Medicaid Legislation - Illinois

HEALTH CARE FOR ALL-TECH Creates the Illinois Health Care For All Act. Contains only the short title provision. Senate Floor Amendment No. 1 Adds reference to: 35 ILCS 5/917from Ch. 120, par. 9-917215 ILCS 106/40305 ILCS 5/1-11305 ILCS 5/5-2from Ch. 23,[...]

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MEDICAID-PSYCHIATRIC SERVICES Amends the Illinois Public Aid Code. Provides that under the Medicaid program, the Department of Healthcare and Family Services shall reimburse psychiatrists for mental health services they provide, as authorized by Illinois law, to recipients via telepsychiatry. Requires the Department to adopt rules establishing a method to reimburse providers for mental health services provided by telepsychiatry. Provides that the reimbursement methodology for mental health services provided by telemedicine shall be comparable to the reimbursement methodology used by the Department for other services provided by telemedicine. Effective immediately. House Amendment No. 1 Replaces everything after the enacting clause with provisions similar to those of the bill, amending the Illinois Public Aid Code, but with changes that include the following: (1) provides for reimbursement of federally qualified health centers as defined in the Social Security [...]

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DHS-DISABILITY-MEDICAID-AUTISM Amends the Department of Human Services Act and the Illinois Public Aid Code. Provides that, for purposes of the Department of Human Services' disability database, "developmental disabilities" include autism spectrum disorders. In connection with Medicaid, provides that a person diagnosed with an autism spectrum disorder shall be considered a person with a "developmental disability" or a "person with a related condition" for purposes of determining eligibility for services under Home and Community-Based Services Waivers for persons with developmental disabilities, without regard to whether that person is also diagnosed with mental retardation and without regard to that person's IQ level, so long as the person otherwise meets applicable level-of-care criteria under those waivers. Effective immediately. Senate Floor Amendment No. 1 Deletes reference to:

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PHARM DISCOUNT PRESCRIP DRUGS Creates the Pharmaceutical Best Price Buying Initiative Act and amends the Freedom of Information Act and the Illinois Public Aid Code. Creates the Pharmaceutical Best Price Buying Initiative Program. Requires the Department of Healthcare and Family Services to negotiate prescription drug discount agreements with drug manufacturers to provide discounts for drugs purchased by pharmacies and drug wholesalers participating in the program. Provides discount benchmarks. Provides that any drug manufacturer, and any individual or entity licensed under the Pharmacy Practice Act of 1987 or the Wholesale Drug Distribution Licensing Act, may participate in the program. Sets forth terms that must be included in the agreements, including provisions for rebates to participating pharmacies and drug wholesalers. Requires the Department to establish the procedures and enabling mechanisms for a program participant to obtain rebates from a prescription drug manufacturer.[...]

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AMBULAT SURG TREAT CNTR-LICENS Amends the Ambulatory Surgical Treatment Center Act. Provides that on and after the effective date of this amendatory Act, no license shall be granted or renewed under the Ambulatory Surgical Treatment Center Act until the applicant seeking the license submits to the Department of Public Health, and the Department approves, a plan for the service of medically underserved populations that details for each of the facility's next 5 years of operation (i) the proportion of its total projected patients in the categories of indigent and Medicaid recipients and (ii) how the facility will serve those patients. Requires the Department to adopt rules for implementing the requirement of a plan for the service of medically underserved populations, including the development of appropriate minimum proportions of facility patients in the categories of indigent and Medicaid recipients. Effective immediately. Senate Floor Amendment No. 1 Replaces [...]

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KIDCARE-MEDICAID-MANAGED CARE Amends the Children's Health Insurance Program Act and the Illinois Public Aid Code. Under the Children's Health Insurance Program, (i) provides for eligibility for children whose household income is at or below 300% (instead of 200%) of the federal poverty level and (ii) increases the income threshold in connection with eligibility under an approved waiver. Provides that on and after July 1, 2008, the Department of Healthcare and Family services shall implement a capitated managed care system for selected populations of persons persons under the Children's Health Insurance Program and the Medicaid program. Provides that under such a system, the State shall pay a fixed amount per individual per month to a third-party entity to manage the program of health care benefits and assume the risk associated with the payment of medical bills without regard to actual medical claims incurred. Provides that the Department shall implement the system in a manner [...]

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IDPH-HFS-DHS-MS HOME SERVICES Amends the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois and the Illinois Public Aid Code. Requires the Department of Public Health (IDPH), subject to appropriation, to establish a program of services for persons with multiple sclerosis (MS) to help those persons stay in their homes and out of institutions. Provides that to be eligible for the program, a person must have applied for benefits under the Department of Human Services' Home Services Program (HSP) and must have been determined ineligible for that program because his or her retirement or life insurance assets exceeded the applicable limits. Provides for an asset limit of $17,500 for the IDPH program but exempts retirement or life insurance assets up to $500,000. Requires the Department of Healthcare and Family Services to apply for a federal waiver for Medicaid eligibility for HSP services for persons with MS who are over age 60 and who have [...]

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$SUPP-MEDICAL EXP-EXTENSION Amends Public Act 95-348, which made appropriations for FY2008, by repealing several Articles and Sections. Makes appropriations from GRF to the Comptroller to pay outstanding vouchers related to medical expenses. Makes appropriations to the Secretary of State for soil and water conservation grants. Makes appropriations to the University of Illinois for the State Cooperative Extension Service. Effective immediately.  Judicial Note (Admin. Office of the Ill. Courts) Would neither increase nor decrease the number of judges needed in the State.  Fiscal Note (Office of the Secretary of State) The fiscal impact is unknown at this time, but this bill would [...]

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DHFS-FAMILYCARE-ELIGIBILITY Amends the Children's Health Insurance Program Act. Provides that for purposes of the "FamilyCare" program under the Act, a caretaker relative, including a pregnant woman or her spouse if living together, who is 19 years of age or older qualifies for medical assistance if certain conditions are met, including conditions relating to (i) disenrollment for Medicaid or benefits under the Children's Health Insurance Program Act or the Covering ALL KIDS Health Insurance Act or (ii) the availability of affordable health insurance to the individual. Provides that for the purpose of determining eligibility under these provisions, the Department of Healthcare and Family Services shall disregard income in an amount equal to the difference between 133% and 400% of the Federal Poverty Level Guidelines for the appropriate family size. Sets forth provisions concerning the commencement of eligibility. Requires that eligibility be reviewed annually. Provides for monthly [...]

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REPROD JUSTICE & ACCESS ACT Creates the Reproductive Justice and Access Act. Provides that the State or any municipality, political subdivision, or other governmental unit or agency shall not: (1) deny or interfere with an individual's right to use or refuse contraception; (2) deny or interfere with a pregnant woman's right to bear a child; (3) deny or interfere with a pregnant woman's right to terminate a pregnancy: (i) prior to the viability of the fetus or (ii) when the termination of pregnancy is necessary to protect the life or health of the pregnant woman; or (4) require any woman to terminate pregnancy without her consent. Provides that party aggrieved by conduct that violates the Act may bring a civil lawsuit in a State circuit court or as a supplemental claim in a federal district court against the offending unit of government. Provides that the State shall ensure that individuals eligible for State medicaid assistance, or other State medical assistance, receive financial [...]

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MEDICAID-AMBULANCE SERVICES Amends the Illinois Public Aid Code. Replaces the provisions concerning medical assistance payments for ambulance services. Provides that for ambulance services provided to a recipient of medical assistance on or after July 1, 2008, the Department of Healthcare and Family Services shall reimburse ambulance service providers for base charges and mileage charges based upon the lesser of the provider's charge, as reflected on the provider's claim form, or the Illinois Medicaid Ambulance Fee Schedule rate calculated in accordance with the provisions set forth in the bill. Provides that the requirement of payment by the Department for ground ambulance services is deemed to be met if the services are provided pursuant to a request for evaluation, treatment, and transport from an individual with a condition of such a nature that a prudent layperson would have reasonably expected that a delay in seeking immediate medical attention would have been hazardous [...]

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