Public Act 102-1091
 
SB4006 EnrolledLRB102 25901 CPF 35260 b


  
    AN ACT concerning health.
  
 
    Be it enacted by the People of the State of Illinois,
 
represented in the General Assembly:
  


 
 
    Section 5. The Autism Spectrum Disorders Reporting Act is 
amended  by adding Sections 32 and 33 as follows:
 
    (410 ILCS 201/32 new)
    Sec. 32. Reporting; access to applied behavior analysis. 
By no later than December 31 of each year the Department of 
Healthcare and Family Services (HFS) shall submit a report, 
covering the State fiscal year immediately preceding that 
date, to the General Assembly regarding access to applied 
behavior analysis therapy for persons diagnosed with autism 
spectrum disorder. The report shall include, but is not 
limited to, the following information:
        (1) The number of providers enrolled in the Illinois 
    Medical Assistance Program certified to provide applied 
    behavioral analysis therapy services in the Department of 
    Healthcare and Family Services' fee-for-service or managed 
    care service delivery system, in accordance with 
    administrative rule and Department of Healthcare and 
    Family Services policy. 
        (2) The number of HFS-enrolled children in Illinois 
    with an autism spectrum disorder diagnosis receiving 
    applied behavior analysis therapy services pursuant to the 
    Department of Healthcare and Family Services' 
    fee-for-service or managed care service delivery system.
        (3) Subject to data availability, the number of 
    HFS-enrolled children with an autism spectrum disorder 
    diagnosis for whom applied behavioral analysis therapy 
    services have been recommended or requested, but who are 
    not receiving applied behavioral analysis therapy 
    services.
        (4) Subject to data availability for HFS-enrolled 
    children in Illinois with an autism spectrum disorder 
    diagnosis, the number of prior authorization service 
    denials for applied behavioral analysis therapy services 
    and the number of appeals resulting from those denials for 
    applied behavioral analysis therapy services.
        (5) Recommendations on improving applied behavioral 
    analysis therapy provider network adequacy and enrollee 
    access.
 
    (410 ILCS 201/33 new)
    Sec. 33. Education and outreach materials; autism spectrum 
disorder. The Department shall develop and distribute 
education and outreach materials, developed to address common 
literacy levels, that will inform and educate parents of 
children with autism spectrum disorder who are enrolled in 
Medicaid and eligible to receive relevant services and explain 
how to access those services.



Effective Date:  1/1/2023