Bill Status of HB 5331   96th General Assembly

Short Description:  MEDICAID-AMBULANCE SRVCS RATES

House Sponsors
Rep. Dan Reitz-Dennis M. Reboletti-Thomas Holbrook, Randy Ramey, Jr., Franco Coladipietro, Patrick J. Verschoore, Dan Brady, Brandon W. Phelps, John E. Bradley and Eddie Lee Jackson, Sr.

Senate Sponsors
(Sen. John M. Sullivan-David Luechtefeld, Martin A. Sandoval-Pamela J. Althoff and Donne E. Trotter)


Last Action  View All Actions

DateChamber Action
  1/11/2011HouseSession Sine Die

Statutes Amended In Order of Appearance
305 ILCS 5/5-4.2from Ch. 23, par. 5-4.2

Synopsis As Introduced
Amends the Illinois Public Aid Code. Provides formulas for Medicaid reimbursement of ambulance service providers for emergency ambulance services, non-emergency ambulance services, mileage, advanced life support services, and specialty care transport services. Provides that the requirement for payment of ground ambulance services by the Illinois Department of Healthcare and Family Services is met if the services are provided pursuant to a request for evaluation, treatment, and transport for an individual with a condition of such a nature that a prudent layperson would have reasonably expected that a delay in seeking immediate medical attention would have been hazardous to life or health. Requires the Department to annually update the ambulance fee schedule rates on July 1 of each year. Makes other changes.

House Committee Amendment No. 1
Adds reference to:
305 ILCS 5/5-5from Ch. 23, par. 5-5

Replaces everything after the enacting clause. Amends the Illinois Public Aid Code. Replaces provisions concerning medical assistance payments for ambulance services. Provides for payment for ground ambulance services under the medical assistance program. Provides that for ground ambulance services provided to a medical assistance recipient on or after July 1, 2010, the Department of Healthcare and Family Services shall provide payment to ground ambulance services providers for base charges and mileage charges based upon the lesser of the provider's charge, as reflected on the provider's claim form, or the Illinois Medicaid Ambulance Fee Schedule payment rates. Provides for establishment of the Illinois Medicaid Ambulance Fee Schedule, and provides for a 2-year phase-in of that Schedule. Provides that effective for dates of service on or after July 1, 2011, the Department shall update the Illinois Medicaid Ambulance Fee Schedule payment rates to be in compliance with the Medicare Ambulance Fee Schedule payment rates for ground ambulance services in effect at the time of the update. Makes other changes in connection with medical assistance payments for ground ambulance services. Effective immediately.

House Floor Amendment No. 2
Provides that all payments for services under the provisions added by the bill are subject to the availability of appropriations for those purposes.

Senate Floor Amendment No. 2
Provides that payments made under the State Medicaid plan to ground ambulance service providers for base charges and mileage charges incurred during the provision of ground ambulance services and for stretcher van services shall be subject to the availability of appropriations for those purposes (rather than providing that payments made under the State Medicaid plan for (i) ground ambulance services provided to a recipient enrolled in a Medicaid managed care plan, (ii) out-of-State ground ambulance services, (iii) emergency ground ambulance services, (iv) base charges and mileage charges incurred during the provision of ground ambulance services, and (v) stretcher van services are subject to the availability of appropriations for those purposes). Grants the Department of Healthcare and Family Services the authority to set payment rates for State ground ambulance services providers by administrative rule pending the availability of appropriations dedicated to specified rate increases.

Actions 
DateChamber Action
  2/4/2010HouseFiled with the Clerk by Rep. Dan Reitz
  2/5/2010HouseFirst Reading
  2/5/2010HouseReferred to Rules Committee
  2/16/2010HouseAssigned to Human Services Committee
  2/24/2010HouseHouse Committee Amendment No. 1 Filed with Clerk by Human Services Committee
  2/24/2010HouseHouse Committee Amendment No. 1 Adopted in Human Services Committee; by Voice Vote
  2/24/2010HouseDo Pass as Amended / Short Debate Human Services Committee; 005-002-000
  2/24/2010HousePlaced on Calendar 2nd Reading - Short Debate
  2/25/2010HouseAdded Co-Sponsor Rep. Randy Ramey, Jr.
  3/1/2010HouseAdded Chief Co-Sponsor Rep. Dennis M. Reboletti
  3/3/2010HouseHouse Floor Amendment No. 2 Filed with Clerk by Rep. Dan Reitz
  3/3/2010HouseHouse Floor Amendment No. 2 Referred to Rules Committee
  3/3/2010HouseAdded Chief Co-Sponsor Rep. Jim Durkin
  3/3/2010HouseChief Co-Sponsor Changed to Rep. Jim Durkin
  3/3/2010HouseAdded Chief Co-Sponsor Rep. Thomas Holbrook
  3/4/2010HouseAdded Co-Sponsor Rep. Franco Coladipietro
  3/8/2010HouseHouse Floor Amendment No. 2 Recommends Be Adopted Rules Committee; 004-000-000
  3/9/2010HouseRemove Chief Co-Sponsor Rep. Jim Durkin
  3/10/2010HouseSecond Reading - Short Debate
  3/10/2010HouseHouse Floor Amendment No. 2 Adopted by Voice Vote
  3/10/2010HousePlaced on Calendar Order of 3rd Reading - Short Debate
  3/12/2010HouseAdded Co-Sponsor Rep. Patrick J. Verschoore
  3/12/2010HouseThird Reading - Short Debate - Passed 100-009-001
  3/12/2010HouseAdded Co-Sponsor Rep. Dan Brady
  3/12/2010HouseAdded Co-Sponsor Rep. Brandon W. Phelps
  3/12/2010HouseAdded Co-Sponsor Rep. John E. Bradley
  3/12/2010HouseAdded Co-Sponsor Rep. Eddie Lee Jackson, Sr.
  3/12/2010SenateArrive in Senate
  3/12/2010SenatePlaced on Calendar Order of First Reading March 15, 2010
  3/12/2010SenateChief Senate Sponsor Sen. John M. Sullivan
  3/15/2010SenateFirst Reading
  3/15/2010SenateReferred to Assignments
  3/24/2010SenateAdded as Alternate Chief Co-Sponsor Sen. David Luechtefeld
  3/26/2010SenateAdded as Alternate Co-Sponsor Sen. Martin A. Sandoval
  4/6/2010SenateAssigned to Human Services
  4/13/2010SenateAdded as Alternate Chief Co-Sponsor Sen. Pamela J. Althoff
  4/16/2010SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. John M. Sullivan
  4/16/2010SenateSenate Committee Amendment No. 1 Referred to Assignments
  4/20/2010SenateSenate Committee Amendment No. 1 Assignments Refers to Human Services
  4/20/2010SenateSenate Committee Amendment No. 1 Tabled in Human Services; Sullivan
  4/20/2010SenateDo Pass Human Services; 008-001-000
  4/20/2010SenatePlaced on Calendar Order of 2nd Reading April 21, 2010
  4/28/2010SenateSenate Floor Amendment No. 2 Filed with Secretary by Sen. John M. Sullivan
  4/28/2010SenateSenate Floor Amendment No. 2 Referred to Assignments
  4/29/2010SenateSenate Floor Amendment No. 2 Assignments Refers to Human Services
  4/29/2010SenateSenate Floor Amendment No. 2 Recommend Do Adopt Human Services; 009-000-000
  4/30/2010SenateSecond Reading
  4/30/2010SenateSenate Floor Amendment No. 2 Adopted; Sullivan
  4/30/2010SenatePlaced on Calendar Order of 3rd Reading May 3, 2010
  5/4/2010SenateAdded as Alternate Co-Sponsor Sen. Donne E. Trotter
  5/4/2010SenateThird Reading - Passed; 054-002-000
  5/4/2010HouseArrived in House
  5/4/2010HousePlaced on Calendar Order of Concurrence Senate Amendment(s) 2
  5/5/2010HouseSenate Floor Amendment No. 2 Motion Filed Concur Rep. Dan Reitz
  5/5/2010HouseSenate Floor Amendment No. 2 Motion to Concur Referred to Rules Committee
  6/27/2010HouseRule 19(b) / Re-referred to Rules Committee
  1/11/2011HouseSession Sine Die

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