Bill Text: IL HB4664 | 2023-2024 | 103rd General Assembly | Introduced

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Bill Title: Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that beginning on January 1, 2025, rates for psychiatric evaluations performed by community mental health centers and substance use disorder treatment providers and practitioners as set forth on the Department of Healthcare and Family Services' Practitioner Fee Schedule shall be increased to $237.57. Provides that beginning on January 1, 2025, rates for medication monitoring performed by community mental health centers and substance use disorder treatment providers and practitioners as set forth on the Department's Practitioner Fee Schedule shall be increased to $140.77 per quarter hour. Provides that no existing or future reimbursement rates or add-ons shall be reduced or changed to address these rate increases. Provides that no later than October 1, 2024, the Department shall submit any necessary application to the federal Centers for Medicare and Medicaid Services for a waiver or State Plan amendment to implement the requirements of the amendatory Act. Provides that beginning in State Fiscal Year 2025, and every State fiscal year thereafter, reimbursement rates for those community-based mental health and substance use disorder services shall be adjusted upward by an amount equal to the Consumer Price Index-U from the previous year, not to exceed 5% in any State fiscal year. Effective immediately.

Spectrum: Moderate Partisan Bill (Democrat 7-1)

Status: (Introduced) 2024-04-19 - Added Co-Sponsor Rep. Christopher "C.D." Davidsmeyer [HB4664 Detail]

Download: Illinois-2023-HB4664-Introduced.html

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103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB4664 Introduced , by Rep. Lindsey LaPointe SYNOPSIS AS INTRODUCED:
5 ILCS 100/5-45.55 new
305 ILCS 5/5-5.05h new
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that beginning on January 1, 2025, rates for psychiatric evaluations performed by community mental health centers and substance use disorder treatment providers and practitioners as set forth on the Department of Healthcare and Family Services' Practitioner Fee Schedule shall be increased to $237.57. Provides that beginning on January 1, 2025, rates for medication monitoring performed by community mental health centers and substance use disorder treatment providers and practitioners as set forth on the Department's Practitioner Fee Schedule shall be increased to $140.77 per quarter hour. Provides that no existing or future reimbursement rates or add-ons shall be reduced or changed to address these rate increases. Provides that no later than October 1, 2024, the Department shall submit any necessary application to the federal Centers for Medicare and Medicaid Services for a waiver or State Plan amendment to implement the requirements of the amendatory Act. Provides that beginning in State Fiscal Year 2025, and every State fiscal year thereafter, reimbursement rates for those community-based mental health and substance use disorder services shall be adjusted upward by an amount equal to the Consumer Price Index-U from the previous year, not to exceed 5% in any State fiscal year. Effective immediately.
LRB103 38880 KTG 69017 b
A BILL FOR
HB4664 LRB103 38880 KTG 69017 b
AN ACT concerning public aid.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 1. The Illinois Administrative Procedure Act is
amended by adding Section 5-45.55 as follows:
(5 ILCS 100/5-45.55 new)
Sec. 5-45.55. Emergency rulemaking; reimbursement rates
for psychiatric evaluations and medication monitoring. To
provide for the expeditious and timely implementation of
Section 5-5.05h of the Illinois Public Aid Code, emergency
rules implementing Section 5-5.05h of the Illinois Public Aid
Code may be adopted in accordance with Section 5-45 by the
Department of Healthcare and Family Services. The adoption of
emergency rules authorized by Section 5-45 and this Section is
deemed to be necessary for the public interest, safety, and
welfare.
This Section is repealed one year after the effective date
of this amendatory Act of the 103rd General Assembly.
Section 5. The Illinois Public Aid Code is amended by
adding Section 5-5.05h as follows:
(305 ILCS 5/5-5.05h new)

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Sec. 5-5.05h. Reimbursement rates for psychiatric
evaluations and medication monitoring.
(a) Beginning on January 1, 2025, rates for psychiatric
evaluations performed by community mental health centers and
substance use disorder treatment providers and practitioners
as set forth on the Department's Practitioner Fee Schedule
shall be increased to $237.57. Beginning on January 1, 2025,
rates for medication monitoring performed by community mental
health centers and substance use disorder treatment providers
and practitioners as set forth on the Department's
Practitioner Fee Schedule shall be increased to $140.77 per
quarter hour.
(b) No existing or future reimbursement rates or add-ons
shall be reduced or changed to address the rate increases
proposed under this Section. No later than October 1, 2024,
the Department shall submit any necessary application to the
federal Centers for Medicare and Medicaid Services for a
waiver or State Plan amendment to implement the requirements
of this Section. Beginning in State Fiscal Year 2025, and
every State fiscal year thereafter, reimbursement rates for
those community-based mental health and substance use disorder
services shall be adjusted upward by an amount equal to the
Consumer Price Index-U from the previous year, not to exceed
5% in any State fiscal year. If there is a decrease in the
Consumer Price Index-U, rates shall remain unchanged for that
State fiscal year. The Department shall adopt rules, including

HB4664 - 3 - LRB103 38880 KTG 69017 b
emergency rules under Section 5-45.1 of the Illinois
Administrative Procedure Act, to implement the provisions of
this Section.
(c) As used in this Section, "consumer price index-u"
means the index published by the Bureau of Labor Statistics of
the United States Department of Labor that measures the
average change in prices of goods and services purchased by
all urban consumers, United States city average, all items,
1982-84 = 100.