Illinois HB 4968: PUBLIC AID-TELEHEALTH SERVICES

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
HB4968

Introduced , by Rep. Laura Faver Dias 

SYNOPSIS AS INTRODUCED:

305 ILCS 5/5-50a new

 Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall provide coverage under the medical assistance program for intensive outpatient services delivered via telehealth when the services: (1) are otherwise covered when provided in person; (2) are medically necessary; (3) are delivered by a provider enrolled in the medical assistance program and acting within the scope of the provider's license, certification, or authorization under State law; and (4) comply with all applicable federal and State telehealth requirements. Provides that intensive outpatient services provided via telehealth shall be subject to the same coverage requirements, utilization management, and reimbursement methodologies as intensive outpatient services provided in person. Sets forth standards for telehealth delivery of intensive outpatient services. Provides that implementation of the provisions is subject to any required federal approval. Effective immediately.

LRB104 19589 KTG 33037 b

A BILL FOR

HB4968LRB104 19589 KTG 33037 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 

5adding Section 5-50a as follows:

6 (305 ILCS 5/5-50a new)

7 Sec. 5-50a. Telehealth delivery of intensive outpatient 

8services.

9 (a) Purpose. To ensure access to medically necessary 

10behavioral health treatment, the medical assistance program 

11shall authorize intensive outpatient services to be provided