MEDICAID-ADULT DENTAL SERVICES Senate SponsorsSen. Omar Aquino-Pat McGuire-William R. Haine-Laura M. Murphy-Cristina Castro House Sponsors(Rep. Robyn Gabel-Laura Fine-Mary E. Flowers-La Shawn K. Ford) 1/9/2019SenateSession Sine Die 305 ILCS 5/5-5from Ch. 23, par. 5-5305 ILCS 5/5-30Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall provide dental services to an adult who is otherwise eligible for assistance under the medical assistance program. Provides that targeted dental services, as set forth in a specified exhibit in a federal consent decree, that are provided to adults under the medical assistance program shall be reimbursed at the rates set forth in a specified column in the exhibit for targeted dental services that are provided to persons under the age of 18 under the medical assistance program. Requires the Department to actively monitor the contractual relationship between Managed Care Organizations (MCOs) and a dental administrator contracted by an MCO to provide dental services. Contains provisions concerning the Department's adoption of appropriate data and measures; the inclusion of certain dental performance measures in the Department's Health Plan Comparison Tool and Illinois Medicaid Plan Report Card; and the collection of information about the types of contracted, broad-based care coordination occurring between a MCO and any dental administrator. Prohibits a health plan from attempting to limit the right of medical assistance recipients to obtain dental services from a qualified Medicaid provider. Prohibits the Department from adopting a rule or entering into a contract that prohibits a licensed dentist or dental hygienist from receiving reimbursement under the medical assistance program for a dental encounter. Effective immediately.Senate Committee Amendment No. 2 Adds reference to:305 ILCS 5/5-30.1Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill with the following changes and additions: Provides that targeted dental services, as set forth in a specified exhibit in a federal consent decree, that are provided to adults under the medical assistance program shall be reimbursed at no less than the rates set forth (rather than at the rates set forth) in a specified column in the exhibit for targeted dental services that are provided to persons under the age of 18 under the medical assistance program. In provisions concerning provider network adequacy and transparency requirements for managed care organizations, provides that each managed care organization shall confirm its receipt of information submitted specific to dentist additions or deletions from the managed care organization's provider network within 3 days of receiving all required information from contracted dentists; and electronic dental directories must be updated consistent with federal rules. Effective immediately.Senate Floor Amendment No. 3 Replaces everything after the enacting clause. Reinserts the provisions of Senate Amendment No. 2, but with the following changes: Provides that targeted dental services, as set forth in a specified exhibit in a federal consent decree, that are provided to adults under the medical assistance program shall be established at (rather than reimbursed at) no less than the rates set forth in a specified column in the exhibit for targeted dental services that are provided to persons under the age of 18 under the medical assistance program. Requires the Department of Healthcare and Family Services to adopt appropriate dental Healthcare Effectiveness Data and Information Set (HEDIS) measures and to include the Annual Dental Visit (ADV) HEDIS measure in its Health Plan Comparison Tool and Illinois Medicaid Plan Report Card that is available on the Department's website for enrolled individuals (rather than adopt appropriate dental Healthcare Effectiveness Data and Information Set measures or other dental quality performance measures as part of its monitoring and include additional specific dental performance measurers in its Health Plan Comparison Tool and Illinois Medicaid Plan Report Card that is available on the Department's website for enrolled individuals). Effective immediately. 1/30/2018SenateFiled with Secretary by Sen. Omar Aquino 1/30/2018SenateFirst Reading 1/30/2018SenateReferred to Assignments 2/7/2018SenateAssigned to Human Services 2/13/2018SenateAdded as Chief Co-Sponsor Sen. Pat McGuire 2/20/2018SenateAdded as Chief Co-Sponsor Sen. William R. Haine 2/21/2018SenatePostponed - Human Services 2/22/2018SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. Omar Aquino 2/22/2018SenateSenate Committee Amendment No. 1 Referred to Assignments 2/27/2018SenateSenate Committee Amendment No. 1 Assignments Refers to Human Services 2/27/2018SenatePostponed - Human Services 3/14/2018SenatePostponed - Human Services 3/14/2018SenateSenate Committee Amendment No. 1 Postponed - Human Services 4/4/2018SenateSenate Committee Amendment No. 2 Filed with Secretary by Sen. Omar Aquino 4/4/2018SenateSenate Committee Amendment No. 2 Referred to Assignments 4/10/2018SenateSenate Committee Amendment No. 2 Assignments Refers to Human Services 4/10/2018SenateSenate Committee Amendment No. 1 Postponed - Human Services 4/10/2018SenateSenate Committee Amendment No. 2 Adopted 4/11/2018SenateDo Pass as Amended Human Services; 006-001-000 4/11/2018SenatePlaced on Calendar Order of 2nd Reading April 12, 2018 4/13/2018SenateSenate Committee Amendment No. 1 Rule 3-9(a) / Re-referred to Assignments 4/17/2018SenateSecond Reading 4/17/2018SenatePlaced on Calendar Order of 3rd Reading April 18, 2018 4/19/2018SenateAdded as Chief Co-Sponsor Sen. Laura M. Murphy 4/19/2018SenateSenate Floor Amendment No. 3 Filed with Secretary by Sen. Omar Aquino 4/19/2018SenateSenate Floor Amendment No. 3 Referred to Assignments 4/23/2018SenateAdded as Chief Co-Sponsor Sen. Cristina Castro 4/23/2018SenateSenate Floor Amendment No. 3 Assignments Refers to Human Services 4/24/2018SenateSenate Floor Amendment No. 3 Recommend Do Adopt Human Services; 006-002-000 4/27/2018SenateRule 2-10 Third Reading Deadline Established As May 3, 2018 5/2/2018SenateRecalled to Second Reading 5/2/2018SenateSenate Floor Amendment No. 3 Adopted; Aquino 5/2/2018SenatePlaced on Calendar Order of 3rd Reading 5/2/2018SenateThird Reading - Passed; 039-014-000 5/3/2018HouseArrived in House 5/3/2018HouseChief House Sponsor Rep. Robyn Gabel 5/3/2018HouseAdded Alternate Co-Sponsor Rep. Laura Fine 5/8/2018HouseFirst Reading 5/8/2018HouseReferred to Rules Committee 5/8/2018HouseAssigned to Appropriations-Human Services Committee 5/10/2018HouseAdded Alternate Chief Co-Sponsor Rep. La Shawn K. Ford 5/10/2018HouseAlternate Chief Co-Sponsor Changed to Rep. La Shawn K. Ford 5/10/2018HouseAdded Alternate Chief Co-Sponsor Rep. Laura Fine 5/10/2018HouseAlternate Co-Sponsor Removed Rep. Laura Fine 5/10/2018HouseAdded Alternate Chief Co-Sponsor Rep. Mary E. Flowers 5/18/2018HouseRule 19(a) / Re-referred to Rules Committee 1/9/2019SenateSession Sine Die