Full Text of SB1928 97th General Assembly
SB1928 97TH GENERAL ASSEMBLY |
| | 97TH GENERAL ASSEMBLY
State of Illinois
2011 and 2012 SB1928 Introduced 2/10/2011, by Sen. Don Harmon SYNOPSIS AS INTRODUCED: |
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305 ILCS 5/5-4.2 | from Ch. 23, par. 5-4.2 |
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Amends the Illinois Public Aid Code. Makes a technical change in a Section regarding ambulance service payments. Effective immediately.
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| | A BILL FOR |
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| 1 | | AN ACT concerning public aid.
| 2 | | Be it enacted by the People of the State of Illinois,
| 3 | | represented in the General Assembly:
| 4 | | Section 5. The Illinois Public Aid Code is amended by | 5 | | changing Section 5-4.2 as follows:
| 6 | | (305 ILCS 5/5-4.2) (from Ch. 23, par. 5-4.2)
| 7 | | Sec. 5-4.2. Ambulance services payments. For
ambulance
| 8 | | services provided to a recipient of aid under this this Article | 9 | | on or after
January 1, 1993, the Illinois Department shall | 10 | | reimburse ambulance service
providers at rates calculated in | 11 | | accordance with this Section. It is the intent
of the General | 12 | | Assembly to provide adequate reimbursement for ambulance
| 13 | | services so as to ensure adequate access to services for | 14 | | recipients of aid
under this Article and to provide appropriate | 15 | | incentives to ambulance service
providers to provide services | 16 | | in an efficient and cost-effective manner. Thus,
it is the | 17 | | intent of the General Assembly that the Illinois Department | 18 | | implement
a reimbursement system for ambulance services that, | 19 | | to the extent practicable
and subject to the availability of | 20 | | funds appropriated by the General Assembly
for this purpose, is | 21 | | consistent with the payment principles of Medicare. To
ensure | 22 | | uniformity between the payment principles of Medicare and | 23 | | Medicaid, the
Illinois Department shall follow, to the extent |
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| 1 | | necessary and practicable and
subject to the availability of | 2 | | funds appropriated by the General Assembly for
this purpose, | 3 | | the statutes, laws, regulations, policies, procedures,
| 4 | | principles, definitions, guidelines, and manuals used to | 5 | | determine the amounts
paid to ambulance service providers under | 6 | | Title XVIII of the Social Security
Act (Medicare).
| 7 | | For ambulance services provided to a recipient of aid under | 8 | | this Article
on or after January 1, 1996, the Illinois | 9 | | Department shall reimburse ambulance
service providers based | 10 | | upon the actual distance traveled if a natural
disaster, | 11 | | weather conditions, road repairs, or traffic congestion | 12 | | necessitates
the use of a
route other than the most direct | 13 | | route.
| 14 | | For purposes of this Section, "ambulance services" | 15 | | includes medical
transportation services provided by means of | 16 | | an ambulance, medi-car, service
car, or
taxi.
| 17 | | This Section does not prohibit separate billing by | 18 | | ambulance service
providers for oxygen furnished while | 19 | | providing advanced life support
services.
| 20 | | Beginning with services rendered on or after July 1, 2008, | 21 | | all providers of non-emergency medi-car and service car | 22 | | transportation must certify that the driver and employee | 23 | | attendant, as applicable, have completed a safety program | 24 | | approved by the Department to protect both the patient and the | 25 | | driver, prior to transporting a patient.
The provider must | 26 | | maintain this certification in its records. The provider shall |
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| 1 | | produce such documentation upon demand by the Department or its | 2 | | representative. Failure to produce documentation of such | 3 | | training shall result in recovery of any payments made by the | 4 | | Department for services rendered by a non-certified driver or | 5 | | employee attendant. Medi-car and service car providers must | 6 | | maintain legible documentation in their records of the driver | 7 | | and, as applicable, employee attendant that actually | 8 | | transported the patient. Providers must recertify all drivers | 9 | | and employee attendants every 3 years.
| 10 | | Notwithstanding the requirements above, any public | 11 | | transportation provider of medi-car and service car | 12 | | transportation that receives federal funding under 49 U.S.C. | 13 | | 5307 and 5311 need not certify its drivers and employee | 14 | | attendants under this Section, since safety training is already | 15 | | federally mandated.
| 16 | | (Source: P.A. 95-501, eff. 8-28-07.)
| 17 | | Section 99. Effective date. This Act takes effect upon | 18 | | becoming law.
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