IL SB0254 | 2021-2022 | 102nd General Assembly

Status

Spectrum: Partisan Bill (Democrat 2-0)
Status: Introduced on February 17 2021 - 25% progression, died in committee
Action: 2021-04-30 - Rule 2-10 Committee/3rd Reading Deadline Established As May 7, 2021
Pending: Senate Assignments Committee
Text: Latest bill text (Introduced) [HTML]

Summary

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that beginning July 1, 2021, to receive the additional Long-Acting Injectable for Mental Health or Addiction Medicaid payment, a hospital shall submit a separate professional claim specifying "place of service 21 – Inpatient Hospital". Provides that the professional claim shall include the hospital as the billing provider and list the practitioner performing the procedure as the rendering provider. Requires the hospital to use the appropriate Healthcare Common Procedure Coding System Level II procedure code and the National Drug Code. Requires facilities participating in the federal 340B Drug Pricing Program to continue to bill the 340B actual acquisition cost for the medication. Provides that long-acting injectable medications for mental health or addiction shall not be subject to prior authorization under the medical assistance program or under any Medicaid managed-care plans when initiated at an inpatient hospital setting or when continued at an outpatient treatment facility. Effective July 1, 2021.

Tracking Information

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Title

MEDICAID-HOSPITAL PAYMENTS

Sponsors


History

DateChamberAction
2021-04-30SenateRule 2-10 Committee/3rd Reading Deadline Established As May 7, 2021
2021-04-29SenateAdded as Chief Co-Sponsor Sen. Sara Feigenholtz
2021-04-16SenateRule 3-9(a) / Re-referred to Assignments
2021-03-03SenateTo Appropriations- Health
2021-03-03SenateAssigned to Appropriations
2021-02-17SenateReferred to Assignments
2021-02-17SenateFirst Reading
2021-02-17SenateFiled with Secretary by Sen. Michael E. Hastings

Code Citations

ChapterArticleSectionCitation TypeStatute Text
30555-5.4kNew CodeSee Bill Text

Illinois State Sources


Bill Comments

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