HB2508 103RD GENERAL ASSEMBLY

LRB103 27540 KTG 53915 b

103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024
HB2508

Introduced 2/15/2023, by Rep. Michelle Mussman

SYNOPSIS AS INTRODUCED:

305 ILCS 5/1-13 new

Amends the Illinois Public Aid Code. Provides that for program and reimbursement changes effective between January 1 and May 31 of each year, any program or reimbursement change under the medical assistance program, including any program for dual eligible beneficiaries, become effective on January 1 of the year following the enactment of the changes. Provides that program and rate changes under the medical assistance program, including any program for dual eligible beneficiaries, with an effective date between June 1 and December 31 of each year become effective on June 1 of the year following the enactment of the changes. Provides that such requirements are subject to federal approval and any other requirements imposed by the federal Centers for Medicare and Medicaid Services.

A BILL FOR

AN ACT concerning public aid.

Be it enacted by the People of the State of Illinois, represented in the General Assembly:

Section 5. The Illinois Public Aid Code is amended by adding Sections 1-13 and 1-13.1 as follows:

(305 ILCS 5/1-13 new)

Sec. 1-13. Program and reimbursement changes under the medical assistance program.

(a) It is the purpose of this Section to improve planning and consistency for implementation of program and reimbursement changes under the medical assistance program. It is critical that there is an adequate planning timeline in order to structure changes in a way that meets the needs of program enrollees and allow proper time to educate and consult with impacted providers. Streamlining the dates upon which program and reimbursement changes take effect promotes strategic planning by the State to ensure all programs and policies are aligned to meet the goals of the medical assistance program. In addition, allowing time to operationalize changes and collaborate with providers significantly reduces provider confusion and abrasion.

(b) For program and reimbursement changes effective between January 1 and May 31 of each year, any program or reimbursement change under the medical assistance program, including any program for dual eligible beneficiaries, become effective on January 1 of the year following the enactment of the changes. Program and rate changes under the medical assistance program, including any program for dual eligible beneficiaries, with an effective date between June 1 and December 31 of each year become effective on June 1 of the year following the enactment of the changes. Requirements within this Section are subject to federal approval and any other requirements imposed by the federal Centers for Medicare and Medicaid Services.