Citations Affected: IC 12-15; IC 16-18; IC 16-38; IC 34-30.
Synopsis: Disease management and chronic disease registry. Removes:
(1) HIV and AIDS; and (2) population parameters; from the state's
disease management program and sets implementation dates for the
statewide program. Creates a chronic disease registry administered by
the state department of health.
Effective: Upon passage.
January 15, 2003, read first time and referred to Committee on Health and Provider
January 23, 2003, amended, reported favorably _ Do Pass.
A BILL FOR AN ACT to amend the Indiana Code concerning
SECTION 1. IC 12-15-12-19, AS AMENDED BY P.L.66-2002,
SECTION 2, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
UPON PASSAGE]: Sec. 19. (a) This section applies to an individual
(1) is a Medicaid recipient; and
(2) is not enrolled in the risk-based managed care program.
(3) resides in a county having a population of more than one
hundred thousand (100,000).
(b) Subject to subsection (c), the office shall develop the following programs regarding individuals described in subsection (a):
(1) A disease management program for recipients with any of the following diseases:
(C) Congestive heart failure or coronary heart disease.
(D) HIV or AIDS.
(2) A case management program for recipients
recipient Medicaid cost is in the highest ten percent (10%) of all
individuals described in subsection (a), who are at high risk of
disease, that is based on a combination of cost measures and
clinical measures identified and developed by the office with
input and guidance from the state department of health.
(c) The office shall implement:
(1) a pilot program for at least two (2) of the diseases listed in subsection (b) not later than July 1, 2003; and
(2) a statewide chronic disease program as soon as practicable after the office has done the following:
(A) Evaluated a pilot program described in subdivision (1).
(B) Made any necessary changes in the program based on the evaluation performed under clause (A).
(d) The office shall develop and implement a program required under this section in cooperation with the state department of health and shall use the following health care providers to the extent possible:
(1) Community health centers.
(2) Federally qualified health centers (as defined in 42 U.S.C. 1396d(l)(2)(B)).
(3) Rural health clinics (as defined in 42 U.S.C. 1396d(l)(1)).
(4) Local health departments.
(e) The office
shall may contract with an outside vendor or vendors
to assist in the develop development and implement implementation
of the programs required under subsection (b). this section. The office
shall begin the contract procurement process not later than October 1,
2001. The contract required under this subsection must be effective not
later than July 1, 2002.
(d) (f) The vendor or vendors with whom the office contracts under
subsection (c) and the state department of health shall provide the
office and the select joint commission on Medicaid oversight
established by IC 2-5-26-3 with an evaluation and recommendations on
the costs, benefits, and health outcomes of the pilot programs required
under subsection (b). this section. The evaluations required under this
subsection must be provided not more than nine (9) twelve (12) months
after the effective implementation date of the contract. pilot
(e) (g) The office and the state department of health shall report
to the select joint commission on Medicaid oversight established by
IC 2-5-26-3 not later than December 31, 2002, November 1 of each
year regarding the programs developed under this section.
related to administering the state Medicaid plan.
Sec. 8. A person who reports information for the chronic disease registry under this chapter is immune from any civil or criminal liability that might otherwise be imposed because of the release of confidential information.
Sec. 9. This chapter does not prevent the release to any interested person of epidemiological information that does not identify a chronic disease patient.
Sec. 10. The state department may adopt rules under IC 4-22-2 necessary to carry out this chapter.
SECTION 4. IC 34-30-2-77.2 IS ADDED TO THE INDIANA CODE AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 77.2. IC 16-38-6-8 (concerning persons who report information to the chronic disease registry).
SECTION 5. An emergency is declared for this act.