DHS STUDY-MEDICAL DEVICES COST

Illinois General Assembly - Full Text of SJR0049

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Full Text of SJR0049

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SJR0049 - 104th General Assembly

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SJ0049
LRB104 20142 MST 33593 r
1
SENATE JOINT RESOLUTION

2

WHEREAS, As the result of developing technology, an
3
increasing number of medical devices are available and
4
necessary to promote preventive care and longevity among
5
Illinois residents; and

6

WHEREAS, An increasing number of such devices, if
7
available, can prevent further medical issues and dramatically
8
improve the quality of life for Illinois residents relative to
9
a host of medical conditions, including heart disease,
10
musculoskeletal disorders, degenerative disc disease, vascular
11
disease, hydrocephalus, hernia, and diabetes; and

12

WHEREAS, The potential positive effects of access to
13
procedures with medical devices and implants are particularly
14
pronounced for residents who are African Americans, Latinos,
15
women, and of lower income, who experience barriers to
16
accessing care; and

17

WHEREAS, General data, hospital-specific data, studies,
18
and anecdotal evidence demonstrate that the prices that
19
manufacturers charge some hospitals for certain medical
20
devices are rising at excessive rates, and that the prices far
21
outstrip the reimbursement payments that hospitals receive in
22
actually implanting those medical devices, including such

SJ0049
- 2 -
LRB104 20142 MST 33593 r
1
medical devices as necessary for knee anthroplasty, shunt
2
revision, lumbar fusion, and ACL reconstruction; and

3

WHEREAS, As a result of this structural financial
4
imbalance in which the price charged for a device by
5
manufacturers far exceeds the payments received by healthcare
6
providers for implanting it, patient access is often limited,
7
and they are therefore deprived of the potential benefits of
8
such devices contributing to health disparities; and

9

WHEREAS, To promote healthcare access and equity for all
10
patients, certain hospitals, including non-profit safety net
11
hospitals, struggle to provide certain medical devices to
12
patients at significant financial cost to the hospitals
13
themselves, which severely impacts their bottom line and their
14
ability to serve their communities in other ways; and

15

WHEREAS, To promote the health and quality of life for
16
Illinois residents, including those who are underserved among
17
the African American, Latino, women, seniors and lower-income
18
population, it is essential that the State develop and
19
establish one or more programs to curb the price that
20
manufacturers charge certain hospitals for certain medical
21
devices; therefore, be it

22

RESOLVED, BY THE SENATE OF THE ONE HUNDRED FOURTH GENERAL

SJ0049
- 3 -
LRB104 20142 MST 33593 r
1
ASSEMBLY OF THE STATE OF ILLINOIS, THE HOUSE OF
2
REPRESENTATIVES CONCURRING HEREIN, that the Director of the
3
Department of Healthcare and Family Services is urged to
4
consult with nonprofit safety net hospitals, including those
5
in Chicago Community Area No. 33 (Near South Side), and craft a
6
report for the General Assembly in which the Director
7
recommends:
8

(1) Particular patient medical devices that will be
9

covered by a future state program that will curb prices
10

paid for medical procedures by patients who are served by
11

nonprofit safety net hospitals, including but not limited
12

to pedicle screws, interference screws, interbody cages,
13

surgical meshes, artificial knees, shunts, and artificial
14

hips;
15

(2) The time, manner, and conditions in which the
16

categories of the particular covered patient medical
17

devices may be expanded;
18

(3) The ceiling price payable for each identified
19

patient medical device by any Illinois nonprofit safety
20

net hospital;
21

(4) The time, manner, and conditions in which each
22

ceiling price may be adjusted upward or downward by the
23

Department in future years; and
24

(5) Any legislation as may be necessary or advisable
25

to establish the future state program; and be it further

SJ0049
- 4 -
LRB104 20142 MST 33593 r
1

RESOLVED, That a suitable copy of this resolution be
2
delivered to the Director of the Department of Healthcare and
3
Family Services.

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