Illinois 2023-2024 Regular Session

Illinois Senate Bill SB1964 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1		-	SB1964 EngrossedLRB103 27539 KTG 53914 b SB1964 Engrossed LRB103 27539 KTG 53914 b
2		-	SB1964 Engrossed LRB103 27539 KTG 53914 b
	1	+	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB1964 Introduced 2/9/2023, by Sen. Ann Gillespie SYNOPSIS AS INTRODUCED: 305 ILCS 5/1-13 new Amends the Illinois Public Aid Code. Provides that for program and reimbursement changes effective between January 1 and May 31 of each year, any program or reimbursement change under the medical assistance program, including any program for dual eligible beneficiaries, become effective on January 1 of the year following the enactment of the changes. Provides that program and rate changes under the medical assistance program, including any program for dual eligible beneficiaries, with an effective date between June 1 and December 31 of each year become effective on June 1 of the year following the enactment of the changes. Provides that such requirements are subject to federal approval and any other requirements imposed by the federal Centers for Medicare and Medicaid Services. LRB103 27539 KTG 53914 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB1964 Introduced 2/9/2023, by Sen. Ann Gillespie SYNOPSIS AS INTRODUCED: 305 ILCS 5/1-13 new 305 ILCS 5/1-13 new Amends the Illinois Public Aid Code. Provides that for program and reimbursement changes effective between January 1 and May 31 of each year, any program or reimbursement change under the medical assistance program, including any program for dual eligible beneficiaries, become effective on January 1 of the year following the enactment of the changes. Provides that program and rate changes under the medical assistance program, including any program for dual eligible beneficiaries, with an effective date between June 1 and December 31 of each year become effective on June 1 of the year following the enactment of the changes. Provides that such requirements are subject to federal approval and any other requirements imposed by the federal Centers for Medicare and Medicaid Services. LRB103 27539 KTG 53914 b LRB103 27539 KTG 53914 b A BILL FOR
	2	+	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB1964 Introduced 2/9/2023, by Sen. Ann Gillespie SYNOPSIS AS INTRODUCED:
	3	+	305 ILCS 5/1-13 new 305 ILCS 5/1-13 new
	4	+	305 ILCS 5/1-13 new
	5	+	Amends the Illinois Public Aid Code. Provides that for program and reimbursement changes effective between January 1 and May 31 of each year, any program or reimbursement change under the medical assistance program, including any program for dual eligible beneficiaries, become effective on January 1 of the year following the enactment of the changes. Provides that program and rate changes under the medical assistance program, including any program for dual eligible beneficiaries, with an effective date between June 1 and December 31 of each year become effective on June 1 of the year following the enactment of the changes. Provides that such requirements are subject to federal approval and any other requirements imposed by the federal Centers for Medicare and Medicaid Services.
	6	+	LRB103 27539 KTG 53914 b LRB103 27539 KTG 53914 b
	7	+	LRB103 27539 KTG 53914 b
	8	+	A BILL FOR
	9	+	SB1964LRB103 27539 KTG 53914 b SB1964 LRB103 27539 KTG 53914 b
	10	+	SB1964 LRB103 27539 KTG 53914 b
3	11		1 AN ACT concerning public aid.
4	12		2 Be it enacted by the People of the State of Illinois,
5	13		3 represented in the General Assembly:
6	14		4 Section 5. The Illinois Public Aid Code is amended by
7		-	5 adding Sections 1-13 as follows:
	15	+	5 adding Sections 1-13 and 1-13.1 as follows:
8	16		6 (305 ILCS 5/1-13 new)
9	17		7 Sec. 1-13. Program and reimbursement changes under the
10	18		8 medical assistance program.
11	19		9 (a) It is the purpose of this Section to improve planning
12	20		10 and consistency for implementation of program and
13	21		11 reimbursement changes under the medical assistance program. It
14	22		12 is critical that there is an adequate planning timeline in
15	23		13 order to structure changes in a way that meets the needs of
16	24		14 program enrollees and allow proper time to educate and consult
17	25		15 with impacted providers. Streamlining the dates upon which
18	26		16 program and reimbursement changes take effect promotes
19	27		17 strategic planning by the State to ensure all programs and
20	28		18 policies are aligned to meet the goals of the medical
21	29		19 assistance program. In addition, allowing time to
22	30		20 operationalize changes and collaborate with providers
23	31		21 significantly reduces provider confusion and abrasion.
24		-	22 (b) ~~Effective January 1, 2024,~~ for ~~any~~ program ~~coverage~~
25		-	23 ~~benefit change~~ or ~~reimbursement methodology change enacted by~~
	32	+	22 (b) For program and reimbursement changes effective
	33	+	23 between January 1 and May 31 of each year, any program or
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34		-	1 the General Assembly or implemented through administrative
35		-	2 rule by the Department after the effective date of this
36		-	3 amendatory Act of the 103rd General Assembly, there shall be a
37		-	4 6-month implementation period resulting in an effective date
38		-	5 which is not sooner than 6 months following the effective date
39		-	6 of the new change by law or administrative rule, except that
40		-	7 the change shall either have an effective date of January 1 or
41		-	8 July 1, whichever occurs first after the end of the 6-month
42		-	9 implementation period. The Department and all affected
43		-	10 Medicaid managed care organizations shall publish the
44		-	11 applicable effective date of implementation for any such
45		-	12 benefit or reimbursement methodology change on their publicly
46		-	13 accessible website no less than 120 days prior to the
47		-	14 effective date of implementation. The requirements of this
48		-	15 Section do not apply to scheduled periodic rate updates,
49		-	16 updates required by federal regulation, or required updates
50		-	17 published by the federal Centers for Medicare and Medicaid
51		-	18 Services. Scheduled and periodic rate updates shall be
52		-	19 published on the Department's publicly accessible website no
53		-	20 less than 30 days prior to the effective date of such rate
54		-	21 updates.
	37	+	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB1964 Introduced 2/9/2023, by Sen. Ann Gillespie SYNOPSIS AS INTRODUCED:
	38	+	305 ILCS 5/1-13 new 305 ILCS 5/1-13 new
	39	+	305 ILCS 5/1-13 new
	40	+	Amends the Illinois Public Aid Code. Provides that for program and reimbursement changes effective between January 1 and May 31 of each year, any program or reimbursement change under the medical assistance program, including any program for dual eligible beneficiaries, become effective on January 1 of the year following the enactment of the changes. Provides that program and rate changes under the medical assistance program, including any program for dual eligible beneficiaries, with an effective date between June 1 and December 31 of each year become effective on June 1 of the year following the enactment of the changes. Provides that such requirements are subject to federal approval and any other requirements imposed by the federal Centers for Medicare and Medicaid Services.
	41	+	LRB103 27539 KTG 53914 b LRB103 27539 KTG 53914 b
	42	+	LRB103 27539 KTG 53914 b
	43	+	A BILL FOR
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	49	+	305 ILCS 5/1-13 new
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	53	+	LRB103 27539 KTG 53914 b
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	68	+	1 reimbursement change under the medical assistance program,
	69	+	2 including any program for dual eligible beneficiaries, become
	70	+	3 effective on January 1 of the year following the enactment of
	71	+	4 the changes. Program and rate changes under the medical
	72	+	5 assistance program, including any program for dual eligible
	73	+	6 beneficiaries, with an effective date between June 1 and
	74	+	7 December 31 of each year become effective on June 1 of the year
	75	+	8 following the enactment of the changes. Requirements within
	76	+	9 this Section are subject to federal approval and any other
	77	+	10 requirements imposed by the federal Centers for Medicare and
	78	+	11 Medicaid Services.
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	84	+	SB1964 - 2 - LRB103 27539 KTG 53914 b