Rep. Monica Bristow
Filed: 4/2/2019
 
 

 

 

 
10100HB3471ham002LRB101 10551 AMC 58580 a



1
AMENDMENT TO HOUSE BILL 3471 




2    AMENDMENT NO. ______. Amend House Bill 3471, on page 1, 
3immediately below line 12, by inserting the following:


 
4    "Section 10. The Illinois Public Aid Code is amended  by 
5changing Section 5-16.8 as follows:
 


6    (305 ILCS 5/5-16.8)



7    Sec. 5-16.8. Required health benefits. The medical 
8assistance program
shall
(i) provide the post-mastectomy care 
9benefits required to be covered by a policy of
accident and 
10health insurance under Section 356t and the coverage required

11under Sections 356g.5, 356u, 356w, 356x, 356z.6, 356z.26, and 
12356z.29, 356z.32, and 356z.33 of the Illinois
Insurance Code 
13and (ii) be subject to the provisions of Sections 356z.19, 
14364.01, 370c, and 370c.1 of the Illinois
Insurance Code.

15    On and after July 1, 2012, the Department shall reduce any 
16rate of reimbursement for services or other payments or alter 
 
 
10100HB3471ham002- 2 -LRB101 10551 AMC 58580 a

1any methodologies authorized by this Code to reduce any rate of 
2reimbursement for services or other payments in accordance with 
3Section 5-5e. 
4    To ensure full access to the benefits set forth in this 
5Section, on and after January 1, 2016, the Department shall 
6ensure that provider and hospital reimbursement  for 
7post-mastectomy care benefits required under this Section are 
8no lower than the Medicare reimbursement rate. 
9(Source: P.A. 99-433, eff. 8-21-15; 99-480, eff. 9-9-15; 
1099-642, eff. 7-28-16; 100-138, eff. 8-18-17; 100-863, eff. 
118-14-18; 100-1057, eff. 1-1-19; 100-1102, eff. 1-1-19; revised 
1210-4-18.)".