IHA Daily Briefing: Dec. 3

Medicaid Integrated Health Homes Delayed
IL General Assembly Releases 2019 Session Calendars
Gov.-Elect Pritzker Forms Jobs/Economic Committee
April 1: 340B Drug Program Ceiling Prices Issued
Today Marks Illinois' Bicentennial
Briefly Noted

Medicaid Integrated Health Homes Delayed
On Friday, the Illinois Department of Healthcare and Family Services (HFS) issued a Provider Notice indicating a full delay of the Medicaid Integrated Health Homes (IHH) program until administrative rules have been finalized. The notice states that HFS plans to implement beneficiary choice in the Integrated Health Home program the first of the month following adoption of final rules, which is not estimated in the notice.

Proposed rules were published on Oct. 12 in the Illinois Register, which would modify Rule 140 (89 Ill. Adm. Code 140, pp.18242-18284) to create the Integrated Health Homes and replace the primary care case management program, which currently acts as a managed care model in which Medicaid beneficiaries have a medical home with a primary care provider. On Nov. 2, HFS Director Patricia Bellock announced at a Medicaid Advisory Committee meeting that auto-enrollment was pushed back from Jan. 1 to March 31, although at that time, there were still plans to continue implementation on Jan. 1 for approximately 11 percent of the population (beneficiary Tiers A, B and C) that had voluntarily chosen to participate.

On Nov. 21, IHA sent HFS a comment letter on the proposed rules, formulated from member feedback. Beneficiary Tier D, which HFS had previously indicated would be initiated after the Jan. 1 rollout, is not included at all in the rules. This group of low behavioral and physical health need beneficiaries represents approximately 89 percent of the Medicaid population in IHHs.

Information on IHHs from HFS can be found on the IHH webpage, Public Notices and Provider Notices.

IL General Assembly Releases 2019 Session Calendars
The Illinois Senate and House have released their calendars for the 2019 Spring Session.

Key dates include:

  • Jan. 7-8: Lame duck session of outgoing 100th General Assembly
  • Jan. 9: Inauguration of new 101st General Assembly
  • Jan. 14: Inauguration of the Governor and other Executive Branch officers
  • Feb. 20: Governor’s Budget Address
  • March 22: Deadline for substantive Senate bills out of committee
  • March 29: Deadline for substantive House bills out of committee
  • April 13-29: Spring break
  • May 31: Adjournment

IHA will hold its annual Legislative Reception on Feb. 19 and its Hospital Advocacy Day on April 30.

Gov.-Elect Pritzker Forms Jobs/Economic Committee
Today, Governor-elect JB Pritzker and Lieutenant Governor-elect Juliana Stratton announced the formation and members of the transition’s Job Creation and Economic Opportunity Committee. The Job Creation and Economic Opportunity Committee will be chaired by Hispanic Information Technology Executive Council President Omar Duque; Director of Research Park at the University of Illinois, Laura Frerichs; Illinois Medical District CEO and Executive Director Dr. Suzet McKinney; and Chicago Federation of Labor President Bob Reiter and consists of 37 members.

The committee is the ninth of several working groups of the transition made up of subject-matter experts who will advise and guide the incoming Pritzker-Stratton administration.

April 1: 340B Drug Program Ceiling Prices Issued
On Friday, the Health Resources & Services Administration announced that on April 1, 2019, it will publish online ceiling prices for the 340B Drug Program. It also announced that the secure pricing component of the 340B Office of Pharmacy Affairs Information System (OPAIS) will accept pricing data from manufacturers during the first quarter of 2019. That data will be used to calculate the program ceiling prices; eligible users would then be able to access those prices in a secure manner.

The publication of these prices will protect 340B eligible hospitals from being “overcharged” for drugs they provide to patients in accordance with the program. The Department of Health & Human Services issued a final rule on Nov. 30 establishing Jan. 1, 2019 as the effective date for the application of ceiling prices and monetary penalties for suppliers and manufacturers that do not comply with those ceiling prices.

Today Marks Illinois’ Bicentennial
Happy 200th birthday Illinois! Although, French explorers Louis Jolliet and Jacques Marquette were the first to travel through Illinois in 1673, it would take 145 years—Dec. 3, 1818—for Illinois to be the 21st state admitted into the union. Overseeing nearly 35,000 people was Illinois' first governor Shadrach Bond. Kaskaskia was the first capital.

While many remarkable events have taken place over the years, some of the most notable events in the state’s early history include:

  • The state’s first newspaper—the Illinois Herald—was published in Kaskaskia in 1814;
  • The state’s first prison established in Alton in 1830;
  • The state’s first fair held in Springfield in 1853;
  • The Abraham Lincoln and Sen. Stephen A. Douglas debates in 1858, where Lincoln challenged Sen. Douglas for the state’s Senate seat. Slavery was a key topic during the debates that garnered national attention. Lincoln lost the race but was elected president two years later;
  • The Great Chicago Fire on Oct. 8, 1871, killing around 300 people, destroying about 18,000 buildings and leaving 100,000 people homeless;
  • The Haymarket Riot on May 4, 1886, where protesters were demanding an eight-hour workday. A bomb was thrown into the area of demonstrators, killing eight officers and injuring 60;
  • In 1890, African-American surgeon Daniel Hale Williams (1858-1931) organized Provident Hospital in Chicago, the first black hospital in the U.S.; performs the first open-heart surgery in 1893;
  • The World’s Columbian Exposition of 1893 in Chicago, which attracted 27 million visitors over six-months—that was more than 40 percent of the U.S. population during that time. The Ferris Wheel made its debut at the exposition;
  • In 1901 Joliet Junior College was established and is recognized as the oldest continuously operating community college in the U.S.; and
  • A 1908 race riot in Springfield leads to formation of the National Association for the Advancement of Colored People (NAACP) in 1909.

A timeline that highlights additional noteworthy events from the 17th century to the 21st century can be found here. The timeline has not been updated to include an important historical event—the Chicago Cubs winning the World Series in 2016, after a 108-year drought.

Tonight a Bicentennial Birthday Party will take place in downtown Chicago with key public officials and entertainers on hand. IHA and the hospital community will be well represented at the event.

Briefly Noted
Our thoughts go out to Central and Southern Illinois hospitals and their communities that were impacted by more than a dozen tornadoes this weekend that hit Christian, Cass, Fulton, McDonough, and Schuyler counties. Taylorville was the hardest hit area, with at least 34 homes destroyed and more than 400 damaged. More than 20 people were injured; no deaths have been reported.