Illinois Senate Bill SB2684

Illinois 2023-2024 Regular Session

• Introduced: 1/10/24
• Refer: 1/10/24
• Refer: 1/31/24
• Refer: 5/3/24

Caption

MEDICAID-ULTRASOUND/FETAL TEST

Impact

The implementation of SB2684 is expected to modernize the approach to prenatal health monitoring by recognizing remote ultrasounds and nonstress tests as reimbursable services. By explicitly permitting these remote procedures when certain criteria are met, the bill supports healthcare providers in adapting to the growing reliance on digital technology. Moreover, this policy change could improve health outcomes for pregnant individuals, particularly those in underserved or remote areas where access to in-person medical facilities is limited.

Summary

SB2684, introduced by Senator Laura M. Murphy, amends the Medical Assistance Article of the Illinois Public Aid Code to establish new provisions for reimbursing remote ultrasound procedures and remote fetal nonstress tests. The bill allows for reimbursement under both fee-for-service and managed care medical assistance programs provided that these remote services meet established Current Procedural Terminology (CPT) codes and standards of care equivalent to in-person visits. This legislative change aims to facilitate access to critical prenatal care through innovative telehealth solutions.

Contention

While the bill signifies an important step towards enhancing healthcare delivery, there are potential points of contention surrounding the criteria for reimbursement. Concerns may arise regarding the adequacy of training and technological resources required for providers, as well as patient access to reliable internet services necessary for effective remote monitoring. Stakeholders from various sectors, including healthcare advocates and technology providers, might engage in discussions about the long-term implications of relying on digital technology for essential prenatal assessments.