Full Text of SB1350 95th General Assembly
SB1350enr 95TH GENERAL ASSEMBLY
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| AN ACT concerning public aid.
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| Be it enacted by the People of the State of Illinois,
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| represented in the General Assembly:
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| Section 5. The Illinois Public Aid Code is amended by | 5 |
| changing Section 5-4.2 as follows:
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| (305 ILCS 5/5-4.2) (from Ch. 23, par. 5-4.2)
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| Sec. 5-4.2. Ambulance services payments. For
ambulance
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| services provided to a recipient of aid under this Article on | 9 |
| or after
January 1, 1993, the Illinois Department shall | 10 |
| reimburse ambulance service
providers at rates calculated in | 11 |
| accordance with this Section. It is the intent
of the General | 12 |
| Assembly to provide adequate reimbursement for ambulance
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| services so as to ensure adequate access to services for | 14 |
| recipients of aid
under this Article and to provide appropriate | 15 |
| incentives to ambulance service
providers to provide services | 16 |
| in an efficient and cost-effective manner. Thus,
it is the | 17 |
| intent of the General Assembly that the Illinois Department | 18 |
| implement
a reimbursement system for ambulance services that, | 19 |
| to the extent practicable
and subject to the availability of | 20 |
| funds appropriated by the General Assembly
for this purpose, is | 21 |
| consistent with the payment principles of Medicare. To
ensure | 22 |
| uniformity between the payment principles of Medicare and | 23 |
| Medicaid, the
Illinois Department shall follow, to the extent |
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| necessary and practicable and
subject to the availability of | 2 |
| funds appropriated by the General Assembly for
this purpose, | 3 |
| the statutes, laws, regulations, policies, procedures,
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| principles, definitions, guidelines, and manuals used to | 5 |
| determine the amounts
paid to ambulance service providers under | 6 |
| Title XVIII of the Social Security
Act (Medicare).
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| For ambulance services provided to a recipient of aid under | 8 |
| this Article
on or after January 1, 1996, the Illinois | 9 |
| Department shall reimburse ambulance
service providers based | 10 |
| upon the actual distance traveled if a natural
disaster, | 11 |
| weather conditions, road repairs, or traffic congestion | 12 |
| necessitates
the use of a
route other than the most direct | 13 |
| route.
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| For purposes of this Section, "ambulance services" | 15 |
| includes medical
transportation services provided by means of | 16 |
| an ambulance, medi-car, service
car, or
taxi.
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| This Section does not prohibit separate billing by | 18 |
| ambulance service
providers for oxygen furnished while | 19 |
| providing advanced life support
services.
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| Beginning with services rendered on or after July 1, 2008, | 21 |
| all providers of non-emergency medi-car and service car | 22 |
| transportation must certify that the driver and employee | 23 |
| attendant, as applicable, have completed a safety program | 24 |
| approved by the Department to protect both the patient and the | 25 |
| driver, prior to transporting a patient.
The provider must | 26 |
| maintain this certification in its records. The provider shall |
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| produce such documentation upon demand by the Department or its | 2 |
| representative. Failure to produce documentation of such | 3 |
| training shall result in recovery of any payments made by the | 4 |
| Department for services rendered by a non-certified driver or | 5 |
| employee attendant. Medi-car and service car providers must | 6 |
| maintain legible documentation in their records of the driver | 7 |
| and, as applicable, employee attendant that actually | 8 |
| transported the patient. Providers must recertify all drivers | 9 |
| and employee attendants every 3 years.
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| Notwithstanding the requirements above, any public | 11 |
| transportation provider of medi-car and service car | 12 |
| transportation that receives federal funding under 49 U.S.C. | 13 |
| 5307 and 5311 need not certify its drivers and employee | 14 |
| attendants under this Section, since safety training is already | 15 |
| federally mandated.
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| (Source: P.A. 88-104; 89-43, eff. 1-1-96.)
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| Section 99. Effective date. This Act takes effect upon | 18 |
| becoming law.
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