Full Text of HB2343 96th General Assembly
HB2343sam001 96TH GENERAL ASSEMBLY
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Sen. Heather Steans
Filed: 4/24/2009
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| AMENDMENT TO HOUSE BILL 2343
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| AMENDMENT NO. ______. Amend House Bill 2343 by replacing | 3 |
| everything after the enacting clause with the following:
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| "Section 5. The Covering ALL KIDS Health Insurance Act is | 5 |
| amended by adding Section 52.5 as follows: | 6 |
| (215 ILCS 170/52.5 new) | 7 |
| Sec. 52.5. Specialty physician services; fee schedule. | 8 |
| (a) Beginning January 1, 2010, the physician fee schedule | 9 |
| for the Covering ALL KIDS Health Insurance Program must | 10 |
| increase to become competitive with those of non-governmental, | 11 |
| third-party health insurance programs. By January 1, 2012, the | 12 |
| payment for a pediatric specialty physician service must not be | 13 |
| lower than Medicare reimbursement in accordance with the | 14 |
| Medicare payment localities for Illinois. Payment for services | 15 |
| must be made within 30 days after receipt of a bill or claim | 16 |
| meeting the requirements of the Department of Healthcare and |
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| Family Services. | 2 |
| (b) For payments made or authorized by the Department of | 3 |
| Healthcare and Family Services, the Department shall annually | 4 |
| increase pediatric specialty physician payments under | 5 |
| subsection (a) by an amount approximately equal to one-third of | 6 |
| the difference between the actual rates available for such | 7 |
| purposes on January 1, 2009 and the Medicare reimbursement | 8 |
| rates effective on January 1, 2007. If the General Assembly | 9 |
| determines that resources are not available to fully fund the | 10 |
| fee schedule for pediatric specialty physician care required by | 11 |
| this subsection (b), then, until such time as the General | 12 |
| Assembly determines that such funding is available, the | 13 |
| Department shall increase any payment for physicians who | 14 |
| provide pediatric specialty care services under the Covering | 15 |
| ALL KIDS Health Insurance Program by an amount proportionately | 16 |
| equivalent to any other increases for physicians, federally | 17 |
| qualified health centers, rural health centers, or other | 18 |
| non-institutional providers providing services to children for | 19 |
| any services provided under this Act. | 20 |
| Section 10. The Illinois Public Aid Code is amended by | 21 |
| adding Section 5-5.06 as follows: | 22 |
| (305 ILCS 5/5-5.06 new) | 23 |
| Sec. 5-5.06. Specialty physician services; fee schedule. | 24 |
| (a) Notwithstanding any other provisions of this Article, |
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| beginning January 1, 2010, the physician fee schedule for | 2 |
| pediatric physician specialists must increase to become | 3 |
| competitive with those of non-governmental, third-party health | 4 |
| insurance programs. By January 1, 2012, the payment
for a | 5 |
| pediatric specialty physician service must not be lower than | 6 |
| Medicare reimbursement in accordance with the Medicare payment | 7 |
| localities for Illinois. Payment for services must be made | 8 |
| within 30 days after receipt of a bill or claim meeting the | 9 |
| requirements of the Department of Healthcare and Family | 10 |
| Services. | 11 |
| (b) For payments made or authorized by the Department of | 12 |
| Healthcare and Family Services, the Department shall annually | 13 |
| increase pediatric specialty physician payments under | 14 |
| subsection (a) by an amount approximately equal to one-third of | 15 |
| the difference between the actual rates available for such | 16 |
| purposes on January 1, 2009 and the Medicare reimbursement | 17 |
| rates effective on January 1, 2007. If the General Assembly | 18 |
| determines that resources are not available to fully fund the | 19 |
| fee schedule for pediatric specialty physician care required by | 20 |
| this subsection (b), then, until such time as the General | 21 |
| Assembly determines that such funding is available, the | 22 |
| Department shall increase any payment for physicians who | 23 |
| provide pediatric specialty care services under the medical | 24 |
| assistance program by an amount proportionately equivalent to | 25 |
| any other increases for physicians, federally qualified health | 26 |
| centers, rural health centers, or other non-institutional |
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| providers providing services to children for any services | 2 |
| provided under this Article. ".
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