103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024
HB3574

 

Introduced 2/17/2023, by Rep. Stephanie A. Kifowit

 

SYNOPSIS AS INTRODUCED:
 
305 ILCS 5/5-5.06b
305 ILCS 5/5-5.06f new

    Amends the Medical Assistance Article of the Illinois Public Aid Code. In a provision concerning dental services for children and adults under the medical assistance program, lists the codes for certain dental procedures that shall be reimbursed at specified amounts. Provides that on and after January 1, 2024, the Department of Healthcare and Family Services, in cooperation with the Department of Veterans' Affairs, shall establish and administer a 5-year pilot program to help improve dental care access for veterans. Provides that under the pilot program, veterans with income at or below 300% of the federal poverty guidelines established by the U.S. Department of Health and Human Services shall be eligible for comprehensive dental care coverage at local community dentists who agree to discount their fees and provide needed dental care to eligible veterans. Provides that the Department may require veterans to meet other eligibility requirements as established by rule. Effective immediately.


LRB103 29989 KTG 56409 b

 

 

A BILL FOR

 

HB3574LRB103 29989 KTG 56409 b

1    AN ACT concerning public aid.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Illinois Public Aid Code is amended by
5changing Section 5-5.06b and by adding Section 5-5.06f as
6follows:
 
7    (305 ILCS 5/5-5.06b)
8    Sec. 5-5.06b. Dental services. On and after July 1, 2021,
9dental services provided to adults and children under the
10medical assistance program may be established and paid at no
11less than the rates published by the Department and effective
12January 1, 2020 for all local health departments as the fee
13schedule for children and adult recipients but shall include
14the following dental procedures and amounts: D0140 $19.12,
15D0150 $24.84, D0220 $6.61, D0230 $4.48, D0272 $11.09, D0274
16$19.94, D1110 $48.38, D2140 $36.40, D2150 $56.82, D2391
17$36.40, D2392 $56.82, D5110 $444.09, D5120 $444.09, D7140
18$46.16, D7210 $67.73, D0120 $50.13, D0330 $30.25, D1120
19$73.40, D1206 $46.55, D1351 $64.45, D2160 $103.92, D2161
20$103.92, D2330 $61.94, D2331 $92.91, D2332 $110.63, D2335
21$110.63, D2393 $103.92, D2394 $103.92, D2751 $421.06, D2930
22$131.40, D2931 $131.40, D2950 $103.92, D5213 $673.74, D5214
23$673.74, D7220 $119.59, D7230 $155.03, D7250 $102.76, D7450

 

 

HB3574- 2 -LRB103 29989 KTG 56409 b

1$168.82, D7451 $357.32, D7460 $168.82, D7510 $65.70, D9110
2$98.46.
3(Source: P.A. 102-16, eff. 6-17-21.)
 
4    (305 ILCS 5/5-5.06f new)
5    Sec. 5-5.06f. Veteran dental care; pilot program. On or
6after January 1, 2024, the Department of Healthcare and Family
7Services, in cooperation with the Department of Veterans'
8Affairs, shall establish and administer a 5-year pilot program
9to help improve dental care access for veterans. Under the
10pilot program, veterans with income at or below 300% of the
11federal poverty guidelines established by the U.S. Department
12of Health and Human Services shall be eligible for
13comprehensive dental care coverage at local community dentists
14who agree to discount their fees and provide needed dental
15care to eligible veterans. The Department may require veterans
16to meet other eligibility requirements as established by rule.
17As used in this Section, "veteran" means an Illinois resident
18who has served or is currently serving as a member of the
19United States Armed Forces, a member of the Illinois National
20Guard, or a member of a Reserve Component of the United States
21Armed Forces.
 
22    Section 99. Effective date. This Act takes effect upon
23becoming law.