Bill Text: IL HB1351 | 2009-2010 | 96th General Assembly | Introduced

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Bill Title: Amends the Illinois Public Aid Code. Provides that beginning July 1, 2010, reimbursement for child and adult psychiatric services provided by a physician must not be lower than 90% of Medicare reimbursement in accordance with the Medicare payment localities for Illinois. Provides that beginning July 1, 2010, reimbursement for child and adult psychiatric services provided by a licensed health care professional under the Medicaid Community Mental Health Services Program must not be lower than 90% of Medicare reimbursement in accordance with Medicare payment localities for Illinois. Provides that all adjustments shall be made without lowering any rates then in effect that may be higher than the level required by these provisions. Provides that by July 2, 2010, reimbursement rules and policies shall not be more restrictive than Medicare physician payment rules and policies. Effective immediately.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2009-04-03 - Rule 19(a) / Re-referred to Rules Committee [HB1351 Detail]

Download: Illinois-2009-HB1351-Introduced.html

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96TH GENERAL ASSEMBLY State of Illinois 2009 and 2010 HB1351 Introduced 2/18/2009, by Rep. Esther Golar SYNOPSIS AS INTRODUCED:
305 ILCS 5/5-5.27 new
Amends the Illinois Public Aid Code. Provides that beginning July 1, 2010, reimbursement for child and adult psychiatric services provided by a physician must not be lower than 90% of Medicare reimbursement in accordance with the Medicare payment localities for Illinois. Provides that beginning July 1, 2010, reimbursement for child and adult psychiatric services provided by a licensed health care professional under the Medicaid Community Mental Health Services Program must not be lower than 90% of Medicare reimbursement in accordance with Medicare payment localities for Illinois. Provides that all adjustments shall be made without lowering any rates then in effect that may be higher than the level required by these provisions. Provides that by July 2, 2010, reimbursement rules and policies shall not be more restrictive than Medicare physician payment rules and policies. Effective immediately.
LRB096 08427 DRJ 18540 b
FISCAL NOTE ACT MAY APPLY
A BILL FOR
HB1351 LRB096 08427 DRJ 18540 b
AN ACT concerning public aid.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Illinois Public Aid Code is amended by
adding Section 5-5.27 as follows:
(305 ILCS 5/5-5.27 new)
Sec. 5-5.27. Psychiatric services rates.
(a) Notwithstanding any other provision of this Article,
beginning July 1, 2010, reimbursement for child and adult
psychiatric services provided by a physician must not be lower
than 90% of Medicare reimbursement in accordance with the
Medicare payment localities for Illinois. All adjustments
shall be made without lowering any rates then in effect that
may be higher than the level required by this Section. By July
2, 2010, reimbursement rules and policies shall not be more
restrictive than Medicare physician payment rules and
policies.
(b) Notwithstanding any other provision of this Article,
beginning July 1, 2010, reimbursement for child and adult
psychiatric services provided by a licensed health care
professional under the Medicaid Community Mental Health
Services Program under 59 Ill. Adm. Code 132 must not be lower
than 90% of Medicare reimbursement in accordance with Medicare

HB1351 - 2 - LRB096 08427 DRJ 18540 b
payment localities for Illinois. All adjustments shall be made
without lowering any rates then in effect that may be higher
than the level required by this Section. By July 2, 2010,
reimbursement rules and policies shall not be more restrictive
than Medicare physician payment rules and policies.
(c) For purposes of this Section:
"Licensed health care professional" includes licensed
clinicians, mental health professionals, qualified mental
health professionals, and rehabilitative services associates
as defined under the Medicaid Community Mental Health Services
Program under 59 Ill. Adm. Code 132.25.
"Physician" means a physician as defined in Section 1-120
of the Mental Health and Developmental Disabilities Code.
Section 99. Effective date. This Act takes effect upon
becoming law.