Illinois General Assembly - Bill Status for SB0254
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 Bill Status of SB0254  102nd General Assembly


Short Description:  MEDICAID-HOSPITAL PAYMENTS

Senate Sponsors
Sen. Michael E. Hastings - Sara Feigenholtz

Last Action
DateChamber Action
  4/16/2021SenateRule 3-9(a) / Re-referred to Assignments

Statutes Amended In Order of Appearance
305 ILCS 5/5-5.4k new


Synopsis As Introduced
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that beginning July 1, 2021, to receive the additional Long-Acting Injectable for Mental Health or Addiction Medicaid payment, a hospital shall submit a separate professional claim specifying "place of service 21 – Inpatient Hospital". Provides that the professional claim shall include the hospital as the billing provider and list the practitioner performing the procedure as the rendering provider. Requires the hospital to use the appropriate Healthcare Common Procedure Coding System Level II procedure code and the National Drug Code. Requires facilities participating in the federal 340B Drug Pricing Program to continue to bill the 340B actual acquisition cost for the medication. Provides that long-acting injectable medications for mental health or addiction shall not be subject to prior authorization under the medical assistance program or under any Medicaid managed-care plans when initiated at an inpatient hospital setting or when continued at an outpatient treatment facility. Effective July 1, 2021.

Actions 
DateChamber Action
  2/17/2021SenateFiled with Secretary by Sen. Michael E. Hastings
  2/17/2021SenateFirst Reading
  2/17/2021SenateReferred to Assignments
  3/3/2021SenateAssigned to Appropriations
  3/3/2021SenateTo Appropriations- Health
  4/16/2021SenateRule 3-9(a) / Re-referred to Assignments
  4/29/2021SenateAdded as Chief Co-Sponsor Sen. Sara Feigenholtz
  4/30/2021SenateRule 2-10 Committee/3rd Reading Deadline Established As May 7, 2021

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