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



Public Act 102-1091
SB4006 EnrolledLRB102 25901 CPF 35260 b
AN ACT concerning health.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Autism Spectrum Disorders Reporting Act is
amended by adding Sections 32 and 33 as follows:
(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.
(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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