SB1948sam001 97TH GENERAL ASSEMBLY

Sen. William Delgado

Filed: 3/3/2011

09700SB1948sam001 LRB097 05407 KTG 50818 a

AMENDMENT TO SENATE BILL 1948

AMENDMENT NO. ______. Amend Senate Bill 1948 by replacing everything after the enacting clause with the following:

"Section 5. The Children's Health Insurance Program Act is amended by adding Section 65 as follows:

(215 ILCS 106/65 new)

Sec. 65. Provider incentives. Subject to appropriations, beginning on July 1, 2011, the Department shall develop incentive programs for dentists who perform dental services on children covered under this Act. The incentive programs shall include a pilot program in a rural and urban designated shortage area that increases rates up to 64% of the reimbursement level that the dentists charge for those services covered. In addition, subject to appropriations, the Department shall increase the rate level of dental specialty services that are provided to children covered under this Act to equal 64% of the dentist's usual and customary charges. Subject to appropriations, the Department shall also develop and implement an incentive program that rewards dentists who are enrolled as a "dental home" with a bonus for providing services to children enrolled and covered under this Act.

Section 10. The Covering ALL KIDS Health Insurance Act is amended by adding Section 54 as follows:

(215 ILCS 170/54 new)

Sec. 54. Provider incentives. Subject to appropriations, beginning on July 1, 2011, the Department shall develop incentive programs for dentists who perform dental services on children covered under this Act. The incentive programs shall include a pilot program in a rural and urban designated shortage area that increases rates up to 64% of the reimbursement level that the dentists charge for those services covered. In addition, subject to appropriations, the Department shall increase the rate level of dental specialty services that are provided to children covered under this Act to equal 64% of the dentist's usual and customary charges. Subject to appropriations, the Department shall also develop and implement an incentive program that rewards dentists who are enrolled as a "dental home" with a bonus for providing services to children enrolled and covered under this Act.

Section 15. The Illinois Public Aid Code is amended by adding Section 5-5.06 as follows:

(305 ILCS 5/5-5.06 new)

Sec. 5-5.06. Provider incentives. Subject to appropriations, beginning on July 1, 2011, the Department shall develop incentive programs for dentists who perform dental services on children covered under this Article. The incentive programs shall include a pilot program in a rural and urban designated shortage area that increases rates up to 64% of the reimbursement level that the dentists charge for those services covered. In addition, subject to appropriations, the Department shall increase the rate level of dental specialty services that are provided to children covered under this Article to equal 64% of the dentist's usual and customary charges. Subject to appropriations, the Department shall also develop and implement an incentive program that rewards dentists who are enrolled as a "dental home" with a bonus for providing services to children enrolled and covered under this Article.

Section 99. Effective date. This Act takes effect upon becoming law.".