Bill Text: IL SB4006 | 2021-2022 | 102nd General Assembly | Chaptered
Bill Title: Amends the Autism Spectrum Disorders Reporting Act. Provides that, by no later than December 31 of each year, covering the State fiscal year immediately preceding that date, the Department of Healthcare and Family Services shall submit a report to the General Assembly regarding access to applied behavior analysis therapy for persons diagnosed with autism spectrum disorder. Requires the report to include specified information. Requires the Department of Public Health to develop and distribute education and outreach materials, developed to address common literacy levels, that will inform and educate parents of children with autism spectrum disorder who are enrolled in Medicaid and eligible to receive relevant services and explain how to access those services.
Spectrum: Strong Partisan Bill (Democrat 11-1)
Status: (Passed) 2022-06-10 - Public Act . . . . . . . . . 102-1091 [SB4006 Detail]
Download: Illinois-2021-SB4006-Chaptered.html
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Public Act 102-1091 | ||||
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AN ACT concerning health.
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Be it enacted by the People of the State of Illinois,
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represented in the General Assembly:
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Section 5. The Autism Spectrum Disorders Reporting Act is | ||||
amended by adding Sections 32 and 33 as follows:
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(410 ILCS 201/32 new) | ||||
Sec. 32. Reporting; access to applied behavior analysis. | ||||
By no later than December 31 of each year the Department of | ||||
Healthcare and Family Services (HFS) shall submit a report, | ||||
covering the State fiscal year immediately preceding that | ||||
date, to the General Assembly regarding access to applied | ||||
behavior analysis therapy for persons diagnosed with autism | ||||
spectrum disorder. The report shall include, but is not | ||||
limited to, the following information: | ||||
(1) The number of providers enrolled in the Illinois | ||||
Medical Assistance Program certified to provide applied | ||||
behavioral analysis therapy services in the Department of | ||||
Healthcare and Family Services' fee-for-service or managed | ||||
care service delivery system, in accordance with | ||||
administrative rule and Department of Healthcare and | ||||
Family Services policy. | ||||
(2) The number of HFS-enrolled children in Illinois | ||||
with an autism spectrum disorder diagnosis receiving |
applied behavior analysis therapy services pursuant to the | ||
Department of Healthcare and Family Services' | ||
fee-for-service or managed care service delivery system. | ||
(3) Subject to data availability, the number of | ||
HFS-enrolled children with an autism spectrum disorder | ||
diagnosis for whom applied behavioral analysis therapy | ||
services have been recommended or requested, but who are | ||
not receiving applied behavioral analysis therapy | ||
services. | ||
(4) Subject to data availability for HFS-enrolled | ||
children in Illinois with an autism spectrum disorder | ||
diagnosis, the number of prior authorization service | ||
denials for applied behavioral analysis therapy services | ||
and the number of appeals resulting from those denials for | ||
applied behavioral analysis therapy services. | ||
(5) Recommendations on improving applied behavioral | ||
analysis therapy provider network adequacy and enrollee | ||
access.
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(410 ILCS 201/33 new) | ||
Sec. 33. Education and outreach materials; autism spectrum | ||
disorder. The Department shall develop and distribute | ||
education and outreach materials, developed to address common | ||
literacy levels, that will inform and educate parents of | ||
children with autism spectrum disorder who are enrolled in | ||
Medicaid and eligible to receive relevant services and explain |
how to access those services.
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