Illinois 2023-2024 Regular Session

Illinois House Bill HB3450 Compare Versions

Only one version of the bill is available at this time.

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1	1	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB3450 Introduced , by Rep. Sonya M. Harper SYNOPSIS AS INTRODUCED: 305 ILCS 5/5-47 new Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to establish a 2-year pilot program to provide medically supportive food to medical assistance recipients through one or more food prescription programs operated by a participating managed care health plan with the goal of eliminating health disparities, improving health outcomes, and reducing rates of food and nutrition insecurity. Provides that under the pilot program, the Department shall provide medically supportive food coupons to medical assistance recipients who have a food prescription, issued by a licensed physician or health care provider under a participating managed care health plan, for medically supportive food as part of any treatment regimen for type 2 diabetes or prediabetes; hypertension; high-risk pregnancy; or some other specified condition. Provides that coupon holders may redeem their coupons at any participating food retailer and that farmers markets located in "food deserts" and grocery stores that accept Supplemental Nutrition Assistance Program benefits may participate in the pilot program as designated retailers that accept medically supportive food program coupons. Contains provisions concerning utilization controls, reporting requirements, and Department rules. Effective immediately. LRB103 26160 KTG 52518 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB3450 Introduced , by Rep. Sonya M. Harper SYNOPSIS AS INTRODUCED: 305 ILCS 5/5-47 new 305 ILCS 5/5-47 new Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to establish a 2-year pilot program to provide medically supportive food to medical assistance recipients through one or more food prescription programs operated by a participating managed care health plan with the goal of eliminating health disparities, improving health outcomes, and reducing rates of food and nutrition insecurity. Provides that under the pilot program, the Department shall provide medically supportive food coupons to medical assistance recipients who have a food prescription, issued by a licensed physician or health care provider under a participating managed care health plan, for medically supportive food as part of any treatment regimen for type 2 diabetes or prediabetes; hypertension; high-risk pregnancy; or some other specified condition. Provides that coupon holders may redeem their coupons at any participating food retailer and that farmers markets located in "food deserts" and grocery stores that accept Supplemental Nutrition Assistance Program benefits may participate in the pilot program as designated retailers that accept medically supportive food program coupons. Contains provisions concerning utilization controls, reporting requirements, and Department rules. Effective immediately. LRB103 26160 KTG 52518 b LRB103 26160 KTG 52518 b A BILL FOR
2	2	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB3450 Introduced , by Rep. Sonya M. Harper SYNOPSIS AS INTRODUCED:
3	3	305 ILCS 5/5-47 new 305 ILCS 5/5-47 new
4	4	305 ILCS 5/5-47 new
5	5	Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to establish a 2-year pilot program to provide medically supportive food to medical assistance recipients through one or more food prescription programs operated by a participating managed care health plan with the goal of eliminating health disparities, improving health outcomes, and reducing rates of food and nutrition insecurity. Provides that under the pilot program, the Department shall provide medically supportive food coupons to medical assistance recipients who have a food prescription, issued by a licensed physician or health care provider under a participating managed care health plan, for medically supportive food as part of any treatment regimen for type 2 diabetes or prediabetes; hypertension; high-risk pregnancy; or some other specified condition. Provides that coupon holders may redeem their coupons at any participating food retailer and that farmers markets located in "food deserts" and grocery stores that accept Supplemental Nutrition Assistance Program benefits may participate in the pilot program as designated retailers that accept medically supportive food program coupons. Contains provisions concerning utilization controls, reporting requirements, and Department rules. Effective immediately.
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11	11	1 AN ACT concerning public aid.
12	12	2 Be it enacted by the People of the State of Illinois,
13	13	3 represented in the General Assembly:
14	14	4 Section 5. The Illinois Public Aid Code is amended by
15	15	5 adding Section 5-47 as follows:
16	16	6 (305 ILCS 5/5-47 new)
17	17	7 Sec. 5-47. Food prescription pilot program.
18	18	8 (a) Findings and legislative intent.
19	19	9 (1) It is the intent of the General Assembly to eliminate
20	20	10 racial and ethnic health disparities, increase positive health
21	21	11 outcomes, and reduce rates of food and nutrition insecurity
22	22	12 for medical assistance recipients by establishing a 2-year
23	23	13 food prescription pilot program. The objective of this pilot
24	24	14 program is to encourage managed care health plans contracted
25	25	15 with the Department to create "Food as Medicine" programs to
26	26	16 address the obesity and diabetes epidemic. The pilot program
27	27	17 shall provide food prescriptions to eligible medical
28	28	18 assistance recipients who are enrolled in a managed care
29	29	19 health plan and are medically considered at rising-risk
30	30	20 because they have one or more specified chronic health
31	31	21 conditions and are experiencing food insecurity, but they do
32	32	22 not require extensive care coordination. A food prescription
33	33	23 shall consist of medically supportive food used for the
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37	37	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB3450 Introduced , by Rep. Sonya M. Harper SYNOPSIS AS INTRODUCED:
38	38	305 ILCS 5/5-47 new 305 ILCS 5/5-47 new
39	39	305 ILCS 5/5-47 new
40	40	Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to establish a 2-year pilot program to provide medically supportive food to medical assistance recipients through one or more food prescription programs operated by a participating managed care health plan with the goal of eliminating health disparities, improving health outcomes, and reducing rates of food and nutrition insecurity. Provides that under the pilot program, the Department shall provide medically supportive food coupons to medical assistance recipients who have a food prescription, issued by a licensed physician or health care provider under a participating managed care health plan, for medically supportive food as part of any treatment regimen for type 2 diabetes or prediabetes; hypertension; high-risk pregnancy; or some other specified condition. Provides that coupon holders may redeem their coupons at any participating food retailer and that farmers markets located in "food deserts" and grocery stores that accept Supplemental Nutrition Assistance Program benefits may participate in the pilot program as designated retailers that accept medically supportive food program coupons. Contains provisions concerning utilization controls, reporting requirements, and Department rules. Effective immediately.
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43	43	A BILL FOR
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68	68	1 prevention, reversal, or treatment of chronic health
69	69	2 conditions, and may be paired with behavioral, cooking, or
70	70	3 nutrition education, coaching, and counseling.
71	71	4 (2) The General Assembly finds that racial and ethnic
72	72	5 health disparities have been exacerbated by the COVID-19
73	73	6 pandemic. The federal Centers for Disease Control and
74	74	7 Prevention overwhelmingly reports that most of those
75	75	8 hospitalized or who die from COVID-19 have an underlying
76	76	9 health condition. Chronic health conditions disproportionately
77	77	10 impact communities of color, making them particularly
78	78	11 vulnerable for adverse health outcomes from severe COVID-19,
79	79	12 including hospitalization and death. By preventing, treating,
80	80	13 and reversing their underlying chronic health conditions,
81	81	14 medical assistance recipients, and especially members of
82	82	15 populations who experience health disparities, may be less
83	83	16 vulnerable not only to COVID-19, but other chronic illnesses.
84	84	17 Moreover, it is the intent of the General Assembly to reduce
85	85	18 racial health disparities and generate long-term cost savings
86	86	19 to the health care system as a result of the implementation of
87	87	20 the 2-year food prescription pilot program.
88	88	21 (b) Definitions. As used in this Section:
89	89	22 "Eligible medical assistance recipient" means an
90	90	23 individual who is eligible to participate in the pilot program
91	91	24 and is enrolled in a participating managed care health plan.
92	92	25 "Food prescription" means a specific dosage of medically
93	93	26 supportive food, which is prescribed by a managed care health
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104	104	1 plan, that is based on evidence-based practices that
105	105	2 demonstrate the prevention, treatment, or reversal of specific
106	106	3 chronic health conditions.
107	107	4 "Managed care health plan" means a managed care health
108	108	5 plan or managed care organization contracted with the
109	109	6 Department that operates a food prescription program in
110	110	7 accordance with this Section.
111	111	8 "Medically supportive food" means any nutrient-rich whole
112	112	9 food, including any fruit, vegetable, legume, nut, seed, whole
113	113	10 grain, seafood, and lean animal protein, used for the
114	114	11 prevention, treatment, or reversal of a specific chronic
115	115	12 health condition.
116	116	13 "Pilot program" means the 2-year pilot program established
117	117	14 in this Section.
118	118	15 (c) The Department shall establish a 2-year pilot program
119	119	16 to provide medically supportive food to medical assistance
120	120	17 recipients through one or more food prescription programs
121	121	18 operated by a participating managed care health plan with the
122	122	19 goal of eliminating health disparities, improving health
123	123	20 outcomes, and reducing rates of food and nutrition insecurity.
124	124	21 Under the pilot program, the Department shall provide
125	125	22 medically supportive food coupons to medical assistance
126	126	23 recipients who have a food prescription, issued by a licensed
127	127	24 physician or health care provider under a managed care health
128	128	25 plan, for medically supportive food as part of any treatment
129	129	26 regimen for one of the following chronic health conditions:
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140	140	1 (1) Depression or anxiety.
141	141	2 (2) Type 2 diabetes or prediabetes.
142	142	3 (3) Hypertension, which is also referred to as high
143	143	4 blood pressure.
144	144	5 (4) Nonalcoholic fatty liver disease.
145	145	6 (5) Overweight, obesity, or severe obesity, as
146	146	7 measured by a person's body mass index (BMI). For purposes
147	147	8 of this paragraph, "overweight" means a person's BMI is
148	148	9 between 25 kg/m2 and 30 kg/m2. "Obesity" means a person's
149	149	10 BMI is 30 kg/m2 or higher, but under 40 kg/m2, and "severe
150	150	11 obesity" means that a person's BMI is 40 kg/m2 or higher.
151	151	12 (6) Dyslipidemia, hypertriglyceridemia, or low
152	152	13 high-density lipoprotein cholesterol.
153	153	14 (7) High-risk pregnancy, including gestational
154	154	15 diabetes.
155	155	16 Coupon holders may redeem their coupons at any
156	156	17 participating food retailer. Farmers markets located in "food
157	157	18 deserts" and grocery stores that accept Supplemental Nutrition
158	158	19 Assistance Program benefits may participate in the pilot
159	159	20 program as designated retailers that accept medically
160	160	21 supportive food program coupons. The Department may provide
161	161	22 incentives to solicit food retailers to participate in the
162	162	23 program and may adopt any rules necessary to implement the
163	163	24 program.
164	164	25 (d) The Department, in consultation with stakeholders, may
165	165	26 establish utilization controls, with respect to the limitation
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176	176	1 on food prescriptions, including how these food prescriptions
177	177	2 may be restricted as to a set number within a specified
178	178	3 timeframe. In developing these utilization controls under the
179	179	4 pilot program, the Department and managed care health plans
180	180	5 shall consider the nutritional needs, food security, and
181	181	6 health status of a medical assistance recipient.
182	182	7 (e) Upon the completion of the pilot program, and to the
183	183	8 extent it can be determined, the Department shall evaluate the
184	184	9 impact of the pilot program, including, but not limited to,
185	185	10 relevant health outcome and health disparities data, and the
186	186	11 pilot program's impact on quality and performance improvement
187	187	12 metrics, medication adherence, medical appointment attendance,
188	188	13 and member satisfaction scores. The Department shall prepare
189	189	14 these findings, including its recommendation on expanding the
190	190	15 pilot program on a statewide-basis or for an extended period
191	191	16 of time, into a finalized report, and shall submit this report
192	192	17 to the General Assembly by January 1, 2026, or within 12 months
193	193	18 after the end of the pilot program, whichever is sooner.
194	194	19 (f) The Department may adopt any rules necessary to
195	195	20 implement this Section.
196	196	21 Section 99. Effective date. This Act takes effect upon
197	197	22 becoming law.
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