|
| | 103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024
HB3293 Introduced 2/17/2023, by Rep. Anne Stava-Murray SYNOPSIS AS INTRODUCED:
|
| |
Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to provide individuals who are noncitizens or are legally admitted permanent residents the same medical assistance coverage for family planning and family planning-related services and supplies that is provided to eligible persons who are United States citizens, if they meet all other eligibility qualifications under the family planning benefits program established in accordance with the State's Family Planning State Plan Amendment as approved by the federal Centers for Medicare and Medicaid Services. Requires the Department to ensure parity of male
contraceptive services provided under the family planning benefits program with a carve-out from the prospective
payment system rate that allows encounter rate clinics,
federally qualified health centers, and rural health centers
to bill under the fee-for-service payment methodology based on
the most current practitioner fee schedule for the vasectomy
procedure (55250) with patient consultation services and any post-operative visits covered at the usual prospective payment
system rate. Requires the Department to adopt reproductive
justice-aligned measures of contraceptive access and quality
as part of the Department's core set of health care quality
measures for medical assistance and to annually report and post on its website the
success of such measures beginning in calendar year 2024. Provides that if national measures of contraceptive access and
quality are adopted by the U.S. Department of Health and Human
Services, the Department may consider
aligning State quality measures for contraceptive access and
quality with such national recommendations. Provides that the Department, in
conjunction with a statewide association representing Medicaid managed care health plans that are contracted with the Department and the organizers of a statewide contraceptive access initiative,
shall develop a process to collect the patient centered
contraceptive counseling measure endorsed by the National
Quality Forum and shall annually report and post on its website the outcomes. Effective immediately.
|
| |
| | A BILL FOR |
|
|
| | HB3293 | | LRB103 30075 KTG 56499 b |
|
|
| 1 | | AN ACT concerning public aid.
|
| 2 | | Be it enacted by the People of the State of Illinois,
|
| 3 | | represented in the General Assembly:
|
| 4 | | Section 5. The Illinois Public Aid Code is amended by |
| 5 | | adding Section 5-47 as follows:
|
| 6 | | (305 ILCS 5/5-47 new) |
| 7 | | Sec. 5-47. Family planning services. |
| 8 | | (a) The Department shall provide individuals who are |
| 9 | | noncitizens or are legally admitted permanent residents the |
| 10 | | same medical assistance coverage for family planning and |
| 11 | | family planning-related services and supplies that is provided |
| 12 | | to eligible persons who are United States citizens, if they |
| 13 | | meet all other eligibility qualifications under the family |
| 14 | | planning benefits program established in accordance with the |
| 15 | | Illinois' Family Planning State Plan Amendment as approved by |
| 16 | | the federal Centers for Medicare and Medicaid Services. |
| 17 | | (b) The Department shall ensure parity of male |
| 18 | | contraceptive services provided under the family planning |
| 19 | | benefits program with a carve-out from the prospective payment |
| 20 | | system rate that allows encounter rate clinics, federally |
| 21 | | qualified health centers, and rural health centers to bill |
| 22 | | under the fee-for-service payment methodology based on the |
| 23 | | most current practitioner fee schedule for the vasectomy |