Bill Text: IL SB1964 | 2023-2024 | 103rd General Assembly | Introduced

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Bill Title: Amends the Illinois Public Aid Code. Provides that effective January 1, 2024, for any program coverage benefit change or reimbursement methodology change enacted by the General Assembly or implemented through administrative rule by the Department of Healthcare and Family Services after the effective date of the amendatory Act, there shall be a 6-month implementation period resulting in an effective date which is not sooner than 6 months following the effective date of the new change by law or administrative rule, except that the change shall either have an effective date of January 1 or July 1, whichever occurs first after the end of the 6-month implementation period. Provides that the Department and all affected Medicaid managed care organizations shall publish the applicable effective date of implementation for any such benefit or reimbursement methodology change on their publicly accessible website no less than 120 days prior to the effective date of implementation. Provides that these requirements do not apply to scheduled periodic rate updates, updates required by federal regulation, or required updates published by the federal Centers for Medicare and Medicaid Services. Provides that scheduled and periodic rate updates shall be published on the Department's publicly accessible website no less than 30 days prior to the effective date of such rate updates.

Spectrum: Partisan Bill (Democrat 3-0)

Status: (Engrossed) 2024-04-15 - Chief Sponsor Changed to Sen. Don Harmon [SB1964 Detail]

Download: Illinois-2023-SB1964-Introduced.html

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103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB1964 Introduced 2/9/2023, by Sen. Ann Gillespie SYNOPSIS AS INTRODUCED:
305 ILCS 5/1-13 new
Amends the Illinois Public Aid Code. Provides that for program and reimbursement changes effective between January 1 and May 31 of each year, any program or reimbursement change under the medical assistance program, including any program for dual eligible beneficiaries, become effective on January 1 of the year following the enactment of the changes. Provides that program and rate changes under the medical assistance program, including any program for dual eligible beneficiaries, with an effective date between June 1 and December 31 of each year become effective on June 1 of the year following the enactment of the changes. Provides that such requirements are subject to federal approval and any other requirements imposed by the federal Centers for Medicare and Medicaid Services.
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A BILL FOR
SB1964 LRB103 27539 KTG 53914 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 Sections 1-13 and 1-13.1 as follows:
(305 ILCS 5/1-13 new)
Sec. 1-13. Program and reimbursement changes under the
medical assistance program.
(a) It is the purpose of this Section to improve planning
and consistency for implementation of program and
reimbursement changes under the medical assistance program. It
is critical that there is an adequate planning timeline in
order to structure changes in a way that meets the needs of
program enrollees and allow proper time to educate and consult
with impacted providers. Streamlining the dates upon which
program and reimbursement changes take effect promotes
strategic planning by the State to ensure all programs and
policies are aligned to meet the goals of the medical
assistance program. In addition, allowing time to
operationalize changes and collaborate with providers
significantly reduces provider confusion and abrasion.
(b) For program and reimbursement changes effective
between January 1 and May 31 of each year, any program or

SB1964 - 2 - LRB103 27539 KTG 53914 b
reimbursement change under the medical assistance program,
including any program for dual eligible beneficiaries, become
effective on January 1 of the year following the enactment of
the changes. Program and rate changes under the medical
assistance program, including any program for dual eligible
beneficiaries, with an effective date between June 1 and
December 31 of each year become effective on June 1 of the year
following the enactment of the changes. Requirements within
this Section are subject to federal approval and any other
requirements imposed by the federal Centers for Medicare and
Medicaid Services.