Illinois 2023-2024 Regular Session

Illinois House Bill HB3899 Latest Draft

Bill / Introduced Version Filed 02/17/2023

                            103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB3899 Introduced 2/17/2023, by Rep. Nabeela Syed SYNOPSIS AS INTRODUCED:  305 ILCS 5/5-30.11  Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the treatment of autism spectrum disorder through applied behavior analysis shall be covered under the medical assistance program for children with a diagnosis of autism spectrum disorder when ordered by a certified, registered, or licensed health care professional with expertise in treating the effects of autism spectrum disorders when the care is determined to be medically necessary and ordered by a physician licensed to practice medicine in all its branches. Provides that certain treatment shall be covered, including, but not limited to, psychiatric, psychological, rehabilitative, and therapeutic care. Effective July 1, 2023.  LRB103 29521 KTG 55916 b   A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB3899 Introduced 2/17/2023, by Rep. Nabeela Syed SYNOPSIS AS INTRODUCED:  305 ILCS 5/5-30.11 305 ILCS 5/5-30.11  Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the treatment of autism spectrum disorder through applied behavior analysis shall be covered under the medical assistance program for children with a diagnosis of autism spectrum disorder when ordered by a certified, registered, or licensed health care professional with expertise in treating the effects of autism spectrum disorders when the care is determined to be medically necessary and ordered by a physician licensed to practice medicine in all its branches. Provides that certain treatment shall be covered, including, but not limited to, psychiatric, psychological, rehabilitative, and therapeutic care. Effective July 1, 2023.  LRB103 29521 KTG 55916 b     LRB103 29521 KTG 55916 b   A BILL FOR
103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB3899 Introduced 2/17/2023, by Rep. Nabeela Syed SYNOPSIS AS INTRODUCED:
305 ILCS 5/5-30.11 305 ILCS 5/5-30.11
305 ILCS 5/5-30.11
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the treatment of autism spectrum disorder through applied behavior analysis shall be covered under the medical assistance program for children with a diagnosis of autism spectrum disorder when ordered by a certified, registered, or licensed health care professional with expertise in treating the effects of autism spectrum disorders when the care is determined to be medically necessary and ordered by a physician licensed to practice medicine in all its branches. Provides that certain treatment shall be covered, including, but not limited to, psychiatric, psychological, rehabilitative, and therapeutic care. Effective July 1, 2023.
LRB103 29521 KTG 55916 b     LRB103 29521 KTG 55916 b
    LRB103 29521 KTG 55916 b
A BILL FOR
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  HB3899  LRB103 29521 KTG 55916 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  changing Section 5-30.11 as follows:
6  (305 ILCS 5/5-30.11)
7  Sec. 5-30.11. Treatment of autism spectrum disorder.
8  Treatment of autism spectrum disorder through applied behavior
9  analysis shall be covered under the medical assistance program
10  under this Article for children with a diagnosis of autism
11  spectrum disorder in the following instances: (1) when ordered
12  by: (1) a physician licensed to practice medicine in all its
13  branches and rendered by a licensed or certified health care
14  professional with expertise in applied behavior analysis; or
15  (2) when evaluated and treated by a behavior analyst licensed
16  by the Department of Financial and Professional Regulation to
17  practice applied behavior analysis in this State; or (3) when
18  ordered by a certified, registered, or licensed health care
19  professional with expertise in treating the effects of autism
20  spectrum disorders when the care is determined to be medically
21  necessary and ordered by a physician licensed to practice
22  medicine in all its branches. Treatment covered under this
23  Section shall include, but not be limited to, the following:

 

103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB3899 Introduced 2/17/2023, by Rep. Nabeela Syed SYNOPSIS AS INTRODUCED:
305 ILCS 5/5-30.11 305 ILCS 5/5-30.11
305 ILCS 5/5-30.11
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the treatment of autism spectrum disorder through applied behavior analysis shall be covered under the medical assistance program for children with a diagnosis of autism spectrum disorder when ordered by a certified, registered, or licensed health care professional with expertise in treating the effects of autism spectrum disorders when the care is determined to be medically necessary and ordered by a physician licensed to practice medicine in all its branches. Provides that certain treatment shall be covered, including, but not limited to, psychiatric, psychological, rehabilitative, and therapeutic care. Effective July 1, 2023.
LRB103 29521 KTG 55916 b     LRB103 29521 KTG 55916 b
    LRB103 29521 KTG 55916 b
A BILL FOR

 

 

305 ILCS 5/5-30.11



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1  (1) Psychiatric care, meaning direct, consultative, or
2  diagnostic services provided by a licensed psychiatrist.
3  (2) Psychological care, meaning direct or consultative
4  services provided by a licensed psychologist.
5  (3) Habilitative or rehabilitative care, meaning
6  professional, counseling, and guidance services and
7  treatment programs, including applied behavior analysis,
8  that are intended to develop, maintain, and restore the
9  functioning of an individual. As used in this subsection,
10  "applied behavior analysis" means the design,
11  implementation, and evaluation of environmental
12  modifications using behavioral stimuli and consequences to
13  produce socially significant improvement in human
14  behavior, including the use of direct observation,
15  measurement, and functional analysis of the relations
16  between environment and behavior. Applied behavior
17  analysis shall be covered if provided by a Board Certified
18  Behavior Analyst who possesses at least a master's degree
19  or higher level of education in qualifying fields and
20  possesses certification from the Behavior Analyst
21  Certification Board. Applied behavior analysis can also be
22  provided and shall be covered when provided by a
23  Registered Behavior Technician who is certified and in
24  direct supervision of a Board Certified Behavior Analyst.
25  (4) Therapeutic care, including behavioral, speech,
26  occupational, and physical therapies that provide

 

 

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1  treatment in the following areas: (i) self care and
2  feeding; (ii) pragmatic, receptive, and expressive
3  language; (iii) cognitive functioning; (iv) applied
4  behavior analysis, intervention, and modification; (v)
5  motor planning; and (vi) sensory processing.
6  . Such coverage may be limited to age ranges based on
7  evidence-based best practices. Appropriate State plan
8  amendments as well as rules regarding provision of services
9  and providers will be submitted by September 1, 2019.
10  (Source: P.A. 101-10, eff. 6-5-19; 102-558, eff. 8-20-21;
11  102-953, eff. 5-27-22.)
12  Section 99. Effective date. This Act takes effect July 1,
13  2023.

 

 

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