PUBLIC AID-AMBULANCE SERVICE Senate SponsorsSen. John M. Sullivan, David Luechtefeld, Gary Forby-Kimberly A. Lightford, Bill Brady, Ira I. Silverstein, M. Maggie Crotty and Donne E. Trotter House Sponsors(Rep. John E. Bradley-Dan Reitz-Patrick J Verschoore-Thomas Holbrook, Lou Lang, Bob Biggins, Donald L. Moffitt, Daniel J. Burke, John D'Amico, Mike Bost, Brandon W. Phelps and Lisa M. Dugan) 1/13/2009SenateSession Sine Die 305 ILCS 5/5-4.2from Ch. 23, par. 5-4.2Amends the Illinois Public Aid Code. Provides a guideline for Medicaid reimbursement for ambulance services for emergency ambulance services, non-emergency ambulance services, mileage, advanced life support services, and specialty care transport services. Provides that the requirement for payment of ground ambulance services by the Illinois Department of Healthcare and Family Services is met if the services are provided pursuant to a request for evaluation, treatment, and transport for an individual with a condition of such a nature that a prudent layperson would have reasonably expected that a delay in seeking immediate medical attention would have been hazardous to life or health. Requires the Department to annually update the ambulance fee schedule rates on July 1 of each year.Senate Committee Amendment No. 1 Provides that the ambulance services for which reimbursement is required under the medical assistance Article of the Illinois Public Aid Code are limited to ground ambulance services. Corrects a reference to the Emergency Medical Services (EMS) Systems Act.Senate Floor Amendment No. 2 Replaces everything after the enacting clause. Amends the Illinois Public Aid Code. Replaces all of the provisions concerning ambulance services payments under the medical assistance program (except does not replace the amendatory provisions added by P.A. 95-501 concerning non-emergency transportation by medi-car and service car). Provides that for ground ambulance services provided to a recipient of medical assistance on or after July 1, 2008, the Department of Healthcare and Family Services shall reimburse ground ambulance services providers for base charges and mileage charges based upon the lesser of the provider's charge, as reflected on the provider's claim form, or the Illinois Medicaid Ambulance Fee Schedule rates calculated in accordance with these provisions. Provides that effective July 1, 2008 the Illinois Medicaid Ambulance Fee Schedule shall be established and shall include only the ground ambulance services rates outlined in the Medicare Ambulance Fee Schedule as promulgated by the Centers for Medicare and Medicaid Services and adjusted for the 4 Medicare Localities in Illinois, with an adjustment of 100% of the Medicare Ambulance Fee Schedule, by Medicare Locality, for both base rates and mileage for rural counties, and an adjustment of 80% of the Medicare Ambulance Fee Schedule for all other counties; provides for the transition from the current payment system to the Illinois Medicaid Ambulance Fee Schedule by means of a 3-year phase-in. Provides that the requirement for payment of ground ambulance services by the Department is deemed to be met if the services are provided pursuant to a request for evaluation, treatment, and transport from an individual with a condition of such a nature that a prudent layperson would have reasonably expected that a delay in seeking immediate medical attention would have been hazardous to life or health. Sets forth provisions concerning mileage payments, payments by Medicaid Managed Care Plans, and out-of-State providers. Effective immediately. 2/14/2008SenateFiled with Secretary by Sen. John M. Sullivan 2/14/2008SenateFirst Reading 2/14/2008SenateReferred to Rules 2/20/2008SenateAssigned to Public Health 2/21/2008SenateAdded as Co-Sponsor Sen. David Luechtefeld 2/25/2008SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. John M. Sullivan 2/25/2008SenateSenate Committee Amendment No. 1 Referred to Rules 2/27/2008SenateSenate Committee Amendment No. 1 Rules Refers to Public Health 2/27/2008SenateAdded as Co-Sponsor Sen. Gary Forby 2/28/2008SenateSenate Committee Amendment No. 1 Adopted 2/28/2008SenateDo Pass as Amended Public Health; 009-000-000 2/28/2008SenatePlaced on Calendar Order of 2nd Reading March 5, 2008 3/5/2008SenateAdded as Chief Co-Sponsor Sen. Kimberly A. Lightford 3/7/2008SenateAdded as Co-Sponsor Sen. Bill Brady 4/10/2008SenateSenate Floor Amendment No. 2 Filed with Secretary by Sen. John M. Sullivan 4/10/2008SenateSenate Floor Amendment No. 2 Referred to Rules 4/15/2008SenateSenate Floor Amendment No. 2 Rules Refers to Public Health 4/16/2008SenateSenate Floor Amendment No. 2 Recommend Do Adopt Public Health; 007-000-000 4/16/2008SenateSecond Reading 4/16/2008SenateSenate Floor Amendment No. 2 Adopted; Sullivan 4/16/2008SenatePlaced on Calendar Order of 3rd Reading April 17, 2008 4/17/2008SenateAdded as Co-Sponsor Sen. Ira I. Silverstein 4/17/2008SenateAdded as Co-Sponsor Sen. M. Maggie Crotty 4/17/2008SenateAdded as Co-Sponsor Sen. Donne E. Trotter 4/17/2008SenateThird Reading - Passed; 053-000-000 4/17/2008HouseArrived in House 4/17/2008HousePlaced on Calendar Order of First Reading 4/17/2008HouseChief House Sponsor Rep. John E. Bradley 4/24/2008HouseFirst Reading 4/24/2008HouseReferred to Rules Committee 4/29/2008HouseAdded Alternate Chief Co-Sponsor Rep. Dan Reitz 4/29/2008HouseAdded Alternate Chief Co-Sponsor Rep. Patrick J Verschoore 4/30/2008HouseAdded Alternate Co-Sponsor Rep. Lou Lang 4/30/2008HouseAdded Alternate Chief Co-Sponsor Rep. Thomas Holbrook 4/30/2008HouseAdded Alternate Co-Sponsor Rep. Bob Biggins 5/1/2008HouseAdded Alternate Co-Sponsor Rep. Donald L. Moffitt 5/7/2008HouseAdded Alternate Co-Sponsor Rep. Daniel J. Burke 5/7/2008HouseAdded Alternate Co-Sponsor Rep. John D'Amico 5/8/2008HouseAdded Alternate Co-Sponsor Rep. Mike Bost 5/13/2008HouseAdded Alternate Co-Sponsor Rep. Brandon W. Phelps 5/28/2008HouseAdded Alternate Co-Sponsor Rep. Lisa M. Dugan 1/13/2009SenateSession Sine Die