Illinois 2025-2026 Regular Session

Illinois Senate Bill SB1737 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 SB1737 Introduced 2/5/2025, by Sen. Laura Fine SYNOPSIS AS INTRODUCED: 305 ILCS 5/5-30.19 new Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to require Medicaid managed care organizations to reimburse at no less than 100% of the Medical Assistance program's Durable Medical Equipment fee schedule for the same service or item of durable medical equipment, complex rehab technology, prosthetics, orthotics, or supplies. Provides that the reimbursement requirement shall also apply to a Medicaid managed care organization's subcontractors and third-party administrators. Provides that the Department has the authority to implement the reimbursement requirement on and after July 1, 2025 and prior to the completion of any regulatory process undertaken in order to effect such change. Effective July 1, 2025. LRB104 10358 KTG 20433 b A BILL FOR 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB1737 Introduced 2/5/2025, by Sen. Laura Fine SYNOPSIS AS INTRODUCED: 305 ILCS 5/5-30.19 new 305 ILCS 5/5-30.19 new Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to require Medicaid managed care organizations to reimburse at no less than 100% of the Medical Assistance program's Durable Medical Equipment fee schedule for the same service or item of durable medical equipment, complex rehab technology, prosthetics, orthotics, or supplies. Provides that the reimbursement requirement shall also apply to a Medicaid managed care organization's subcontractors and third-party administrators. Provides that the Department has the authority to implement the reimbursement requirement on and after July 1, 2025 and prior to the completion of any regulatory process undertaken in order to effect such change. Effective July 1, 2025. LRB104 10358 KTG 20433 b LRB104 10358 KTG 20433 b A BILL FOR
2	2	104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB1737 Introduced 2/5/2025, by Sen. Laura Fine SYNOPSIS AS INTRODUCED:
3	3	305 ILCS 5/5-30.19 new 305 ILCS 5/5-30.19 new
4	4	305 ILCS 5/5-30.19 new
5	5	Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to require Medicaid managed care organizations to reimburse at no less than 100% of the Medical Assistance program's Durable Medical Equipment fee schedule for the same service or item of durable medical equipment, complex rehab technology, prosthetics, orthotics, or supplies. Provides that the reimbursement requirement shall also apply to a Medicaid managed care organization's subcontractors and third-party administrators. Provides that the Department has the authority to implement the reimbursement requirement on and after July 1, 2025 and prior to the completion of any regulatory process undertaken in order to effect such change. Effective July 1, 2025.
6	6	LRB104 10358 KTG 20433 b LRB104 10358 KTG 20433 b
7	7	LRB104 10358 KTG 20433 b
8	8	A BILL FOR
9	9	SB1737LRB104 10358 KTG 20433 b SB1737 LRB104 10358 KTG 20433 b
10	10	SB1737 LRB104 10358 KTG 20433 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 adding Section 5-30.19 as follows:
16	16	6 (305 ILCS 5/5-30.19 new)
17	17	7 Sec. 5-30.19. Durable medical equipment; MCO reimbursement
18	18	8 requirement. The Department shall require Medicaid managed
19	19	9 care organizations to reimburse at no less than 100% of the
20	20	10 Medical Assistance program's Durable Medical Equipment fee
21	21	11 schedule for the same service or item of durable medical
22	22	12 equipment, complex rehab technology, prosthetics, orthotics,
23	23	13 or supplies. This reimbursement requirement shall also apply
24	24	14 to a Medicaid managed care organization's subcontractors and
25	25	15 third-party administrators. The Department has the authority
26	26	16 to implement the reimbursement requirement on and after July
27	27	17 1, 2025 and prior to the completion of any regulatory process
28	28	18 undertaken in order to effect such change.
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32	32	104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB1737 Introduced 2/5/2025, by Sen. Laura Fine SYNOPSIS AS INTRODUCED:
33	33	305 ILCS 5/5-30.19 new 305 ILCS 5/5-30.19 new
34	34	305 ILCS 5/5-30.19 new
35	35	Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to require Medicaid managed care organizations to reimburse at no less than 100% of the Medical Assistance program's Durable Medical Equipment fee schedule for the same service or item of durable medical equipment, complex rehab technology, prosthetics, orthotics, or supplies. Provides that the reimbursement requirement shall also apply to a Medicaid managed care organization's subcontractors and third-party administrators. Provides that the Department has the authority to implement the reimbursement requirement on and after July 1, 2025 and prior to the completion of any regulatory process undertaken in order to effect such change. Effective July 1, 2025.
36	36	LRB104 10358 KTG 20433 b LRB104 10358 KTG 20433 b
37	37	LRB104 10358 KTG 20433 b
38	38	A BILL FOR
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44	44	305 ILCS 5/5-30.19 new
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48	48	LRB104 10358 KTG 20433 b
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58	58	SB1737 LRB104 10358 KTG 20433 b