Rep. Greg Harris

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that all children with autism spectrum disorder who are otherwise eligible for medical assistance shall receive coverage for any medically necessary evidenced-based treatment prescribed by a physician licensed under the Medical Practice Act of 1987 or a licensed practitioner of the healing arts as defined in the Illinois Administrative Code. Effective July 1, 2017.

Creates the Health Insurance Claims Assessment Act. Imposes an assessment of 1% on claims paid by a health insurance carrier or third-party administrator. Provides that the moneys received and collected under the Act shall be deposited into the Healthcare Provider Relief Fund and used solely for the purpose of funding Medicaid services provided under the medical assistance programs administered by the Department of Healthcare and Family Services.

Amends the Illinois Public Aid Code. Makes a technical change in a Section concerning construction of the Code.

Amends the Illinois Lottery Law. Requires the Department of the Lottery to offer a special instant scratch-off game with the title of "The End of Alzheimer's Begins With Me". Requires the net revenue from that game to be deposited into the Alzheimer's Awareness Fund. Authorizes the Department to adopt rules necessary to implement and administer the game. Effective immediately.

Amends the Alternative Health Care Delivery Act. Makes a technical change in the Section concerning definitions.

Amends the Children and Family Services Act. Requires the Department of Children and Family Services to provide any child age 19 or younger who is still attending high school and not otherwise emancipated the same services and programs that are provided to any child under the age of 18 and on the same terms and conditions as those services or programs are provided to any child under the age of 18.

Amends the Managed Care Reform and Patient Rights Act. In provisions concerning transition of services, provides that the health care plan shall not modify an enrollee's coverage of a drug during the plan year if the drug has been previously approved for coverage by the plan for a medical condition, the plan's prescribing provider continues to prescribe the drug for the medical condition, and the patient continues to be an enrollee of the health care plan. Provides specific prohibited modifications of drug coverage in the health plan. Provides that the provisions do not prohibit a health care plan from requiring a pharmacist to effect generic substitutions of prescription drugs. Provides that the provisions do not prohibit the addition of prescription drugs to a health care plan's list of covered drugs during the coverage year. Effective immediately.

Amends the University of Illinois Hospital Act. Creates the Cardiac Arrest Data Collection Fund and makes a corresponding change in the State Finance Act. Provides that all moneys in the Fund shall be used by the University of Illinois Hospital to support statewide quality improvement efforts to address disparities in cardiac arrest care. Provides that all eligible hospitals in the State shall pay an annual fee of $3,500 that shall be deposited into the Fund. Defines "eligible hospital" to mean a hospital operated under the University of Illinois Hospital Act or licensed under the Hospital Licensing Act that receives reimbursement from the federal Centers for Medicare and Medicaid Services. Provides that the University of Illinois Hospital shall use the moneys in the Fund for specified purposes.

Amends the Illinois Procurement Code. Provides that an exemption from the Code for purchases of care shall continue except as otherwise provided. Amends the Illinois Public Aid Code. Provides that, beginning on the effective date of this amendatory Act, any contract the Department of Healthcare and Family Services enters into with a managed care organization shall be procured in accordance with the Illinois Procurement Code. Effective immediately.

Amends the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to contract with a vendor to perform the coordination of benefits for Medicaid fee-for-service and managed care enrollees (rather than contract with a vendor to support the Department in coordinating benefits for Medicaid enrollees). Provides that the contract with the vendor shall include, but not be limited to, a review of the following populations: persons eligible for both Medicare and Medicaid benefits (dual-eligible clients); persons enrolled in the fee-for-service medical assistance program; persons enrolled in the managed care medical assistance program; and persons eligible for benefits provided under the Children's Health Insurance Program Act. Provides that if the Department does not issue a comprehensive procurement, including both the identification of other insurance and the recovery of funds for the populations listed, and contracts with a vendor for both pieces within 3 months after the effective date of the amendatory Act, the Department's Inspector General shall procure for the identification and recovery of other insurance.