HB2713 - 104th General Assembly (2025-2026)

DHFS-MCO-DURABLE MED EQUIPMENT
Last Action

3/21/2025 - House: Rule 19(a) / Re-referred to Rules Committee
House Sponsors

Rep. Dagmara Avelar
Statutes Amended In Order of Appearance

Synopsis As Introduced

Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to require Medicaid managed care organizations to reimburse at no less than 100% of the Medical Assistance program's Durable Medical Equipment fee schedule for the same service or item of durable medical equipment, complex rehab technology, prosthetics, orthotics, or supplies. Provides that the reimbursement requirement shall also apply to a Medicaid managed care organization's subcontractors and third-party administrators. Provides that the Department has the authority to implement the reimbursement requirement on and after July 1, 2025 and prior to the completion of any regulatory process undertaken in order to effect such change. Effective July 1, 2025.
Actions

DateChamberAction
2/04/2025HouseFiled with the Clerk by Rep. Dagmara Avelar
2/06/2025HouseFirst Reading
2/06/2025HouseReferred to Rules Committee
3/04/2025HouseAssigned to Appropriations-Health and Human Services Committee
3/21/2025HouseRule 19(a) / Re-referred to Rules Committee