Illinois HB 5313: INS-NETWORK ADEQUACY-DIRECTORY

Status: Rule 3-9(a) / Re-referred to Assignments (as of 2024-05-17)

State: Illinois · Session: 103rd · Bill: HB 5313

Sponsors: Cristina Castro, Margaret Croke, Ann M. Williams, Bob Morgan, Camille Y. Lilly, Christopher Belt, Dagmara Avelar, Daniel Didech, Emanuel "Chris" Welch, Gregg Johnson, Jaime M. Andrade, Jr., Kelly M. Cassidy, Lakesia Collins, Lindsey LaPointe, Maurice A. West, II, Stephanie A. Kifowit, Sue Scherer, Terra Costa Howard, William E Hauter, Yolonda Morris

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 Full Text of HB5313

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HB5313 EngrossedLRB104 20195 KTG 33646 b

1 AN ACT concerning public aid.

2 Be it enacted by the People of the State of Illinois, 

3represented in the General Assembly:

4 Section 5. The Illinois Public Aid Code is amended by 

5changing Section 5-5f as follows:

6 (305 ILCS 5/5-5f)

7 Sec. 5-5f. Elimination and limitations of medical 

8assistance services. Notwithstanding any other provision of 

9this Code to the contrary, on and after July 1, 2012:

10 (a) The following service shall no longer be a covered 

11 service available under this Code: group psychotherapy for 

12 residents of any facility licensed under the Nursing Home 

13 Care Act or the Specialized Mental Health Rehabilitation 

14 Act of 2013. 

15 (b) The Department shall place the following 

16 limitations on services: (i) the Department shall limit 

17 adult eyeglasses to one pair every 2 years; however, the 

18 limitation does not apply to an individual who needs 

19 different eyeglasses following a surgical procedure such 

20 as cataract surgery; (ii) the Department shall set an 

21 annual limit of a maximum of 20 visits for each of the 

22 following services: adult speech, hearing, and language 

23 therapy services, adult occupational therapy services, and 

HB5313 Engrossed- 2 -LRB104 20195 KTG 33646 b

1 physical therapy services; on or after October 1, 2014, 

2 the annual maximum limit of 20 visits shall expire but the 

3 Department may require prior approval for all individuals 

4 for speech, hearing, and language therapy services, 

5 occupational therapy services, and physical therapy 

6 services; (iii) the Department shall limit adult podiatry 

7 services to individuals with diabetes; on or after October 

8 1,

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