DHFS-MCO-DURABLE MED EQUIPMENT
- Introduced Feb 4, 2025
- In committee Feb 6, 2025
- Passed the House Next
- Passed the Senate
- To the governor
- Became law
What it does
The legislature's own summary of the bill, or its official long title.
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…
Read the full title (115 words)
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.
Every action
8 steps, oldest first, as the legislature records them.
- HouseFiled with the Clerk by Rep. Dagmara Avelar
- HouseFirst Reading
- CommitteeReferred to Rules Committee · House Rules
- CommitteeAssigned to Appropriations-Health and Human Services Committee · House Approp-Health and Human Services
- CommitteeRule 19(a) / Re-referred to Rules Committee · House Rules
- CommitteeAssigned to Appropriations-Health and Human Services Committee · House Approp-Health and Human Services
- CommitteeTo Appropriations-Medicaid Subcommittee · House Approp-Medicaid Sub
- CommitteeRule 19(a) / Re-referred to Rules Committee · House Rules
Roll calls
No recorded votes on this bill yet.
Sponsors
The member who introduced it.
-
Dagmara AvelarD Primary sponsor · District 85
From Illinois's official records (www.ilga.gov), checked Nov 2, 2026. Text links go to the official versions; LegiList does not copy bill text.