HEALTH POLICY FORMULATION:
THE LEGISLATIVE AND REGULATORY PROCESSES IN ILLINOIS
This elective is designed to enable
students to develop an understanding of health policy formulation
in Illinois with emphasis on the nature and scope of both the legislative
and regulatory processes. Students will be involved in reviewing
proposed legislation and regulations having impact upon the development
of health policy and the practice of medicine in Illinois.
Students will interact with the Illinois General Assembly and will
attend committee hearings and other proceedings of the Illinois
General Assembly with a view toward obtaining insights into the
legislative process. In situations where interest groups are
attempting to influence legislation affecting health policy, students
will interact with members of these groups to explore and evaluate
Learning experiences also will
include interaction with regulatory personnel at state agencies
having jurisdiction over medical practice, health care delivery,
public health, and health welfare programs. Students will
be afforded the opportunity to evaluate proposed regulations and
to examine the assessment by the Joint Committee on Administrative
During the course of the elective,
students will undertake sophisticated analysis of proposed health
laws and regulations. Students also will attend seminars,
lectures and tutorials with state agency regulatory personnel, General
Assembly members and staff, and teaching faculty. In addition,
students will be responsible for completing assigned readings describing
the legislative and regulatory processes in Illinois as well as
for maintaining a log book in which daily learning experiences are
As a result of participation in
- Students will be able to describe the legislative
process in Illinois with emphasis on the manner in which health
policy is developed through enactment of state laws.
a. Students will describe the role of legislative
committees and subcommittees and the involvement of these committees
in the legislative process.
b. Students will describe the role of legislative
sponsors in conceptualizing and advocating enactment of sponsored
c. Students will explore the nature of interaction
between legislators and representatives on interest groups relative
to the development of state laws affecting health policy.
d. Students will delineate the role and responsibilities
of legislative and committee staff persons in the overall legislative
- Students will demonstrate an understanding
of the regulatory process in state agencies having jurisdiction
over medical practice, health care delivery, public health,
and health welfare programs.
a. Students will delineate the manner in which
agency regulatory professionals develop regulations, seeking
input from appropriate constituencies.
b. Students will explain the manner in which
comments are solicited, evaluated and utilized by agency regulatory
personnel to revise proposed regulations.
c. Students will describe the applicability
of the rule-making provisions of the Illinois Administrative
Procedure Act including the role of the Joint Committee on Administrative
- Based upon awareness of the legislative
and regulatory process, students will critically analyze specific
legislative and regulatory proposals and develop coherent arguments
in support of or against the proposals as they bear upon the
development of health policy in Illinois.
- Students will describe the nature and extent
of the physician's role in the legislative and regulatory process,
giving examples of how physicians may impact health policy development.
a. Students will describe the role of organized
medicine in this context.
b. Students will describe the role of other
interest groups in this context.
- Using the textbook entitled Administrative
Rulemaking in Illinois: A Handbook for Rulemakers and Practitioners
(2nd edition, 1990), and selected articles, students will discuss
assigned readings with elective faculty in a tutorial setting.
Evaluation will be based upon student
participation in learning activities involving the legislative and
regulatory process in Illinois. Student oral presentations
regarding analyses of proposed health legislation and regulations
also will be evaluated. Student participation in tutorial
discussions based upon assigned readings will be evaluated and students
will be required to pass an end of elective written examination
based on assigned readings.