HB5086eng 96TH GENERAL ASSEMBLY

HB5086 Engrossed LRB096 19373 KTG 34764 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 3-16 as follows:

(305 ILCS 5/3-16 new)

Sec. 3-16. AABD Pilot or Demonstration Program Task Force.

(a) The General Assembly is committed to a public participatory process in developing any pilot or demonstration program seeking to implement managed care or integrated care for Medicaid eligible adults who are aged, blind, or disabled as defined in this Article. To assure such a process, the General Assembly and the Governor shall establish a task force to develop the core values of any such program, and to oversee its further development and implementation.

(b) Purpose. The task force shall develop a comprehensive concept paper outlining the core values for a pilot or demonstration program to implement managed care or integrated care for Medicaid eligible adults who are aged, blind, or disabled. Prior to the development of the concept paper, the task force shall assess Illinois' readiness for developing such a pilot or demonstration program by analyzing lessons learned from other states that have attempted to implement similar programs, projecting the short, intermediate, and long-term cost/benefit analysis of integrating medical and long-term care services and supports, and investigating the possible impact on consumers, stakeholders, and provider organizations and entities. If the task force determines Illinois is not sufficiently prepared to develop a pilot or demonstration program to implement managed care or integrated care for Medicaid eligible adults who are aged, blind, or disabled, then the task force shall prepare a comprehensive report outlining the explanations for such a determination.

Following the completion of the concept paper, and if the task force determines Illinois is sufficiently prepared to develop a pilot or demonstration program, the task force shall work collaboratively with the Department of Healthcare and Family Services to plan, design, and implement a pilot or demonstration program based on the concept paper to implement managed care or integrated care for Medicaid eligible adults who are aged, blind, or disabled.

No pilot or demonstration program seeking to implement managed care or integrated care for Medicaid eligible adults who are aged, blind, or disabled shall be developed or implemented by any State Agency or department of the executive branch without complying with this Section. Any such pilot or demonstration programs described in this Section that have been developed or implemented, or both, or any contracts between State agencies or departments under the executive branch and private entities to implement any such pilot or demonstration program prior to the effective date of this amendatory Act of the 96th General Assembly, are null and void.

(c) Task force composition.

(1) Co-chairs. The task force shall be co-chaired by a senior State employee of the Department of Healthcare and Family Services who is knowledgeable about the Medicaid program and the populations and services it funds in Illinois. The task force shall also be co-chaired by an individual who is knowledgeable about the needs of adults who are aged, blind, or disabled. This individual shall be appointed by the Governor, and shall not be employed by a governmental entity nor be under contract with a governmental entity as a consultant.

(2) Membership composition and appointments by the Governor. Although adults who are aged, blind, or disabled are defined under this Article, the General Assembly recognizes that there are many individuals, providers, trade organizations, and advocacy organizations that either represent the interests of adults who are aged, blind, or disabled, or represent individuals or entities that provide services to adults who are aged, blind, or disabled. It is the intent of the General Assembly that the task force include members who are knowledgeable about the needs and services for adults who are aged, blind, or disabled.

Members of the task force shall be appointed by the Governor. The membership shall include for each distinct population: (i) 2 consumers or family members of consumers; (ii) 2 members of trade associations or advocacy organizations; and (iii) a representative from organizations that either provide or represent entities that provide services to Medicaid eligible adults who are aged, blind, or disabled, including, but not limited to, health plans, hospitals, community health centers, community mental health organizations, licensed substance abuse treatment providers, licensed health care practitioners, nursing facilities, and home and community-based service providers.

(3) Appointments by the General Assembly. The General Assembly shall be represented on the task force as follows:

(A) Four members from the House of Representatives, 2 appointed by the Speaker of the House of Representatives and 2 appointed by the House Minority Leader.

(B) Four members from the Senate, 2 appointed by the President of the Senate, and 2 appointed by the Senate Minority Leader.

(4) Total membership shall not exceed 45 individuals. The Department on Aging, the Department of Healthcare and Family Services, and the Department of Human Services shall provide necessary staff support to operate the task force.

(d) Duration. The task force shall remain in effect so long as the pilot or demonstration program is in effect.

(e) Meeting frequency and public hearings. The task force shall meet as frequently as is necessary, to be determined by the co-chairs, to comply with subsection (b) of this Section. The task force shall report on its activities to the Governor and to the General Assembly following the results of its assessment and development of the concept paper. These reports shall also take the form of public hearings. The task force shall meet no less than monthly during the implementation of the pilot or demonstration program.

(f) Notwithstanding the provisions of this Section, any change that requires the implementation of a rule or regulation or modification of a rule or regulation in existence prior to the effective date of this amendatory Act of the 96th General Assembly must comply with the Illinois Administrative Procedure Act.

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