Rep. Lamont J. Robinson, Jr.

Filed: 3/22/2022

 

 


 

 


 
10200HB1408ham001LRB102 03424 KTG 37759 a

1
AMENDMENT TO HOUSE BILL 1408

2    AMENDMENT NO. ______. Amend House Bill 1408 by replacing
3everything after the enacting clause with the following:
 
4    "Section 5. The Illinois Public Aid Code is amended by
5adding Sections 5-45 and 5F-50 as follows:
 
6    (305 ILCS 5/5-45 new)
7    Sec. 5-45. Complex rehabilitation technology products; fee
8schedule; billing modifier; repair coverage.
9    (a) The Department shall update its fee schedule for
10complex rehabilitation technology products and associated
11services to 100% of Medicare (2022) rural rates for such
12products and services.
13    (b) Notwithstanding any other provision of law, for claims
14submitted by providers of complex rehabilitation technology
15products and associated services the Department shall
16implement use of the "KU" modifier and associated Medicare

 

 

10200HB1408ham001- 2 -LRB102 03424 KTG 37759 a

1payment rates in accordance with Section 106 of Subtitle A of
2Title I of Division N of the Further Consolidated
3Appropriations Act, 2020 (Public Law 116-94).
4    (c) Notwithstanding any other provision of law, the
5Department shall reimburse providers of complex rehabilitation
6technology services and associated services for the full
7amount of time required to complete any repairs made to any
8device or equipment authorized by the Department for a
9recipient of medical assistance.
 
10    (305 ILCS 5/5F-50 new)
11    Sec. 5F-50. Health equity. The Department shall ensure
12that entities selected to participate in the Medicare-Medicaid
13Alignment Initiative Demonstration Project include managed
14care organizations that:
15        (1) help resolve the gap in health equity;
16        (2) are minority-led and entrust patient care to
17    providers who are connected to the communities they serve;
18        (3) are headquartered in Illinois, support homegrown
19    businesses, and keep innovation and economic opportunity
20    within Illinois;
21        (4) have a representation of Black or Hispanic staff
22    members that is 50% or greater and create new jobs and spur
23    economic activity in marginalized minority communities;
24        (5) are disproportionately serving the needs of
25    marginalized minority and low-income Medicare

 

 

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1    beneficiaries with:
2            (i) a representation of Black or Hispanic Medicare
3        members that is 50% or greater; and
4            (ii) a representation of Low-Income Subsidy
5        Medicare members that is 50% or greater; and
6        (6) have made an impact around at least 3 of the 6
7    high-impact priority areas listed in the Centers for
8    Medicare and Medicaid Services' Equity Plan For Improving
9    Quality in Medicare (September 2015):
10            (i) PRIORITY 1: Expand the collection, reporting,
11        and analysis of standardized data.
12            (ii) PRIORITY 2: Evaluate disparities impacts and
13        integrate equity solutions across CMS programs.
14            (iii) PRIORITY 3: Develop and disseminate
15        promising approaches to reduce health disparities.
16            (iv) PRIORITY 4: Increase the ability of the
17        health care workforce to meet the needs of vulnerable
18        populations.
19            (v) PRIORITY 5: Improve communication and language
20        access for individuals with limited English
21        proficiency and persons with disabilities.
22            (vi) PRIORITY 6: Increase physical accessibility
23        of health care facilities.".