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IL SB2529

Bill

Status

Failed

1/13/2021

Primary Sponsor

Michael Hastings

Click for details

Origin

Senate

101st General Assembly

AI Summary

  • Requires hospitals to submit separate professional claims for long-acting injectable medications for mental health or addiction with "place of service 21 – Inpatient Hospital" designation, effective July 1, 2020.

  • Mandates hospitals bill as the provider with the treating practitioner listed as the rendering provider, using appropriate Healthcare Common Procedure Coding System Level II codes and National Drug Codes.

  • Allows facilities participating in the federal 340B Drug Pricing Program to continue billing the 340B actual acquisition cost for medications.

  • Eliminates prior authorization requirements for long-acting injectable medications for mental health or addiction when initiated in inpatient hospital settings or continued at outpatient treatment facilities under Medicaid and managed-care plans.

Legislative Description

MEDICAID-HOSPITAL PAYMENTS

Last Action

Session Sine Die

1/13/2021

Committee Referrals

Assignments4/12/2020
Human Services2/4/2020
Assignments1/28/2020

Full Bill Text

No bill text available