Illinois HB 2558: MEDICAID-MFTD-RATE STUDY

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
HB2558

Introduced 2/4/2025, by Rep. Maura Hirschauer 

SYNOPSIS AS INTRODUCED:

305 ILCS 5/5-2b

 Amends the Medical Assistance Article of the Illinois Public Aid Code. In provisions concerning provider reimbursement rates for services provided to medically fragile and technology dependent children, provides that by December 31, 2025, the Department of Healthcare and Family Services shall conduct a rate evaluation to study the soundness of the rate paid for private duty nursing services. Requires the Department to contract with an outside entity to conduct this study or utilize one of its existing contractors to conduct this evaluation. Provides that the contractor shall consult with Department-enrolled private duty providers to ensure the accuracy of this study as it is being created. Requires the study to include, at a minimum, a comparison of rates paid by other states for similar services and the cost of providing similar care in an institutional setting. Effective immediately.

LRB104 06253 KTG 16288 b

A BILL FOR

HB2558LRB104 06253 KTG 16288 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 5-2b as follows:

6 (305 ILCS 5/5-2b)

7 Sec. 5-2b. Medically fragile and technology dependent 

8children eligibility and program; provider reimbursement 

9rates. 

10 (a) Notwithstanding any other provision of law except as 

11provided in Section 5-30a, on and after September 1, 2012, 

12subject to federal approval, medical assistance under this 

13Article shall be available to children who qualify as persons 

14with a