-05-13 S THIRD READING - PASSED 056-000-000 98-05-13 H ARRIVE IN HOUSE 98-05-13 H PLACED ON CALENDAR ORDER OF CONCURRENCE 01 98-05-14 H MOTION FILED CONCUR 01/ZICKUS 98-05-14 H MOTION REFERRED TO HRUL 98-05-14 H CALENDAR ORDER OF CONCURRENCE 01 98-05-18 H RULES REFERS TO HHSV/01 98-05-18 H CALENDAR ORDER OF CONCURRENCE 01 98-05-20 H APPROVED FOR CONSIDERATION - COMPLIANCE 01/009-000-000 98-05-20 H HSE CONCURS IN SEN AMENDMENTS (NO.) 01/116-000-000 98-05-20 H PASSED BOTH HOUSES 98-05-22 H SENT TO THE GOVERNOR 98-07-10 H GOVERNOR APPROVED 98-07-10 H EFFECTIVE DATE 98-07-10 98-07-10 H PUBLIC ACT.............................. 90-0618 END OF INQUIRY Full Text Bill Summary