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IL HB3599

IL HB3599
MEDICAID-EMERGENCY TRANSPORT


summary

Introduced
02/07/2025
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 notwithstanding any other provision of the Code, subject to federal approval, a ground ambulance service provider shall be entitled to payment equal to 100% of the applicable base rate, without mileage charges, in effect at the time of service for the services provided in the following situations if a ground ambulance is dispatched and (i) Advanced Life Support (ALS) Services, Intermediate Life Support (ILS) Services, or Basic Life Support (BLS) Services are provided to a recipient but that recipient subsequently refuses transport to a hospital or (ii) the recipient is pronounced dead after the dispatch of a ground ambulance to the scene of a request for service but before a recipient is placed into a ground ambulance.

AI Summary

This bill amends the Illinois Public Aid Code to enhance reimbursement for ground ambulance service providers in specific emergency response scenarios. Under the new provisions, ground ambulance providers will be entitled to receive 100% of the applicable base rate (without mileage charges) in four distinct situations: when Advanced Life Support (ALS), Intermediate Life Support (ILS), or Basic Life Support (BLS) services are provided and the recipient subsequently refuses hospital transport, and when a recipient is pronounced dead after an ambulance is dispatched but before being placed in the ambulance. These services are defined according to the Emergency Medical (EMS) Systems Act, and the reimbursement is subject to federal approval. The bill aims to ensure that ambulance providers are fairly compensated for their services, even when a patient does not ultimately require transportation to a hospital or dies before being placed in the ambulance. This change recognizes the resources and medical expertise expended by emergency medical personnel during these challenging and unpredictable emergency response scenarios.

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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