Illinois House Bill 5930 (Prior Session Legislation)

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Completed Legislative Action
Spectrum: Moderate Partisan Bill (Democrat 5-1)
Status: Failed on January 8 2019 - 100% progression
Action: 2019-01-08 - Session Sine Die
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. David McSweeney [R]	Rep. Stephanie Kifowit [D]	Rep. Fred Crespo [D]	Rep. Gregory Harris [D]
Rep. Robyn Gabel [D]	Rep. Juliana Stratton [D]

Date	Chamber	Action
2019-01-08	House	Session Sine Die
2018-11-07	House	Referred to Rules Committee
2018-11-07	House	First Reading
2018-08-30	House	Added Co-Sponsor Rep. Juliana Stratton
2018-08-06	House	Added Co-Sponsor Rep. Robyn Gabel
2018-07-26	House	Chief Co-Sponsor Changed to Rep. Fred Crespo
2018-07-26	House	Chief Co-Sponsor Changed to Rep. Stephanie A. Kifowit
2018-07-26	House	Added Chief Co-Sponsor Rep. Fred Crespo
2018-07-26	House	Added Chief Co-Sponsor Rep. Stephanie A. Kifowit
2018-07-17	House	Chief Co-Sponsor Rep. Gregory Harris
2018-07-17	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=5930&GAID=14&DocTypeID=HB&SessionID=91&GA=100
Text	https://www.ilga.gov/legislation/100/HB/10000HB5930.htm