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IL HB3977

Bill

Status

Failed

1/7/2025

Primary Sponsor

Lindsey LaPointe

Click for details

Origin

House of Representatives

103rd General Assembly

AI Summary

  • Adds mental health prevention services coverage (Code H0004 TF TL - Therapy and Counseling Brief Intervention Services) to Illinois Medicaid for children under 21 and adults 21 and older who are otherwise eligible.

  • Services are deemed medically necessary for addressing immediate clinical issues without requiring a mental health diagnosis, and do not require completion of an Integrated Assessment and Treatment Planning service.

  • Permits up to 8 clinical sessions of no more than 90 minutes per session, delivered by licensed practitioners of the healing arts or qualified/mental health professionals under the direction of a licensed practitioner.

  • Establishes specific billing codes: H0004 TF TL for licensed practitioners, H0004 HO TL for qualified mental health professionals, and H0004 HN TL for mental health professionals.

  • Requires the Department of Healthcare and Family Services to apply for federal approval within 3 months if necessary and adopt administrative rules within 6 months of effective date (or 6 months after federal approval, whichever is later).

Legislative Description

MEDICAID-THERAPY & COUNSELING

Last Action

Session Sine Die

1/7/2025

Committee Referrals

Rules5/19/2023
Appropriations-Health & Human Services3/22/2023
Rules3/21/2023
Medicaid & Managed Care3/9/2023
Appropriations-Health & Human Services2/28/2023
Rules2/21/2023

Full Bill Text

No bill text available