HB 4139 Illinois House · 101st Regular Session

MEDICAID-MCO-PRIMARY CARE

Summary
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that if a Medicaid enrollee of a managed care organization selects a plan based on the in-network status of (i) an existing primary care provider or (ii) up to 2 existing specialty care providers for an existing condition that is under active treatment, the managed care organization may not change the Medicaid enrollee's selected provider in (i) or (ii) for the remainder of the 12-month period following enrollment in the managed care health plan without permission by the Medicaid enrollee. Permits the Department of Healthcare and Family Services to adopt any rules necessary to administer the amendatory Act. Provides that nothing in the amendatory Act shall be construed to prohibit a Medicaid enrollee from changing his or her primary care provider as authorized by Department rules.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2020
Committee Review
Floor Vote
Governor
Introduced Jan 17, 2020 Last action Jan 22, 2020
Floor votes

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Full legislative history

Actions timeline

Total actions
3
Key actions
0
Committee
1
Jan 22, 2020
Committee
Referred to Rules Committee
lower
0 primary · 1 co-sponsor

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