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Full Text of HB5258

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HB5258 - 104th General Assembly

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HB5258 Engrossed
LRB104 20212 KTG 33663 b
1

AN ACT concerning public aid.

2

Be it enacted by the People of the State of Illinois,
3
represented in the General Assembly:

4

Section 5.
The State Finance Act is amended by changing
5
Section 5.945 as follows:

6

(30 ILCS 105/5.945)
7

Sec. 5.945.
The Medicaid Technical Assistance Center Fund.
8
Notwithstanding any other provision of law, in addition to any
9
other transfers that may be provided by law, on July 1, 2026,
10
or as soon thereafter as practical, the State Comptroller
11
shall direct, and the State Treasurer shall transfer the
12
remaining balance from the Medicaid Technical Assistance
13
Center Fund into the Healthcare Provider Relief Fund. Upon
14
completion of the transfers, the Medicaid Technical Assistance
15
Center Fund is dissolved, and any future deposits due to that
16
Fund and any outstanding obligations or liabilities of that
17
Fund pass to the Healthcare Provider Relief Fund.

18
(Source: P.A. 102-4, Article 185, Section 185-90, eff.
19
4-27-21; 102-813, eff. 5-13-22.)

20

Section 10.
The Medicaid Technical Assistance Act is
21
amended by changing Sections 185-5 and 185-15 as follows:

HB5258 Engrossed
- 2 -
LRB104 20212 KTG 33663 b
1

(305 ILCS 75/185-5)
2

Sec. 185-5.
Definitions.
As used in this Act:
3

"Behavioral health providers"
includes providers of mental
4
health, substance use disorder, developmental disabilities,
5
and autism services for purposes of this Act, but does not
6
change any other legal, programmatic, diagnostic, or clinical
7
provisions defining or relating to coverage of such services.

8
means mental health and substance use disorder providers.
9

"Department" means the Department of Healthcare and Family
10
Services.
11

"Health care providers" means
individuals and

12
organizations who provide physical, mental, substance use
13
disorder, or
services supporting
social
determinants

14
determinant
of health
services
.
15

"Health equity" means providing care that does not vary in
16
quality because of personal characteristics such as gender,
17
ethnicity, geographic location, and socioeconomic status.
18

"Network adequacy" means a Medicaid beneficiaries' ability
19
to access all necessary provider types within time and
20
distance standards as defined in the Managed Care Organization
21
model contract.
22

"Service deserts" means geographic areas of the State with
23
no or limited Medicaid providers that accept Medicaid.
24

"Social determinants of health" means any conditions that
25
impact an individual's health, including, but not limited to,
26
access to healthy food, safety, education, and housing

HB5258 Engrossed
- 3 -
LRB104 20212 KTG 33663 b
1
stability.
2

"Stakeholders" means, but are not limited to, health care
3
providers, advocacy organizations, managed care organizations,
4
Medicaid beneficiaries, and State and city partners.
5
(Source: P.A. 102-4, eff. 4-27-21.)

6

(305 ILCS 75/185-15)
7

Sec. 185-15.
Collaboration.
The Medicaid Technical
8
Assistance Center shall collaborate with public and private
9
partners throughout the State to identify, establish, and
10
maintain best practices necessary for health providers to
11
ensure their capacity to participate in
the Illinois Medical
12
Assistance Program. The Medicaid Technical Assistance Center
13
shall promote equitable delivery systems, remaining committed
14
to the principle that all Medicaid recipients have accessible
15
and equitable physical and mental health care services

16
HealthChoice Illinois or YouthCare
. The Medicaid Technical
17
Assistance Center shall administer the following:
18

(1) Outreach and engagement: The Medicaid Technical
19

Assistance Center shall undertake efforts to identify and
20

engage community-based providers offering
services to
21

customers funded by the Department, including, but not
22

limited to,
behavioral health services
and

or
services
23

addressing the social determinants of health, especially
24

those predominantly serving communities of color or those
25

operating within or near service deserts, for the purpose

HB5258 Engrossed
- 4 -
LRB104 20212 KTG 33663 b
1

of offering training and technical assistance to them
2

through the Medicaid Technical Assistance Center. Outreach
3

and engagement services may be subcontracted.
4

(2) Trainings: The Medicaid Technical Assistance
5

Center shall create and administer ongoing trainings for
6

health care providers. Trainings may be subcontracted. The
7

Medicaid Technical Assistance Center shall provide
8

in-person and web-based trainings. In-person training
9

shall be conducted throughout the State. All trainings
10

must be free of charge. The Medicaid Technical Assistance
11

Center shall administer post-training surveys and
12

incorporate feedback. Training content and delivery must
13

be reflective of Illinois providers' varying levels of
14

readiness, resources, and client populations.
15

(3) Web-based resources: The Medicaid Technical
16

Assistance Center shall maintain an independent, easy to
17

navigate, and up-to-date website that includes, but is not
18

limited to: recorded training archives, a training
19

calendar, provider resources and tools, up-to-date
20

explanations of Department and managed care organization
21

guidance, a running database of frequently asked questions
22

and contact information for key staff members of the
23

Department, managed care organizations, and the Medicaid
24

Technical Assistance Center.
25

(4) Learning collaboratives: The Medicaid Technical
26

Assistance Center shall host regional learning

HB5258 Engrossed
- 5 -
LRB104 20212 KTG 33663 b
1

collaboratives that will supplement the Medicaid Technical
2

Assistance Center training curriculum to bring together
3

groups of stakeholders to share issues and best practices,
4

and to escalate issues. Leadership of the Department and
5

managed care organizations shall attend learning
6

collaboratives on a quarterly basis.
7

(5) Network
recruitment plan: Using reports and data
8

provided by the Department's External Quality Review
9

Organization on

adequacy reports: The Medicaid Technical
10

Assistance Center shall publicly release a report on
11

Medicaid provider
network adequacy
,

within the first 3
12

years of implementation and annually thereafter. The
13

reports shall identify
provider service deserts
,
and
14

health care disparities by race and ethnicity
, the
15

Medicaid Technical Assistance Center shall propose for
16

Department review and approval an annual plan for
17

recruiting providers to participate in the Illinois
18

Medical Assistance Program and report on outcomes of its
19

recruitment efforts to the Department for continuous
20

improvement. Recruitment plans shall prioritize efforts to
21

bolster access in provider service deserts and in
22

communities experiencing health care disparities by race
23

and ethnicity, with a special focus on behavioral health
24

services and services that address social determinants of
25

health
.
26

(6) Equitable delivery system: The Medicaid Technical

HB5258 Engrossed
- 6 -
LRB104 20212 KTG 33663 b
1

Assistance Center is committed to the principle that all
2

Medicaid recipients have accessible and equitable physical
3

and mental health care services. All providers served
4

through the Medicaid Technical Assistance Center shall
5

deliver services notwithstanding the patient's race,
6

color, gender, gender identity, age, ancestry, marital
7

status, military status, religion, national origin,
8

disability status, sexual orientation, order of protection
9

status, as defined under Section 1-103 of the Illinois
10

Human Rights Act, or immigration status.
11
(Source: P.A. 102-4, eff. 4-27-21.)

12

(305 ILCS 75/185-20 rep.)
13

(305 ILCS 75/185-25 rep.)
14

Section 15.
The Medicaid Technical Assistance Act is
15
amended by repealing Sections 185-20 and 185-25.

16

Section 99.
Effective date.
This Act takes effect July 1,
17
2026.

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