94TH GENERAL ASSEMBLY
State of Illinois
2005 and 2006
HB5443


 
Introduced 01/27/06, by Rep. Tom Cross
 
SYNOPSIS AS INTRODUCED:
 		














305 ILCS 5/5-24









    Amends the Illinois Public Aid Code. Makes a technical change in a Section concerning disease management programs and services for
chronic conditions.
















LRB094 17573 DRJ 52869 b

















 


 


A BILL FOR









 











HB5443

LRB094 17573 DRJ 52869 b






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    AN ACT concerning public aid.

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


 
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    Section 5. The Illinois Public Aid Code is amended by 
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changing Section 5-24 as follows:
 



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    (305 ILCS 5/5-24)


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    (Section scheduled to be repealed on January 1, 2014)

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    Sec. 5-24. Disease management programs and
and services for

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chronic conditions; pilot project.

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    (a) In this Section, "disease management programs and

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services" means services administered to patients in order to 
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improve
their overall health and to prevent clinical 
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exacerbations and
complications, using cost-effective, 
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evidence-based practice
guidelines and patient self-management 
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strategies.  Disease
management programs and services include 
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all of the following:


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        (1) A population identification process.


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        (2) Evidence-based or consensus-based clinical 
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    practice
guidelines, risk identification, and matching of 
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    interventions with
clinical need.


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        (3) Patient self-management and disease education.


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        (4) Process and outcomes measurement, evaluation, 
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    management, and
reporting.

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    (b) Subject to appropriations, the Department of 
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Healthcare and Family Services
Public Aid may
undertake a pilot 
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project to study patient outcomes, for patients with chronic

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diseases, associated with the use of disease management 
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programs and services
for chronic condition management.  
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"Chronic diseases" include, but are not
limited to, diabetes, 
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congestive heart failure, and chronic obstructive
pulmonary 
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disease.

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    (c) The disease management programs and services pilot

 


 






HB5443
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LRB094 17573 DRJ 52869 b




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project shall examine whether chronic disease management 
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programs and
services for patients with specific chronic 
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conditions do any or all
of the following:


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        (1) Improve the patient's overall health in a more 
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    expeditious
manner.


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        (2) Lower costs in other aspects of the medical 
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    assistance program, such
as hospital admissions, days in 
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    skilled nursing homes, emergency room
visits, or more 
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    frequent physician office visits.

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    (d) In carrying out the pilot project, the Department of 
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Healthcare and Family Services
Public Aid shall
examine all 
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relevant scientific literature and shall consult with
health 
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care practitioners including, but not limited to, physicians,

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surgeons, registered pharmacists, and registered nurses.

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    (e) The Department of Healthcare and Family Services
Public 
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Aid shall consult with medical experts,
disease advocacy 
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groups, and academic institutions to develop criteria
to be 
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used in selecting a vendor for the pilot project.

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    (f) The Department of Healthcare and Family Services
Public 
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Aid may adopt rules to implement this
Section.

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    (g) This Section is repealed 10 years after the effective 
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date of this
amendatory Act of the 93rd General Assembly.

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(Source: P.A. 93-518, eff. 1-1-04; revised 12-15-05.)