Fabio
100 lines
7.8 KiB
Markdown
100 lines
7.8 KiB
Markdown
---
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type: "Bill"
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title: "DHFS-MCO PERFORMANCE METRICS"
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description: "Amends the Medical Assistance Article of the Illinois Public Aid Code. In a provision concerning network adequacy for managed care organizations (MCO) contracted with the Department of Healthcare and Family Services, provides that each MCO shall (i) on a monthly basis, jointly validate with contracted providers any changes in provider information, including, but not limited to, changes concerning new providers, terminated providers, updated address information, hours of operation, or other information that is material to a Medicaid beneficiary in the enrollment and provider selection process; and (ii) be required to produce system reports that validate that all MCO systems reflect updated provider information. Provides that in situations in which an enrolled Medicaid provider renders services based on information obtained after verifying a patient's eligibility and coverage plan through either the Department's current enrollment system or the coverage plan identified by the patient presenting for services, such services shall be considered rendered in good faith. Requires the Department to create and maintain a MCO Performance Metrics Comparison Tool that provides periodic reporting, on at least a quarterly basis, of each MCO's performance in various administrative measures. Requires the tool to be accessible in both a print and online format, with the online format allowing for Medicaid beneficiaries and providers to access additional detailed MCO performance information. Effective immediately."
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jurisdiction: "us/states/il"
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legislature: "Illinois General Assembly"
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session: "99th"
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identifier: "SB 3080"
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citation: "Illinois SB 3080 (99th)"
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classification: ["bill"]
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subjects: []
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status: "enacted"
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primary_sponsors: []
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version_count: 3
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action_count: 40
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vote_count: 2
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first_action: "2016-02-19"
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last_action: "2016-08-05"
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source: "openstates"
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source_identifier: "ocd-bill/d847f4f1-57ec-455d-be35-e9cfede45b19"
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source_url: "http://ilga.gov/legislation/BillStatus.asp?DocNum=3080&GAID=13&DocTypeID=SB&LegId=96420&SessionID=88&GA=99"
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source_hash: "27ce6bdecd62f63009d7d978bce8d185a1611701e325e4c8524cbafc944a4818"
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vintage: "2026-07-01"
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source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
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retrieved_at: "2026-07-06"
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confidence: "reported"
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tags: ["legislation", "bill", "us-il"]
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---
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# Illinois SB 3080 (99th) — DHFS-MCO PERFORMANCE METRICS
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Amends the Medical Assistance Article of the Illinois Public Aid Code. In a provision concerning network adequacy for managed care organizations (MCO) contracted with the Department of Healthcare and Family Services, provides that each MCO shall (i) on a monthly basis, jointly validate with contracted providers any changes in provider information, including, but not limited to, changes concerning new providers, terminated providers, updated address information, hours of operation, or other information that is material to a Medicaid beneficiary in the enrollment and provider selection process; and (ii) be required to produce system reports that validate that all MCO systems reflect updated provider information. Provides that in situations in which an enrolled Medicaid provider renders services based on information obtained after verifying a patient's eligibility and coverage plan through either the Department's current enrollment system or the coverage plan identified by the patient presenting for services, such services shall be considered rendered in good faith. Requires the Department to create and maintain a MCO Performance Metrics Comparison Tool that provides periodic reporting, on at least a quarterly basis, of each MCO's performance in various administrative measures. Requires the tool to be accessible in both a print and online format, with the online format allowing for Medicaid beneficiaries and providers to access additional detailed MCO performance information. Effective immediately.
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## Version chain
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The bill's text revisions, in order — the diff chain from filing to enrollment.
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1. **Introduced** (filed) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09900SB3080&GA=99&SessionId=88&DocTypeId=SB&LegID=96420&DocNum=3080&GAID=13&Session=&print=true)
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2. **Engrossed** (committee substitute) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09900SB3080eng&GA=99&SessionId=88&DocTypeId=SB&LegID=96420&DocNum=3080&GAID=13&Session=&print=true)
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3. **Enrolled** (enrolled) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09900SB3080enr&GA=99&SessionId=88&DocTypeId=SB&LegID=96420&DocNum=3080&GAID=13&Session=&print=true)
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## Votes
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- Third Reading — **55–0** (pass) · upper
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- Third Reading — **107–1** (pass) · lower
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## Sponsors
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- Donne E. Trotter — primary (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2016-02-19** Filed with Secretary by Sen. Donne E. Trotter `filing`
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- **2016-02-19** First Reading `reading-1`
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- **2016-02-19** Referred to Assignments `referral-committee`
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- **2016-03-08** Assigned to Special Committee on Oversight of Medicaid Managed Care `referral-committee`
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- **2016-04-08** Rule 2-10 Committee Deadline Established As April 22, 2016
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- **2016-04-13** Added as Chief Co-Sponsor Sen. Mattie Hunter
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- **2016-04-13** Added as Chief Co-Sponsor Sen. Jacqueline Y. Collins
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- **2016-04-14** Do Pass Special Committee on Oversight of Medicaid Managed Care; 009-000-000 `committee-passage`
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- **2016-04-14** Placed on Calendar Order of 2nd Reading April 18, 2016
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- **2016-04-14** Added as Chief Co-Sponsor Sen. William Delgado
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- **2016-04-20** Second Reading `reading-2`
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- **2016-04-20** Placed on Calendar Order of 3rd Reading April 21, 2016
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- **2016-04-28** Rule 2-10 Committee/3rd Reading Deadline Established As May 13, 2016
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- **2016-05-11** Senate Floor Amendment No. 1 Filed with Secretary by Sen. Donne E. Trotter `amendment-introduction`
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- **2016-05-11** Senate Floor Amendment No. 1 Referred to Assignments `referral-committee`
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- **2016-05-11** Senate Floor Amendment No. 1 Assignments Refers to Human Services
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- **2016-05-12** Senate Floor Amendment No. 1 Recommend Do Adopt Human Services; 007-000-000
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- **2016-05-12** Recalled to Second Reading `reading-2`
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- **2016-05-12** Senate Floor Amendment No. 1 Adopted; Trotter `amendment-passage`
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- **2016-05-12** Placed on Calendar Order of 3rd Reading
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- **2016-05-12** Third Reading - Passed; 055-000-000 `reading-3, passage`
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- **2016-05-13** Arrived in House `introduction`
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- **2016-05-13** Chief House Sponsor Rep. Barbara Flynn Currie
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- **2016-05-16** First Reading `reading-1`
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- **2016-05-16** Referred to Rules Committee `referral-committee`
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- **2016-05-17** Alternate Chief Sponsor Changed to Rep. Gregory Harris
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- **2016-05-17** Assigned to Human Services Committee `referral-committee`
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- **2016-05-17** Final Action Deadline Extended-9(b) May 27, 2016
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- **2016-05-24** Added Alternate Chief Co-Sponsor Rep. Patricia R. Bellock
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- **2016-05-24** Do Pass / Short Debate Human Services Committee; 013-000-000 `committee-passage`
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- **2016-05-25** Placed on Calendar 2nd Reading - Short Debate
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- **2016-05-25** Second Reading - Short Debate `reading-2`
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- **2016-05-25** Placed on Calendar Order of 3rd Reading - Short Debate
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- **2016-05-27** Third Reading - Short Debate - Passed 107-001-000 `reading-3, passage`
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- **2016-05-27** Added Alternate Chief Co-Sponsor Rep. Eddie Lee Jackson, Sr.
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- **2016-05-27** Passed Both Houses
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- **2016-06-27** Sent to the Governor `executive-receipt`
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- **2016-08-05** Governor Approved `executive-signature`
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- **2016-08-05** Effective Date August 5, 2016
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- **2016-08-05** Public Act . . . . . . . . . 99-0751 `became-law`
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## Source
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OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/d847f4f1-57ec-455d-be35-e9cfede45b19`. Confidence: reported (aggregated from official Illinois legislature records).
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