summary
Introduced
02/04/2025
02/04/2025
In Committee
06/02/2025
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. Provides that on and after January 1, 2026, the rates paid for children's dental comprehensive oral exams, periodic oral exams, problem focused exams, behavior management codes, sealants, resin-based composites-posterior teeth, and extraction and surgical extraction codes shall be increased by 33% above the rates in effect on December 31, 2025. Effective January 1, 2026.
AI Summary
This bill amends the Illinois Public Aid Code to increase reimbursement rates for certain children's dental services by 33% starting January 1, 2026. Specifically, the rate increase will apply to several dental procedure codes, including comprehensive oral exams, periodic oral exams, problem focused exams, behavior management codes, sealants, resin-based composites for posterior teeth, and extraction and surgical extraction codes. The rate increase will be calculated by comparing the new rates to those in effect on December 31, 2025, meaning dental providers serving children on Medicaid will receive significantly higher compensation for these services. This change aims to potentially improve access to dental care for children by making it more financially attractive for providers to serve Medicaid patients, though the bill does not explicitly state the motivation behind the rate increase.
Committee Categories
Budget and Finance
Sponsors (2)
Last Action
Rule 3-9(a) / Re-referred to Assignments (on 06/02/2025)
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.ilga.gov/legislation/BillStatus.asp?DocNum=1580&GAID=18&DocTypeID=SB&SessionID=114&GA=104 |
| BillText | https://www.ilga.gov/legislation/104/SB/10400SB1580.htm |
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