HB 5013

  • Illinois House Bill
  • 102nd Regular Session
  • Introduced in House Apr 05, 2022
  • Passed House Mar 04, 2022
  • Passed Senate Apr 05, 2022
  • Became Law May 27, 2022

Dhfs-Prenatal/Perinatal Care

Abstract

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that in order to maximize the accessibility of preventive prenatal and perinatal health care services, the Department of Healthcare and Family Services shall amend its managed care contracts such that an managed care organization must pay for preventive prenatal and perinatal healthcare services rendered by a non-affiliated provider, for which the health plan would pay if rendered by an affiliated provider, at the same rate the Department would pay for such services exclusive of disproportionate share payments and Medicaid percentage adjustments, unless a different rate was agreed upon by the health plan and the non-affiliated provider. Effective January 1, 2023. House Committee Amendment No. 2 Adds reference to: 210 ILCS 170/5 210 ILCS 170/25 Replaces everything after the enacting clause. Reinserts the provisions of the bill as amended by Senate Amendment No. 1 with the following changes. Amends the Birth Center Licensing Act. Provides that a licensed certified professional midwife may attend or be delegated to attend to each person in labor from the time of admission through birth and throughout the immediate postpartum period. Defines "licensed certified professional midwife". Makes a conforming change. Effective January 1, 2023. Senate Committee Amendment No. 1 Replaces everything after the enacting clause. Reinserts the provisions of the engrossed bill with the following changes: Further amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that a managed care organization must pay for preventative prenatal services, perinatal healthcare services, and postpartum services rendered by a non-affiliated provider, for which the health plan would pay if rendered by an affiliated provider, at the rate paid (rather than at no less than the rate paid) under the Illinois Medicaid fee-for-service program methodology for such services. Provides that, in cases where a managed care organization must pay for preventive prenatal services, perinatal healthcare services, and postpartum services rendered by a non-affiliated provider, the payment rate requirements under the amendatory Act shall not apply if the services were not emergency services, as defined in a specified provision of the Code, and: (1) the non-affiliated provider is a perinatal hospital and has, within the 12 months preceding the date of service, rejected a contract that was offered in good faith by the health plan as determined by the Department of Healthcare and Family Services; or (2) the health plan has terminated a contract with the non-affiliated provider for cause, and the Department has not deemed the termination to have been without merit. Provides that the Department may deem that a determination for cause has merit if: (i) an institutional provider has repeatedly failed to conduct discharge planning; or (ii) the provider's conduct adversely and substantially impacts the health of Medicaid patients; or (iii) the provider's conduct constitutes fraud, waste, or abuse; or (iv) the provider's conduct violates the code of ethics governing his or her profession. Effective January 1, 2023.

Bill Sponsors (66)

Votes


Actions


May 27, 2022

House

Public Act . . . . . . . . . 102-0964

House

Governor Approved

House

Effective Date May 27, 2022

May 06, 2022

House

Sent to the Governor

Apr 18, 2022

Senate

Added as Alternate Co-Sponsor Sen. Jacqueline Y. Collins

Apr 07, 2022

House

Senate Committee Amendment No. 1 House Concurs 113-000-000

House

Passed Both Houses

House

House Concurs

House

Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Health Care Availability & Accessibility Committee; 013-000-000

Apr 06, 2022

House

Senate Committee Amendment No. 1 Motion to Concur Rules Referred to Health Care Availability & Accessibility Committee

Apr 05, 2022

House

Placed on Calendar Order of Concurrence Senate Amendment(s) 1

House

Senate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee

House

Senate Committee Amendment No. 1 Motion Filed Concur Rep. Mary E. Flowers

Senate

Third Reading - Passed; 058-000-000

House

Arrived in House

Apr 01, 2022

Senate

Second Reading

Senate

Placed on Calendar Order of 3rd Reading April 4, 2022

Senate

Rule 2-10 Third Reading Deadline Established As April 8, 2022

Senate

Senate Committee Amendment No. 1 Assignments Refers to Executive

Senate

Senate Committee Amendment No. 2 Pursuant to Senate Rule 3-8 (b-1), the following amendments will remain in the Committee on Assignments.

Senate

Waive Posting Notice

Senate

Senate Committee Amendment No. 1 Adopted

Senate

Do Pass as Amended Executive; 014-000-000

Senate

Placed on Calendar Order of 2nd Reading

Senate

Added as Alternate Co-Sponsor Sen. Adriane Johnson

Senate

Added as Alternate Chief Co-Sponsor Sen. Mattie Hunter

Senate

Added as Alternate Chief Co-Sponsor Sen. Napoleon Harris, III

Mar 31, 2022

Senate

Senate Committee Amendment No. 2 Referred to Assignments

Senate

Re-assigned to Executive

Senate

Senate Committee Amendment No. 1 Filed with Secretary by Sen. Patricia Van Pelt

Senate

Senate Committee Amendment No. 1 Referred to Assignments

Senate

Senate Committee Amendment No. 2 Filed with Secretary by Sen. Patricia Van Pelt

Senate

Rule 2-10 Committee/3rd Reading Deadline Established As April 8, 2022

Mar 25, 2022

Senate

Rule 3-9(a) / Re-referred to Assignments

Mar 24, 2022

Senate

Added as Alternate Co-Sponsor Sen. Sara Feigenholtz

Mar 23, 2022

Senate

Added as Alternate Co-Sponsor Sen. Cristina H. Pacione-Zayas

Mar 22, 2022

Senate

Added as Alternate Co-Sponsor Sen. Robert Peters

Mar 16, 2022

Senate

Assigned to Executive

Mar 15, 2022

Senate

Added as Alternate Co-Sponsor Sen. Laura M. Murphy

Mar 08, 2022

Senate

Added as Alternate Chief Co-Sponsor Sen. Christopher Belt

Mar 07, 2022

Senate

Placed on Calendar Order of First Reading

Senate

First Reading

Senate

Referred to Assignments

Senate

Chief Senate Sponsor Sen. Patricia Van Pelt

Senate

Arrive in Senate

Mar 04, 2022

House

Placed on Calendar Order of 3rd Reading - Short Debate

House

Third Reading - Short Debate - Passed 102-000-000

Mar 03, 2022

House

Added Co-Sponsor Rep. Will Guzzardi

House

Added Co-Sponsor Rep. Maurice A. West, II

House

Added Co-Sponsor Rep. Cyril Nichols

House

Added Co-Sponsor Rep. Justin Slaughter

House

Added Co-Sponsor Rep. Curtis J. Tarver, II

House

Added Co-Sponsor Rep. Mark L. Walker

House

Added Co-Sponsor Rep. Daniel Didech

House

Added Co-Sponsor Rep. Lakesia Collins

House

Added Co-Sponsor Rep. Jaime M. Andrade, Jr.

House

Added Co-Sponsor Rep. Bob Morgan

House

Second Reading - Short Debate

House

Held on Calendar Order of Second Reading - Short Debate

House

Added Co-Sponsor Rep. Delia C. Ramirez

House

House Committee Amendment No. 2 Adopted in Health Care Availability & Accessibility Committee; by Voice Vote

House

Do Pass as Amended / Short Debate Health Care Availability & Accessibility Committee; 012-000-000

House

House Committee Amendment No. 1 Tabled Pursuant to Rule 40

House

Placed on Calendar 2nd Reading - Short Debate

House

Added Co-Sponsor Rep. Camille Y. Lilly

House

Added Chief Co-Sponsor Rep. Randy E. Frese

House

Added Chief Co-Sponsor Rep. Norine K. Hammond

House

Added Co-Sponsor Rep. David Friess

House

Added Co-Sponsor Rep. Adam Niemerg

House

Added Co-Sponsor Rep. Dave Severin

House

Added Co-Sponsor Rep. Tom Weber

House

Added Co-Sponsor Rep. Keith P. Sommer

House

Added Co-Sponsor Rep. Thomas Morrison

House

Added Co-Sponsor Rep. Michelle Mussman

House

Added Co-Sponsor Rep. Janet Yang Rohr

House

Added Co-Sponsor Rep. Lindsey LaPointe

House

Added Co-Sponsor Rep. Ann M. Williams

House

Added Co-Sponsor Rep. Kathleen Willis

House

Added Co-Sponsor Rep. Natalie A. Manley

House

Added Co-Sponsor Rep. Mark Luft

House

Added Co-Sponsor Rep. Amy Grant

House

Added Co-Sponsor Rep. Theresa Mah

House

Added Co-Sponsor Rep. Keith R. Wheeler

House

Added Co-Sponsor Rep. Jeff Keicher

House

Added Co-Sponsor Rep. C.D. Davidsmeyer

House

Added Co-Sponsor Rep. Joe Sosnowski

House

Added Co-Sponsor Rep. Seth Lewis

House

Added Co-Sponsor Rep. William Davis

House

Added Co-Sponsor Rep. Robert Rita

House

Added Co-Sponsor Rep. Sonya M. Harper

House

Added Co-Sponsor Rep. Anne Stava-Murray

House

Added Co-Sponsor Rep. Maura Hirschauer

House

Added Co-Sponsor Rep. Debbie Meyers-Martin

House

Added Co-Sponsor Rep. Elizabeth Hernandez

House

Added Co-Sponsor Rep. Deb Conroy

House

Added Co-Sponsor Rep. Nicholas K. Smith

House

Added Co-Sponsor Rep. Eva Dina Delgado

House

Added Co-Sponsor Rep. Marcus C. Evans, Jr.

House

Added Co-Sponsor Rep. Margaret Croke

House

Added Co-Sponsor Rep. Aaron M. Ortiz

House

Added Co-Sponsor Rep. Kelly M. Cassidy

House

Added Co-Sponsor Rep. Katie Stuart

House

Added Co-Sponsor Rep. Lindsey LaPointe

House

Added Co-Sponsor Rep. Thaddeus Jones

House

Added Co-Sponsor Rep. Kambium Buckner

House

Added Co-Sponsor Rep. Edgar Gonzalez, Jr.

Mar 02, 2022

House

Suspend Rule 21 - Prevailed

House

Moved to Suspend Rule 21 Rep. Greg Harris

House

House Committee Amendment No. 2 Rules Refers to Health Care Availability & Accessibility Committee

Mar 01, 2022

House

House Committee Amendment No. 2 Filed with Clerk by Rep. Mary E. Flowers

House

House Committee Amendment No. 2 Referred to Rules Committee

Feb 23, 2022

House

Re-assigned to Health Care Availability & Accessibility Committee

House

House Committee Amendment No. 1 Re-assigned to Health Care Availability & Accessibility Committee

Feb 18, 2022

House

Committee Deadline Extended-Rule 9(b) March 4, 2022

Feb 17, 2022

House

Added Chief Co-Sponsor Rep. LaToya Greenwood

House

Added Chief Co-Sponsor Rep. Rita Mayfield

House

House Committee Amendment No. 1 Rules Refers to Appropriations-Human Services Committee

Feb 15, 2022

House

House Committee Amendment No. 1 Filed with Clerk by Rep. Mary E. Flowers

House

House Committee Amendment No. 1 Referred to Rules Committee

Feb 09, 2022

House

Assigned to Appropriations-Human Services Committee

Jan 27, 2022

House

First Reading

House

Referred to Rules Committee

Jan 26, 2022

House

Filed with the Clerk by Rep. Mary E. Flowers

Bill Text

Bill Text Versions Format
Introduced HTML PDF
Engrossed HTML PDF
Enrolled HTML PDF
House Amendment 001 HTML PDF
House Amendment 002 HTML PDF
Senate Amendment 001 HTML PDF
Senate Amendment 002 HTML PDF

Related Documents

Document Format
Public Act

Sources

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