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IL HB1881

IL HB1881
MEDICAID-DENTAL SERVICES


summary

Introduced
01/29/2025
In Committee
03/21/2025
Crossed Over
Passed
Dead

Introduced Session

104th General Assembly

Bill Summary

Amends the Medical Assistance Article of the Illinois Public Aid Code. In a provision concerning dental services for children and adults under the medical assistance program, lists the codes for certain dental procedures that shall be reimbursed at specified amounts. Provides that on and after January 1, 2026, the Department of Healthcare and Family Services, in cooperation with the Department of Veterans' Affairs, shall establish and administer a 5-year pilot program to help improve dental care access for veterans. Provides that under the pilot program, veterans with income at or below 300% of the federal poverty guidelines established by the U.S. Department of Health and Human Services shall be eligible for comprehensive dental care coverage at local community dentists who agree to discount their fees and provide needed dental care to eligible veterans. Provides that the Department may require veterans to meet other eligibility requirements as established by rule. Effective immediately.

AI Summary

This bill amends the Illinois Public Aid Code to expand dental service coverage and create a new dental care pilot program for veterans. The bill updates the existing dental services fee schedule by adding several new dental procedure codes and their corresponding reimbursement rates for medical assistance programs, covering services for both adults and children. Starting January 1, 2026, the bill establishes a 5-year pilot program through the Department of Healthcare and Family Services, in collaboration with the Department of Veterans' Affairs, aimed at improving dental care access for veterans. Under this program, veterans with income at or below 300% of the federal poverty guidelines will be eligible for comprehensive dental care coverage at local community dentists who agree to offer discounted fees. The bill defines a "veteran" as an Illinois resident who has served or is currently serving in the United States Armed Forces, Illinois National Guard, or a Reserve Component. The Department retains the authority to establish additional eligibility requirements through administrative rules. The bill becomes effective immediately upon passage, with the veteran dental care pilot program set to launch on January 1, 2026.

Committee Categories

Budget and Finance

Sponsors (1)

Last Action

Rule 19(a) / Re-referred to Rules Committee (on 03/21/2025)

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