IL SB3910 | 2023-2024 | 103rd General Assembly

Status

Spectrum: Partisan Bill (Democrat 1-0)
Status: Introduced on March 7 2024 - 25% progression
Action: 2024-04-15 - Chief Sponsor Changed to Sen. Don Harmon
Pending: Senate Assignments Committee
Text: Latest bill text (Introduced) [HTML]

Summary

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that coverage for custom prosthetic and orthotic devices under the fee-for-service medical assistance program and under any Medicaid managed care plan shall be no less favorable than the terms and conditions that apply to substantially all medical and surgical benefits provided under the fee-for-service medical assistance program or the Medicaid managed care plan. Requires the Department of Healthcare and Family Services to increase the current 2024 Medicaid rate by 21% with staggered 7% increases on January 1, 2025, January 1, 2026, and January 1, 2027 under the fee-for-service medical assistance program for custom prosthetic and orthotic devices. Requires the Department to ensure that all Medicaid managed care plans comply with the network adequacy requirements for custom prosthetic, custom orthotic devices, and custom cranial remolding orthotic device services. Provides that the Department and contracted managed care organizations must comply with the Orthotics, Prosthetics, and Pedorthics Practice Act when making payments for custom orthotic and custom prosthetic devices.

Tracking Information

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Title

MEDICAID-PROSTHETIC DEVICES

Sponsors


History

DateChamberAction
2024-04-15SenateChief Sponsor Changed to Sen. Don Harmon
2024-03-07SenateReferred to Assignments
2024-03-07SenateFirst Reading
2024-03-07SenateFiled with Secretary by Sen. Ann Gillespie

Code Citations

ChapterArticleSectionCitation TypeStatute Text
30555-52New CodeSee Bill Text

Illinois State Sources


Bill Comments

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