Bill Status of HB 1668   95th General Assembly

Short Description:  MEDICAID-PSYCHIATRIC SERVICES

House Sponsors
Rep. Esther Golar-William Davis-Kurt M. Granberg-Jack McGuire, Lou Lang and Thomas Holbrook

Last Action  View All Actions

DateChamber Action
  1/13/2009HouseSession Sine Die

Statutes Amended In Order of Appearance
305 ILCS 5/2-16from Ch. 23, par. 2-16
305 ILCS 5/5-5.23a new

Synopsis As Introduced
Amends the Illinois Public Aid Code. Provides that a "service provider" may be another entity besides a person or corporation. Provides that the Department of Healthcare and Family Services, by rule, shall apply a comparable, prospective cost-reimbursement methodology for service providers to provide child and adult psychiatric services on an outpatient basis with the stipulation that the service provider meet certain criteria. Provides for reimbursement of advanced practice nurses providing such services at 100% of the established physician rate. Effective January 1, 2008.

House Amendment No. 1
Deletes a requirement that a provider of child and adult psychiatric services be tax-exempt under Section 501(c)(3) of the Internal Revenue Code. Deletes provisions concerning advanced practice nurses.

House Amendment No. 2
Provides that a provider of child and adult psychiatric services must be certified by the Department of Human Services under the Medicaid Community Mental Health Services Program under certain provisions of the Illinois Administrative Code (instead of must be licensed by the Department as a Medicaid Rehabilitation Organization).

 Fiscal Note, House Amendment No. 1 (Dept. of Healthcare & Family Services)
 This bill requires reimbursement for outpatient mental health services on an encounter rate basis, similar to that of a Federally Qualified Health Center (FQHC). Federal Centers for Medicare & Medicaid Services will not allow encounter reimbursement for community mental health providers. For FY06, State agencies combined, spent about $204 million on these services, thus the encounter rate requirement would result in a loss of approximately $102 million in Federal financial participation (FFP). To the extent that rates need to be increased further to meet the "cost basis" of the services, the cost would increase. So at a minimum, it is an immediate loss of $102 million. This includes some spending attributable to HFS, but most is Department of Human Services, Department of Children and Family Services, and the Department of Corrections.

 Fiscal Note, House Amendment No. 2 (Dept. of Healthcare & Family Services)
 This bill requires reimbursement for outpatient mental health services on an encounter rate basis, similar to that of a Federally Qualified Health Center (FQHC). Federal Centers for Medicare & Medicaid Services will not allow encounter reimbursement for community mental health providers. For FY06, State agencies combined, spent about $204 million on these services, thus the encounter rate requirement would result in a loss of approximately $102 million in Federal financial participation (FFP). To the extent that rates need to be increased further to meet the "cost basis" of the services, the cost would increase. So at a minimum, it is an immediate loss of $102 million. This includes some spending attributable to HFS, but most is Department of Human Services, Department of Children and Family Services, and the Department of Corrections.

Actions 
DateChamber Action
  2/22/2007HouseFiled with the Clerk by Rep. William Davis
  2/22/2007HouseFirst Reading
  2/22/2007HouseReferred to Rules Committee
  2/23/2007HouseChief Sponsor Changed to Rep. Esther Golar
  2/23/2007HouseAdded Chief Co-Sponsor Rep. William Davis
  2/27/2007HouseAssigned to Human Services Committee
  3/21/2007HouseHouse Amendment No. 1 Filed with Clerk by Human Services Committee
  3/21/2007HouseHouse Amendment No. 2 Filed with Clerk by Human Services Committee
  3/21/2007HouseHouse Amendment No. 1 Adopted in Human Services Committee; by Voice Vote
  3/21/2007HouseHouse Amendment No. 2 Adopted in Human Services Committee; by Voice Vote
  3/21/2007HouseDo Pass as Amended / Short Debate Human Services Committee; 009-000-000
  3/21/2007HousePlaced on Calendar 2nd Reading - Short Debate
  3/27/2007HouseAdded Co-Sponsor Rep. Lou Lang
  3/29/2007HouseAdded Chief Co-Sponsor Rep. Kurt M. Granberg
  4/25/2007HouseHouse Amendment No. 1 Fiscal Note Requested as Amended by Rep. William B. Black
  4/25/2007HouseHouse Amendment No. 2 Fiscal Note Requested as Amended by Rep. William B. Black
  4/25/2007HouseHouse Amendment No. 1 Fiscal Note Requested as Amended by Rep. Bill Mitchell
  4/25/2007HouseHouse Amendment No. 2 Fiscal Note Requested as Amended by Rep. Bill Mitchell
  4/26/2007HouseAdded Chief Co-Sponsor Rep. Jack McGuire
  4/26/2007HouseChief Co-Sponsor Changed to Rep. Jack McGuire
  4/27/2007HouseThird Reading/Final Action Deadline Extended-9(b) May 3, 2007
  5/1/2007HouseHouse Amendment No. 1 Fiscal Note Filed as Amended
  5/1/2007HouseHouse Amendment No. 2 Fiscal Note Filed as Amended
  5/3/2007HouseThird Reading/Final Action Deadline Extended-9(b) May 10, 2007
  5/10/2007HouseAdded Co-Sponsor Rep. Thomas Holbrook
  5/10/2007HouseThird Reading/Final Action Deadline Extended-9(b) May 18, 2007
  5/18/2007HouseFinal Action Deadline Extended-9(b) May 25, 2007
  5/25/2007HouseRule 19(a) / Re-referred to Rules Committee
  1/13/2009HouseSession Sine Die

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