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| | 102ND GENERAL ASSEMBLY
State of Illinois
2021 and 2022
SB1664 Introduced 2/26/2021, by Sen. Linda Holmes SYNOPSIS AS INTRODUCED:
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Amends the Illinois Public Aid Code. Provides that notwithstanding any law, pre-existing contract, or rule to the contrary, the Department of Healthcare and Family Services shall not enter into a contract or agreement with a managed care organization that includes any incentive for denying authorization of a requested service. Provides that for the purposes of the amendatory Act, incentives shall include, but are not limited to, incentives of any kind, including financial and material. Effective immediately.
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| | | FISCAL NOTE ACT MAY APPLY | |
| | A BILL FOR |
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| | SB1664 | | LRB102 14459 KTG 19811 b |
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| 1 | | AN ACT concerning public aid.
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| 2 | | Be it enacted by the People of the State of Illinois,
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| 3 | | represented in the General Assembly:
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| 4 | | Section 5. The Illinois Public Aid Code is amended by |
| 5 | | changing Section 5F-45 as follows:
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| 6 | | (305 ILCS 5/5F-45) |
| 7 | | Sec. 5F-45. Prohibition. |
| 8 | | (a) No managed care organization or contract shall contain |
| 9 | | any provision, policy, or procedure that limits, restricts, or |
| 10 | | waives any rights set forth in this Article or is expressly |
| 11 | | prohibited by this Article. Any such policy or procedure is |
| 12 | | void and unenforceable.
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| 13 | | (b) Notwithstanding any law, pre-existing contract, or |
| 14 | | rule to the contrary, the Department shall not enter into a |
| 15 | | contract or agreement with a managed care organization that |
| 16 | | includes any incentive for denying authorization of a |
| 17 | | requested service. For the purposes of this Section, |
| 18 | | incentives include, but are not limited to, incentives of any |
| 19 | | kind, including financial and material. |
| 20 | | (Source: P.A. 98-651, eff. 6-16-14.)
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| 21 | | Section 99. Effective date. This Act takes effect upon |
| 22 | | becoming law.
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