State of Illinois
92nd General Assembly
Legislation

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92_SB0461

 
                                               LRB9207772DJmb

 1        AN ACT in relation to children.

 2        Be it enacted by the People of  the  State  of  Illinois,
 3    represented in the General Assembly:

 4        Section 5.  The Early Intervention Services System Act is
 5    amended by changing Sections 3, 11, and 13 and adding Section
 6    10.5 and Sections 13.5 through 13.35 as follows:

 7        (325 ILCS 20/3) (from Ch. 23, par. 4153)
 8        Sec. 3.  Definitions.  As used in this Act:
 9        (a)  "Eligible  infants  and  toddlers" means infants and
10    toddlers under 36 months of age with  any  of  the  following
11    conditions:
12             (1)  Developmental   delays   as   defined   by  the
13        Department by rule.
14             (2)  A physical or mental condition which  typically
15        results in developmental delay.
16             (3)  Being    at    risk   of   having   substantial
17        developmental delays based on informed clinical judgment.
18        (b)  "Developmental delay" means a delay in one  or  more
19    of  the  following areas of childhood development as measured
20    by   appropriate   diagnostic   instruments   and    standard
21    procedures:   cognitive;   physical,   including  vision  and
22    hearing; language, speech and  communication;  psycho-social;
23    or self-help skills.
24        (c)  "Physical   or   mental  condition  which  typically
25    results in developmental delay" means:
26             (1)  a  diagnosed   medical   disorder   bearing   a
27        relatively   well   known  expectancy  for  developmental
28        outcomes   within   varying   ranges   of   developmental
29        disabilities; or
30             (2)  a history of prenatal, perinatal,  neonatal  or
31        early   developmental  events  suggestive  of  biological
 
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 1        insults to the  developing  central  nervous  system  and
 2        which   either   singly   or  collectively  increase  the
 3        probability of developing a disability or delay based  on
 4        a medical history.
 5        (d)  "Informed  clinical  judgment"  means  both clinical
 6    observations  and   parental   participation   to   determine
 7    eligibility  by  a consensus of a multidisciplinary team of 2
 8    or more members based on their  professional  experience  and
 9    expertise.
10        (e)  "Early intervention services" means services which:
11             (1)  are designed to meet the developmental needs of
12        each  child  eligible under this Act and the needs of his
13        or her family;
14             (2)  are selected in collaboration with the  child's
15        family;
16             (3)  are provided under public supervision;
17             (4)  are provided at no cost except where a schedule
18        of  sliding  scale  fees  or  other system of payments by
19        families has been adopted in accordance  with  State  and
20        federal law;
21             (5)  are  designed  to meet an infant's or toddler's
22        developmental needs in any of the following areas:
23                  (A)  physical development, including vision and
24             hearing,
25                  (B)  cognitive development,
26                  (C)  communication development,
27                  (D)  social or emotional development, or
28                  (E)  adaptive development;
29             (6)  meet the standards of the State, including  the
30        requirements of this Act;
31             (7)  include one or more of the following:
32                  (A)  family training,
33                  (B)  social     work     services,    including
34             counseling, and home visits,
 
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 1                  (C)  special instruction,
 2                  (D)  speech, language pathology and audiology,
 3                  (E)  occupational therapy,
 4                  (F)  physical therapy,
 5                  (G)  psychological services,
 6                  (H)  service coordination services,
 7                  (I)  medical services only  for  diagnostic  or
 8             evaluation purposes,
 9                  (J)  early   identification,   screening,   and
10             assessment services,
11                  (K)  health  services  specified  by  the  lead
12             agency  as necessary to enable the infant or toddler
13             to  benefit  from  the  other   early   intervention
14             services,
15                  (L)  vision services,
16                  (M)  transportation, and
17                  (N)  assistive technology devices and services;
18             (8)  are  provided by qualified personnel, including
19        but not limited to:
20                  (A)  child development specialists  or  special
21             educators,
22                  (B)  speech   and   language  pathologists  and
23             audiologists,
24                  (C)  occupational therapists,
25                  (D)  physical therapists,
26                  (E)  social workers,
27                  (F)  nurses,
28                  (G)  nutritionists,
29                  (H)  optometrists,
30                  (I)  psychologists, and
31                  (J)  physicians;
32             (9)  are   provided   in    conformity    with    an
33        Individualized Family Service Plan;
34             (10)  are provided throughout the year; and
 
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 1             (11)  are    provided   in   natural   environments,
 2        including  the  home  and  community  settings  in  which
 3        infants   and   toddlers   without   disabilities   would
 4        participate   to   the   extent   determined    by    the
 5        multidisciplinary Individualized Family Service Plan.
 6        (f)  "Individualized Family Service Plan" or "Plan" means
 7    a written plan for providing early intervention services to a
 8    child  eligible under this Act and the child's family, as set
 9    forth in Section 11.
10        (g)  "Local interagency  agreement"  means  an  agreement
11    entered  into  by  local  community  and  State  and regional
12    agencies receiving early intervention funds directly from the
13    State  and  made  in  accordance   with   State   interagency
14    agreements  providing  for the delivery of early intervention
15    services within a local community area.
16        (h)  "Council" means the Illinois Interagency Council  on
17    Early Intervention established under Section 4.
18        (i)  "Lead agency" means the State agency responsible for
19    administering  this  Act  and receiving and disbursing public
20    funds received in accordance with State and federal  law  and
21    rules.
22        (i-5)  "Central billing office" means the central billing
23    office created by the lead agency under Section 13.
24        (j)  "Child   find"  means  a  service  which  identifies
25    eligible infants and toddlers.
26        (k)  "Qualified person"  means  an  individual  providing
27    early  intervention  services  who  has  attained the highest
28    requirements in the State applicable  to  the  profession  or
29    discipline in which he or she is providing early intervention
30    services  and  who  is  suitably  qualified  to provide early
31    intervention  services  to  eligible   children   and   their
32    families.
33        (l)  "Suitably qualified" means the following:
34             (1)  In  the  case  of  personnel including, but not
 
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 1        limited to, audiologists,  speech-language  pathologists,
 2        occupational   therapists,   and   physical   therapists,
 3        "suitably  qualified"  means  having  qualifications that
 4        meet the University of Illinois Division  of  Specialized
 5        Care  for Children approval standards for providers under
 6        Title V of the Social Security Act that were in effect on
 7        February 1, 2001 for an individual's speciality:
 8                  (A)  within one year after the  effective  date
 9             of this amendatory Act of the 92nd General Assembly,
10             for  an  individual  who  is  already  enrolled as a
11             credentialed specialist on  the  effective  date  of
12             this  amendatory  Act  of the 92nd General Assembly;
13             and
14                  (B)  at  the  time  of   enrollment,   for   an
15             individual  seeking  enrollment  as  a  credentialed
16             specialist  on  or  after the effective date of this
17             amendatory Act of the 92nd General Assembly.
18             Notwithstanding  any   other   provision   of   this
19        paragraph  (1),  however,  to be "suitably qualified", an
20        individual's level of experience must be with infants and
21        toddlers from birth to age 3.
22             (2)  In the case  of  other  personnel  who  provide
23        early  intervention  services, including, but not limited
24        to, service coordinators, developmental  therapists,  and
25        family  support  specialists,  "suitably qualified" means
26        having at least a bachelor's degree  in  early  childhood
27        education,  early  childhood  special  education, special
28        education, child development, orientation, and  mobility,
29        or applied psychology or the equivalent:
30                  (A)  within  one  year after the effective date
31             of this amendatory Act of the 92nd General Assembly,
32             for an individual  who  is  already  enrolled  as  a
33             credentialed  specialist  on  the  effective date of
34             this amendatory Act of the  92nd  General  Assembly;
 
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 1             and
 2                  (B)  at   the   time   of  enrollment,  for  an
 3             individual  seeking  enrollment  as  a  credentialed
 4             specialist on or after the effective  date  of  this
 5             amendatory Act of the 92nd General Assembly.
 6             (3)  In  the  case  of audiologists, speech-language
 7        pathologists,    occupational    therapists,     physical
 8        therapists,     service    coordinators,    developmental
 9        therapists, and  family  support  specialists,  "suitably
10        qualified"  means  having  completed   no  less  than  20
11        contact  hours  of continuing education in birth-to-age-3
12        evaluation and treatment, or its equivalent:
13                  (A)  within one year after the  effective  date
14             of this amendatory Act of the 92nd General Assembly,
15             for  an  individual  who  is  already enrolled as an
16             early intervention provider on the effective date of
17             this amendatory Act of the  92nd  General  Assembly;
18             and
19                  (B)  at   the   time   of  enrollment,  for  an
20             individual  seeking  enrollment  as  one  of   these
21             specialists  on  or after the effective date of this
22             amendatory Act of the 92nd General Assembly.
23    (Source: P.A. 90-158, eff. 1-1-98; 91-538, eff. 8-13-99.)

24        (325 ILCS 20/10.5 new)
25        Sec. 10.5. Service providers; qualifications.
26        (a)  An individual  who  is  not  suitably  qualified  as
27    defined  in Section 3 may provide early intervention services
28    on a provisional basis for no more than 6 months, so long  as
29    it  is  anticipated  that the individual will become suitably
30    qualified within those 6 months.  During those 6 months,  the
31    individual  may work only under the direction and supervision
32    of an individual who is a  qualified  person  as  defined  in
33    Section  3  and  who  is  suitably  qualified within the same
 
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 1    specialty area or areas as the individual  who  is  providing
 2    services   on  a  provisional  basis.    This  direction  and
 3    supervision must include, at a minimum, the  co-signature  of
 4    the  supervising specialist on progress reports and treatment
 5    recommendations of the individual who is  providing  services
 6    on a provisional basis.
 7        (b)  To   maintain  enrollment  as  an  individual  early
 8    intervention services provider in any specialty  area  listed
 9    in  the  definition  of "suitably qualified" in Section 3, or
10    any other area designated by the  lead  agency  by  rule,  an
11    individual must certify that he or she has completed, every 2
12    years, no less than 20 additional contact hours of continuing
13    education  in  birth-to-age-3  evaluation  and  treatment.  A
14    regional  intake  entity  may seek a waiver of this provision
15    from the lead agency as to one or more  types  of  personnel,
16    based  on shortages of specialists in the region who meet the
17    necessary qualifications. The waiver must  specify  education
18    and training requirements, including continuing education for
19    birth-to-age-3  evaluation  and treatment, within the area of
20    specialization, that  are  required  to  remain  an  enrolled
21    provider in that region.
22        (c)  Neither   a  6-month  provisional  credential  under
23    subsection (a), nor a  waiver  under  subsection  (b),  shall
24    extend  to  any  personnel who assess infants and toddlers or
25    participate on multidisciplinary teams to develop  or  modify
26    an individualized family service plan under Section 11.

27        (325 ILCS 20/11) (from Ch. 23, par. 4161)
28        Sec. 11.  Individualized Family Service Plans.
29        (a)  Each eligible infant or toddler and that infant's or
30    toddler's family shall receive:
31             (1)  (a)  timely,  comprehensive,  multidisciplinary
32        assessment  of  the  unique needs of each eligible infant
33        and  toddler,  and  assessment  of   the   concerns   and
 
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 1        priorities  of  the families to appropriately assist them
 2        in meeting their needs  and  identify  services  to  meet
 3        those needs; and
 4             (2)  (b)  a  written  Individualized  Family Service
 5        Plan developed by a multidisciplinary team which includes
 6        the parent or guardian.
 7        (b)  The Individualized  Family  Service  Plan  shall  be
 8    evaluated  once  a  year  and  the family shall be provided a
 9    review of the Plan at 6 month intervals or more  often  where
10    appropriate based on infant or toddler and family needs.
11        (c)  The  evaluation  and  initial assessment and initial
12    Plan meeting must be held within 45 days  after  the  initial
13    contact  with  the  early  intervention services system. With
14    parental consent, early intervention  services  may  commence
15    before  the  completion  of  the comprehensive assessment and
16    development of the Plan.
17        (d)  Parents must be informed that, at their  discretion,
18    early   intervention  services  shall  be  provided  to  each
19    eligible infant and toddler in the natural environment, which
20    may include the home or other  community  settings.   Parents
21    shall  make  the  final  decision  to accept or decline early
22    intervention services. A decision to  decline  such  services
23    shall  not  be  a  basis  for administrative determination of
24    parental fitness, or other findings or sanctions against  the
25    parents. Parameters of the Plan shall be set forth in rules.
26        (e)  The  regional  intake  offices shall explain to each
27    family, orally and in writing, all of the following:
28             (1)  That the early intervention  program  will  pay
29        for all early intervention services in the individualized
30        family  service  plan  that are not covered or paid under
31        the family's private insurance plan or policy.
32             (2)  That services will not be delayed  due  to  any
33        rules  or  restrictions under the family's insurance plan
34        or policy.
 
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 1             (3)  That,  based  on  a  sliding  scale  of  family
 2        income,  the  family's  obligation  to   make   insurance
 3        co-payments  will  be limited to the amount of its family
 4        fee obligation under that scale.
 5             (4)  That the family may request,  at  the  regional
 6        intake  entity,  a  determination  of  an  exemption from
 7        private insurance use under Section 13.25.
 8        (f)  The individualized family service  plan  must  state
 9    whether the family has private insurance coverage and, if the
10    family  has  such coverage, must include all of the following
11    information:
12             (1)  The name, address, and telephone number of  the
13        insurance carrier.
14             (2)  The  contract  number  and policy number of the
15        insurance plan.
16             (3)  The name, address and social security number of
17        the primary insured.
18        (g)  A copy of the  individualized  family  service  plan
19    must  be  provided to each enrolled provider who is providing
20    early intervention services to the child who is  the  subject
21    of that plan.
22    (Source: P.A. 91-538, eff. 8-13-99.)

23        (325 ILCS 20/13) (from Ch. 23, par. 4163)
24        Sec. 13. Funding and Fiscal Responsibility.
25        (a)  The  lead agency and every other participating State
26    agency may receive  and  expend  funds  appropriated  by  the
27    General Assembly to implement the early intervention services
28    system as required by this Act.
29        (b)  The  lead agency and each participating State agency
30    shall identify and report on an annual basis to  the  Council
31    the  State  agency  funds utilized for the provision of early
32    intervention services to eligible infants and toddlers.
33        (c)  Funds provided under Section 633 of the  Individuals
 
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 1    with  Disabilities Education Act (20 United States Code 1433)
 2    and  State  funds  designated  or  appropriated   for   early
 3    intervention  services or programs may not be used to satisfy
 4    a financial commitment for services  which  would  have  been
 5    paid  for  from  another public or private source but for the
 6    enactment of this Act, except whenever  considered  necessary
 7    to  prevent delay in receiving appropriate early intervention
 8    services by the eligible infant or toddler  or  family  in  a
 9    timely  manner.  Funds  provided  under  Section  633  of the
10    Individuals with Disabilities Education Act and  State  funds
11    designated or appropriated for early intervention services or
12    programs  may  be used by the lead agency to pay the provider
13    of services pending reimbursement from the appropriate  State
14    agency  or other payor if (i) the claim for payment is denied
15    by the other public or private source,  or  would  be  denied
16    under  the  terms  of  the  public program or plan or private
17    plan, or (ii) use of private insurance for  the  service  has
18    been exempted under Section 13.25.
19        (d)  Nothing in this Act shall be construed to permit the
20    State  to  reduce medical or other assistance available or to
21    alter eligibility under Title V and Title XIX of  the  Social
22    Security  Act  relating  to the Maternal Child Health Program
23    and Medicaid for eligible infants and toddlers in this State.
24        (e)  The lead  agency  shall  create  a  central  billing
25    office to receive and dispense all relevant State and federal
26    resources,   as  well  as  local  government  or  independent
27    resources available, for early  intervention  services.  This
28    office  shall  assure  that  maximum  federal  resources  are
29    utilized  and  that  providers  receive  funds  with  minimal
30    duplications  or  interagency reporting and with consolidated
31    audit procedures.
32        (f)  The lead agency shall, by rule, may  also  create  a
33    system of payments by families, including a schedule of fees.
34    No  fees,  however,  may  be  charged for: implementing child
 
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 1    find,  evaluation  and  assessment,   service   coordination,
 2    administrative  and  coordination  activities  related to the
 3    development, review, and evaluation of Individualized  Family
 4    Service Plans, or the implementation of procedural safeguards
 5    and  other  administrative  components of the statewide early
 6    intervention system.
 7        The system of payments shall be structured on  a  sliding
 8    scale  based on family income.  A family who has no insurance
 9    coverage or less than full coverage under a public or private
10    insurance plan or policy and who has the same  family  income
11    as  a  family with full insurance coverage shall pay the same
12    amount per year for early intervention services as the family
13    with full insurance coverage.
14        A family without insurance coverage shall not be required
15    to pay fees under the schedule that families  with  insurance
16    coverage  would  not be required to pay. While the payment of
17    insurance co-payments shall offset the family fee obligation,
18    use of a family's insurance plan or policy  for  coverage  of
19    early  intervention  services, by itself, does not offset the
20    family's fee obligation.  Family  fee  obligations  shall  be
21    established   annually,   and  shall  be  paid  in  quarterly
22    installments.   Payment  of  the  family  fee  obligation  by
23    families with public or private insurance plans  or  policies
24    is  governed  by  Section 13.20. The rules adopted under this
25    subsection shall also establish procedures that  ensure  that
26    families  with  extraordinary  expenses or other catastrophic
27    circumstances are  not  denied  early  intervention  services
28    because  of an inability to pay the fees under the family fee
29    schedule or to pay co-payments up to the amount of the family
30    fee obligation.
31        (g)  To ensure that early intervention funds are used  as
32    the payor of last resort for early intervention services, the
33    lead   agency   shall   determine   at  the  point  of  early
34    intervention intake, and again  at  any  periodic  review  of
 
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 1    eligibility thereafter, whether the family is eligible for or
 2    enrolled in any program for which payment is made directly or
 3    through  public  or  private  insurance for any or all of the
 4    early intervention services made available  under  this  Act.
 5    The  lead  agency  shall  establish procedures to ensure that
 6    payments are made  either  directly  from  these  public  and
 7    private  sources  instead  of  from  State  or  federal early
 8    intervention  funds,  or  as   reimbursement   for   payments
 9    previously  made  from  State  or  federal early intervention
10    funds.
11    (Source: P.A. 91-538, eff. 8-13-99.)

12        (325 ILCS 20/13.5 new)
13        Sec. 13.5. Other programs.
14        (a)  An application for early intervention services shall
15    serve as an application  for  (i)  medical  assistance  under
16    Article  V  of  the Illinois Public Aid Code, (ii) children's
17    health  insurance  program  (KidCare)  benefits   under   the
18    Children's  Health  Insurance  Program Act, and (iii) Title V
19    maternal and  child  health  services  provided  through  the
20    Division  of  Specialized Care for Children of the University
21    of Illinois.  A  child  enrolled  in  an  early  intervention
22    program shall automatically be enrolled in any of these other
23    programs for which the child is also eligible.
24        (b)  For   purposes  of  determining  family  fees  under
25    subsection (f) of Section 13 and determining eligibility  for
26    the  other  programs  and  services  specified  in  items (i)
27    through (iii)  of  subsection  (a),  the  lead  agency  shall
28    develop  and  use, within 60 days after the effective date of
29    this amendatory Act of the 92nd General  Assembly,  with  the
30    cooperation  of the Department of Public Aid and the Division
31    of  Specialized  Care  for  Children  of  the  University  of
32    Illinois, a single application form that provides  sufficient
33    information   for  the  early  intervention  regional  intake
 
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 1    entities or other agencies to establish eligibility for those
 2    other programs.
 3        (c)  With the cooperation of  the  Department  of  Public
 4    Aid,  the  lead agency shall establish procedures that ensure
 5    the timely and maximum allowable recovery of payments for all
 6    early  intervention  services  and  allowable  administrative
 7    costs under Article V of the Illinois Public  Aid  Code,  the
 8    Children's  Health  Insurance Program Act, and Title V of the
 9    Social Security Act.
10        (d)  For purposes of determining eligibility for  medical
11    assistance  under  Article V of the Illinois Public Aid Code,
12    the lead agency and the Department of Public Aid shall  treat
13    the  regional  intake entities as "qualified entities" within
14    the meaning of 42 U.S.C. 1396r-1a.
15        (e)  For purposes of determining eligibility for benefits
16    under the Children's Health Insurance Program Act,  the  lead
17    agency  and  the  Department  of Public Aid shall enroll each
18    early intervention  regional  intake  entity  as  a  "KidCare
19    agent" in order for the entity to enroll eligible children in
20    the  program  under  Section  22  of  the  Children's  Health
21    Insurance Program Act.
22        (f)  For  purposes  of  services covered under Title V of
23    the Social Security Act, the lead agency, in conjunction with
24    the  Division  of  Specialized  Care  for  Children  of   the
25    University  of  Illinois,  shall establish procedures whereby
26    the early intervention regional intake entities may determine
27    eligibility for those services.

28        (325 ILCS 20/13.10 new)
29        Sec. 13.10.  Private  health  insurance;  assignment.  No
30    later   than  90  days  after  the  effective  date  of  this
31    amendatory Act of the 92nd General Assembly, the lead  agency
32    shall  determine,  at  the  point  of  application  for early
33    intervention services at the regional intake offices, whether
 
                            -14-               LRB9207772DJmb
 1    a child is insured under a private health insurance  plan  or
 2    policy.  An application for early intervention services shall
 3    serve  as  a  secondary  assignment to the lead agency of the
 4    right of recovery against a private health insurance plan  or
 5    policy  for  any covered early intervention services provided
 6    to a child covered under the plan  or  policy.   The  primary
 7    assignees  are  each  of  the  providers  who  provide  early
 8    intervention services to the child.

 9        (325 ILCS 20/13.15 new)
10        Sec. 13.15. Billing of insurance carrier.
11        (a)  Subject   to   the   restrictions   against  private
12    insurance use on the  basis  of  material  risk  of  loss  of
13    coverage,  as  determined  under Section 13.25, each enrolled
14    provider who is providing a family  with  early  intervention
15    services may bill the child's insurance carrier for each unit
16    of  early  intervention  service  for  which  coverage may be
17    available.  Any time limit on a provider's filing of a  claim
18    with  the  central  billing  office that is imposed through a
19    policy, procedure, or rule of the lead agency shall be tolled
20    until the provider receives an  explanation  of  benefits  or
21    other  final  determination  of  the  claim it files with the
22    child's insurance carrier.
23        (b)  For purposes of data  collection,  a  provider  must
24    provide the central billing office with a copy of the child's
25    insurance  carrier's  explanation  of benefits for each child
26    the provider served for whom payments were received from  the
27    insurance  carrier.  Within 120 days after the effective date
28    of this amendatory Act of the 92nd General Assembly, the lead
29    agency shall seek recovery for  early  intervention  services
30    that  are  covered  under an insurance plan or policy and for
31    which the provider has failed to bill the  insurance  carrier
32    and  instead  billed  the  central  billing office.  All such
33    recoveries shall be deposited  into  the  Early  Intervention
 
                            -15-               LRB9207772DJmb
 1    Services  Revolving  Fund.   The  lead  agency may seek these
 2    recoveries itself or through the Department of Public Aid  or
 3    the   Division  of  Specialized  Care  for  Children  of  the
 4    University of Illinois, or may contract with  a  third  party
 5    whose  fee shall be paid according to an agreed percentage of
 6    the insurance proceeds it recovers.

 7        (325 ILCS 20/13.20 new)
 8        Sec. 13.20. Families with insurance coverage; payment for
 9    services.
10        (a)  Families  of  children  with   insurance   coverage,
11    whether  public  or  private,  shall incur no greater or less
12    direct out-of-pocket expenses for early intervention services
13    than families who are not insured.
14        (b)  The lead agency shall require families to pay  their
15    own  co-payments  for early intervention services as required
16    under their public or private insurance plan or  policy,  but
17    only  up  to the amount of their payment obligation under the
18    family fee  schedule  established  under  subsection  (f)  of
19    Section  13.    At  the  time  of  enrollment  in  the  early
20    intervention  program, regional intake entities shall provide
21    each family who is required to pay family fees and  who  also
22    has  insurance  coverage  with  an  envelope  that states the
23    quarterly family fee obligation.  A provider who  collects  a
24    co-payment  from  the  family shall provide the family with a
25    receipt for each co-payment paid to the provider,  and  shall
26    note  on  the  envelope  the  amount and date of the payment.
27    When the family fee  obligation  has  been  met  through  the
28    making of co-payments, the family shall, within 14 days after
29    the  end of the calendar quarter, forward the envelope to the
30    central  billing  office  as  proof  that  its   family   fee
31    obligation  has  been  paid.   When  the quarterly family fee
32    obligation has not been met in full through  the  payment  of
33    co-payments  during a particular calendar quarter, the family
 
                            -16-               LRB9207772DJmb
 1    must remit to  the  central  billing  office  the  difference
 2    between  the  family  fee  obligation  and the amount paid in
 3    co-payments.
 4        (c)  When the deductible on a family's insurance plan  or
 5    policy  has  not  yet been met in full under the terms of the
 6    plan or policy, the provider must first  bill  the  insurance
 7    carrier.   If  the  claim  is denied in whole or in part, the
 8    provider must then bill  the  central  billing  office.   The
 9    provider  shall be paid the difference for the services up to
10    the amount  payable  under  the  State's  early  intervention
11    fee-for-service rates.

12        (325 ILCS 20/13.25 new)
13        Sec. 13.25. Private insurance; exemption.
14        (a)  No  later  than  90 days after the effective date of
15    this amendatory Act of the 92nd General  Assembly,  the  lead
16    agency  shall  adopt rules to establish procedures by which a
17    family whose child is eligible to receive early  intervention
18    services  may  apply  for an exemption restricting the use of
19    its private insurance plan or policy based on  material  risk
20    of loss of coverage.
21        (b)  The  lead  agency  shall  rule  on  a  claim  for an
22    exemption within 30 days  after  a  family  files  a  written
23    request  for  an  exemption  at  the  regional intake entity.
24    During that 30 days, no  claims  may  be  filed  against  the
25    insurance  plan  or  policy.  If the exemption is granted, it
26    shall be noted on the individualized family service plan, and
27    the family and the providers  serving  the  family  shall  be
28    notified in writing of the exemption.
29        (c)  Rulings  on claims for exemptions shall be made on a
30    case-by-case basis with the goal of  ensuring,  both  in  the
31    case  of  a child covered under one private insurance plan or
32    policy, and in the case of a child covered  under  more  than
33    one  plan  or  policy, that as to each plan or policy used to
 
                            -17-               LRB9207772DJmb
 1    pay in whole or in part for early intervention services,  the
 2    family  is  not  placed at material risk of loss of coverage.
 3    In considering a request for an exemption based  on  material
 4    risk  of  loss  of  coverage,  the  lead  agency may take the
 5    following factors into consideration:
 6             (1)  Whether  there  is  a  material  risk   of   an
 7        unreasonable decrease in available lifetime coverage,  as
 8        defined  by  the  lead agency, based on objective factors
 9        such as the amount of the annual or lifetime cap  on  the
10        plan  or  policy, the likely annual or lifetime demand on
11        the plan or policy given the child's diagnosis  or  other
12        factors  relating  the  child's  demands  on  the plan or
13        policy, the percentage of the cap that claims  for  early
14        intervention  services  would  use, and any other factors
15        that can be shown to put current, annual, or  future  use
16        of the plan or policy by the family at material risk.
17             (2)  Whether  billing the plan or policy would cause
18        the  family to pay out-of-pocket for other  services  for
19        the  child that would otherwise be covered by the plan or
20        policy.
21             (3)  Whether there is a material risk  of  increased
22        premiums  or  the  discontinuation  of  insurance  due to
23        billing for early intervention services.
24        (d)  The lead agency may establish and  apply  a  general
25    policy  on  the  factors  enumerated  in  subsection (c); may
26    consider only the assertions and proof provided by  a  family
27    on  a  case-by-case  basis  that, due to one or more of those
28    factors, the family's plan or policy should not be used;  and
29    may  establish  presumptions as to relative risks under those
30    and other factors.
31        (e)  An exemption under this Section  may  apply  to  all
32    early   intervention  services  and  all  plans  or  policies
33    insuring the child, may be limited to one or  more  plans  or
34    policies,  or  may  be  limited to one or more types of early
 
                            -18-               LRB9207772DJmb
 1    intervention services in the  child's  individualized  family
 2    services plan.

 3        (325 ILCS 20/13.30 new)
 4        Sec.  13.30.  Training  events.  Within 90 days after the
 5    effective date of this amendatory Act  of  the  92nd  General
 6    Assembly, the lead agency shall hold no fewer than 4 training
 7    events, throughout the State, to explain to provider agencies
 8    and  individuals  how  to  put  systems  in place to bill and
 9    recover payments from private insurance companies.  The  lead
10    agency  may  conduct  these  training  events directly or may
11    contract with a third party to conduct the events.

12        (325 ILCS 20/13.35 new)
13        Sec. 13.35. Report to General  Assembly.  No  later  than
14    July  31  of  each year, the lead agency shall provide to the
15    General Assembly a report that states  the  total  number  of
16    children receiving any early intervention services, by month,
17    and  in  each region.  For each month, broken down by region,
18    the report  shall  state  the  number  of  enrolled  children
19    financially  eligible  for,  and the number actually enrolled
20    in, the medical assistance program under  Article  V  of  the
21    Illinois  Public  Aid  Code,  the children's health insurance
22    program under the Children's Health  Insurance  Program  Act,
23    and  maternal  and child health services under Title V of the
24    Social  Security  Act  (separately  stated);  the  number  of
25    children with  private  insurance  coverage;  and  the  early
26    intervention  costs  offset  by  medical  assistance,  by the
27    children's health insurance  program,  by  services  provided
28    under  Title V, and by insurance recoveries or payments.  The
29    offsetting costs shall be further broken down by each type of
30    early intervention service, such as  physical  therapy,  case
31    management, and transportation.
 
                            -19-               LRB9207772DJmb
 1        Section  10.   The  Specialized  Care for Children Act is
 2    amended by adding Section 4 as follows:

 3        (110 ILCS 345/4 new)
 4        Sec. 4.  Application  for  services;  early  intervention
 5    services.  An  application  for  early  intervention services
 6    under the Early Intervention Services System Act shall  serve
 7    as  an  application  for services under Title V of the Social
 8    Security Act  from  the  Division  of  Specialized  Care  for
 9    Children.   A child enrolled in an early intervention program
10    shall automatically be  enrolled  in  any  Title  V  services
11    program  administered by the Division of Specialized Care for
12    Children for which the child is eligible.   The  Division  of
13    Specialized  Care  for Children shall cooperate with the lead
14    agency under the Early Intervention Services  System  Act  to
15    establish  procedures whereby the early intervention regional
16    intake  entities  may  determine  eligibility  for  Title   V
17    services.

18        Section  15.  The Children's Health Insurance Program Act
19    is amended by changing 22 as follows:

20        (215 ILCS 106/22)
21        (Section scheduled to be repealed on July 1, 2002)
22        Sec. 22.  Enrollment in program.
23        (a)  The Department shall  develop  procedures  to  allow
24    community  providers,  and  schools,  youth service agencies,
25    employers, labor unions,  local  chambers  of  commerce,  and
26    religious  organizations  to  assist in enrolling children in
27    the Program.
28        (b)  An application for early intervention services under
29    the Early Intervention Services System Act shall serve as  an
30    application  for enrollment in the program.  A child enrolled
31    in an  early  intervention  program  shall  automatically  be
 
                            -20-               LRB9207772DJmb
 1    enrolled  in  the  program  under  this  Act  if the child is
 2    eligible for participation in the  program  under  this  Act.
 3    The Department shall cooperate with the lead agency under the
 4    Early   Intervention   Services   System   Act  to  establish
 5    procedures whereby the  early  intervention  regional  intake
 6    entities  may  determine eligibility for participation in the
 7    program under this Act.
 8    (Source: P.A. 91-470, eff.  8-10-99;  91-471,  eff.  8-10-99;
 9    revised 6-23-00.)

10        Section  20.   The Illinois Public Aid Code is amended by
11    adding Section 5-2.4 and changing Section 5-5 as follows:

12        (305 ILCS 5/5-2.4 new)
13        Sec.   5-2.4.   Application   for    assistance;    early
14    intervention  services. An application for early intervention
15    services under the Early  Intervention  Services  System  Act
16    shall  serve  as  an application for medical assistance under
17    this Article.  A child  enrolled  in  an  early  intervention
18    program  shall  automatically  be  enrolled  in  the  medical
19    assistance  program  if  the  child  is  eligible for medical
20    assistance.  The Illinois Department shall cooperate with the
21    lead agency under the Early Intervention Services System  Act
22    to   establish  procedures  whereby  the  early  intervention
23    regional  intake  entities  may  determine  eligibility   for
24    medical assistance under this Article.

25        (305 ILCS 5/5-5) (from Ch. 23, par. 5-5)
26        Sec.  5-5.  Medical services. The Illinois Department, by
27    rule, shall determine the quantity and  quality  of  and  the
28    rate  of  reimbursement  for the medical assistance for which
29    payment will be authorized, and the medical  services  to  be
30    provided, which may include all or part of the following: (1)
31    inpatient   hospital   services;   (2)   outpatient  hospital
 
                            -21-               LRB9207772DJmb
 1    services;  (3)  other  laboratory  and  X-ray  services;  (4)
 2    skilled  nursing  home  services;  (5)  physicians'  services
 3    whether furnished  in  the  office,  the  patient's  home,  a
 4    hospital,  a  skilled nursing home, or elsewhere; (6) medical
 5    care, or  any  other  type  of  remedial  care  furnished  by
 6    licensed  practitioners;  (7)  home health care services; (8)
 7    private duty  nursing  service;  (9)  clinic  services;  (10)
 8    dental  services; (11) physical therapy and related services;
 9    (12) prescribed drugs, dentures, and prosthetic devices;  and
10    eyeglasses  prescribed by a physician skilled in the diseases
11    of the eye, or by an optometrist, whichever  the  person  may
12    select;  (13)  other  diagnostic,  screening, preventive, and
13    rehabilitative services; (14) transportation and  such  other
14    expenses  as  may  be  necessary;  (15)  medical treatment of
15    sexual assault survivors, as defined in  Section  1a  of  the
16    Sexual   Assault   Survivors  Emergency  Treatment  Act,  for
17    injuries  sustained  as  a  result  of  the  sexual  assault,
18    including  examinations  and  laboratory  tests  to  discover
19    evidence which may be used in  criminal  proceedings  arising
20    from  the sexual assault; (16) the diagnosis and treatment of
21    sickle cell anemia; and (17) any other medical care, and  any
22    other type of remedial care recognized under the laws of this
23    State,  but  not including abortions, or induced miscarriages
24    or premature births, unless, in the opinion of  a  physician,
25    such  procedures  are  necessary  for the preservation of the
26    life of the  woman  seeking  such  treatment,  or  except  an
27    induced  premature  birth  intended  to produce a live viable
28    child and such procedure is necessary for the health  of  the
29    mother or her unborn child. The Illinois Department, by rule,
30    shall   prohibit   any   physician   from  providing  medical
31    assistance to anyone eligible therefor under this Code  where
32    such  physician  has  been  found  guilty  of  performing  an
33    abortion procedure in a wilful and wanton manner upon a woman
34    who  was not pregnant at the time such abortion procedure was
 
                            -22-               LRB9207772DJmb
 1    performed. The term "any other type of remedial  care"  shall
 2    include nursing care and nursing home service for persons who
 3    rely on treatment by spiritual means alone through prayer for
 4    healing.
 5        Notwithstanding  any  other  provision of this Section, a
 6    comprehensive tobacco use  cessation  program  that  includes
 7    purchasing prescription drugs or prescription medical devices
 8    approved by the Food and Drug administration shall be covered
 9    under  the  medical assistance program under this Article for
10    persons who are otherwise eligible for assistance under  this
11    Article.
12        Notwithstanding  any  other  provision  of this Code, the
13    Illinois Department  may  not  require,  as  a  condition  of
14    payment   for  any  laboratory  test  authorized  under  this
15    Article, that a physician's handwritten signature  appear  on
16    the laboratory test order form.  The Illinois Department may,
17    however,  impose  other  appropriate  requirements  regarding
18    laboratory test order documentation.
19        The  Illinois  Department  shall  provide coverage of all
20    "early intervention services"  as  defined  in  the  Illinois
21    Early  Intervention  Services  System Act or as defined in 20
22    U.S.C. 1432 that are provided to persons who are eligible for
23    assistance under this Article.
24        The Illinois Department of Public Aid shall  provide  the
25    following  services  to persons eligible for assistance under
26    this Article who are participating in education, training  or
27    employment  programs  operated  by  the  Department  of Human
28    Services as successor to the Department of Public Aid:
29             (1)  dental services, which shall include but not be
30        limited to prosthodontics; and
31             (2)  eyeglasses prescribed by a physician skilled in
32        the diseases of the eye, or by an optometrist,  whichever
33        the person may select.
34        The  Illinois  Department,  by  rule, may distinguish and
 
                            -23-               LRB9207772DJmb
 1    classify  the  medical  services  to  be  provided  only   in
 2    accordance  with the classes of persons designated in Section
 3    5-2.
 4        The Illinois Department shall authorize the provision of,
 5    and  shall  authorize  payment  for,  screening  by  low-dose
 6    mammography for the presence  of  occult  breast  cancer  for
 7    women  35  years of age or older who are eligible for medical
 8    assistance  under  this  Article,  as  follows:   a  baseline
 9    mammogram for women 35 to 39  years  of  age  and  an  annual
10    mammogram for women 40 years of age or older.  All screenings
11    shall   include   a  physical  breast  exam,  instruction  on
12    self-examination and information regarding the  frequency  of
13    self-examination  and  its  value as a preventative tool.  As
14    used in this Section, "low-dose mammography" means the  x-ray
15    examination   of   the   breast   using  equipment  dedicated
16    specifically  for  mammography,  including  the  x-ray  tube,
17    filter, compression device, image  receptor,  and  cassettes,
18    with  an average radiation exposure delivery of less than one
19    rad mid-breast, with 2 views for each breast.
20        Any medical or health  care  provider  shall  immediately
21    recommend,  to  any  pregnant  woman  who  is  being provided
22    prenatal services and  is  suspected  of  drug  abuse  or  is
23    addicted  as  defined  in the Alcoholism and Other Drug Abuse
24    and Dependency Act,  referral  to  a  local  substance  abuse
25    treatment  provider  licensed  by  the  Department  of  Human
26    Services  or  to a licensed hospital which provides substance
27    abuse treatment services.  The Department of Public Aid shall
28    assure coverage for the cost of treatment of the  drug  abuse
29    or  addiction  for pregnant recipients in accordance with the
30    Illinois Medicaid Program in conjunction with the  Department
31    of Human Services.
32        All  medical  providers  providing  medical assistance to
33    pregnant women under this Code shall receive information from
34    the Department on the availability of services under the Drug
 
                            -24-               LRB9207772DJmb
 1    Free  Families  with  a  Future  or  any  comparable  program
 2    providing  case  management  services  for  addicted   women,
 3    including  information  on  appropriate  referrals  for other
 4    social services that may  be  needed  by  addicted  women  in
 5    addition to treatment for addiction.
 6        The   Illinois   Department,   in  cooperation  with  the
 7    Departments of Human Services (as successor to the Department
 8    of Alcoholism and Substance Abuse) and Public Health, through
 9    a  public  awareness  campaign,   may   provide   information
10    concerning  treatment  for  alcoholism  and  drug  abuse  and
11    addiction, prenatal health care, and other pertinent programs
12    directed at reducing the number of drug-affected infants born
13    to recipients of medical assistance.
14        Neither  the  Illinois  Department  of Public Aid nor the
15    Department of Human Services  shall  sanction  the  recipient
16    solely on the basis of her substance abuse.
17        The  Illinois Department shall establish such regulations
18    governing  the  dispensing  of  health  services  under  this
19    Article as it shall deem appropriate.  In  formulating  these
20    regulations  the  Illinois  Department shall consult with and
21    give substantial weight to the recommendations offered by the
22    Citizens  Assembly/Council  on  Public  Aid.  The  Department
23    should  seek  the  advice  of  formal  professional  advisory
24    committees  appointed  by  the  Director  of   the   Illinois
25    Department  for  the  purpose  of providing regular advice on
26    policy and administrative matters, information  dissemination
27    and  educational  activities  for  medical  and  health  care
28    providers,  and  consistency  in  procedures  to the Illinois
29    Department.
30        The Illinois Department may  develop  and  contract  with
31    Partnerships of medical providers to arrange medical services
32    for   persons  eligible  under  Section  5-2  of  this  Code.
33    Implementation  of  this  Section  may  be  by  demonstration
34    projects in certain geographic areas.  The Partnership  shall
 
                            -25-               LRB9207772DJmb
 1    be represented by a sponsor organization.  The Department, by
 2    rule,   shall   develop   qualifications   for   sponsors  of
 3    Partnerships.  Nothing in this Section shall be construed  to
 4    require   that   the   sponsor   organization  be  a  medical
 5    organization.
 6        The sponsor must negotiate formal written contracts  with
 7    medical  providers  for  physician  services,  inpatient  and
 8    outpatient hospital care, home health services, treatment for
 9    alcoholism and substance abuse, and other services determined
10    necessary  by the Illinois Department by rule for delivery by
11    Partnerships.  Physician services must include  prenatal  and
12    obstetrical  care.   The  Illinois Department shall reimburse
13    medical  services  delivered  by  Partnership  providers   to
14    clients  in  target  areas  according  to  provisions of this
15    Article and the Illinois Health Finance  Reform  Act,  except
16    that:
17             (1)  Physicians  participating  in a Partnership and
18        providing certain services, which shall be determined  by
19        the  Illinois  Department, to persons in areas covered by
20        the Partnership may receive an additional  surcharge  for
21        such services.
22             (2)  The   Department  may  elect  to  consider  and
23        negotiate   financial   incentives   to   encourage   the
24        development of Partnerships and the efficient delivery of
25        medical care.
26             (3)  Persons  receiving  medical  services   through
27        Partnerships  may  receive  medical  and  case management
28        services above the  level  usually  offered  through  the
29        medical assistance program.
30        Medical  providers  shall  be  required  to  meet certain
31    qualifications to participate in Partnerships to  ensure  the
32    delivery   of   high   quality   medical   services.    These
33    qualifications  shall  be  determined by rule of the Illinois
34    Department  and  may  be  higher  than   qualifications   for
 
                            -26-               LRB9207772DJmb
 1    participation in the medical assistance program.  Partnership
 2    sponsors  may  prescribe reasonable additional qualifications
 3    for participation by medical providers, only with  the  prior
 4    written approval of the Illinois Department.
 5        Nothing  in  this  Section shall limit the free choice of
 6    practitioners, hospitals,  and  other  providers  of  medical
 7    services  by  clients.  In order to ensure patient freedom of
 8    choice, the Illinois Department shall immediately  promulgate
 9    all  rules  and  take  all  other  necessary  actions so that
10    provided  services  may  be  accessed  from   therapeutically
11    certified  optometrists  to  the  full extent of the Illinois
12    Optometric  Practice  Act  of  1987  without   discriminating
13    between service providers.
14        The  Department  shall apply for a waiver from the United
15    States Health Care Financing Administration to allow for  the
16    implementation of Partnerships under this Section.
17        The   Illinois   Department  shall  require  health  care
18    providers to maintain records that document the medical  care
19    and  services  provided  to  recipients of Medical Assistance
20    under this Article.  The Illinois  Department  shall  require
21    health  care  providers to make available, when authorized by
22    the patient, in writing, the  medical  records  in  a  timely
23    fashion  to  other  health care providers who are treating or
24    serving persons eligible for Medical  Assistance  under  this
25    Article.    All  dispensers  of  medical  services  shall  be
26    required to maintain and  retain  business  and  professional
27    records  sufficient  to  fully  and  accurately  document the
28    nature,  scope,  details  and  receipt  of  the  health  care
29    provided to persons eligible  for  medical  assistance  under
30    this  Code, in accordance with regulations promulgated by the
31    Illinois Department. The rules and regulations shall  require
32    that  proof  of  the receipt of prescription drugs, dentures,
33    prosthetic devices and eyeglasses by eligible  persons  under
34    this Section accompany each claim for reimbursement submitted
 
                            -27-               LRB9207772DJmb
 1    by the dispenser of such medical services. No such claims for
 2    reimbursement  shall  be approved for payment by the Illinois
 3    Department without such proof of receipt, unless the Illinois
 4    Department shall have put into effect and shall be  operating
 5    a  system  of post-payment audit and review which shall, on a
 6    sampling basis, be deemed adequate by the Illinois Department
 7    to assure that such drugs, dentures, prosthetic  devices  and
 8    eyeglasses for which payment is being made are actually being
 9    received  by  eligible  recipients.  Within 90 days after the
10    effective date of this amendatory Act of 1984,  the  Illinois
11    Department  shall  establish  a  current  list of acquisition
12    costs  for  all  prosthetic  devices  and  any  other   items
13    recognized  as  medical  equipment  and supplies reimbursable
14    under this Article and shall update such list on a  quarterly
15    basis,  except that the acquisition costs of all prescription
16    drugs shall be updated no less frequently than every 30  days
17    as required by Section 5-5.12.
18        The  rules  and  regulations  of  the Illinois Department
19    shall require that a written statement including the required
20    opinion  of  a  physician  shall  accompany  any  claim   for
21    reimbursement  for  abortions,  or  induced  miscarriages  or
22    premature   births.    This  statement  shall  indicate  what
23    procedures were used in providing such medical services.
24        The Illinois Department shall require that all dispensers
25    of medical services, other than an individual practitioner or
26    group  of  practitioners,  desiring  to  participate  in  the
27    Medical Assistance program established under this Article  to
28    disclose all financial, beneficial, ownership, equity, surety
29    or  other  interests  in  any  and  all  firms, corporations,
30    partnerships,  associations,  business   enterprises,   joint
31    ventures,  agencies,  institutions  or  other  legal entities
32    providing any form of health  care  services  in  this  State
33    under this Article.
34        The  Illinois  Department may require that all dispensers
 
                            -28-               LRB9207772DJmb
 1    of medical services desiring to participate  in  the  medical
 2    assistance  program  established under this Article disclose,
 3    under such terms and conditions as  the  Illinois  Department
 4    may  by  rule  establish,  all  inquiries  from  clients  and
 5    attorneys  regarding  medical  bills  paid  by  the  Illinois
 6    Department,   which   inquiries   could   indicate  potential
 7    existence of claims or liens for the Illinois Department.
 8        The  Illinois  Department   shall   establish   policies,
 9    procedures,   standards   and   criteria   by  rule  for  the
10    acquisition,  repair  and   replacement   of   orthotic   and
11    prosthetic devices and durable medical equipment.  Such rules
12    shall provide, but not be limited to, the following services:
13    (1)  immediate  repair  or  replacement  of  such  devices by
14    recipients without medical  authorization;  and  (2)  rental,
15    lease,   purchase   or   lease-purchase  of  durable  medical
16    equipment   in   a   cost-effective   manner,   taking   into
17    consideration the recipient's medical prognosis,  the  extent
18    of  the recipient's needs, and the requirements and costs for
19    maintaining  such  equipment.   Such  rules  shall  enable  a
20    recipient to  temporarily  acquire  and  use  alternative  or
21    substitute   devices   or   equipment   pending   repairs  or
22    replacements of any device or equipment previously authorized
23    for such recipient by the Department. Rules under clause  (2)
24    above  shall  not  provide  for purchase or lease-purchase of
25    durable medical equipment or supplies used for the purpose of
26    oxygen delivery and respiratory care.
27        The Department shall execute,  relative  to  the  nursing
28    home  prescreening  project,  written inter-agency agreements
29    with the Department of Human Services and the  Department  on
30    Aging,  to  effect  the  following: (i) intake procedures and
31    common  eligibility  criteria  for  those  persons  who   are
32    receiving    non-institutional   services;   and   (ii)   the
33    establishment and development of  non-institutional  services
34    in  areas of the State where they are not currently available
 
                            -29-               LRB9207772DJmb
 1    or are undeveloped.
 2        The Illinois Department shall  develop  and  operate,  in
 3    cooperation  with other State Departments and agencies and in
 4    compliance with  applicable  federal  laws  and  regulations,
 5    appropriate  and  effective systems of health care evaluation
 6    and programs for monitoring of  utilization  of  health  care
 7    services  and  facilities, as it affects persons eligible for
 8    medical assistance under this Code. The  Illinois  Department
 9    shall  report  regularly the results of the operation of such
10    systems and programs  to  the  Citizens  Assembly/Council  on
11    Public  Aid  to  enable the Committee to ensure, from time to
12    time, that these programs are effective and meaningful.
13        The Illinois Department  shall  report  annually  to  the
14    General Assembly, no later than the second Friday in April of
15    1979 and each year thereafter, in regard to:
16             (a)  actual  statistics and trends in utilization of
17        medical services by public aid recipients;
18             (b)  actual statistics and trends in  the  provision
19        of the various medical services by medical vendors;
20             (c)  current rate structures and proposed changes in
21        those  rate  structures  for the various medical vendors;
22        and
23             (d)  efforts at utilization review  and  control  by
24        the Illinois Department.
25        The  period  covered  by each report shall be the 3 years
26    ending on the June 30 prior to the report.  The report  shall
27    include   suggested  legislation  for  consideration  by  the
28    General Assembly.  The filing of one copy of the report  with
29    the  Speaker,  one copy with the Minority Leader and one copy
30    with the Clerk of the House of Representatives, one copy with
31    the President, one copy with the Minority Leader and one copy
32    with  the  Secretary  of  the  Senate,  one  copy  with   the
33    Legislative  Research  Unit,  such additional copies with the
34    State Government Report Distribution Center for  the  General
 
                            -30-               LRB9207772DJmb
 1    Assembly  as  is required under paragraph (t) of Section 7 of
 2    the  State  Library  Act  and  one  copy  with  the  Citizens
 3    Assembly/Council on Public Aid  or  its  successor  shall  be
 4    deemed sufficient to comply with this Section.
 5    (Source: P.A. 90-7, eff. 6-10-97; 90-14, eff. 7-1-97; 91-344,
 6    eff.  1-1-00;  91-462,  eff.  8-6-99;  91-666, eff. 12-22-99;
 7    revised 1-6-00.)

 8        Section 99.  Effective date.  This Act takes effect  upon
 9    becoming law.

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