97TH GENERAL ASSEMBLY
State of Illinois
2011 and 2012
HB5903

 

Introduced 2/16/2012, by Rep. Patricia R. Bellock

 

SYNOPSIS AS INTRODUCED:
 
305 ILCS 5/12-4.45 new

    Amends the Administration Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to create by rule a cap formula that provides for an annual payment cap on optional services provided under the State's medical assistance program. Provides that under the cap program, if a medical assistance recipient exceeds the yearly payment cap on an optional service provided under the State's medical assistance program, the State shall not be required to reimburse the healthcare provider for any remaining costs associated with that optional service for the remainder of that fiscal year.


LRB097 19122 KTG 64363 b

FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

HB5903LRB097 19122 KTG 64363 b

1    AN ACT concerning public aid.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Illinois Public Aid Code is amended by
5adding Section 12-4.45 as follows:
 
6    (305 ILCS 5/12-4.45 new)
7    Sec. 12-4.45. Annual payment cap on optional services;
8Medicaid. The Department of Healthcare and Family Services
9shall create by rule a cap formula that provides for an annual
10payment cap on optional services provided under the State's
11medical assistance program. Under the cap program, if a medical
12assistance recipient exceeds the yearly payment cap on an
13optional service provided under the State's medical assistance
14program, the State shall not be required to reimburse the
15healthcare provider for any remaining costs associated with
16that optional service for the remainder of that fiscal year.