Illinois General Assembly - Bill Status for HB5013
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 Bill Status of HB5013  102nd General Assembly


Short Description:  DHFS-PRENATAL/PERINATAL CARE

House Sponsors
Rep. Mary E. Flowers - LaToya Greenwood - Rita Mayfield - Randy E. Frese - Norine K. Hammond, Camille Y. Lilly, David Friess, Adam Niemerg, Dave Severin, Tom Weber, Keith P. Sommer, Thomas Morrison, Michelle Mussman, Janet Yang Rohr, Michael J. Zalewski, Ann M. Williams, Kathleen Willis, Natalie A. Manley, Mark Luft, Amy Grant, Theresa Mah, Keith R. Wheeler, Jeff Keicher, C.D. Davidsmeyer, Joe Sosnowski, Seth Lewis, William Davis, Robert Rita, Sonya M. Harper, Anne Stava-Murray, Maura Hirschauer, Debbie Meyers-Martin, Elizabeth Hernandez, Deb Conroy, Nicholas K. Smith, Eva-Dina Delgado, Marcus C. Evans, Jr., Margaret Croke, Aaron M. Ortiz, Kelly M. Cassidy, Katie Stuart, Lindsey LaPointe, Thaddeus Jones, Delia C. Ramirez, Kambium Buckner, Edgar Gonzalez, Jr., Will Guzzardi, Maurice A. West, II, Cyril Nichols, Justin Slaughter, Curtis J. Tarver, II, Mark L. Walker, Daniel Didech, Lakesia Collins, Jaime M. Andrade, Jr. and Bob Morgan

Senate Sponsors
(Sen. Patricia Van Pelt - Christopher Belt - Mattie Hunter - Napoleon Harris, III, Laura M. Murphy, Robert Peters, Cristina H. Pacione-Zayas, Sara Feigenholtz, Adriane Johnson and Jacqueline Y. Collins)

Last Action
DateChamber Action
  5/27/2022HousePublic Act . . . . . . . . . 102-0964

Statutes Amended In Order of Appearance
305 ILCS 5/5-5.24


Synopsis As Introduced
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that in order to maximize the accessibility of preventive prenatal and perinatal health care services, the Department of Healthcare and Family Services shall amend its managed care contracts such that an managed care organization must pay for preventive prenatal and perinatal healthcare services rendered by a non-affiliated provider, for which the health plan would pay if rendered by an affiliated provider, at the same rate the Department would pay for such services exclusive of disproportionate share payments and Medicaid percentage adjustments, unless a different rate was agreed upon by the health plan and the non-affiliated provider. Effective January 1, 2023.

House Committee Amendment No. 2
Adds reference to:
210 ILCS 170/5
210 ILCS 170/25

Replaces everything after the enacting clause. Reinserts the provisions of the bill as amended by Senate Amendment No. 1 with the following changes. Amends the Birth Center Licensing Act. Provides that a licensed certified professional midwife may attend or be delegated to attend to each person in labor from the time of admission through birth and throughout the immediate postpartum period. Defines "licensed certified professional midwife". Makes a conforming change. Effective January 1, 2023.

Senate Committee Amendment No. 1
Replaces everything after the enacting clause. Reinserts the provisions of the engrossed bill with the following changes: Further amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that a managed care organization must pay for preventative prenatal services, perinatal healthcare services, and postpartum services rendered by a non-affiliated provider, for which the health plan would pay if rendered by an affiliated provider, at the rate paid (rather than at no less than the rate paid) under the Illinois Medicaid fee-for-service program methodology for such services. Provides that, in cases where a managed care organization must pay for preventive prenatal services, perinatal healthcare services, and postpartum services rendered by a non-affiliated provider, the payment rate requirements under the amendatory Act shall not apply if the services were not emergency services, as defined in a specified provision of the Code, and: (1) the non-affiliated provider is a perinatal hospital and has, within the 12 months preceding the date of service, rejected a contract that was offered in good faith by the health plan as determined by the Department of Healthcare and Family Services; or (2) the health plan has terminated a contract with the non-affiliated provider for cause, and the Department has not deemed the termination to have been without merit. Provides that the Department may deem that a determination for cause has merit if: (i) an institutional provider has repeatedly failed to conduct discharge planning; or (ii) the provider's conduct adversely and substantially impacts the health of Medicaid patients; or (iii) the provider's conduct constitutes fraud, waste, or abuse; or (iv) the provider's conduct violates the code of ethics governing his or her profession. Effective January 1, 2023.

Actions 
DateChamber Action
  1/26/2022HouseFiled with the Clerk by Rep. Mary E. Flowers
  1/27/2022HouseFirst Reading
  1/27/2022HouseReferred to Rules Committee
  2/9/2022HouseAssigned to Appropriations-Human Services Committee
  2/15/2022HouseHouse Committee Amendment No. 1 Filed with Clerk by Rep. Mary E. Flowers
  2/15/2022HouseHouse Committee Amendment No. 1 Referred to Rules Committee
  2/17/2022HouseHouse Committee Amendment No. 1 Rules Refers to Appropriations-Human Services Committee
  2/17/2022HouseAdded Chief Co-Sponsor Rep. LaToya Greenwood
  2/17/2022HouseAdded Chief Co-Sponsor Rep. Rita Mayfield
  2/18/2022HouseCommittee Deadline Extended-Rule 9(b) March 4, 2022
  2/23/2022HouseRe-assigned to Health Care Availability & Accessibility Committee
  2/23/2022HouseHouse Committee Amendment No. 1 Re-assigned to Health Care Availability & Accessibility Committee
  3/1/2022HouseHouse Committee Amendment No. 2 Filed with Clerk by Rep. Mary E. Flowers
  3/1/2022HouseHouse Committee Amendment No. 2 Referred to Rules Committee
  3/2/2022HouseHouse Committee Amendment No. 2 Rules Refers to Health Care Availability & Accessibility Committee
  3/2/2022HouseMoved to Suspend Rule 21 Rep. Greg Harris
  3/2/2022HouseSuspend Rule 21 - Prevailed
  3/3/2022HouseHouse Committee Amendment No. 2 Adopted in Health Care Availability & Accessibility Committee; by Voice Vote
  3/3/2022HouseDo Pass as Amended / Short Debate Health Care Availability & Accessibility Committee; 012-000-000
  3/3/2022HouseHouse Committee Amendment No. 1 Tabled Pursuant to Rule 40
  3/3/2022HousePlaced on Calendar 2nd Reading - Short Debate
  3/3/2022HouseAdded Co-Sponsor Rep. Camille Y. Lilly
  3/3/2022HouseAdded Chief Co-Sponsor Rep. Randy E. Frese
  3/3/2022HouseAdded Chief Co-Sponsor Rep. Norine K. Hammond
  3/3/2022HouseAdded Co-Sponsor Rep. David Friess
  3/3/2022HouseAdded Co-Sponsor Rep. Adam Niemerg
  3/3/2022HouseAdded Co-Sponsor Rep. Dave Severin
  3/3/2022HouseAdded Co-Sponsor Rep. Tom Weber
  3/3/2022HouseAdded Co-Sponsor Rep. Keith P. Sommer
  3/3/2022HouseAdded Co-Sponsor Rep. Thomas Morrison
  3/3/2022HouseAdded Co-Sponsor Rep. Michelle Mussman
  3/3/2022HouseAdded Co-Sponsor Rep. Janet Yang Rohr
  3/3/2022HouseAdded Co-Sponsor Rep. Lindsey LaPointe
  3/3/2022HouseAdded Co-Sponsor Rep. Ann M. Williams
  3/3/2022HouseAdded Co-Sponsor Rep. Kathleen Willis
  3/3/2022HouseAdded Co-Sponsor Rep. Natalie A. Manley
  3/3/2022HouseAdded Co-Sponsor Rep. Mark Luft
  3/3/2022HouseAdded Co-Sponsor Rep. Amy Grant
  3/3/2022HouseAdded Co-Sponsor Rep. Theresa Mah
  3/3/2022HouseAdded Co-Sponsor Rep. Keith R. Wheeler
  3/3/2022HouseAdded Co-Sponsor Rep. Jeff Keicher
  3/3/2022HouseAdded Co-Sponsor Rep. C.D. Davidsmeyer
  3/3/2022HouseAdded Co-Sponsor Rep. Joe Sosnowski
  3/3/2022HouseAdded Co-Sponsor Rep. Seth Lewis
  3/3/2022HouseAdded Co-Sponsor Rep. William Davis
  3/3/2022HouseAdded Co-Sponsor Rep. Robert Rita
  3/3/2022HouseAdded Co-Sponsor Rep. Sonya M. Harper
  3/3/2022HouseAdded Co-Sponsor Rep. Anne Stava-Murray
  3/3/2022HouseAdded Co-Sponsor Rep. Maura Hirschauer
  3/3/2022HouseAdded Co-Sponsor Rep. Debbie Meyers-Martin
  3/3/2022HouseAdded Co-Sponsor Rep. Elizabeth Hernandez
  3/3/2022HouseAdded Co-Sponsor Rep. Deb Conroy
  3/3/2022HouseAdded Co-Sponsor Rep. Nicholas K. Smith
  3/3/2022HouseAdded Co-Sponsor Rep. Eva-Dina Delgado
  3/3/2022HouseAdded Co-Sponsor Rep. Marcus C. Evans, Jr.
  3/3/2022HouseAdded Co-Sponsor Rep. Margaret Croke
  3/3/2022HouseAdded Co-Sponsor Rep. Aaron M. Ortiz
  3/3/2022HouseAdded Co-Sponsor Rep. Kelly M. Cassidy
  3/3/2022HouseAdded Co-Sponsor Rep. Katie Stuart
  3/3/2022HouseAdded Co-Sponsor Rep. Lindsey LaPointe
  3/3/2022HouseAdded Co-Sponsor Rep. Thaddeus Jones
  3/3/2022HouseAdded Co-Sponsor Rep. Delia C. Ramirez
  3/3/2022HouseAdded Co-Sponsor Rep. Kambium Buckner
  3/3/2022HouseAdded Co-Sponsor Rep. Edgar Gonzalez, Jr.
  3/3/2022HouseAdded Co-Sponsor Rep. Will Guzzardi
  3/3/2022HouseAdded Co-Sponsor Rep. Maurice A. West, II
  3/3/2022HouseAdded Co-Sponsor Rep. Cyril Nichols
  3/3/2022HouseAdded Co-Sponsor Rep. Justin Slaughter
  3/3/2022HouseAdded Co-Sponsor Rep. Curtis J. Tarver, II
  3/3/2022HouseAdded Co-Sponsor Rep. Mark L. Walker
  3/3/2022HouseAdded Co-Sponsor Rep. Daniel Didech
  3/3/2022HouseAdded Co-Sponsor Rep. Lakesia Collins
  3/3/2022HouseAdded Co-Sponsor Rep. Jaime M. Andrade, Jr.
  3/3/2022HouseAdded Co-Sponsor Rep. Bob Morgan
  3/3/2022HouseSecond Reading - Short Debate
  3/3/2022HouseHeld on Calendar Order of Second Reading - Short Debate
  3/4/2022HousePlaced on Calendar Order of 3rd Reading - Short Debate
  3/4/2022HouseThird Reading - Short Debate - Passed 102-000-000
  3/7/2022SenateArrive in Senate
  3/7/2022SenatePlaced on Calendar Order of First Reading
  3/7/2022SenateChief Senate Sponsor Sen. Patricia Van Pelt
  3/7/2022SenateFirst Reading
  3/7/2022SenateReferred to Assignments
  3/8/2022SenateAdded as Alternate Chief Co-Sponsor Sen. Christopher Belt
  3/15/2022SenateAdded as Alternate Co-Sponsor Sen. Laura M. Murphy
  3/16/2022SenateAssigned to Executive
  3/22/2022SenateAdded as Alternate Co-Sponsor Sen. Robert Peters
  3/23/2022SenateAdded as Alternate Co-Sponsor Sen. Cristina H. Pacione-Zayas
  3/24/2022SenateAdded as Alternate Co-Sponsor Sen. Sara Feigenholtz
  3/25/2022SenateRule 3-9(a) / Re-referred to Assignments
  3/31/2022SenateRule 2-10 Committee/3rd Reading Deadline Established As April 8, 2022
  3/31/2022SenateRe-assigned to Executive
  3/31/2022SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. Patricia Van Pelt
  3/31/2022SenateSenate Committee Amendment No. 1 Referred to Assignments
  3/31/2022SenateSenate Committee Amendment No. 2 Filed with Secretary by Sen. Patricia Van Pelt
  3/31/2022SenateSenate Committee Amendment No. 2 Referred to Assignments
  4/1/2022SenateSenate Committee Amendment No. 1 Assignments Refers to Executive
  4/1/2022SenateSenate Committee Amendment No. 2 Pursuant to Senate Rule 3-8 (b-1), the following amendments will remain in the Committee on Assignments.
  4/1/2022SenateWaive Posting Notice
  4/1/2022SenateSenate Committee Amendment No. 1 Adopted
  4/1/2022SenateDo Pass as Amended Executive; 014-000-000
  4/1/2022SenatePlaced on Calendar Order of 2nd Reading
  4/1/2022SenateAdded as Alternate Co-Sponsor Sen. Adriane Johnson
  4/1/2022SenateAdded as Alternate Chief Co-Sponsor Sen. Mattie Hunter
  4/1/2022SenateAdded as Alternate Chief Co-Sponsor Sen. Napoleon Harris, III
  4/1/2022SenateSecond Reading
  4/1/2022SenatePlaced on Calendar Order of 3rd Reading April 4, 2022
  4/1/2022SenateRule 2-10 Third Reading Deadline Established As April 8, 2022
  4/5/2022SenateThird Reading - Passed; 058-000-000
  4/5/2022HouseArrived in House
  4/5/2022HousePlaced on Calendar Order of Concurrence Senate Amendment(s) 1
  4/5/2022HouseSenate Committee Amendment No. 1 Motion Filed Concur Rep. Mary E. Flowers
  4/5/2022HouseSenate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee
  4/6/2022HouseSenate Committee Amendment No. 1 Motion to Concur Rules Referred to Health Care Availability & Accessibility Committee
  4/7/2022HouseSenate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Health Care Availability & Accessibility Committee; 013-000-000
  4/7/2022HouseSenate Committee Amendment No. 1 House Concurs 113-000-000
  4/7/2022HouseHouse Concurs
  4/7/2022HousePassed Both Houses
  4/18/2022SenateAdded as Alternate Co-Sponsor Sen. Jacqueline Y. Collins
  5/6/2022HouseSent to the Governor
  5/27/2022HouseGovernor Approved
  5/27/2022HouseEffective Date May 27, 2022
  5/27/2022HousePublic Act . . . . . . . . . 102-0964

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