|
|
||||
| Public Act 096-0941 |
||||
| ||||
| ||||
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 5-2.01 as follows: | ||||
(305 ILCS 5/5-2.01 new) | ||||
Sec. 5-2.01. Medicaid accountability through transparency | ||||
program. | ||||
(a) Internet-based transparency program. The Director of | ||||
the Department of Healthcare and Family Services shall be | ||||
authorized to implement a program under which the Director | ||||
shall make available through the Department's public Internet | ||||
website information on medical claims reimbursed under the | ||||
State's medical assistance program insofar as such information | ||||
has been de-identified in accordance with regulations | ||||
promulgated pursuant to the Illinois Health Insurance | ||||
Portability and Accountability Act. In implementing the | ||||
program, the Director shall ensure the following: | ||||
(1) The information made so available shall be in a | ||||
format that is easily accessible, useable, and | ||||
understandable to the public, including individuals | ||||
interested in improving the quality of care provided to | ||||
individuals eligible for items and services under this | ||||
Article, researchers, health care providers, and | ||
individuals interested in reducing the prevalence of waste | ||
and fraud under this Article. | ||
(2) The information made so available shall be as | ||
current as deemed practical by the Director and shall be | ||
updated at least once per calendar quarter. | ||
(3) The information made so available shall be | ||
aggregated to a level to ensure patient confidentiality, | ||
but shall, to the extent feasible, allow for posting of | ||
information by provider or vendor name and county, number | ||
of individuals served, total patient visits, payment for | ||
bills submitted, average cost for bills submitted, | ||
adjustments to payments, and total amounts paid. | ||
(4) The Director periodically solicits comments from a | ||
sampling of individuals who access the information through | ||
the program on how to best improve the utility of the | ||
program. | ||
(b) Use of contractor. For purposes of implementing the | ||
program under subsection (a) of this Section and ensuring the | ||
information made available through the program is periodically | ||
updated, the Director may select and enter into a contract with | ||
a public or private entity meeting the criteria and | ||
qualifications the Director determines appropriate. | ||
(c) Annual Reports. Not later than 12 months after the | ||
effective date of this amendatory Act of the 96th General | ||
Assembly and annually thereafter, the Director shall submit to | ||
the General Assembly a report on the status of the program | ||
authorized under subsection (a). The report shall include | ||
details including, but not limited to, the estimated or actual | ||
costs of developing and maintaining the reporting system, the | ||
actual or potential benefit or adverse consequences associated | ||
with the system, and, if applicable, the extent to which | ||
information made available through the program is accessed and | ||
the extent to which comments received under paragraph (4) of | ||
subsection (a) of this Section were used to improve the utility | ||
of the program.
| ||
Section 99. Effective date. This Act takes effect upon | ||
becoming law. | ||