Bill > SB2647

This bill amends the Illinois Public Aid Code to establish a new requirement for Medicaid reimbursement rates for pediatric primary care providers. Starting January 1, 2026, the bill mandates that providers offering pediatric primary care services must be reimbursed at a rate equal to or higher than 100% of the Medicare program's rates for preventative and screening services. This means that Medicaid will ensure pediatric healthcare providers receive compensation at least matching Medicare's rates for specific types of medical services focused on prevention and early screening. The goal appears to be improving access to pediatric care by ensuring competitive reimbursement rates, which could potentially attract more healthcare providers to serve children through the Medicaid program and encourage more comprehensive preventative care for pediatric patients.

Budget and Finance

https://www.ilga.gov/legislation/BillStatus.asp?DocNum=2647&GAID=18&DocTypeID=SB&SessionID=114&GA=104