Bill Text: IL SB1928 | 2011-2012 | 97th General Assembly | Introduced
Bill Title: Amends the Illinois Public Aid Code. Makes a technical change in a Section regarding ambulance service payments. Effective immediately.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Failed) 2013-01-08 - Session Sine Die [SB1928 Detail]
Download: Illinois-2011-SB1928-Introduced.html
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| 1 | AN ACT concerning public aid.
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| 2 | Be it enacted by the People of the State of Illinois,
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| 3 | represented in the General Assembly:
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| 4 | Section 5. The Illinois Public Aid Code is amended by | |||||||||||||||||||
| 5 | changing Section 5-4.2 as follows:
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| 6 | (305 ILCS 5/5-4.2) (from Ch. 23, par. 5-4.2)
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| 7 | Sec. 5-4.2. Ambulance services payments. For
ambulance
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| 8 | services provided to a recipient of aid under this this Article | |||||||||||||||||||
| 9 | on or after
January 1, 1993, the Illinois Department shall | |||||||||||||||||||
| 10 | reimburse ambulance service
providers at rates calculated in | |||||||||||||||||||
| 11 | accordance with this Section. It is the intent
of the General | |||||||||||||||||||
| 12 | Assembly to provide adequate reimbursement for ambulance
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| 13 | services so as to ensure adequate access to services for | |||||||||||||||||||
| 14 | recipients of aid
under this Article and to provide appropriate | |||||||||||||||||||
| 15 | incentives to ambulance service
providers to provide services | |||||||||||||||||||
| 16 | in an efficient and cost-effective manner. Thus,
it is the | |||||||||||||||||||
| 17 | intent of the General Assembly that the Illinois Department | |||||||||||||||||||
| 18 | implement
a reimbursement system for ambulance services that, | |||||||||||||||||||
| 19 | to the extent practicable
and subject to the availability of | |||||||||||||||||||
| 20 | funds appropriated by the General Assembly
for this purpose, is | |||||||||||||||||||
| 21 | consistent with the payment principles of Medicare. To
ensure | |||||||||||||||||||
| 22 | uniformity between the payment principles of Medicare and | |||||||||||||||||||
| 23 | Medicaid, the
Illinois Department shall follow, to the extent | |||||||||||||||||||
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| 1 | necessary and practicable and
subject to the availability of | ||||||
| 2 | funds appropriated by the General Assembly for
this purpose, | ||||||
| 3 | the statutes, laws, regulations, policies, procedures,
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| 4 | principles, definitions, guidelines, and manuals used to | ||||||
| 5 | determine the amounts
paid to ambulance service providers under | ||||||
| 6 | Title XVIII of the Social Security
Act (Medicare).
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| 7 | For ambulance services provided to a recipient of aid under | ||||||
| 8 | this Article
on or after January 1, 1996, the Illinois | ||||||
| 9 | Department shall reimburse ambulance
service providers based | ||||||
| 10 | upon the actual distance traveled if a natural
disaster, | ||||||
| 11 | weather conditions, road repairs, or traffic congestion | ||||||
| 12 | necessitates
the use of a
route other than the most direct | ||||||
| 13 | route.
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| 14 | For purposes of this Section, "ambulance services" | ||||||
| 15 | includes medical
transportation services provided by means of | ||||||
| 16 | an ambulance, medi-car, service
car, or
taxi.
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| 17 | This Section does not prohibit separate billing by | ||||||
| 18 | ambulance service
providers for oxygen furnished while | ||||||
| 19 | providing advanced life support
services.
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| 20 | Beginning with services rendered on or after July 1, 2008, | ||||||
| 21 | all providers of non-emergency medi-car and service car | ||||||
| 22 | transportation must certify that the driver and employee | ||||||
| 23 | attendant, as applicable, have completed a safety program | ||||||
| 24 | approved by the Department to protect both the patient and the | ||||||
| 25 | driver, prior to transporting a patient.
The provider must | ||||||
| 26 | maintain this certification in its records. The provider shall | ||||||
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| 1 | produce such documentation upon demand by the Department or its | ||||||
| 2 | representative. Failure to produce documentation of such | ||||||
| 3 | training shall result in recovery of any payments made by the | ||||||
| 4 | Department for services rendered by a non-certified driver or | ||||||
| 5 | employee attendant. Medi-car and service car providers must | ||||||
| 6 | maintain legible documentation in their records of the driver | ||||||
| 7 | and, as applicable, employee attendant that actually | ||||||
| 8 | transported the patient. Providers must recertify all drivers | ||||||
| 9 | and employee attendants every 3 years.
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| 10 | Notwithstanding the requirements above, any public | ||||||
| 11 | transportation provider of medi-car and service car | ||||||
| 12 | transportation that receives federal funding under 49 U.S.C. | ||||||
| 13 | 5307 and 5311 need not certify its drivers and employee | ||||||
| 14 | attendants under this Section, since safety training is already | ||||||
| 15 | federally mandated.
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| 16 | (Source: P.A. 95-501, eff. 8-28-07.)
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| 17 | Section 99. Effective date. This Act takes effect upon | ||||||
| 18 | becoming law.
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