Public Act 096-0941
 		





HB5241 Enrolled
LRB096 16158 KTG 31409 b





  
    AN ACT concerning public aid.
  
 
    Be it enacted by the People of the State of Illinois,
 
represented in the General Assembly:
  


 
 
    Section 5. The Illinois Public Aid Code is amended  by 
adding Section 5-2.01 as follows:
 
    (305 ILCS 5/5-2.01 new)
    Sec. 5-2.01. Medicaid accountability through transparency 
program. 
    (a) Internet-based transparency program. The Director of 
the Department of Healthcare and Family Services shall be 
authorized to implement a program under which the Director 
shall make available through the Department's public Internet 
website  information on medical claims reimbursed under the 
State's medical assistance program insofar as such information 
has been de-identified in accordance with regulations 
promulgated pursuant to the Illinois Health Insurance 
Portability and Accountability Act. In implementing the 
program, the Director shall ensure the following:
        (1) The information made so available shall be in a 
    format that is easily accessible, useable, and 
    understandable to the public, including individuals 
    interested in improving the quality of care provided to 
    individuals eligible for items and services under this 
    Article, researchers, health care providers, and 
    individuals interested in reducing the prevalence of waste 
    and fraud under this Article.
        (2) The information made so available shall be as 
    current as deemed practical by the Director and shall be 
    updated at least once per calendar quarter. 
        (3) The information made so available shall be 
    aggregated to a level to ensure patient confidentiality, 
    but shall, to the extent feasible, allow for posting of 
    information by provider or vendor name and county, number 
    of individuals served, total patient visits, payment for 
    bills submitted, average cost for bills submitted, 
    adjustments to payments, and total amounts paid. 
        (4) The Director periodically solicits comments from a 
    sampling of individuals who access the information through 
    the program on how to best improve the utility of the 
    program. 
    (b) Use of contractor. For purposes of implementing the 
program under subsection (a) of this Section and ensuring the 
information made available through the program is periodically 
updated, the Director may select and enter into a contract with 
a public or private entity meeting the criteria and 
qualifications the Director determines appropriate.
    (c) Annual Reports. Not later than 12 months after the 
effective date of this amendatory Act of the 96th General 
Assembly and annually thereafter, the Director shall submit to 
the General Assembly a report on the status of the program 
authorized under subsection (a).  The report shall include 
details including, but not limited to, the estimated or actual 
costs of developing and maintaining the reporting system, the 
actual or potential benefit or adverse consequences associated 
with the system, and, if applicable, the extent to which 
information made available through the program is accessed and 
the extent to which comments received under paragraph (4) of 
subsection (a) of this Section were used to improve the utility 
of the program.


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



Effective Date:  06/25/2010