IllinoisHB2713104th General Assembly (2025–2026)House

DHFS-MCO-DURABLE MED EQUIPMENT

Sponsored By: Dagmara Avelar (Democratic)

In Committee

Summary

Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to require Medicaid managed care organizations to reimburse at no less than 100% of the Medical Assistance program's Durable Medical Equipment fee schedule for the same service or item of durable medical equipment, complex rehab technology, prosthetics, orthotics, or supplies. Provides that the reimbursement requirement shall also apply to a Medicaid managed care organization's subcontractors and third-party administrators. Provides that the Department has the authority to implement the reimbursement requirement on and after July 1, 2025 and prior to the completion of any regulatory process undertaken in order to effect such change. Effective July 1, 2025.

appropriations-health and human services

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Bill Overview

No Economic Impacts Identified for this Bill

Sponsors & Cosponsors

Sponsor

  • Dagmara Avelar

    Democratic • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

No roll call votes available for this bill.

Actions Timeline

  1. Rule 19(a) / Re-referred to Rules Committee

    3/27/2026House
  2. To Appropriations-Medicaid Subcommittee

    3/20/2026House
  3. Assigned to Appropriations-Health and Human Services Committee

    2/24/2026House
  4. Rule 19(a) / Re-referred to Rules Committee

    3/21/2025House
  5. Assigned to Appropriations-Health and Human Services Committee

    3/4/2025House
  6. Referred to Rules Committee

    2/6/2025House
  7. First Reading

    2/6/2025House
  8. Filed with the Clerk by Rep. Dagmara Avelar

    2/4/2025House

Bill Text

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