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IL HB2428

IL HB2428
MEDICAID-AUTISM TREATMENT RATE


summary

Introduced
02/03/2025
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. Provides that on January 1, 2026 the reimbursement rates for applied behavior analysis services for the treatment of autism spectrum disorder shall be increased by 3.5% above the reimbursement rates in effect on December 31, 2025.

AI Summary

This bill amends the Illinois Public Aid Code to increase Medicaid reimbursement rates for applied behavior analysis (ABA) services for autism spectrum disorder treatment by 3.5% on January 1, 2026. Specifically, the bill modifies an existing section of law that outlines coverage for autism treatment through ABA, which is a therapeutic approach that helps individuals with autism develop positive behaviors and reduce challenging ones. The bill maintains the existing requirements that such services must be ordered by a licensed physician or psychologist and evaluated by a certified behavior analyst. ABA services can be limited to specific age ranges based on current best medical practices. The rate increase aims to potentially improve access to and quality of autism treatment services for children covered under Illinois' Medicaid program by making these services more financially viable for healthcare providers.

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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