Bill Status of HB5179 102nd General Assembly
Short Description: MEDICAID-INPATIENT HOS-OPIOID
Rep. Lindsey LaPointe
| 2/18/2022||House||Rule 19(a) / Re-referred to Rules Committee|
Statutes Amended In Order of Appearance
Synopsis As Introduced
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that, in light of the heightened risk of overdose if a patient is discharged and not linked to treatment and recovery supports, and the need for appropriate access to the treatment and services available via community-based substance use disorder and mental health providers, the Department of Healthcare and Family Services and each hospital shall ensure coordination of care and treatment for each patient with community-based mental health and substance use disorder treatment providers. Requires hospitals to coordinate and collaborate with community-based providers by: (i) providing a warm handoff of patients in need of treatment and recovery support services to community-based providers; (ii) collaborating with community-based providers on the provision of 24/7 access to transitioning patients prior to discharge from the hospital; (iii) working with community-based providers on fully implementing substance use disorder treatment and recovery supports through existing and new hospital-located community-based provider projects; and (iv) engaging in such other programs established by the Department to prioritize treatment within the community-based system to the extent such treatment is deemed to best serve a patient, is considered medically necessary, and is fiscally prudent. Provides that if a hospital fails to address these requirements prior to discharging a patient, the provider shall forgo reimbursement for any observation or admission services provided to the patient.