Rep. Monica Bristow

Filed: 4/2/2019

 

 


 

 


 
10100HB3471ham002LRB101 10551 AMC 58580 a

1
AMENDMENT TO HOUSE BILL 3471

2    AMENDMENT NO. ______. Amend House Bill 3471, on page 1,
3immediately below line 12, by inserting the following:
 
4    "Section 10. The Illinois Public Aid Code is amended by
5changing Section 5-16.8 as follows:
 
6    (305 ILCS 5/5-16.8)
7    Sec. 5-16.8. Required health benefits. The medical
8assistance program shall (i) provide the post-mastectomy care
9benefits required to be covered by a policy of accident and
10health insurance under Section 356t and the coverage required
11under Sections 356g.5, 356u, 356w, 356x, 356z.6, 356z.26, and
12356z.29, 356z.32, and 356z.33 of the Illinois Insurance Code
13and (ii) be subject to the provisions of Sections 356z.19,
14364.01, 370c, and 370c.1 of the Illinois Insurance Code.
15    On and after July 1, 2012, the Department shall reduce any
16rate of reimbursement for services or other payments or alter

 

 

10100HB3471ham002- 2 -LRB101 10551 AMC 58580 a

1any methodologies authorized by this Code to reduce any rate of
2reimbursement for services or other payments in accordance with
3Section 5-5e.
4    To ensure full access to the benefits set forth in this
5Section, on and after January 1, 2016, the Department shall
6ensure that provider and hospital reimbursement for
7post-mastectomy care benefits required under this Section are
8no lower than the Medicare reimbursement rate.
9(Source: P.A. 99-433, eff. 8-21-15; 99-480, eff. 9-9-15;
1099-642, eff. 7-28-16; 100-138, eff. 8-18-17; 100-863, eff.
118-14-18; 100-1057, eff. 1-1-19; 100-1102, eff. 1-1-19; revised
1210-4-18.)".