HB 953 — STATE FINANCES-TECH

There is hereby appropriated out of any money in the Treasury a sum sufficient for the payment of the interest and principal of any debts contracted under this Act.

The Governor, Comptroller, and Treasurer are authorized to order pursuant to the proceedings authorizing those debts the transfer of any moneys on deposit in the treasury into the General Obligation Bond Retirement and Interest Fund at times and in amounts they deem necessary to provide for the payment of that interest and principal.

The Comptroller is hereby authorized and directed to draw his warrant on the State Treasurer for the amount of all such payments.

The directive authorizing borrowing under Section 1 or 1.1 of this Act shall set forth a pro forma cash flow statement that identifies estimated monthly receipts and expenditures with identification of sources for repaying the borrowed funds.

All proceeds from any borrowing under this Act received by the State on or after the effective date of this amendatory Act of the 93rd General Assembly and before July 1, 2004 shall be deposited into the Medicaid Provider Relief Fund.

(Source:

P.A.

87-838;

87-860;

88-669, eff.

11-29-94.) Section 15.

The Medicaid Liability Liquidity Borrowing Act HB0953 Enrolled - 4 - LRB093 05762 RCE 05855 b is amended by changing Sections 5 and 10 as follows:

(30 ILCS 342/5) Sec.

SpecialBorrowing funds.authorized.

(a)For Therethe areperiod specialJune funds9, in2004 theJuly State1, Treasury1994 designatedthrough asJune specified30, in2004 the1995, Sectionsborrowing whichpursuant succeedto this Section 5is andauthorized precedeunder subsection (b) of Section 6.9 of Article IX of the Illinois Constitution.

(b)The Exceptpurpose asof providedthe borrowing shall be Whenever casual deficits or failures in therevenues Illinoisof Motorthe VehicleState Theftoccur, Preventionand Act,those whencasual anydeficits specialor fundfailures in revenues affect the StateState’s Treasuryability isto discontinuedpay byfor anmedical Actservices ofprovided under the GeneralIllinois Assembly,Public anyAid balanceCode remainingor thereinthe onChildren’s Health Insurance Program Act, in order to meet those casual deficits or failures in revenues, and the effectiveGovernor, dateafter ofhaving suchobtained Actthe shallwritten beconsent transferredof toboth the GeneralComptroller Revenueand Fund,the orTreasurer, tomay suchcontract otherdebts, fundunder this Section, for principal amounts not to exceed $850,000,000, as suchsupported Actby pproperly ________enacted -----------d--.State fiscal year 2004 appropriations for this purpose $900,000,000.

WarrantsThis outstandingcontracted againstdebt, suchwhen discontinuedadded fundto atamounts borrowed under the timeShort ofTerm theBorrowing transferAct ofduring anythe suchthen balancecurrent thereinfiscal shallyear, bemay paidnot outexceed 15% of the fundState’s toappropriations whichfor thethat transferfiscal wasyear. made.

(c)Moneys Whenthus anyborrowed specialshall fundbe inapplied to the Statepurpose Treasuryof haspaying been inactive for 18medical monthsservices oras longer,described thein fundthis isSection, automaticallyor terminatedto bypay operationthe ofdebts law and theassociated balanceexpenses remainingthus inincurred suchcreated, fundand shall be transferred by the Comptroller to theno Generalother Revenuepurpose. Fund.

WhenAll aproceeds specialfrom fundany hasborrowing beenunder terminatedthis Act received by operationthe ofState lawon asor providedafter inthe effective date of this Section,amendatory Act of the 93rd General Assembly shalland repealbefore orJuly amend1, all2004 Sectionsshall ofbe thedeposited statutesinto creatingthe orMedicaid otherwiseProvider referringRelief toFund. that fund.

The ComptrollerGovernor shall bedirect allowed the discretionproceeds toof maintainthis orborrowing dissolveinto any federalState trust fund from which hasthere beenare inactiveappropriations for 18medical monthsassistance orunder longer.the Illinois Public Aid Code.

(d)All (Blank).moneys so borrowed shall be borrowed for no longer time than one year.

HB0953 Engrossed -2- LRB093 05762 RCE 05855 b (e) (Blank).

90-372,88-554, eff.

7-1-98.)7-26-94;

89-626, eff.

8-9-96.) (30 ILCS 342/10) HB0953 Enrolled - 5 - LRB093 05762 RCE 05855 b Sec.

10.

Advertising for loan.

Whenever the borrowing of money under Section 5 is contemplated, it is the duty of the Director of the Governor’s Office of Management and Budget Bureau of the Budget acting at the direction of the Governor to advertise for proposals for the loan in the manner that is determined by the Director of the Governor’s Office of Management and Budget Bureau of the Budget to give reasonable notice of the request for proposals.

The advertisements shall set forth the amount of debt proposed to be contracted and the time and place for the payment of the principal and interest.

The loan shall be awarded to the person or persons agreeing to take it at the lowest rate of interest not exceeding the maximum rate authorized by the Bond Authorization Act, as amended at the time of the making of the contract.

(Source:

P.A.

88-554, eff.

7-26-94;

revised 8-23-03.) Section 20.

The Illinois Public Aid Code is amended by adding Section 5-16.13 as follows:

(305 ILCS 5/5-16.13 new) Sec.

5-16.13.

Medicaid Managed Care Task Force.

(a) Medicaid, the medical assistance program jointly administered by the State of Illinois and the United States governments for low-income and uninsured populations, is the largest single insurance provider in the State.

In Illinois, one in every 7 adults, one in 3 children, and 2 of every 3 nursing home residents are all provided health care under the State’s Medicaid program.

Over the past 10 years, Medicaid in Illinois has grown an average of 8% annually, which requires at least $500,000,000 in additional State resources every year.

Medicaid in Illinois is a cost-reimbursement system that does little to promote health or encourage improvements in the quality of health care services being delivered to the growing populations needing assistance.

The advent of managed care plans in the insurance industry HB0953 Enrolled - 6 - LRB093 05762 RCE 05855 b has driven down health care costs for many while amply managing individual needs in a system to deliver cost-efficient health care services.

(b) To better examine and evaluate the application of managed care within the State’s Medicaid program, there is hereby established the bipartisan Medicaid Managed Care Task Force.

The Task Force shall consist of 8 voting members, as follows:

2 members of the Senate appointed by the President of the Senate, 2 members of the Senate appointed by the Senate Minority Leader, 2 members of the House of Representatives appointed by the Speaker of the House of Representatives, and 2 members of the House of Representatives appointed by the House Minority Leader.

All actions of the Task Force require the affirmative vote of at least 5 voting members.

Members appointed to the Task Force shall elect from among themselves 2 co-chairs.

Members appointed by the legislative leaders shall be appointed for the duration of the Task Force;

in the event of a vacancy, the appointment to fill the vacancy shall be made by the same legislative leader who made the original appointment.

The following persons shall serve, ex officio, as nonvoting members of the Task Force:

the Director of the Governor’s Office of Management and Budget, the Director of Public Aid, and the Secretary of Human Services.

The Task Force shall begin to conduct business upon the appointment of a majority of the voting members.

If the co-chairs have not both been appointed, the co-chair that has been appointed shall preside.

Members shall serve without compensation but may be reimbursed for their expenses from appropriations for that purpose.

(c) The Task Force shall gather information and make recommendations relating to the financing and expenditures of the Illinois Medicaid program and the program’s level of ability to provide quality health care services in the most HB0953 Enrolled - 7 - LRB093 05762 RCE 05855 b cost-efficient manner.

The Task Force shall examine and evaluate the application of managed care within the State’s Medicaid program.

The Task Force shall further assess whether the State’s Medicaid services delivery system meets or exceeds the goals of quality, efficiency, accountability, and financial responsibility and shall make recommendations in keeping with those goals concerning the cost-efficient delivery of Medicaid services throughout Illinois.

(d) The Task Force shall conduct at least 6 public hearings beginning the later of July 2004 or upon the appointment of a majority of its members, through October 2004.

Locations for public hearings are to be different and determined by the co-chairs in consultation with the other members of the Task Force.

Comment and testimony at public hearing is to be sought from Medicaid recipients, health care providers and other health care professionals, related advocates, health care finance experts, insurance industry professionals, and public officials from throughout the State.

(e) The Governor’s Office of Management and Budget, the Department of Public Aid, and the Department of Human Services are directed to provide information and assistance to the Task Force.

(f) The Task Force shall submit a full report of its findings and recommendations to the General Assembly not later than November 8, 2004.

It may submit other reports as it deems appropriate.

(g) The Task Force is abolished and this Section is repealed on December 31, 2004.

Section 99.

Effective date.

This Act takes effect upon becoming law.