Illinois General Assembly - Full Text of Public Act 102-1091
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Public Act 102-1091


Public Act 1091 102ND GENERAL ASSEMBLY



Public Act 102-1091
SB4006 EnrolledLRB102 25901 CPF 35260 b

    AN ACT concerning health.
    Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
    Section 5. The Autism Spectrum Disorders Reporting Act is
amended by adding Sections 32 and 33 as follows:
    (410 ILCS 201/32 new)
    Sec. 32. Reporting; access to applied behavior analysis.
By no later than December 31 of each year the Department of
Healthcare and Family Services (HFS) shall submit a report,
covering the State fiscal year immediately preceding that
date, to the General Assembly regarding access to applied
behavior analysis therapy for persons diagnosed with autism
spectrum disorder. The report shall include, but is not
limited to, the following information:
        (1) The number of providers enrolled in the Illinois
    Medical Assistance Program certified to provide applied
    behavioral analysis therapy services in the Department of
    Healthcare and Family Services' fee-for-service or managed
    care service delivery system, in accordance with
    administrative rule and Department of Healthcare and
    Family Services policy.
        (2) The number of HFS-enrolled children in Illinois
    with an autism spectrum disorder diagnosis receiving
    applied behavior analysis therapy services pursuant to the
    Department of Healthcare and Family Services'
    fee-for-service or managed care service delivery system.
        (3) Subject to data availability, the number of
    HFS-enrolled children with an autism spectrum disorder
    diagnosis for whom applied behavioral analysis therapy
    services have been recommended or requested, but who are
    not receiving applied behavioral analysis therapy
        (4) Subject to data availability for HFS-enrolled
    children in Illinois with an autism spectrum disorder
    diagnosis, the number of prior authorization service
    denials for applied behavioral analysis therapy services
    and the number of appeals resulting from those denials for
    applied behavioral analysis therapy services.
        (5) Recommendations on improving applied behavioral
    analysis therapy provider network adequacy and enrollee
    (410 ILCS 201/33 new)
    Sec. 33. Education and outreach materials; autism spectrum
disorder. The Department shall develop and distribute
education and outreach materials, developed to address common
literacy levels, that will inform and educate parents of
children with autism spectrum disorder who are enrolled in
Medicaid and eligible to receive relevant services and explain
how to access those services.

Effective Date: 1/1/2023