HB4552 95TH GENERAL ASSEMBLY

LRB095 16964 DRJ 43010 b

95TH GENERAL ASSEMBLY
State of Illinois
2007 and 2008
HB4552

Introduced , by Rep. Esther Golar

SYNOPSIS AS INTRODUCED:

305 ILCS 5/2-16	from Ch. 23, par. 2-16
305 ILCS 5/5-5.26 new

Amends the Illinois Public Aid Code. Provides that a "service provider" includes other entities besides a person or a corporation. Provides that the Department of Healthcare and Family Services, by rule, shall establish a separate cost-based reimbursement rate for service providers to provide child and adult psychiatric services on an outpatient basis. Provides that this rate shall apply only to service providers that (i) are certified by the Illinois Department of Human Services under the Medicaid Community Mental Health Services Program and (ii) demonstrate a combined Medicaid, poverty, and uninsured patient population penetration rate of 60% or greater. Provides that the Department, by rule, shall develop a cost-reporting mechanism, which will form the basis for any reimbursements made to service providers for providing child and adult psychiatric services on an outpatient basis. Effective January 1, 2009.

FISCAL NOTE ACT MAY APPLY

A BILL FOR

AN ACT concerning public aid.

Be it enacted by the People of the State of Illinois, represented in the General Assembly:

Section 5. The Illinois Public Aid Code is amended by changing Section 2-16 and by adding Section 5-5.26 as follows:

(305 ILCS 5/2-16) (from Ch. 23, par. 2-16)

Sec. 2-16. "Service provider": A person, or corporation, or entity who furnishes medical, educational, psychiatric, vocational or rehabilitative services to a recipient under this Code, but excluding an employee of the Illinois Department or a County Department.

(Source: P.A. 82-555.)

(305 ILCS 5/5-5.26 new)

Sec. 5-5.26. Child and adult psychiatric services. The General Assembly finds that direct access to psychiatric mental health services for children and adults suffering from mental illness will improve the quality of life for these individuals and will contain health care costs by avoiding the need for more costly inpatient hospitalization. Thus, it is the intent of the General Assembly to ensure that service providers providing child and adult psychiatric services on an outpatient basis are adequately reimbursed for the cost of providing these services. Therefore, the Department of Healthcare and Family Services, by rule, shall establish a separate cost-based reimbursement rate for service providers to provide child and adult psychiatric services on an outpatient basis. This rate shall apply only to service providers that (i) are certified by the Illinois Department of Human Services under the Medicaid Community Mental Health Services Program under 59 Ill. Adm. Code 132 and (ii) demonstrate a combined Medicaid, poverty, and uninsured patient population penetration rate of 60% or greater. The Department, by rule, shall develop a cost-reporting mechanism, which will form the basis for any reimbursements made to service providers for providing child and adult psychiatric services on an outpatient basis.

Section 99. Effective date. This Act takes effect January 1, 2009.