Illinois 2023-2024 Regular Session

Illinois Senate Bill SB2830 Compare Versions

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

Old	New	Differences
1	1	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB2830 Introduced 1/19/2024, by Sen. David Koehler SYNOPSIS AS INTRODUCED: 305 ILCS 5/5-16.14 new Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to adopt rules and policies within 90 days after the effective date of the amendatory Act for interest penalties to be imposed on managed care organizations for all delayed payments, as defined, to medical providers. Provides that if payment is not issued from the managed care organization to the medical provider within 30 days of receiving the funds from the State, it shall be considered a delayed payment and an interest penalty of 1.0% of any amount unpaid shall be added for each month or fraction thereof after the end of this 30-day period, until final payment is made. Provides that if payment is not issued from the managed care organization to the medical provider within 60 days of receiving the funds from the State, the interest penalty shall increase to 2.5% of any amount unpaid, until final payment is made. Provides that if payment is not issued from the managed care organization to the medical provider within 90 days of receiving the funds from the State, the interest penalty shall increase to 5% of any amount unpaid, until final payment is made. Requires managed care organizations to review in a timely manner each claim made to it and provide the Department with a quarterly report indicating certain information, including, but not limited to: (i) the number of claims and dollar amount received by the managed care organization from providers for that quarter; (ii) the average length of time for that quarter it took the managed care organization to pay a provider claim from when it was first submitted; and (iii) the total number and dollar amount of interest penalty payments incurred for that quarter. Requires the Department to annually review managed care payment times and provide details of delays in the Department's annual report. LRB103 36606 KTG 66715 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB2830 Introduced 1/19/2024, by Sen. David Koehler SYNOPSIS AS INTRODUCED: 305 ILCS 5/5-16.14 new 305 ILCS 5/5-16.14 new Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to adopt rules and policies within 90 days after the effective date of the amendatory Act for interest penalties to be imposed on managed care organizations for all delayed payments, as defined, to medical providers. Provides that if payment is not issued from the managed care organization to the medical provider within 30 days of receiving the funds from the State, it shall be considered a delayed payment and an interest penalty of 1.0% of any amount unpaid shall be added for each month or fraction thereof after the end of this 30-day period, until final payment is made. Provides that if payment is not issued from the managed care organization to the medical provider within 60 days of receiving the funds from the State, the interest penalty shall increase to 2.5% of any amount unpaid, until final payment is made. Provides that if payment is not issued from the managed care organization to the medical provider within 90 days of receiving the funds from the State, the interest penalty shall increase to 5% of any amount unpaid, until final payment is made. Requires managed care organizations to review in a timely manner each claim made to it and provide the Department with a quarterly report indicating certain information, including, but not limited to: (i) the number of claims and dollar amount received by the managed care organization from providers for that quarter; (ii) the average length of time for that quarter it took the managed care organization to pay a provider claim from when it was first submitted; and (iii) the total number and dollar amount of interest penalty payments incurred for that quarter. Requires the Department to annually review managed care payment times and provide details of delays in the Department's annual report. LRB103 36606 KTG 66715 b LRB103 36606 KTG 66715 b A BILL FOR
2	2	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB2830 Introduced 1/19/2024, by Sen. David Koehler SYNOPSIS AS INTRODUCED:
3	3	305 ILCS 5/5-16.14 new 305 ILCS 5/5-16.14 new
4	4	305 ILCS 5/5-16.14 new
5	5	Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to adopt rules and policies within 90 days after the effective date of the amendatory Act for interest penalties to be imposed on managed care organizations for all delayed payments, as defined, to medical providers. Provides that if payment is not issued from the managed care organization to the medical provider within 30 days of receiving the funds from the State, it shall be considered a delayed payment and an interest penalty of 1.0% of any amount unpaid shall be added for each month or fraction thereof after the end of this 30-day period, until final payment is made. Provides that if payment is not issued from the managed care organization to the medical provider within 60 days of receiving the funds from the State, the interest penalty shall increase to 2.5% of any amount unpaid, until final payment is made. Provides that if payment is not issued from the managed care organization to the medical provider within 90 days of receiving the funds from the State, the interest penalty shall increase to 5% of any amount unpaid, until final payment is made. Requires managed care organizations to review in a timely manner each claim made to it and provide the Department with a quarterly report indicating certain information, including, but not limited to: (i) the number of claims and dollar amount received by the managed care organization from providers for that quarter; (ii) the average length of time for that quarter it took the managed care organization to pay a provider claim from when it was first submitted; and (iii) the total number and dollar amount of interest penalty payments incurred for that quarter. Requires the Department to annually review managed care payment times and provide details of delays in the Department's annual report.
6	6	LRB103 36606 KTG 66715 b LRB103 36606 KTG 66715 b
7	7	LRB103 36606 KTG 66715 b
8	8	A BILL FOR
9	9	SB2830LRB103 36606 KTG 66715 b SB2830 LRB103 36606 KTG 66715 b
10	10	SB2830 LRB103 36606 KTG 66715 b
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 5-16.14 as follows:
16	16	6 (305 ILCS 5/5-16.14 new)
17	17	7 Sec. 5-16.14. Managed care prompt payment to providers.
18	18	8 (a) The Department shall adopt rules and policies within
19	19	9 90 days after the effective date of this amendatory Act of the
20	20	10 103rd General Assembly for interest penalties to be imposed on
21	21	11 managed care organizations for all delayed payments to medical
22	22	12 providers. As used in this Section, "delayed payment" means a
23	23	13 payment owed by a managed care organization to a medical
24	24	14 provider when the State has provided the managed care
25	25	15 organization with the funds for the payment, but the payment
26	26	16 to the medical provider has taken over 30 days from submission
27	27	17 of a claim by a medical provider or a posting of quarterly
28	28	18 incentive payments by the Department.
29	29	19 (b) If payment is not issued from the managed care
30	30	20 organization to the medical provider within 30 days of
31	31	21 receiving the funds from the State, it shall be considered a
32	32	22 delayed payment and an interest penalty of 1.0% of any amount
33	33	23 unpaid shall be added for each month or fraction thereof after
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37	37	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB2830 Introduced 1/19/2024, by Sen. David Koehler SYNOPSIS AS INTRODUCED:
38	38	305 ILCS 5/5-16.14 new 305 ILCS 5/5-16.14 new
39	39	305 ILCS 5/5-16.14 new
40	40	Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to adopt rules and policies within 90 days after the effective date of the amendatory Act for interest penalties to be imposed on managed care organizations for all delayed payments, as defined, to medical providers. Provides that if payment is not issued from the managed care organization to the medical provider within 30 days of receiving the funds from the State, it shall be considered a delayed payment and an interest penalty of 1.0% of any amount unpaid shall be added for each month or fraction thereof after the end of this 30-day period, until final payment is made. Provides that if payment is not issued from the managed care organization to the medical provider within 60 days of receiving the funds from the State, the interest penalty shall increase to 2.5% of any amount unpaid, until final payment is made. Provides that if payment is not issued from the managed care organization to the medical provider within 90 days of receiving the funds from the State, the interest penalty shall increase to 5% of any amount unpaid, until final payment is made. Requires managed care organizations to review in a timely manner each claim made to it and provide the Department with a quarterly report indicating certain information, including, but not limited to: (i) the number of claims and dollar amount received by the managed care organization from providers for that quarter; (ii) the average length of time for that quarter it took the managed care organization to pay a provider claim from when it was first submitted; and (iii) the total number and dollar amount of interest penalty payments incurred for that quarter. Requires the Department to annually review managed care payment times and provide details of delays in the Department's annual report.
41	41	LRB103 36606 KTG 66715 b LRB103 36606 KTG 66715 b
42	42	LRB103 36606 KTG 66715 b
43	43	A BILL FOR
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49	49	305 ILCS 5/5-16.14 new
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53	53	LRB103 36606 KTG 66715 b
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68	68	1 the end of this 30-day period, until final payment is made. If
69	69	2 payment is not issued from the managed care organization to
70	70	3 the medical provider within 60 days of receiving the funds
71	71	4 from the State, the interest penalty shall increase to 2.5% of
72	72	5 any amount unpaid, until final payment is made. If payment is
73	73	6 not issued from the managed care organization to the medical
74	74	7 provider within 90 days of receiving the funds from the State,
75	75	8 the interest penalty shall increase to 5% of any amount
76	76	9 unpaid, until final payment is made.
77	77	10 (c) Managed care organizations shall review in a timely
78	78	11 manner each claim made to it and provide the Department with a
79	79	12 quarterly report indicating:
80	80	13 (1) the number of claims and dollar amount received by
81	81	14 the managed care organization from providers for that
82	82	15 quarter;
83	83	16 (2) the number of claims and dollar amount paid by the
84	84	17 managed care organization to providers for that quarter;
85	85	18 (3) the total number of claims and dollar amount of
86	86	19 outstanding payments owed from the managed care
87	87	20 organization to providers, broken down by provider;
88	88	21 (4) the average length of time for that quarter it
89	89	22 took the managed care organization to pay a provider claim
90	90	23 from when it was first submitted;
91	91	24 (5) the average length of time for that quarter it
92	92	25 took the managed care organization to pay a provider claim
93	93	26 from when the funds were transferred from the State to
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109	109	SB2830 - 3 - LRB103 36606 KTG 66715 b