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IL HB1909

Bill

Status

Introduced

2/16/2021

Primary Sponsor

Deanne Mazzochi

Click for details

Origin

House of Representatives

102nd General Assembly

AI Summary

  • Adds Section 5-30.15 to the Illinois Public Aid Code regarding Medicaid managed care organization provider restrictions.

  • Prohibits managed care organizations from changing a Medicaid enrollee's selected primary care provider or up to 2 specialty care providers (for active treatment conditions) for the remainder of the 12-month enrollment period without the enrollee's written permission.

  • Applies only when an enrollee originally selected a managed care plan based on the in-network status of existing providers.

  • Permits the Department of Healthcare and Family Services to adopt rules necessary to administer the provision.

  • Preserves an enrollee's right to voluntarily change primary care providers in accordance with Department rules.

Legislative Description

MEDICAID-MCO-PRIMARY CARE

Last Action

Rule 19(a) / Re-referred to Rules Committee

3/27/2021

Committee Referrals

Rules3/27/2021
Medicaid3/22/2021
Human Services3/9/2021
Rules2/17/2021

Full Bill Text

No bill text available