Synopsis As Introduced Amends the Illinois Public Aid Code. Provides that the Department of Public Aid shall provide Medicaid reimbursement for all prenatal and perinatal health care services that are provided for the purpose of preventing low-birthweight infants and reducing the need for neonatal intensive care hospital services. Requires a report to the General Assembly every 2 years.
Senate Committee Amendment No. 2 Provides that prenatal and perinatal health care services may include comprehensive risk assessments for pregnant women, women with infants, and infants, lactation counseling, nutrition counseling, childbirth support, psychosocial counseling, treatment and prevention of periodontal disease, and other support services that have been proven to improve birth outcomes. Provides that the Department of Public Aid's reports to the General Assembly shall include an evaluation of how the ratio of expenditures for treating low-birthweight infants compared with the investment in promoting healthy births and infants in local community areas throughout Illinois relates to healthy infant development in those areas.
Senate Floor Amendment No. 3 Replaces everything after the enacting clause. Reinserts the provisions of the bill as amended by Senate Amendment No. 2, with changes that include the following: (1) provides that the Department of Public Aid may (instead of shall) provide Medicaid reimbursement for prenatal and perinatal health care services; (2) adds promoting perinatal health as a purpose of providing Medicaid reimbursement; (3) requires the Department to develop a plan for prenatal and perinatal preventive health care and to present the plan to the General Assembly by January 1, 2004; and (4) adds an immediate effective date.
Fiscal Note (S-AM 1&2) (Department of Public Aid)
Although the language in the bill appears to be permissive regarding the specific services that will be covered, advocates appear to believe this bill will have a cost. Therefore, the Department assumes that additional services will be provided. The total estimated cost associated with SAM1 and SAM2 is $21.5 million. This would not be federally matchable if limited to pregnant women or women with infants.
Fiscal Note (Department of Public Aid)
Senate Bill 306 has no fiscal impact on the Department.