Bill > HB2558

This bill amends the Illinois Public Aid Code to require the Department of Healthcare and Family Services to conduct a comprehensive rate study for private duty nursing services by December 31, 2025. The study will evaluate the current reimbursement rates for nursing services provided to medically fragile and technology-dependent children who are eligible for medical assistance. The department must either contract with an outside entity or use an existing contractor to perform the study, and must ensure that Department-enrolled private duty nursing providers are consulted to guarantee the study's accuracy. The study must specifically compare nursing service rates across other states and analyze the cost of providing similar care in institutional settings. The bill builds upon existing provisions that have already increased nursing service reimbursement rates by 20% as of January 1, 2024, and plans an additional 7% increase as of January 1, 2025. By mandating this rate study, the bill aims to ensure that reimbursement rates for private duty nursing services are fair, competitive, and reflective of the actual costs of care for medically fragile children.

Budget and Finance

https://www.ilga.gov/legislation/BillStatus.asp?DocNum=2558&GAID=18&DocTypeID=HB&SessionID=114&GA=104