Public Act 100-1019
 
SB3049 EnrolledLRB100 20600 KTG 36009 b

    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 5-5.25 as follows:
 
    (305 ILCS 5/5-5.25)
    Sec. 5-5.25. Access to behavioral psychiatric mental
health and medical services.
    (a) The General Assembly finds that providing access to
behavioral psychiatric mental health and medical services in a
timely manner will improve the quality of life for persons
suffering from mental illness and will contain health care
costs by avoiding the need for more costly inpatient
hospitalization.
    (b) The Department of Healthcare and Family Services shall
reimburse psychiatrists, and federally qualified health
centers as defined in Section 1905(l)(2)(B) of the federal
Social Security Act, clinical psychologists, clinical social
workers, advanced practice registered nurses certified in
psychiatric and mental health nursing, and mental health
professionals and clinicians authorized by Illinois law to
provide behavioral for mental health services provided by
psychiatrists, as authorized by Illinois law, to recipients via
telehealth telepsychiatry. The Department, by rule, shall
establish: (i) criteria for such services to be reimbursed,
including appropriate facilities and equipment to be used at
both sites and requirements for a physician or other licensed
health care professional to be present at the site where the
patient is located; however, the Department shall not require
that a physician or other licensed health care professional be
physically present in the same room as the patient for the
entire time during which the patient is receiving telehealth
telepsychiatry services; and (ii) a method to reimburse
providers for mental health services provided by telehealth
telepsychiatry.
    (c) The Department shall reimburse any Medicaid certified
eligible facility or provider organization that acts as the
location of the patient at the time a telehealth service is
rendered, including substance abuse centers licensed by the
Department of Human Services' Division of Alcoholism and
Substance Abuse.
    (d) On and after July 1, 2012, the Department shall reduce
any rate of reimbursement for services or other payments or
alter any methodologies authorized by this Code to reduce any
rate of reimbursement for services or other payments in
accordance with Section 5-5e.
(Source: P.A. 100-385, eff. 1-1-18.)

Effective Date: 1/1/2019