Illinois 2025-2026 Regular Session

Illinois House Bill HB2558 Compare Versions

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

Old	New	Differences
1	1	104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 HB2558 Introduced , by Rep. Maura Hirschauer SYNOPSIS AS INTRODUCED: 305 ILCS 5/5-2b Amends the Medical Assistance Article of the Illinois Public Aid Code. In provisions concerning provider reimbursement rates for services provided to medically fragile and technology dependent children, provides that by December 31, 2025, the Department of Healthcare and Family Services shall conduct a rate evaluation to study the soundness of the rate paid for private duty nursing services. Requires the Department to contract with an outside entity to conduct this study or utilize one of its existing contractors to conduct this evaluation. Provides that the contractor shall consult with Department-enrolled private duty providers to ensure the accuracy of this study as it is being created. Requires the study to include, at a minimum, a comparison of rates paid by other states for similar services and the cost of providing similar care in an institutional setting. Effective immediately. LRB104 06253 KTG 16288 b A BILL FOR 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 HB2558 Introduced , by Rep. Maura Hirschauer SYNOPSIS AS INTRODUCED: 305 ILCS 5/5-2b 305 ILCS 5/5-2b Amends the Medical Assistance Article of the Illinois Public Aid Code. In provisions concerning provider reimbursement rates for services provided to medically fragile and technology dependent children, provides that by December 31, 2025, the Department of Healthcare and Family Services shall conduct a rate evaluation to study the soundness of the rate paid for private duty nursing services. Requires the Department to contract with an outside entity to conduct this study or utilize one of its existing contractors to conduct this evaluation. Provides that the contractor shall consult with Department-enrolled private duty providers to ensure the accuracy of this study as it is being created. Requires the study to include, at a minimum, a comparison of rates paid by other states for similar services and the cost of providing similar care in an institutional setting. Effective immediately. LRB104 06253 KTG 16288 b LRB104 06253 KTG 16288 b A BILL FOR
2	2	104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 HB2558 Introduced , by Rep. Maura Hirschauer SYNOPSIS AS INTRODUCED:
3	3	305 ILCS 5/5-2b 305 ILCS 5/5-2b
4	4	305 ILCS 5/5-2b
5	5	Amends the Medical Assistance Article of the Illinois Public Aid Code. In provisions concerning provider reimbursement rates for services provided to medically fragile and technology dependent children, provides that by December 31, 2025, the Department of Healthcare and Family Services shall conduct a rate evaluation to study the soundness of the rate paid for private duty nursing services. Requires the Department to contract with an outside entity to conduct this study or utilize one of its existing contractors to conduct this evaluation. Provides that the contractor shall consult with Department-enrolled private duty providers to ensure the accuracy of this study as it is being created. Requires the study to include, at a minimum, a comparison of rates paid by other states for similar services and the cost of providing similar care in an institutional setting. Effective immediately.
6	6	LRB104 06253 KTG 16288 b LRB104 06253 KTG 16288 b
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8	8	A BILL FOR
9	9	HB2558LRB104 06253 KTG 16288 b HB2558 LRB104 06253 KTG 16288 b
10	10	HB2558 LRB104 06253 KTG 16288 b
11	11	1 AN ACT concerning public aid.
12	12	2 Be it enacted by the People of the State of Illinois,
13	13	3 represented in the General Assembly:
14	14	4 Section 5. The Illinois Public Aid Code is amended by
15	15	5 changing Section 5-2b as follows:
16	16	6 (305 ILCS 5/5-2b)
17	17	7 Sec. 5-2b. Medically fragile and technology dependent
18	18	8 children eligibility and program; provider reimbursement
19	19	9 rates.
20	20	10 (a) Notwithstanding any other provision of law except as
21	21	11 provided in Section 5-30a, on and after September 1, 2012,
22	22	12 subject to federal approval, medical assistance under this
23	23	13 Article shall be available to children who qualify as persons
24	24	14 with a disability, as defined under the federal Supplemental
25	25	15 Security Income program and who are medically fragile and
26	26	16 technology dependent. The program shall allow eligible
27	27	17 children to receive the medical assistance provided under this
28	28	18 Article in the community and must maximize, to the fullest
29	29	19 extent permissible under federal law, federal reimbursement
30	30	20 and family cost-sharing, including co-pays, premiums, or any
31	31	21 other family contributions, except that the Department shall
32	32	22 be permitted to incentivize the utilization of selected
33	33	23 services through the use of cost-sharing adjustments. The
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37	37	104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 HB2558 Introduced , by Rep. Maura Hirschauer SYNOPSIS AS INTRODUCED:
38	38	305 ILCS 5/5-2b 305 ILCS 5/5-2b
39	39	305 ILCS 5/5-2b
40	40	Amends the Medical Assistance Article of the Illinois Public Aid Code. In provisions concerning provider reimbursement rates for services provided to medically fragile and technology dependent children, provides that by December 31, 2025, the Department of Healthcare and Family Services shall conduct a rate evaluation to study the soundness of the rate paid for private duty nursing services. Requires the Department to contract with an outside entity to conduct this study or utilize one of its existing contractors to conduct this evaluation. Provides that the contractor shall consult with Department-enrolled private duty providers to ensure the accuracy of this study as it is being created. Requires the study to include, at a minimum, a comparison of rates paid by other states for similar services and the cost of providing similar care in an institutional setting. Effective immediately.
41	41	LRB104 06253 KTG 16288 b LRB104 06253 KTG 16288 b
42	42	LRB104 06253 KTG 16288 b
43	43	A BILL FOR
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68	68	1 Department shall establish the policies, procedures,
69	69	2 standards, services, and criteria for this program by rule.
70	70	3 (b) Notwithstanding any other provision of this Code,
71	71	4 subject to federal approval, on and after January 1, 2024, the
72	72	5 reimbursement rates for nursing paid through Nursing and
73	73	6 Personal Care Services for non-waiver customers and to
74	74	7 providers of private duty nursing services for children
75	75	8 eligible for medical assistance under this Section shall be
76	76	9 20% higher than the reimbursement rates in effect for nursing
77	77	10 services on December 31, 2023.
78	78	11 (c) Notwithstanding any other provision of this Code,
79	79	12 subject to federal approval, on and after January 1, 2025, the
80	80	13 reimbursement rates for nursing paid through Nursing and
81	81	14 Personal Care Services for non-waiver customers and to
82	82	15 providers of private duty nursing services for children
83	83	16 eligible for medical assistance under this Section shall be 7%
84	84	17 higher than the reimbursement rates in effect for nursing
85	85	18 services on December 31, 2024.
86	86	19 (d) Rate study. By December 31, 2025, the Department shall
87	87	20 conduct a rate evaluation to study the soundness of the rate
88	88	21 paid for private duty nursing services. The Department shall
89	89	22 contract with an outside entity to conduct this study or
90	90	23 utilize one of its existing contractors to conduct this
91	91	24 evaluation. The contractor shall consult with
92	92	25 Department-enrolled private duty providers to ensure the
93	93	26 accuracy of this study as it is being created. The study shall
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104	104	1 include, at a minimum, a comparison of rates paid by other
105	105	2 states for similar services and the cost of providing similar
106	106	3 care in an institutional setting.
107	107	4 (Source: P.A. 103-102, eff. 1-1-24; 103-593, eff. 6-7-24.)
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