SB1737 - 104th General Assembly (2025-2026)

DHFS-MCO-DURABLE MED EQUIPMENT
Last Action
2/05/2025 - Senate: Referred to Assignments
Senate Sponsors
Sen. David Koehler
Statutes Amended In Order of Appearance
305 ILCS 5/5-30.19 new  
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
2/05/2025SenateFiled with Secretary by Sen. Laura Fine
2/05/2025SenateFirst Reading
2/05/2025SenateReferred to Assignments
10/28/2025SenateChief Sponsor Changed to Sen. David Koehler