94TH GENERAL ASSEMBLY
State of Illinois
2005 and 2006
HB1366


 
Introduced 02/09/05, by Rep. Dave Winters
 
SYNOPSIS AS INTRODUCED:
 		














305 ILCS 5/5-4.2
  from Ch. 23, par. 5-4.2







    Amends the Illinois Public Aid Code. In provisions concerning ambulance service payments under the Medicaid program, provides that for ambulance services provided to a Medicaid recipient on or after January 1, 2006, the Department of Public Aid shall reimburse providers of medical transportation services by means of a medi-car or service car at a rate that is uniform throughout the State and does not vary by county or other geographic region.
















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FISCAL NOTE ACT MAY APPLY
















 


 


A BILL FOR









 











HB1366

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    AN ACT concerning public aid.

 
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    Be it enacted by the People of the State of Illinois,
 
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represented in the General Assembly:


 
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    Section 5. The Illinois Public Aid Code is amended  by 
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changing Section 5-4.2 as follows:
 



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    (305 ILCS 5/5-4.2)  (from Ch. 23, par. 5-4.2)



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    Sec. 5-4.2. Ambulance services payments. For
ambulance

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services provided to a recipient of aid under this Article on 
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or after
January 1, 1993, the Illinois Department shall 
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reimburse ambulance service
providers at rates calculated in 
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accordance with this Section. It is the intent
of the General 
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Assembly to provide adequate reimbursement for ambulance

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services so as to ensure adequate access to services for 
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recipients of aid
under this Article and to provide appropriate 
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incentives to ambulance service
providers to provide services 
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in an efficient and cost-effective manner.  Thus,
it is the 
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intent of the General Assembly that the Illinois Department 
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implement
a reimbursement system for ambulance services that, 
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to the extent practicable
and subject to the availability of 
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funds appropriated by the General Assembly
for this purpose, is 
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consistent with the payment principles of Medicare.  To
ensure 
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uniformity between the payment principles of Medicare and 
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Medicaid, the
Illinois Department shall follow, to the extent 
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necessary and practicable and
subject to the availability of 
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funds appropriated by the General Assembly for
this purpose, 
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the statutes, laws, regulations, policies, procedures,

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principles, definitions, guidelines, and manuals used to 
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determine the amounts
paid to ambulance service providers under 
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Title XVIII of the Social Security
Act (Medicare).

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    For ambulance services provided to a recipient of aid under 
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this Article
on or after January 1, 1996, the Illinois 
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Department shall reimburse ambulance
service providers based 
 


 






HB1366
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upon the actual distance traveled if a natural
disaster, 
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weather conditions, road repairs, or traffic congestion 
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necessitates
the use of a
route other than the most direct 
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route.

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    Notwithstanding any other provision of this Section, for 
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ambulance services provided to a recipient of aid under this 
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Article
on or after January 1, 2006, the Department of Public 
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Aid shall reimburse providers of medical transportation 
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services by means of a medi-car or service car at a rate that 
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is uniform throughout the State and does not vary by county or 
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other geographic region.

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    For purposes of this Section, "ambulance services" 
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includes medical
transportation services provided by means of 
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an ambulance, medi-car, service
car, or
taxi.

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    This Section does not prohibit separate billing by 
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ambulance service
providers for oxygen furnished while 
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providing advanced life support
services.

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(Source: P.A. 88-104; 89-43, eff. 1-1-96.)