Full Text of SB0969 102nd General Assembly
SB0969sam001 102ND GENERAL ASSEMBLY | Sen. Julie A. Morrison Filed: 4/29/2021
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| 1 | | AMENDMENT TO SENATE BILL 969
| 2 | | AMENDMENT NO. ______. Amend Senate Bill 969 by replacing | 3 | | everything after the enacting clause with the following:
| 4 | | "Section 5. The Sexual Assault Survivors Emergency | 5 | | Treatment Act is amended by changing Section 7 as follows:
| 6 | | (410 ILCS 70/7) (from Ch. 111 1/2, par. 87-7)
| 7 | | Sec. 7. Reimbursement. | 8 | | (a) A hospital, approved pediatric health care facility, | 9 | | or health care professional furnishing medical forensic | 10 | | services, an ambulance provider furnishing transportation to a | 11 | | sexual assault survivor, a hospital, health care professional, | 12 | | or laboratory providing follow-up healthcare, or a pharmacy | 13 | | dispensing prescribed medications to any sexual assault | 14 | | survivor shall furnish such services or medications to that | 15 | | person without charge and shall seek payment as follows: | 16 | | (1) If a sexual assault survivor is eligible to |
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| 1 | | receive benefits under the medical assistance program | 2 | | under Article V of the Illinois Public Aid Code, the | 3 | | ambulance provider, hospital, approved pediatric health | 4 | | care facility, health care professional, laboratory, or | 5 | | pharmacy must submit the bill to the Department of | 6 | | Healthcare and Family Services or the appropriate Medicaid | 7 | | managed care organization and accept the amount paid as | 8 | | full payment. | 9 | | (2) If a sexual assault survivor is covered by one or | 10 | | more policies of health insurance or is a beneficiary | 11 | | under a public or private health coverage program, the | 12 | | ambulance provider, hospital, approved pediatric health | 13 | | care facility, health care professional, laboratory, or | 14 | | pharmacy shall bill the insurance company or program. With | 15 | | respect to such insured patients, applicable deductible, | 16 | | co-pay, co-insurance, denial of claim, or any other | 17 | | out-of-pocket insurance-related expense may be submitted | 18 | | to the Illinois Sexual Assault Emergency Treatment Program | 19 | | of the Department of Healthcare and Family Services in | 20 | | accordance with 89 Ill. Adm. Code 148.510 for payment at | 21 | | the Department of Healthcare and Family Services' | 22 | | allowable rates under the Illinois Public Aid Code. The | 23 | | ambulance provider, hospital, approved pediatric health | 24 | | care facility, health care professional, laboratory, or | 25 | | pharmacy shall accept the amounts paid by the insurance | 26 | | company or health coverage program and the Illinois Sexual |
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| 1 | | Assault Treatment Program as full payment. | 2 | | (3) If a sexual assault survivor is neither eligible | 3 | | to receive benefits under the medical assistance program | 4 | | under Article V of the Illinois Public Aid Code nor | 5 | | covered by a policy of insurance or a public or private | 6 | | health coverage program, the ambulance provider, hospital, | 7 | | approved pediatric health care facility, health care | 8 | | professional, laboratory, or pharmacy shall submit the | 9 | | request for reimbursement to the Illinois Sexual Assault | 10 | | Emergency Treatment Program under the Department of | 11 | | Healthcare and Family Services in accordance with 89 Ill. | 12 | | Adm. Code 148.510 at the Department of Healthcare and | 13 | | Family Services' allowable rates under the Illinois Public | 14 | | Aid Code. | 15 | | (4) If a sexual assault survivor presents a sexual | 16 | | assault services voucher for follow-up healthcare, the | 17 | | healthcare professional, pediatric health care facility, | 18 | | or laboratory that provides follow-up healthcare or the | 19 | | pharmacy that dispenses prescribed medications to a sexual | 20 | | assault survivor shall submit the request for | 21 | | reimbursement for follow-up healthcare, pediatric health | 22 | | care facility, laboratory, or pharmacy services to the | 23 | | Illinois Sexual Assault Emergency Treatment Program under | 24 | | the Department of Healthcare and Family Services in | 25 | | accordance with 89 Ill. Adm. Code 148.510 at the | 26 | | Department of Healthcare and Family Services' allowable |
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| 1 | | rates under the Illinois Public Aid Code. Nothing in this | 2 | | subsection (a) precludes hospitals or approved pediatric | 3 | | health care facilities from providing follow-up healthcare | 4 | | and receiving reimbursement under this Section.
| 5 | | (b) Nothing in this Section precludes a hospital, health | 6 | | care provider, ambulance provider, laboratory, or pharmacy | 7 | | from billing the sexual assault survivor or any applicable | 8 | | health insurance or coverage for inpatient services. | 9 | | (c) (Blank). | 10 | | (d) (Blank). On and after July 1, 2012, the Department | 11 | | shall reduce any rate of reimbursement for services or other | 12 | | payments or alter any methodologies authorized by this Act or | 13 | | the Illinois Public Aid Code to reduce any rate of | 14 | | reimbursement for services or other payments in accordance | 15 | | with Section 5-5e of the Illinois Public Aid Code. | 16 | | (d-5) Notwithstanding any other provision of law, | 17 | | including, but not limited to, Section 5-5e of the Illinois | 18 | | Public Aid Code, a person or entity described under subsection | 19 | | (a) who provides an acute exam to a sexual assault survivor | 20 | | under this Act who is uninsured or receives medical assistance | 21 | | under Article V of the Illinois Public Aid Code shall receive | 22 | | reimbursement for each acute exam provided in the following | 23 | | amounts: | 24 | | (1) $750 for an acute exam provided to an adult sexual | 25 | | assault survivor. | 26 | | (2) $500 for an acute exam provided to a pediatric |
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| 1 | | sexual assault survivor. | 2 | | The rates of reimbursement under this subsection may be | 3 | | increased by the Department. | 4 | | (d-10) Notwithstanding any other provision of law, | 5 | | including, but not limited to, subsection (a), a sexual | 6 | | assault survivor with a nonprimary insurance policy may opt | 7 | | out of billing the sexual assault survivor's private insurance | 8 | | provider in a situation where a concern for safety or | 9 | | confidentiality exists. | 10 | | (e) The Department of Healthcare and Family Services shall | 11 | | establish standards, rules, and regulations to implement this | 12 | | Section.
| 13 | | (f) This Section is effective on and after July 1, 2021. | 14 | | (Source: P.A. 100-775, eff. 1-1-19; 101-634, eff. 6-5-20.)
| 15 | | Section 99. Effective date. This Act takes effect upon | 16 | | becoming law.".
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