PUB AID-MEDICAID ENROLLEES Senate SponsorsSen. Heather A. Steans House Sponsors(Rep. Robyn Gabel-Patricia R. Bellock) 8/26/2016SenatePublic Act . . . . . . . . . 99-0898 305 ILCS 5/1-5from Ch. 23, par. 1-5Amends the Illinois Public Aid Code. Makes a technical change in a Section concerning construction of the Code.Senate Committee Amendment No. 1 Deletes reference to:305 ILCS 5/1-5Adds reference to:305 ILCS 5/5-30.3 newReplaces everything after the enacting clause. Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to develop and implement an algorithm that is based on quality scores and other operational proficiency criteria developed, defined, and adopted by the Department, by rule, to automatically assign Medicaid enrollees served under the Family Health Plan and the Integrated Care Program and those Medicaid enrollees eligible for medical assistance pursuant to the Patient Protection and Affordable Care Act into managed care entities, including Accountable Care Entities, Care Coordination Entities, Children with Special Needs Care Coordination Entities, Managed Care Community Networks, and Managed Care Organizations. Provides that the algorithm developed and implemented shall favor assignment into managed care entities with the highest quality scores and levels of compliance with the operational proficiency criteria established.Senate Floor Amendment No. 2 Replaces everything after the enacting clause. Requires the Department of Healthcare and Family Services to, no earlier than January 1, 2017, develop and implement within each enrollment region an algorithm to automatically assign Medicaid enrollees served under the Family Health Plan and the Integrated Care Program and those Medicaid enrollees eligible for medical assistance pursuant to the Patient Protection and Affordable Care Act into managed care entities, including Accountable Care Entities, Managed Care Community Networks, and Managed Care Organizations. Provides that the algorithm shall not use the quality and proficiency metrics to reassign enrollees out of any plan in which they are enrolled at the time and shall only be used if the client has not voluntarily selected a primary care physician and a managed care entity or care coordination entity. Permits clients to select a different managed care entity within 90 calendar days after auto-assignment by algorithm and requires the algorithm to favor assignment into managed care entities with the highest quality scores and levels of compliance with the operational proficiency criteria established.House Floor Amendment No. 2 In a provision requiring the Department of Healthcare and Family Services to develop and implement an algorithm to automatically assign certain Medicaid enrollees into managed care entities, adds language requiring the Department to seek input from managed care entities and other stakeholders. 1/27/2016SenateFiled with Secretary by Sen. Heather A. Steans 1/27/2016SenateFirst Reading 1/27/2016SenateReferred to Assignments 3/30/2016SenateAssigned to Human Services 4/1/2016SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. Heather A. Steans 4/1/2016SenateSenate Committee Amendment No. 1 Referred to Assignments 4/5/2016SenateSenate Committee Amendment No. 1 Assignments Refers to Human Services 4/5/2016SenateSenate Committee Amendment No. 1 Adopted 4/6/2016SenateDo Pass as Amended Human Services; 007-000-000 4/6/2016SenatePlaced on Calendar Order of 2nd Reading April 7, 2016 4/15/2016SenateSenate Floor Amendment No. 2 Filed with Secretary by Sen. Heather A. Steans 4/15/2016SenateSenate Floor Amendment No. 2 Referred to Assignments 4/18/2016SenateSecond Reading 4/18/2016SenatePlaced on Calendar Order of 3rd Reading April 19, 2016 4/19/2016SenateSenate Floor Amendment No. 2 Assignments Refers to Human Services 4/20/2016SenateSenate Floor Amendment No. 2 Recommend Do Adopt Human Services; 008-000-000 4/22/2016SenateRecalled to Second Reading 4/22/2016SenateSenate Floor Amendment No. 2 Adopted; Steans 4/22/2016SenatePlaced on Calendar Order of 3rd Reading 4/22/2016SenateThird Reading - Passed; 052-000-000 4/22/2016HouseArrived in House 4/22/2016HouseChief House Sponsor Rep. Robyn Gabel 4/22/2016HouseFirst Reading 4/22/2016HouseReferred to Rules Committee 5/2/2016HouseAdded Alternate Chief Co-Sponsor Rep. Patricia R. Bellock 5/9/2016HouseAssigned to Human Services Committee 5/13/2016HouseFinal Action Deadline Extended-9(b) May 27, 2016 5/19/2016HouseDo Pass / Short Debate Human Services Committee; 013-000-000 5/19/2016HousePlaced on Calendar 2nd Reading - Short Debate 5/19/2016HouseHouse Floor Amendment No. 1 Filed with Clerk by Rep. Robyn Gabel 5/19/2016HouseHouse Floor Amendment No. 1 Referred to Rules Committee 5/23/2016HouseHouse Floor Amendment No. 1 Recommends Be Adopted Rules Committee; 005-000-000 5/23/2016HouseHouse Floor Amendment No. 2 Filed with Clerk by Rep. Robyn Gabel 5/23/2016HouseHouse Floor Amendment No. 2 Referred to Rules Committee 5/23/2016HouseSecond Reading - Short Debate 5/23/2016HouseHeld on Calendar Order of Second Reading - Short Debate 5/24/2016HouseHouse Floor Amendment No. 2 Recommends Be Adopted Rules Committee; 003-001-000 5/25/2016HouseHouse Floor Amendment No. 1 Withdrawn by Rep. Robyn Gabel 5/25/2016HouseHouse Floor Amendment No. 2 Adopted 5/25/2016HousePlaced on Calendar Order of 3rd Reading - Short Debate 5/26/2016HouseThird Reading - Short Debate - Passed 111-000-000 5/26/2016SenateSecretary's Desk - Concurrence House Amendment(s) 2 5/26/2016SenatePlaced on Calendar Order of Concurrence House Amendment(s) 2 - May 27, 2016 5/27/2016SenateHouse Floor Amendment No. 2 Motion to Concur Filed with Secretary Sen. Heather A. Steans 5/27/2016SenateHouse Floor Amendment No. 2 Motion to Concur Referred to Assignments 5/27/2016SenateHouse Floor Amendment No. 2 Motion to Concur Assignments Referred to Human Services 5/30/2016SenateHouse Floor Amendment No. 2 Motion To Concur Recommended Do Adopt Human Services; 006-000-000 5/31/2016SenateHouse Floor Amendment No. 2 Senate Concurs 058-000-000 5/31/2016SenateSenate Concurs 5/31/2016SenatePassed Both Houses 6/29/2016SenateSent to the Governor 8/26/2016SenateGovernor Approved 8/26/2016SenateEffective Date January 1, 2017 8/26/2016SenatePublic Act . . . . . . . . . 99-0898