Amends the Illinois Public Aid Code. Changes the heading of Article V-F to the Nursing Home Residents' Managed Care Rights Law (rather than the Medicare-Medicaid Alignment Initiative (MMAI) Nursing Home Residents' Managed Care Rights Law). Expands the scope of the Article to apply to policies and contracts for the nursing home component of any Medicaid managed care program established by statute, rule, or contract, including, but not limited to, the Medicare-Medicaid Alignment Initiative Program, the Integrated Care Program, the HealthChoices Program, the Managed Long-Term Services and Support Program, and any and all successor programs. Grants the Department of Healthcare and Family Services rulemaking authority to implement this provision. Makes changes to the definitions for "enrollee", "managed care organization", and "transition period". Effective immediately.
Sponsored bills
Amends the Illinois Insurance Code. Permits a group or individual policy of accident and health insurance or managed care plan amended, delivered, issued, or renewed on or after the effective date of the amendatory Act to provide coverage for residential extended care services and supports for persons suffering from alcoholism or other drug addiction so long as: (1) a health care clinic or any other specified entity has conducted an individualized assessment of the person's condition prior to discharge and has identified the person as being at risk of a drug or alcohol relapse and in need of supportive services to maintain long-term recovery; (2) the residential extended care services and supports are administered by a community-based agency that is licensed by or under contract with the Department of Human Services; and (3) the residential extended care services and supports are administered upon the referral of a health care clinic or any other specified entity. Sets forth the services available for coverage. Requires the Department of Insurance to rate each community-based agency that is licensed by or under contract with the Department of Human Services to provide residential extended care services and supports and to publish the results on its official website. Amends the Illinois Public Aid Code. Permits the fee-for-service and managed care medical assistance programs established under the Code to provide coverage for residential extended care services and supports for any person suffering from alcoholism or other drug addiction who is at risk of a drug or alcohol relapse following discharge from a health care clinic or any other specified entity. Sets forth the conditions that must be met to qualify for coverage and makes other changes.
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. Provides that the provisions do not apply to a health care plan as defined in the State Employees Group Insurance Act of 1971 or medical assistance under the Illinois Public Aid Code. Effective immediately.
Amends the Protection and Advocacy for Mentally Ill Persons Act. Makes a technical change in a Section concerning the short title.
Amends the Code of Civil Procedure. Makes a technical change in the short title Section.
Amends the Illinois Insurance Code, the Health Maintenance Organization Act, and the Voluntary Health Services Plans Act to require coverage for hearing instruments and related services for all individuals under the age of 18 when a hearing care professional prescribes a hearing instrument. Provides that an insurer shall provide coverage for hearing aids subject to certain restrictions. Provides that an insurer shall not be required to pay a claim if the insured filed such a claim 12 months prior to the date of filing the claim with the insurer and the claim was paid by any insurer. Effective immediately.
Amends the Election Code. Makes a technical change in a Section concerning the short title.
Amends the Illinois Educational Labor Relations Act. Makes a technical change in a Section concerning the short title of the Act.
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that disenrollment of a Medicaid enrollee from a managed care organization under contract with the Department of Healthcare and Family Services shall be in accordance with specified federal requirements whenever a contract is terminated between a Medicaid managed care health plan and a primary care provider that results in a disruption to the Medicaid enrollee's provider-beneficiary relationship. Effective immediately.
Amends the North Shore Water Reclamation District Act, the Sanitary District Act of 1917, the Metropolitan Water Reclamation District Act, and the Sanitary District Act of 1936. Increases mandatory competitive bid thresholds from $40,000 to $50,000, and provides that emergency contract cap dollar amounts may not be less than $50,000 (rather than $40,000). Provides that if a unit of local government performs non-emergency construction, alteration, repair, improvement, or maintenance work on the public way, a sanitary district may enter into an intergovernmental agreement with the unit of local government allowing similar construction work to be performed by the sanitary district on the same project, in an amount not in excess of $100,000. Amends the Metro-East Sanitary District Act of 1974 making similar changes relating to allowing the sanitary district to enter into intergovernmental agreements. Further amends the Metro-East Sanitary District Act of 1974. Provides that all contracts for work to be done and supplies and materials to be purchased by the sanitary district in an amount exceeding $20,000 (rather than $10,000) shall be let to the lowest responsible bidder and amounts under $20,000 (rather than $10,000) may be let without competitive bidding if it is not practical to competitively bid the work, supplies, or materials. Effective immediately.