102ND GENERAL ASSEMBLY
State of Illinois
2021 and 2022
HB3025

 

Introduced 2/19/2021, by Rep. Keith R. Wheeler

 

SYNOPSIS AS INTRODUCED:
 
305 ILCS 5/5-5.25

    Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall reimburse epilepsy specialists, as defined by the Department by rule, who are authorized by Illinois law to provide epilepsy treatment services to persons with epilepsy or related disorders via telehealth. Provides that the Department shall establish, by rule, a method to reimburse providers for epilepsy treatment services provided by telehealth. Effective immediately.


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FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

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1    AN ACT concerning public aid.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Illinois Public Aid Code is amended by
5changing Section 5-5.25 as follows:
 
6    (305 ILCS 5/5-5.25)
7    Sec. 5-5.25. Access to behavioral health, and medical, and
8epilepsy treatment services.
9    (a) The General Assembly finds that providing access to
10behavioral health, and medical, and epilepsy treatment
11services in a timely manner will improve the quality of life
12for persons suffering from illness and will contain health
13care costs by avoiding the need for more costly inpatient
14hospitalization.
15    (b) The Department of Healthcare and Family Services shall
16reimburse psychiatrists, federally qualified health centers as
17defined in Section 1905(l)(2)(B) of the federal Social
18Security Act, clinical psychologists, clinical social workers,
19advanced practice registered nurses certified in psychiatric
20and mental health nursing, and mental health professionals and
21clinicians authorized by Illinois law to provide behavioral
22health services to recipients via telehealth. The Department
23shall reimburse epilepsy specialists, as defined by the

 

 

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1Department by rule, who are authorized by Illinois law to
2provide epilepsy treatment services to persons with epilepsy
3or related disorders via telehealth. The Department, by rule,
4shall establish: (i) criteria for such services to be
5reimbursed, including appropriate facilities and equipment to
6be used at both sites and requirements for a physician or other
7licensed health care professional to be present at the site
8where the patient is located; however, the Department shall
9not require that a physician or other licensed health care
10professional be physically present in the same room as the
11patient for the entire time during which the patient is
12receiving telehealth services; and (ii) a method to reimburse
13providers for mental health services provided by telehealth;
14and (iii) a method to reimburse providers for epilepsy
15treatment services provided by telehealth.
16    (c) The Department shall reimburse any Medicaid certified
17eligible facility or provider organization that acts as the
18location of the patient at the time a telehealth service is
19rendered, including substance abuse centers licensed by the
20Department of Human Services' Division of Alcoholism and
21Substance Abuse.
22    (d) On and after July 1, 2012, the Department shall reduce
23any rate of reimbursement for services or other payments or
24alter any methodologies authorized by this Code to reduce any
25rate of reimbursement for services or other payments in
26accordance with Section 5-5e.

 

 

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1(Source: P.A. 100-385, eff. 1-1-18; 100-790, eff. 8-10-18;
2100-1019, eff. 1-1-19; 101-81, eff. 7-12-19.)
 
3    Section 99. Effective date. This Act takes effect upon
4becoming law.