HB 3084

Abstract

Amends the Health Care Professional Credentials Data Collection Act. Makes a technical change in a Section concerning the adoption and incorporation of the Illinois Administrative Procedure Act. House Committee Amendment No. 1 Deletes reference to: 410 ILCS 517/45 Adds reference to: New Act Replaces everything after the enacting clause. Creates the Consumer Choice in Maternal Care for African-American Mothers Pilot Program Act. Requires the Task Force on Infant and Maternal Mortality Among African Americans to partner with community-based maternal care providers to develop rules and regulations for a Medicaid voucher pilot program to expand consumer choice for Black mothers that includes planned home birth services and in-home perinatal and postpartum care services provided by racially concordant nationally accredited certified professional midwives. Requires the Department of Healthcare and Family Services to implement the pilot program no later than January 1, 2023. Provides that the pilot program shall operate for a 5-year period. Requires the Task Force to submit annual reports to the General Assembly, beginning January 1, 2024, and each January 1 thereafter through January 1, 2028, that provides a status update on the pilot program and annual impact measure reporting. Provides that the pilot program shall implement a maternity episode payment model that provides a single payment for all services across the prenatal, intrapartum, and postnatal period which covers the 9 months of pregnancy plus 12 weeks of postpartum. Requires the Department of Healthcare and Family Services to make available to the Task Force all relevant data related to maternal care expenditures made under the State's Medical Assistance Program so that budget-neutral reimbursement rates can be established for bundled maternal care services spanning the prenatal, labor and delivery, and postpartum phases of a maternity episode. House Committee Amendment No. 2 Provides that the Medicaid voucher pilot program includes home birth services and in-home perinatal and postpartum care services provided by racially concordant nationally accredited certified professional midwives who are licensed and registered in Illinois (rather than racially concordant nationally accredited certified professional midwives). Senate Committee Amendment No. 1 Replaces everything after the enacting clause. Reinserts the provisions of the engrossed bill with the following changes: Requires the Department of Healthcare and Family Services to take all necessary steps to ensure that the State is eligible for, and receives, the maximum federal matching funds available under Title XIX or XXI of the Social Security Act for the purposes of the pilot program. Requires the Department, beginning January 1, 2024, and each January 1 thereafter through January 1, 2028, to report to the General Assembly the expenditures associated with the provision of perinatal care services to pilot program participants who are insured under the State's Medical Assistance Program. Provides that the Department shall report the incidences of low birth weight, preterm birth, hospital admission for neonatal intensive care services, and severe maternal morbidity, pregnancy-related mortality, and neonatal mortality among program participants. Requires the Department to collect and maintain deidentified demographic data for all program participants. Provides that the demographic data collected for any program participant shall include the participant's zip code of residence at the time of program enrollment, parity, maternal race and ethnicity, maternal age at delivery, and weeks' gestation at the time of program enrollment. Requires the Department of Public Health to monitor and evaluate implementation of the alternative health care delivery model provided under the pilot program in accordance with the relevant terms and standards under the Alternative Health Care Delivery Act.