96TH GENERAL ASSEMBLY
State of Illinois
2009 and 2010
HB1351


 
Introduced 2/18/2009, by Rep. Esther Golar
 
SYNOPSIS AS INTRODUCED:
 		













305 ILCS 5/5-5.27 new










    Amends the Illinois Public Aid Code. Provides that beginning July 1, 2010, reimbursement for child and adult psychiatric services provided by a physician must not be lower than 90% of Medicare reimbursement in accordance with the Medicare payment localities for Illinois. Provides that beginning July 1, 2010, reimbursement for child and adult psychiatric services provided by a licensed health care professional under the Medicaid Community Mental Health Services Program must not be lower than 90% of Medicare reimbursement in accordance with Medicare payment localities for Illinois. Provides that all adjustments shall be made without lowering any rates then in effect that may be higher than the level required by these provisions. Provides that by July 2, 2010, reimbursement rules and policies shall not be more restrictive than Medicare physician payment rules and policies. Effective immediately.
















LRB096 08427 DRJ 18540 b

















FISCAL NOTE ACT MAY APPLY
















 


 


A BILL FOR









 











HB1351

LRB096 08427 DRJ 18540 b






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    AN ACT concerning public aid.

 
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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 Illinois Public Aid Code is amended  by 
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adding Section 5-5.27 as follows:
 
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    (305 ILCS 5/5-5.27  new)
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    Sec. 5-5.27. Psychiatric services rates.
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    (a) Notwithstanding any other provision of this Article, 
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beginning July 1, 2010, reimbursement for child and adult 
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psychiatric services provided by a physician must not be lower 
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than 90% of Medicare reimbursement in accordance with the 
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Medicare payment localities for Illinois.  All adjustments 
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shall be made without lowering any rates then in effect that 
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may be higher than the level required by this Section.  By July 
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2, 2010, reimbursement rules and policies shall not be more 
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restrictive than Medicare physician payment rules and 
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policies.
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    (b) Notwithstanding any other provision of this Article, 
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beginning July 1, 2010, reimbursement for child and adult 
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psychiatric services provided by a licensed health care 
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professional under the Medicaid Community Mental Health 
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Services Program under 59 Ill. Adm. Code 132 must not be lower 
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than 90% of Medicare reimbursement in accordance with Medicare 
 


 






HB1351
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LRB096 08427 DRJ 18540 b




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payment localities for Illinois.  All adjustments shall be made 
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without lowering any rates then in effect that may be higher 
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than the level required by this Section.  By July 2, 2010, 
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reimbursement rules and policies shall not be more restrictive 
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than Medicare physician payment rules and policies.
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    (c) For purposes of this Section:
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    "Licensed health care professional" includes licensed 
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clinicians, mental health professionals, qualified mental 
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health professionals, and rehabilitative services associates 
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as defined under the Medicaid Community Mental Health Services 
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Program under 59 Ill. Adm. Code 132.25.
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    "Physician" means a physician as defined in Section 1-120 
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of the Mental Health and Developmental Disabilities Code.
 

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    Section 99. Effective date. This Act takes effect upon 
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becoming law.