HB1408ham001 102ND GENERAL ASSEMBLY

Rep. Lamont J. Robinson, Jr.

Filed: 3/22/2022

10200HB1408ham001 LRB102 03424 KTG 37759 a

AMENDMENT TO HOUSE BILL 1408

AMENDMENT NO. ______. Amend House Bill 1408 by replacing everything after the enacting clause with the following:

"Section 5. The Illinois Public Aid Code is amended by adding Sections 5-45 and 5F-50 as follows:

(305 ILCS 5/5-45 new)

Sec. 5-45. Complex rehabilitation technology products; fee schedule; billing modifier; repair coverage.

(a) The Department shall update its fee schedule for complex rehabilitation technology products and associated services to 100% of Medicare (2022) rural rates for such products and services.

(b) Notwithstanding any other provision of law, for claims submitted by providers of complex rehabilitation technology products and associated services the Department shall implement use of the "KU" modifier and associated Medicare payment rates in accordance with Section 106 of Subtitle A of Title I of Division N of the Further Consolidated Appropriations Act, 2020 (Public Law 116-94).

(c) Notwithstanding any other provision of law, the Department shall reimburse providers of complex rehabilitation technology services and associated services for the full amount of time required to complete any repairs made to any device or equipment authorized by the Department for a recipient of medical assistance.

(305 ILCS 5/5F-50 new)

Sec. 5F-50. Health equity. The Department shall ensure that entities selected to participate in the Medicare-Medicaid Alignment Initiative Demonstration Project include managed care organizations that:

(1) help resolve the gap in health equity;

(2) are minority-led and entrust patient care to providers who are connected to the communities they serve;

(3) are headquartered in Illinois, support homegrown businesses, and keep innovation and economic opportunity within Illinois;

(4) have a representation of Black or Hispanic staff members that is 50% or greater and create new jobs and spur economic activity in marginalized minority communities;

(5) are disproportionately serving the needs of marginalized minority and low-income Medicare beneficiaries with:

(i) a representation of Black or Hispanic Medicare members that is 50% or greater; and

(ii) a representation of Low-Income Subsidy Medicare members that is 50% or greater; and

(6) have made an impact around at least 3 of the 6 high-impact priority areas listed in the Centers for Medicare and Medicaid Services' Equity Plan For Improving Quality in Medicare (September 2015):

(i) PRIORITY 1: Expand the collection, reporting, and analysis of standardized data.

(ii) PRIORITY 2: Evaluate disparities impacts and integrate equity solutions across CMS programs.

(iii) PRIORITY 3: Develop and disseminate promising approaches to reduce health disparities.

(iv) PRIORITY 4: Increase the ability of the health care workforce to meet the needs of vulnerable populations.

(v) PRIORITY 5: Improve communication and language access for individuals with limited English proficiency and persons with disabilities.

(vi) PRIORITY 6: Increase physical accessibility of health care facilities.".