HB 347

Abstract

Amends the Illinois Public Aid Code. Provides that, to ensure full access to the benefits set forth in provisions regarding the Healthy Kids Program, on and after January 1, 2022, the Department of Healthcare and Family Services shall ensure that provider and hospital reimbursements for immunization as required under the provisions are no lower than the Medicare reimbursement rate. Amends the Immunization Data Registry Act. Provides that health care providers, physician's designees, or pharmacist's designees shall (rather than may) provide immunization data to be entered into the immunization data registry. Removes language providing that the immunization data need not be provided if the patient or the patient's parent or guardian, if the patient is less than 18 years of age, has completed and filed with the provider, physician's designee, or pharmacist's designee a written immunization data exemption form. Provides that the written information and the immunization data exemption forms must include information that the health care provider shall (rather than may) report immunization data to the Department of Public Health to be entered into the immunization data registry. Effective January 1, 2022. House Floor Amendment No. 2 In provisions amending the Illinois Public Aid Code, provides that the Department of Healthcare and Family Services shall ensure that provider and hospital reimbursements for immunization are no lower than 70% of the regional maximum administration fee as established by the U.S. Department of Health and Human Services' Centers for Medicare and Medicaid Services (rather than the Medicare reimbursement rate). Fiscal Note, House Floor Amendment No. 2 (Dept. of Healthcare & Family Services) Based on limited data availability, the annual impact of using 70% of Medicare rates for vaccine services for Medicaid participants under age 21 is estimated at $5.7 million, with $0. 9 million for FFS claims and about $4.8 million impact to the MCO capitation rates. The FY 2022 impact for providing six months of services at the new rates would be about $2. 9 million. There would be substantial administrative costs to change the pricing methodology to the provider level and for storage and programming changes to the claims processing and provider enrollment systems. Planning and implementation may take up to 12 months to complete, which would exceed the time available with the January 1, 2022 effective date. Senate Floor Amendment No. 2 Deletes reference to: 305 ILCS 5/5-19 from Ch. 23, par. 5-19 410 ILCS 527/15 Adds reference to: 410 ILCS 70/1a from Ch. 111 1/2, par. 87-1a 410 ILCS 70/1a-1 410 ILCS 70/2 from Ch. 111 1/2, par. 87-2 410 ILCS 70/2-1 410 ILCS 70/2.1 from Ch. 111 1/2, par. 87-2.1 410 ILCS 70/2.1-1 410 ILCS 70/5 from Ch. 111 1/2, par. 87-5 410 ILCS 70/5-1 410 ILCS 70/5.4 410 ILCS 70/9.5 Replaces everything after the enacting clause. Amends the Sexual Assault Survivors Emergency Treatment Act. Provides that "pediatric health care facility" means a clinic or physician's office that provides medical services to patients under the age of 18 (rather than to pediatric patients). Provides that a hospital must submit a plan to provide specified services and that the failure to provide that plan is subject to a fine of up to $500 per day until the hospital submits a plan. Provides that certain fines may not be taken or assessed until 12 months after the amendatory Act's effective date. Provides that if an approved pediatric facility submits 2 Plans of Correction that are found to not be acceptable by the Department of Public Health, the approved pediatric health care facility shall become subject to the imposition of a fine by the Department and the termination of its approved sexual assault treatment plan. Provides that an approved pediatric health care facility may provide medical forensic services to all sexual assault survivors under the age of 18 (instead of pediatric sexual assault survivors) who present for medical forensic services in relation to injuries or trauma resulting from a sexual assault. Provides that the Department of Public Health shall approve a proposed plan submitted by a pediatric health care facility if it finds that the proposed plan meets certain minimum requirements and that implementation of the proposed plan would provide medical forensic services for sexual assault survivors under the age of 18 (instead of pediatric sexual assault survivors). Prohibits a pediatric health care facility from providing medical forensic services to sexual assault survivors under the age of 18 (instead of pediatric sexual assault survivors) who present with a complaint of sexual assault within a minimum of the last 7 days or who have disclosed past sexual assault by a specific individual and were in the care of that individual within a minimum of the last 7 days until the Department has approved a treatment plan. Provides that a transfer hospital, treatment hospital with approved pediatric transfer, or approved pediatric health care facility may transfer a sexual assault survivor to an out-of-state hospital that is located in a county that borders Illinois (rather than to an out-of-state hospital that has been designated as a trauma center by the Department under specified provisions of the Emergency Medical Services (EMS) Systems Act) if the out-of-state hospital meets specified requirements. Specifies that a provision regarding out-of-state hospitals is inoperative on and after January 1, 2029 (rather than January 1, 2024). In provisions regarding the Sexual Assault Medical Forensic Services Implementation Task Force, requires the Task Force's report to the General Assembly to be submitted by January 1, 2024 (rather than January 1, 2023) and include the status of pediatric sexual assault care. Makes other changes. Effective January 1, 2023, except that changes to provisions concerning the Sexual Assault Medical Forensic Services Implementation Task Force take effect upon becoming law.