Illinois 2023-2024 Regular Session

Illinois Senate Bill SB3665 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB3665 Introduced 2/9/2024, by Sen. Lakesia Collins SYNOPSIS AS INTRODUCED: 215 ILCS 5/356z.40305 ILCS 5/5-16.7305 ILCS 5/5-18.5305 ILCS 5/5-18.10 Amends the Illinois Insurance Code. Provides that insurers shall cover all services for pregnancy, postpartum, and newborn care that are rendered by perinatal doulas or licensed certified professional midwives, including home births, home visits, and support during labor, abortion, or miscarriage. Provides that the required coverage includes the necessary equipment and medical supplies for a home birth. Provides that coverage for pregnancy, postpartum, and newborn care shall include home visits by lactation consultants and the purchase of breast pumps and breast pump supplies, including such breast pumps, breast pump supplies, breastfeeding supplies, and feeding aides as recommended by the lactation consultant. Provides that coverage for postpartum services shall apply for at least one year after birth. Provides that certain pregnancy and postpartum coverage shall be provided without cost-sharing requirements. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that post-parturition care benefits shall not be subject to any cost-sharing requirement. Provides that the medical assistance program shall cover home visits for lactation counseling and support services. Provides that the medical assistance program shall cover counselor-recommended or provider-recommended breast pumps as well as breast pump supplies, breastfeeding supplies, and feeding aides. Provides that nothing in the provisions shall limit the number of lactation encounters, visits, or services; breast pumps; breast pump supplies; breastfeeding supplies; or feeding aides a beneficiary is entitled to receive under the program. Makes other changes. Effective January 1, 2026. LRB103 39479 RPS 69674 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB3665 Introduced 2/9/2024, by Sen. Lakesia Collins SYNOPSIS AS INTRODUCED: 215 ILCS 5/356z.40305 ILCS 5/5-16.7305 ILCS 5/5-18.5305 ILCS 5/5-18.10 215 ILCS 5/356z.40 305 ILCS 5/5-16.7 305 ILCS 5/5-18.5 305 ILCS 5/5-18.10 Amends the Illinois Insurance Code. Provides that insurers shall cover all services for pregnancy, postpartum, and newborn care that are rendered by perinatal doulas or licensed certified professional midwives, including home births, home visits, and support during labor, abortion, or miscarriage. Provides that the required coverage includes the necessary equipment and medical supplies for a home birth. Provides that coverage for pregnancy, postpartum, and newborn care shall include home visits by lactation consultants and the purchase of breast pumps and breast pump supplies, including such breast pumps, breast pump supplies, breastfeeding supplies, and feeding aides as recommended by the lactation consultant. Provides that coverage for postpartum services shall apply for at least one year after birth. Provides that certain pregnancy and postpartum coverage shall be provided without cost-sharing requirements. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that post-parturition care benefits shall not be subject to any cost-sharing requirement. Provides that the medical assistance program shall cover home visits for lactation counseling and support services. Provides that the medical assistance program shall cover counselor-recommended or provider-recommended breast pumps as well as breast pump supplies, breastfeeding supplies, and feeding aides. Provides that nothing in the provisions shall limit the number of lactation encounters, visits, or services; breast pumps; breast pump supplies; breastfeeding supplies; or feeding aides a beneficiary is entitled to receive under the program. Makes other changes. Effective January 1, 2026. LRB103 39479 RPS 69674 b LRB103 39479 RPS 69674 b A BILL FOR
2	2	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB3665 Introduced 2/9/2024, by Sen. Lakesia Collins SYNOPSIS AS INTRODUCED:
3	3	215 ILCS 5/356z.40305 ILCS 5/5-16.7305 ILCS 5/5-18.5305 ILCS 5/5-18.10 215 ILCS 5/356z.40 305 ILCS 5/5-16.7 305 ILCS 5/5-18.5 305 ILCS 5/5-18.10
4	4	215 ILCS 5/356z.40
5	5	305 ILCS 5/5-16.7
6	6	305 ILCS 5/5-18.5
7	7	305 ILCS 5/5-18.10
8	8	Amends the Illinois Insurance Code. Provides that insurers shall cover all services for pregnancy, postpartum, and newborn care that are rendered by perinatal doulas or licensed certified professional midwives, including home births, home visits, and support during labor, abortion, or miscarriage. Provides that the required coverage includes the necessary equipment and medical supplies for a home birth. Provides that coverage for pregnancy, postpartum, and newborn care shall include home visits by lactation consultants and the purchase of breast pumps and breast pump supplies, including such breast pumps, breast pump supplies, breastfeeding supplies, and feeding aides as recommended by the lactation consultant. Provides that coverage for postpartum services shall apply for at least one year after birth. Provides that certain pregnancy and postpartum coverage shall be provided without cost-sharing requirements. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that post-parturition care benefits shall not be subject to any cost-sharing requirement. Provides that the medical assistance program shall cover home visits for lactation counseling and support services. Provides that the medical assistance program shall cover counselor-recommended or provider-recommended breast pumps as well as breast pump supplies, breastfeeding supplies, and feeding aides. Provides that nothing in the provisions shall limit the number of lactation encounters, visits, or services; breast pumps; breast pump supplies; breastfeeding supplies; or feeding aides a beneficiary is entitled to receive under the program. Makes other changes. Effective January 1, 2026.
9	9	LRB103 39479 RPS 69674 b LRB103 39479 RPS 69674 b
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11	11	A BILL FOR
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13	13	SB3665 LRB103 39479 RPS 69674 b
14	14	1 AN ACT concerning regulation.
15	15	2 Be it enacted by the People of the State of Illinois,
16	16	3 represented in the General Assembly:
17	17	4 Section 5. The Illinois Insurance Code is amended by
18	18	5 changing Section 356z.40 as follows:
19	19	6 (215 ILCS 5/356z.40)
20	20	7 Sec. 356z.40. Pregnancy and postpartum coverage.
21	21	8 (a) An individual or group policy of accident and health
22	22	9 insurance or managed care plan amended, delivered, issued, or
23	23	10 renewed on or after the effective date of this amendatory Act
24	24	11 of the 103rd General Assembly this amendatory Act of the 102nd
25	25	12 General Assembly shall provide coverage for pregnancy,
26	26	13 postpartum, and newborn care in accordance with 42 U.S.C.
27	27	14 18022(b) regarding essential health benefits.
28	28	15 (b) Benefits under this Section shall be as follows:
29	29	16 (1) An individual who has been identified as
30	30	17 experiencing a high-risk pregnancy by the individual's
31	31	18 treating provider shall have access to clinically
32	32	19 appropriate case management programs. As used in this
33	33	20 subsection, "case management" means a mechanism to
34	34	21 coordinate and assure continuity of services, including,
35	35	22 but not limited to, health services, social services, and
36	36	23 educational services necessary for the individual. "Case
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40	40	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB3665 Introduced 2/9/2024, by Sen. Lakesia Collins SYNOPSIS AS INTRODUCED:
41	41	215 ILCS 5/356z.40305 ILCS 5/5-16.7305 ILCS 5/5-18.5305 ILCS 5/5-18.10 215 ILCS 5/356z.40 305 ILCS 5/5-16.7 305 ILCS 5/5-18.5 305 ILCS 5/5-18.10
42	42	215 ILCS 5/356z.40
43	43	305 ILCS 5/5-16.7
44	44	305 ILCS 5/5-18.5
45	45	305 ILCS 5/5-18.10
46	46	Amends the Illinois Insurance Code. Provides that insurers shall cover all services for pregnancy, postpartum, and newborn care that are rendered by perinatal doulas or licensed certified professional midwives, including home births, home visits, and support during labor, abortion, or miscarriage. Provides that the required coverage includes the necessary equipment and medical supplies for a home birth. Provides that coverage for pregnancy, postpartum, and newborn care shall include home visits by lactation consultants and the purchase of breast pumps and breast pump supplies, including such breast pumps, breast pump supplies, breastfeeding supplies, and feeding aides as recommended by the lactation consultant. Provides that coverage for postpartum services shall apply for at least one year after birth. Provides that certain pregnancy and postpartum coverage shall be provided without cost-sharing requirements. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that post-parturition care benefits shall not be subject to any cost-sharing requirement. Provides that the medical assistance program shall cover home visits for lactation counseling and support services. Provides that the medical assistance program shall cover counselor-recommended or provider-recommended breast pumps as well as breast pump supplies, breastfeeding supplies, and feeding aides. Provides that nothing in the provisions shall limit the number of lactation encounters, visits, or services; breast pumps; breast pump supplies; breastfeeding supplies; or feeding aides a beneficiary is entitled to receive under the program. Makes other changes. Effective January 1, 2026.
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48	48	LRB103 39479 RPS 69674 b
49	49	A BILL FOR
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55	55	215 ILCS 5/356z.40
56	56	305 ILCS 5/5-16.7
57	57	305 ILCS 5/5-18.5
58	58	305 ILCS 5/5-18.10
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77	77	1 management" involves individualized assessment of needs,
78	78	2 planning of services, referral, monitoring, and advocacy
79	79	3 to assist an individual in gaining access to appropriate
80	80	4 services and closure when services are no longer required.
81	81	5 "Case management" is an active and collaborative process
82	82	6 involving a single qualified case manager, the individual,
83	83	7 the individual's family, the providers, and the community.
84	84	8 This includes close coordination and involvement with all
85	85	9 service providers in the management plan for that
86	86	10 individual or family, including assuring that the
87	87	11 individual receives the services. As used in this
88	88	12 subsection, "high-risk pregnancy" means a pregnancy in
89	89	13 which the pregnant or postpartum individual or baby is at
90	90	14 an increased risk for poor health or complications during
91	91	15 pregnancy or childbirth, including, but not limited to,
92	92	16 hypertension disorders, gestational diabetes, and
93	93	17 hemorrhage.
94	94	18 (2) An individual shall have access to medically
95	95	19 necessary treatment of a mental, emotional, nervous, or
96	96	20 substance use disorder or condition consistent with the
97	97	21 requirements set forth in this Section and in Sections
98	98	22 370c and 370c.1 of this Code.
99	99	23 (3) The benefits provided for inpatient and outpatient
100	100	24 services for the treatment of a mental, emotional,
101	101	25 nervous, or substance use disorder or condition related to
102	102	26 pregnancy or postpartum complications shall be provided if
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113	113	1 determined to be medically necessary, consistent with the
114	114	2 requirements of Sections 370c and 370c.1 of this Code. The
115	115	3 facility or provider shall notify the insurer of both the
116	116	4 admission and the initial treatment plan within 48 hours
117	117	5 after admission or initiation of treatment. Nothing in
118	118	6 this paragraph shall prevent an insurer from applying
119	119	7 concurrent and post-service utilization review of health
120	120	8 care services, including review of medical necessity, case
121	121	9 management, experimental and investigational treatments,
122	122	10 managed care provisions, and other terms and conditions of
123	123	11 the insurance policy.
124	124	12 (4) The benefits for the first 48 hours of initiation
125	125	13 of services for an inpatient admission, detoxification or
126	126	14 withdrawal management program, or partial hospitalization
127	127	15 admission for the treatment of a mental, emotional,
128	128	16 nervous, or substance use disorder or condition related to
129	129	17 pregnancy or postpartum complications shall be provided
130	130	18 without post-service or concurrent review of medical
131	131	19 necessity, as the medical necessity for the first 48 hours
132	132	20 of such services shall be determined solely by the covered
133	133	21 pregnant or postpartum individual's provider. Nothing in
134	134	22 this paragraph shall prevent an insurer from applying
135	135	23 concurrent and post-service utilization review, including
136	136	24 the review of medical necessity, case management,
137	137	25 experimental and investigational treatments, managed care
138	138	26 provisions, and other terms and conditions of the
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149	149	1 insurance policy, of any inpatient admission,
150	150	2 detoxification or withdrawal management program admission,
151	151	3 or partial hospitalization admission services for the
152	152	4 treatment of a mental, emotional, nervous, or substance
153	153	5 use disorder or condition related to pregnancy or
154	154	6 postpartum complications received 48 hours after the
155	155	7 initiation of such services. If an insurer determines that
156	156	8 the services are no longer medically necessary, then the
157	157	9 covered person shall have the right to external review
158	158	10 pursuant to the requirements of the Health Carrier
159	159	11 External Review Act.
160	160	12 (5) If an insurer determines that continued inpatient
161	161	13 care, detoxification or withdrawal management, partial
162	162	14 hospitalization, intensive outpatient treatment, or
163	163	15 outpatient treatment in a facility is no longer medically
164	164	16 necessary, the insurer shall, within 24 hours, provide
165	165	17 written notice to the covered pregnant or postpartum
166	166	18 individual and the covered pregnant or postpartum
167	167	19 individual's provider of its decision and the right to
168	168	20 file an expedited internal appeal of the determination.
169	169	21 The insurer shall review and make a determination with
170	170	22 respect to the internal appeal within 24 hours and
171	171	23 communicate such determination to the covered pregnant or
172	172	24 postpartum individual and the covered pregnant or
173	173	25 postpartum individual's provider. If the determination is
174	174	26 to uphold the denial, the covered pregnant or postpartum
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185	185	1 individual and the covered pregnant or postpartum
186	186	2 individual's provider have the right to file an expedited
187	187	3 external appeal. An independent utilization review
188	188	4 organization shall make a determination within 72 hours.
189	189	5 If the insurer's determination is upheld and it is
190	190	6 determined that continued inpatient care, detoxification
191	191	7 or withdrawal management, partial hospitalization,
192	192	8 intensive outpatient treatment, or outpatient treatment is
193	193	9 not medically necessary, the insurer shall remain
194	194	10 responsible for providing benefits for the inpatient care,
195	195	11 detoxification or withdrawal management, partial
196	196	12 hospitalization, intensive outpatient treatment, or
197	197	13 outpatient treatment through the day following the date
198	198	14 the determination is made, and the covered pregnant or
199	199	15 postpartum individual shall only be responsible for any
200	200	16 applicable copayment, deductible, and coinsurance for the
201	201	17 stay through that date as applicable under the policy. The
202	202	18 covered pregnant or postpartum individual shall not be
203	203	19 discharged or released from the inpatient facility,
204	204	20 detoxification or withdrawal management, partial
205	205	21 hospitalization, intensive outpatient treatment, or
206	206	22 outpatient treatment until all internal appeals and
207	207	23 independent utilization review organization appeals are
208	208	24 exhausted. A decision to reverse an adverse determination
209	209	25 shall comply with the Health Carrier External Review Act.
210	210	26 (6) Except as otherwise stated in this subsection (b),
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221	221	1 the benefits and cost-sharing shall be provided to the
222	222	2 same extent as for any other medical condition covered
223	223	3 under the policy.
224	224	4 (7) The benefits required by paragraphs (2) and (6) of
225	225	5 this subsection (b) are to be provided to all covered
226	226	6 pregnant or postpartum individuals with a diagnosis of a
227	227	7 mental, emotional, nervous, or substance use disorder or
228	228	8 condition. The presence of additional related or unrelated
229	229	9 diagnoses shall not be a basis to reduce or deny the
230	230	10 benefits required by this subsection (b).
231	231	11 (8) Insurers shall cover all services for pregnancy,
232	232	12 postpartum, and newborn care that are rendered by
233	233	13 perinatal doulas or licensed certified professional
234	234	14 midwives, including home births, home visits, and support
235	235	15 during labor, abortion, or miscarriage. Coverage shall
236	236	16 include the necessary equipment and medical supplies for a
237	237	17 home birth.
238	238	18 (9) Coverage for pregnancy, postpartum, and newborn
239	239	19 care shall include home visits by lactation consultants
240	240	20 and the purchase of breast pumps and breast pump supplies,
241	241	21 including such breast pumps, breast pump supplies,
242	242	22 breastfeeding supplies, and feeding aides as recommended
243	243	23 by the lactation consultant.
244	244	24 (10) Coverage for postpartum services shall apply for
245	245	25 at least one year after birth.
246	246	26 (c) All coverage required under this Section shall be
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257	257	1 provided without cost sharing. This subsection does not apply
258	258	2 to the extent such coverage would disqualify a high-deductible
259	259	3 health plan from eligibility for a health savings account
260	260	4 pursuant to Section 223 of the Internal Revenue Code.
261	261	5 (Source: P.A. 102-665, eff. 10-8-21.)
262	262	6 Section 10. The Illinois Public Aid Code is amended by
263	263	7 changing Sections 5-16.7, 5-18.5, and 5-18.10 as follows:
264	264	8 (305 ILCS 5/5-16.7)
265	265	9 Sec. 5-16.7. Post-parturition care. The medical assistance
266	266	10 program shall provide the post-parturition care benefits
267	267	11 required to be covered by a policy of accident and health
268	268	12 insurance under Section 356s of the Illinois Insurance Code.
269	269	13 Benefits provided under this Section shall not be subject to
270	270	14 any cost-sharing requirement.
271	271	15 On and after July 1, 2012, the Department shall reduce any
272	272	16 rate of reimbursement for services or other payments or alter
273	273	17 any methodologies authorized by this Code to reduce any rate
274	274	18 of reimbursement for services or other payments in accordance
275	275	19 with Section 5-5e.
276	276	20 (Source: P.A. 97-689, eff. 6-14-12.)
277	277	21 (305 ILCS 5/5-18.5)
278	278	22 Sec. 5-18.5. Perinatal doula and evidence-based home
279	279	23 visiting services.
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290	290	1 (a) As used in this Section:
291	291	2 "Home visiting" means a voluntary, evidence-based strategy
292	292	3 used to support pregnant people, infants, and young children
293	293	4 and their caregivers to promote infant, child, and maternal
294	294	5 health, to foster educational development and school
295	295	6 readiness, and to help prevent child abuse and neglect. Home
296	296	7 visitors are trained professionals whose visits and activities
297	297	8 focus on promoting strong parent-child attachment to foster
298	298	9 healthy child development.
299	299	10 "Perinatal doula" means a trained provider who provides
300	300	11 regular, voluntary physical, emotional, and educational
301	301	12 support, but not medical or midwife care, to pregnant and
302	302	13 birthing persons before, during, and after childbirth,
303	303	14 otherwise known as the perinatal period.
304	304	15 "Perinatal doula training" means any doula training that
305	305	16 focuses on providing support throughout the prenatal, labor
306	306	17 and delivery, or postpartum period, and reflects the type of
307	307	18 doula care that the doula seeks to provide.
308	308	19 (b) Notwithstanding any other provision of this Article,
309	309	20 perinatal doula services and evidence-based home visiting
310	310	21 services shall be covered under the medical assistance
311	311	22 program, subject to appropriation, for persons who are
312	312	23 otherwise eligible for medical assistance under this Article.
313	313	24 Perinatal doula services include regular visits beginning in
314	314	25 the prenatal period and continuing into the postnatal period,
315	315	26 inclusive of continuous support during labor and delivery,
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326	326	1 that support healthy pregnancies and positive birth outcomes.
327	327	2 Perinatal doula services may be embedded in an existing
328	328	3 program, such as evidence-based home visiting. Perinatal doula
329	329	4 services provided during the prenatal period may be provided
330	330	5 weekly, services provided during the labor and delivery period
331	331	6 may be provided for the entire duration of labor and the time
332	332	7 immediately following birth, and services provided during the
333	333	8 postpartum period may be provided up to 12 months postpartum.
334	334	9 (b-5) Notwithstanding any other provision of this Article,
335	335	10 beginning January 1, 2023, licensed certified professional
336	336	11 midwife services shall be covered under the medical assistance
337	337	12 program, subject to appropriation, for persons who are
338	338	13 otherwise eligible for medical assistance under this Article.
339	339	14 The Department shall consult with midwives on reimbursement
340	340	15 rates for midwifery services. Midwifery services covered under
341	341	16 this subsection shall include home births and home prenatal,
342	342	17 labor and delivery, and postnatal care.
343	343	18 (c) The Department of Healthcare and Family Services shall
344	344	19 adopt rules to administer this Section. In this rulemaking,
345	345	20 the Department shall consider the expertise of and consult
346	346	21 with doula program experts, doula training providers,
347	347	22 practicing doulas, and home visiting experts, along with State
348	348	23 agencies implementing perinatal doula services and relevant
349	349	24 bodies under the Illinois Early Learning Council. This body of
350	350	25 experts shall inform the Department on the credentials
351	351	26 necessary for perinatal doula and home visiting services to be
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362	362	1 eligible for Medicaid reimbursement and the rate of
363	363	2 reimbursement for home visiting and perinatal doula services
364	364	3 in the prenatal, labor and delivery, and postpartum periods.
365	365	4 Every 2 years, the Department shall assess the rates of
366	366	5 reimbursement for perinatal doula and home visiting services
367	367	6 and adjust rates accordingly.
368	368	7 (d) The Department shall seek such State plan amendments
369	369	8 or waivers as may be necessary to implement this Section and
370	370	9 shall secure federal financial participation for expenditures
371	371	10 made by the Department in accordance with this Section.
372	372	11 (Source: P.A. 102-4, eff. 4-27-21; 102-1037, eff. 6-2-22.)
373	373	12 (305 ILCS 5/5-18.10)
374	374	13 Sec. 5-18.10. Reimbursement for postpartum visits.
375	375	14 (a) In this Section:
376	376	15 "Certified lactation counselor" means a health care
377	377	16 professional in lactation counseling who has demonstrated the
378	378	17 necessary skills, knowledge, and attitudes to provide clinical
379	379	18 breastfeeding counseling and management support to families
380	380	19 who are thinking about breastfeeding or who have questions or
381	381	20 problems during the course of breastfeeding.
382	382	21 "Certified nurse midwife" means a person who exceeds the
383	383	22 competencies for a midwife contained in the Essential
384	384	23 Competencies for Midwifery Practice, published by the
385	385	24 International Confederation of Midwives, and who qualifies as
386	386	25 an advanced practice registered nurse.
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397	397	1 "Community health worker" means a frontline public health
398	398	2 worker who is a trusted member or has an unusually close
399	399	3 understanding of the community served. This trusting
400	400	4 relationship enables the community health worker to serve as a
401	401	5 liaison, link, and intermediary between health and social
402	402	6 services and the community to facilitate access to services
403	403	7 and improve the quality and cultural competence of service
404	404	8 delivery.
405	405	9 "International board-certified lactation consultant"
406	406	10 means a health care professional who is certified by the
407	407	11 International Board of Lactation Consultant Examiners and
408	408	12 specializes in the clinical management of breastfeeding.
409	409	13 "Medical caseworker" means a health care professional who
410	410	14 assists in the planning, coordination, monitoring, and
411	411	15 evaluation of medical services for a patient with emphasis on
412	412	16 quality of care, continuity of services, and affordability.
413	413	17 "Perinatal doula" means a trained provider of regular and
414	414	18 voluntary physical, emotional, and educational support, but
415	415	19 not medical or midwife care, to pregnant and birthing persons
416	416	20 before, during, and after childbirth, otherwise known as the
417	417	21 perinatal period.
418	418	22 "Public health nurse" means a registered nurse who
419	419	23 promotes and protects the health of populations using
420	420	24 knowledge from nursing, social, and public health sciences.
421	421	25 (b) The Illinois Department shall establish a medical
422	422	26 assistance program to cover a universal postpartum visit
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433	433	1 within the first 3 weeks after childbirth and a comprehensive
434	434	2 visit within 4 to 12 weeks postpartum for persons who are
435	435	3 otherwise eligible for medical assistance under this Article.
436	436	4 In addition, postpartum care services rendered by perinatal
437	437	5 doulas, certified lactation counselors, international
438	438	6 board-certified lactation consultants, public health nurses,
439	439	7 certified nurse midwives, community health workers, and
440	440	8 medical caseworkers shall be covered under the medical
441	441	9 assistance program.
442	442	10 (c) The medical assistance program shall cover home visits
443	443	11 for lactation counseling and support services. Visits may
444	444	12 occur before birth and at any time within 12 months
445	445	13 postpartum.
446	446	14 (d) The medical assistance program shall cover
447	447	15 counselor-recommended or provider-recommended breast pumps as
448	448	16 well as breast pump supplies, breastfeeding supplies, and
449	449	17 feeding aides.
450	450	18 (e) Nothing in this Section shall limit the number of
451	451	19 lactation encounters, visits, or services; breast pumps;
452	452	20 breast pump supplies; breastfeeding supplies; or feeding aides
453	453	21 a beneficiary is entitled to receive under the medical
454	454	22 assistance program.
455	455	23 (Source: P.A. 102-665, eff. 10-8-21.)
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