103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB3293 Introduced , by Rep. Anne Stava-Murray SYNOPSIS AS INTRODUCED: 305 ILCS 5/5-47 new Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to provide individuals who are noncitizens or are legally admitted permanent residents the same medical assistance coverage for family planning and family planning-related services and supplies that is provided to eligible persons who are United States citizens, if they meet all other eligibility qualifications under the family planning benefits program established in accordance with the State's Family Planning State Plan Amendment as approved by the federal Centers for Medicare and Medicaid Services. Requires the Department to ensure parity of male contraceptive services provided under the family planning benefits program with a carve-out from the prospective payment system rate that allows encounter rate clinics, federally qualified health centers, and rural health centers to bill under the fee-for-service payment methodology based on the most current practitioner fee schedule for the vasectomy procedure (55250) with patient consultation services and any post-operative visits covered at the usual prospective payment system rate. Requires the Department to adopt reproductive justice-aligned measures of contraceptive access and quality as part of the Department's core set of health care quality measures for medical assistance and to annually report and post on its website the success of such measures beginning in calendar year 2024. Provides that if national measures of contraceptive access and quality are adopted by the U.S. Department of Health and Human Services, the Department may consider aligning State quality measures for contraceptive access and quality with such national recommendations. Provides that the Department, in conjunction with a statewide association representing Medicaid managed care health plans that are contracted with the Department and the organizers of a statewide contraceptive access initiative, shall develop a process to collect the patient centered contraceptive counseling measure endorsed by the National Quality Forum and shall annually report and post on its website the outcomes. Effective immediately. LRB103 30075 KTG 56499 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB3293 Introduced , by Rep. Anne Stava-Murray SYNOPSIS AS INTRODUCED: 305 ILCS 5/5-47 new 305 ILCS 5/5-47 new Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to provide individuals who are noncitizens or are legally admitted permanent residents the same medical assistance coverage for family planning and family planning-related services and supplies that is provided to eligible persons who are United States citizens, if they meet all other eligibility qualifications under the family planning benefits program established in accordance with the State's Family Planning State Plan Amendment as approved by the federal Centers for Medicare and Medicaid Services. Requires the Department to ensure parity of male contraceptive services provided under the family planning benefits program with a carve-out from the prospective payment system rate that allows encounter rate clinics, federally qualified health centers, and rural health centers to bill under the fee-for-service payment methodology based on the most current practitioner fee schedule for the vasectomy procedure (55250) with patient consultation services and any post-operative visits covered at the usual prospective payment system rate. Requires the Department to adopt reproductive justice-aligned measures of contraceptive access and quality as part of the Department's core set of health care quality measures for medical assistance and to annually report and post on its website the success of such measures beginning in calendar year 2024. Provides that if national measures of contraceptive access and quality are adopted by the U.S. Department of Health and Human Services, the Department may consider aligning State quality measures for contraceptive access and quality with such national recommendations. Provides that the Department, in conjunction with a statewide association representing Medicaid managed care health plans that are contracted with the Department and the organizers of a statewide contraceptive access initiative, shall develop a process to collect the patient centered contraceptive counseling measure endorsed by the National Quality Forum and shall annually report and post on its website the outcomes. Effective immediately. LRB103 30075 KTG 56499 b LRB103 30075 KTG 56499 b A BILL FOR
103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB3293 Introduced , by Rep. Anne Stava-Murray SYNOPSIS AS INTRODUCED:
305 ILCS 5/5-47 new 305 ILCS 5/5-47 new
305 ILCS 5/5-47 new
Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to provide individuals who are noncitizens or are legally admitted permanent residents the same medical assistance coverage for family planning and family planning-related services and supplies that is provided to eligible persons who are United States citizens, if they meet all other eligibility qualifications under the family planning benefits program established in accordance with the State's Family Planning State Plan Amendment as approved by the federal Centers for Medicare and Medicaid Services. Requires the Department to ensure parity of male contraceptive services provided under the family planning benefits program with a carve-out from the prospective payment system rate that allows encounter rate clinics, federally qualified health centers, and rural health centers to bill under the fee-for-service payment methodology based on the most current practitioner fee schedule for the vasectomy procedure (55250) with patient consultation services and any post-operative visits covered at the usual prospective payment system rate. Requires the Department to adopt reproductive justice-aligned measures of contraceptive access and quality as part of the Department's core set of health care quality measures for medical assistance and to annually report and post on its website the success of such measures beginning in calendar year 2024. Provides that if national measures of contraceptive access and quality are adopted by the U.S. Department of Health and Human Services, the Department may consider aligning State quality measures for contraceptive access and quality with such national recommendations. Provides that the Department, in conjunction with a statewide association representing Medicaid managed care health plans that are contracted with the Department and the organizers of a statewide contraceptive access initiative, shall develop a process to collect the patient centered contraceptive counseling measure endorsed by the National Quality Forum and shall annually report and post on its website the outcomes. Effective immediately.
LRB103 30075 KTG 56499 b LRB103 30075 KTG 56499 b
LRB103 30075 KTG 56499 b
A BILL FOR
HB3293LRB103 30075 KTG 56499 b HB3293 LRB103 30075 KTG 56499 b
HB3293 LRB103 30075 KTG 56499 b
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 adding Section 5-47 as follows:
6 (305 ILCS 5/5-47 new)
7 Sec. 5-47. Family planning services.
8 (a) The Department shall provide individuals who are
9 noncitizens or are legally admitted permanent residents the
10 same medical assistance coverage for family planning and
11 family planning-related services and supplies that is provided
12 to eligible persons who are United States citizens, if they
13 meet all other eligibility qualifications under the family
14 planning benefits program established in accordance with the
15 Illinois' Family Planning State Plan Amendment as approved by
16 the federal Centers for Medicare and Medicaid Services.
17 (b) The Department shall ensure parity of male
18 contraceptive services provided under the family planning
19 benefits program with a carve-out from the prospective payment
20 system rate that allows encounter rate clinics, federally
21 qualified health centers, and rural health centers to bill
22 under the fee-for-service payment methodology based on the
23 most current practitioner fee schedule for the vasectomy
103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB3293 Introduced , by Rep. Anne Stava-Murray SYNOPSIS AS INTRODUCED:
305 ILCS 5/5-47 new 305 ILCS 5/5-47 new
305 ILCS 5/5-47 new
Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to provide individuals who are noncitizens or are legally admitted permanent residents the same medical assistance coverage for family planning and family planning-related services and supplies that is provided to eligible persons who are United States citizens, if they meet all other eligibility qualifications under the family planning benefits program established in accordance with the State's Family Planning State Plan Amendment as approved by the federal Centers for Medicare and Medicaid Services. Requires the Department to ensure parity of male contraceptive services provided under the family planning benefits program with a carve-out from the prospective payment system rate that allows encounter rate clinics, federally qualified health centers, and rural health centers to bill under the fee-for-service payment methodology based on the most current practitioner fee schedule for the vasectomy procedure (55250) with patient consultation services and any post-operative visits covered at the usual prospective payment system rate. Requires the Department to adopt reproductive justice-aligned measures of contraceptive access and quality as part of the Department's core set of health care quality measures for medical assistance and to annually report and post on its website the success of such measures beginning in calendar year 2024. Provides that if national measures of contraceptive access and quality are adopted by the U.S. Department of Health and Human Services, the Department may consider aligning State quality measures for contraceptive access and quality with such national recommendations. Provides that the Department, in conjunction with a statewide association representing Medicaid managed care health plans that are contracted with the Department and the organizers of a statewide contraceptive access initiative, shall develop a process to collect the patient centered contraceptive counseling measure endorsed by the National Quality Forum and shall annually report and post on its website the outcomes. Effective immediately.
LRB103 30075 KTG 56499 b LRB103 30075 KTG 56499 b
LRB103 30075 KTG 56499 b
A BILL FOR
305 ILCS 5/5-47 new
LRB103 30075 KTG 56499 b
HB3293 LRB103 30075 KTG 56499 b
HB3293- 2 -LRB103 30075 KTG 56499 b HB3293 - 2 - LRB103 30075 KTG 56499 b
HB3293 - 2 - LRB103 30075 KTG 56499 b
1 procedure (55250) with patient consultation services and any
2 post-operative visits covered at the usual prospective payment
3 system rate.
4 (c) The Department shall adopt reproductive
5 justice-aligned measures of contraceptive access and quality
6 as part of the Department's core set of health care quality
7 measures for medical assistance and shall annually report the
8 success of such measures beginning in calendar year 2024. The
9 annual reports shall be posted on the Department's official
10 website and shall include statewide data on the percentage of
11 women of childbearing age (15 through 44) who had a
12 contraceptive visit or a contraceptive utilization and
13 associated birth control method mix. The data provided in the
14 reports shall be disaggregated by contracted Medicaid managed
15 care health plans and providers. If national measures of
16 contraceptive access and quality are adopted by the U.S.
17 Department of Health and Human Services, or any of its
18 divisions, the Department may consider aligning State quality
19 measures for contraceptive access and quality with such
20 national recommendations. The Department, in conjunction with
21 a statewide association representing Medicaid managed care
22 health plans that are contracted with the Department and the
23 organizers of a statewide contraceptive access initiative,
24 shall develop a process to collect the patient centered
25 contraceptive counseling measure endorsed by the National
26 Quality Forum and shall annually report on the outcomes and
HB3293 - 2 - LRB103 30075 KTG 56499 b
HB3293- 3 -LRB103 30075 KTG 56499 b HB3293 - 3 - LRB103 30075 KTG 56499 b
HB3293 - 3 - LRB103 30075 KTG 56499 b
1 post such reports on the Department's official website.
2 Section 99. Effective date. This Act takes effect upon
3 becoming law.
HB3293 - 3 - LRB103 30075 KTG 56499 b