Illinois House Bill 315 (Prior Session Legislation)

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Spectrum: Slight Partisan Bill (Democrat 3-1)
Status: Introduced on January 10 2019 - 25% progression, died in committee
Action: 2019-03-29 - Rule 19(a) / Re-referred to Rules Committee
Pending: House Rules Committee
Text: Latest bill text (Introduced) [HTML]

Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to establish, by rule, minimum quality standards for providers of medical supplies, equipment, and related services applicable to contracted managed care organizations for all services rendered to MCO enrollees. Requires the minimum quality standards to be based upon recognized national standards promulgated by national bodies and by the Centers for Medicare and Medicaid Services. Requires the Department to set a rate of reimbursement payable by contracted managed care organizations to contracted, in-network providers of medical supplies, equipment, and related services at the default rate of reimbursement paid under the Illinois Medicaid fee-for-service program methodology for such medical supplies, equipment, and related services in effect as of June 30, 2017. Requires contracted managed care organizations to offer a reimbursement rate to contracted, in-network providers of medical supplies, equipment, and related services at not less than 90% of the default rate of reimbursement paid under the Illinois Medicaid fee-for-service program methodology, including all policy adjusters, for such medical supplies, equipment, and related services of similar quality. Provides that these provisions shall not be construed to allow the Department or its contracted MCOs to enter into sole source contracts for the provision of durable medical equipment, supplies, or related services to Medicaid beneficiaries and Medicaid managed care enrollees. Effective immediately.

DURABLE MEDICAL SUPPLIES-RATES

Rep. Robyn Gabel [D]

Rep. Gregory Harris [D]

Rep. David McSweeney [R]

Rep. Jonathan Carroll [D]

Date	Chamber	Action
2019-03-29	House	Rule 19(a) / Re-referred to Rules Committee
2019-03-22	House	To Wages & Rates Subcommittee
2019-03-08	House	Added Chief Co-Sponsor Rep. David McSweeney
2019-03-08	House	Remove Chief Co-Sponsor Rep. Robyn Gabel
2019-03-08	House	Chief Sponsor Changed to Rep. Robyn Gabel
2019-02-07	House	Added Chief Co-Sponsor Rep. Robyn Gabel
2019-02-05	House	Assigned to Appropriations-Human Services Committee
2019-01-31	House	Removed Co-Sponsor Rep. Tony McCombie
2019-01-31	House	Added Co-Sponsor Rep. Tony McCombie
2019-01-23	House	Added Co-Sponsor Rep. Jonathan Carroll
2019-01-15	House	Added Chief Co-Sponsor Rep. Gregory Harris
2019-01-10	House	Referred to Rules Committee
2019-01-10	House	First Reading
2019-01-10	House	Filed with the Clerk by Rep. David McSweeney

Chapter	Article	Section	Citation Type	Statute Text
305	5	5-30.1	Amended Code	Citation Text

Type	Source
Summary	https://www.ilga.gov/legislation/BillStatus.asp?DocNum=315&GAID=15&DocTypeID=HB&SessionID=108&GA=101
Text	https://www.ilga.gov/legislation/101/HB/10100HB0315.htm