Sen. William Delgado

Filed: 4/9/2008

 

 


 

 


 
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1
AMENDMENT TO SENATE BILL 2173

2     AMENDMENT NO. ______. Amend Senate Bill 2173, AS AMENDED,
3 by replacing everything after the enacting clause with the
4 following:
 
5     "Section 5. The Children's Health Insurance Program Act is
6 amended by adding Section 65 as follows:
 
7     (215 ILCS 106/65 new)
8     Sec. 65. Fee schedule. Beginning on January, 1, 2009,
9 reimbursement for any physician service must not be lower than
10 60% of Medicare reimbursement in accordance with the Medicare
11 payment localities for Illinois. The physician fee schedule
12 rates must be adjusted to no lower than 80% of Medicare
13 reimbursement by January 1, 2010, and no lower than 100% of
14 Medicare reimbursement by January 1, 2011. All adjustments
15 shall be made without lowering any existing rates that may be
16 higher than the level required by this Section. Reimbursement

 

 

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1 rules and policies shall not be more restrictive than Medicare
2 physician payment rules and policies by January 1, 2010.
3 Payment for services must be made within 30 days after receipt
4 of a bill or claim for payment in accordance with Section 368a
5 of the Illinois Insurance Code.
 
6     Section 10. The Covering ALL KIDS Health Insurance Act is
7 amended by adding Section 52.5 as follows:
 
8     (215 ILCS 170/52.5 new)
9     Sec. 52.5. Fee schedule. Beginning on January, 1, 2009, the
10 physician fee schedule for the Covering ALL KIDS Insurance
11 Program for any physician service must not be lower than 60% of
12 Medicare reimbursement in accordance with the Medicare payment
13 localities for Illinois. The physician fee schedule rates must
14 be adjusted to no lower than 80% of Medicare reimbursement by
15 January 1, 2010, and no lower than 100% of Medicare
16 reimbursement by January 1, 2011. All adjustments shall be made
17 without lowering any existing rates that may be higher than the
18 level required by this Section. Reimbursement rules and
19 policies shall not be more restrictive than Medicare physician
20 payment rules and policies by January 1, 2010. Payment for
21 services must be made within 30 days after receipt of a bill or
22 claim for payment in accordance with Section 368a of the
23 Illinois Insurance Code.
 

 

 

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1     Section 15. The Illinois Public Aid Code is amended by
2 adding Section 5-5.05 as follows:
 
3     (305 ILCS 5/5-5.05 new)
4     Sec. 5-5.05. Fee schedule. Notwithstanding any other
5 provision of this Article, beginning on January, 1, 2009,
6 reimbursement for any physician service must not be lower than
7 60% of Medicare reimbursement in accordance with the Medicare
8 payment localities for Illinois. The physician fee schedule
9 rates must be adjusted to no lower than 80% of Medicare
10 reimbursement by January 1, 2010, and no lower than 100% of
11 Medicare reimbursement by January 1, 2011. All adjustments
12 shall be made without lowering any existing rates that may be
13 higher than the level required by this Section. Reimbursement
14 rules and policies shall not be more restrictive than Medicare
15 physician payment rules and policies by January 1, 2010.
16 Payment for services must be made within 30 days after receipt
17 of a bill or claim or payment in accordance with Section 368a
18 of the Illinois Insurance Code.
 
19     Section 99. Effective date. This Act takes effect upon
20 becoming law.".