Illinois is a leader in transparency, and is currently implementing an All Payer Claims Database. The APCD is a result of Executive Order 14-01, signed by former Governor Pat Quinn in 2014, establishing the Governor’s Office of Health Innovation and Transformation in order to direct the state’s participation in the Center for Medicare and Medicaid Innovation’s State Innovation Model Program. Illinois was awarded up to $2,088,530 to develop its plan, dubbed the Illinois Alliance for Health Innovation Plan. The plan calls for building the APCD to ultimately collect data on commercial plans, Medicare, Medicaid, and the uninsured.
In the past, Illinois sought to decrease healthcare price transparency by amending the state’s Medical Assistance Article that currently requires the Illinois Department of Healthcare and Family Services to disclose certain benchmark, readmission, and hospital expenditure information. That legislation did not pass in the 2016 regular session. Illinois was also the site of two antitrust cases involving hospital mergers, one private antitrust action and one case brought by the FTC. In FTC v. Advocate Health Care Network, the district court granted an injunction on March 7, 2017, and the parties abandoned their merger plans.
The State Database
The Source tracks state activities impacting healthcare price and competition in both legislation and litigation in a searchable database to help stakeholders at the state level understand their legal and regulatory environment as they make efforts to improve access, quality, and efficiency, and reduce costs in healthcare.
LEGISLATION: The Database of State Laws Impacting Healthcare Cost and Quality (SLIHCQ), created by The Source on Healthcare Price & Competition and Catalyst for Payment Reform, catalogues state legislation governing price transparency, provider market power, provider payment, provider networks, and benefit design. The database also includes pharmaceutical legislation beginning in the 2017-2018 legislative session. *Note: Current legislative session bill updates are ongoing. Check back weekly for updates.
LITIGATION: The Source tracks major litigation and antitrust enforcement action by federal entities (FTC or DOJ), state attorney generals, and private parties in the main provider and insurer markets, particularly legal challenges of healthcare consolidation and anticompetitive contract provisions. Additionally, the database contains major pharmaceutical cases including legislation challenges and significant appellate cases.
Search the database across all jurisdictions on the State Overview page, or view and filter existing legislation or litigation on individual state pages. The database allows customized search and filter by keyword, status, and/or key issue category. *Multiple filter/selections enabled. Click here for User Guide.
LEGISLATIVE CALENDARIllinois’ current legislative session runs from 1/9/2019 – 1/7/2020. Bills from 2019 will carry over to 2020 as part of the 2019-2020 legislative term.
FY 2018 BUDGETIllinois’ fiscal year begins on July 1 and ends on June 30 the following year. Illinois enacted its FY 2018 Budget during a special legislative session. To view Illinois’ FY 2018 Budget, click here.
REGULATION & ENFORCEMENT
- Illinois was one of 16 states to file an amicus brief supporting the FTC’s winning position in the Ninth Circuit appeal of St. Luke’s Health Care Sys. v. FTC, No. 14-35173 (March 7, 2014), decided February 10, 2015. The States’ brief stated that the acceleration of health care costs due to the growth of large health care provider systems had become a matter of grave concern for the states.