Bill Status of HB 5769   103rd General Assembly


Short Description:  MEDICAID-PROSTHETIC DEVICES

House Sponsors
Rep. Will Guzzardi

Last Action  View All Actions

DateChamber Action
  3/7/2024HouseReferred to Rules Committee

Statutes Amended In Order of Appearance
305 ILCS 5/5-52 new

Synopsis As Introduced
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that coverage for custom prosthetic and orthotic devices under the fee-for-service medical assistance program and under any Medicaid managed care plan shall be no less favorable than the terms and conditions that apply to substantially all medical and surgical benefits provided under the fee-for-service medical assistance program or the Medicaid managed care plan. Requires the Department of Healthcare and Family Services to increase the current 2024 Medicaid rate by 21% with staggered 7% increases on January 1, 2025, January 1, 2026, and January 1, 2027 under the fee-for-service medical assistance program for custom prosthetic and orthotic devices. Requires the Department to ensure that all Medicaid managed care plans comply with the network adequacy requirements for custom prosthetic, custom orthotic devices, and custom cranial remolding orthotic device services. Provides that the Department and contracted managed care organizations must comply with the Orthotics, Prosthetics, and Pedorthics Practice Act when making payments for custom orthotic and custom prosthetic devices.

Actions 
DateChamber Action
  3/7/2024HouseFiled with the Clerk by Rep. Will Guzzardi
  3/7/2024HouseFirst Reading
  3/7/2024HouseReferred to Rules Committee

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