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IL SB1393

IL SB1393
MEDICAID-MFTD-NURSING SERVICES


summary

Introduced
01/29/2025
In Committee
06/02/2025
Crossed Over
Passed
Dead

Introduced Session

104th General Assembly

Bill Summary

Amends the Medical Assistance Article of the Illinois Public Aid Code. In provisions concerning provider reimbursement rates for medically fragile and technology dependent children, provides that subject to federal approval, on and after January 1, 2026, the reimbursement rates for nursing paid through Nursing and Personal Care Services for non-waiver customers and to providers of private duty nursing services for children eligible for medical assistance shall be 3.5% higher than the reimbursement rates in effect for nursing services on December 31, 2025. Effective immediately.

AI Summary

This bill amends the Illinois Public Aid Code to continue a series of incremental increases in reimbursement rates for nursing services for medically fragile and technology dependent children. Specifically, the bill provides that, subject to federal approval, starting January 1, 2026, reimbursement rates for nursing services through Nursing and Personal Care Services for non-waiver customers and private duty nursing services for children eligible for medical assistance will increase by 3.5% compared to the rates in effect on December 31, 2025. This builds upon previous planned rate increases of 20% in 2024 and 7% in 2025, which were aimed at supporting healthcare providers who care for children with complex medical needs. The bill is part of a broader program that allows medically fragile and technology dependent children who qualify under Supplemental Security Income disability definitions to receive medical assistance in their community, with the goal of maximizing federal reimbursement and supporting families managing these children's healthcare needs.

Committee Categories

Budget and Finance

Sponsors (1)

Last Action

Rule 3-9(a) / Re-referred to Assignments (on 06/02/2025)

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