The General Assembly Approves Budget for Fiscal Year 2025

May 31, 2024

The General Assembly had planned to pass a budget and adjourn before the Memorial Day Holiday weekend, but lawmakers instead continued working through the middle of this past week.

Late Sunday, May 26, the Senate passed a $53.1 billion budget, which the House then approved in the early morning hours on Wednesday.

The package aligned with Governor Pritzker’s budget address earlier this year and includes:

  • $10 million to support a Department of Healthcare and Family Service program to relieve medical debt for more than 300,000 Illinoisans.

  • $182 million to provide healthcare and other services to asylum seekers in Chicago.

  • $440 million for two programs that provide a Medicaid type of coverage for some undocumented adults.

  • A $1 per-hour wage increase for direct service professionals who care for individuals with intellectual and developmental disabilities. Workers who serve older adults who cannot live independently will also receive a $1 per hour wage increase.

The General Assembly also passed an omnibus Medicaid package that would:

  • Include a one-time reimbursement increase of $264 per hour for psychiatrists.

  • Add limited test and treat authority for pharmacists.

  • Create a “gold card” program for highly rated hospitals and physicians requesting prior authorization for in-patient hospital services.  Medicaid managed care companies will identify hospitals and physicians based on the number of submitted service authorizations requests in the preceding calendar year and whether they had a 90% or higher approval rate. This does not apply to pharmacy or durable medical equipment services.

  • Establish a 72-hour rule to permit emergency department physicians to admit a patient for inpatient care to stabilize a medical emergency condition without seeking prior authorization from a Medicaid manage care company.

  • Remove prior authorization of prescription psychotropic drugs for adults who have serious mental health illnesses.
If you have questions, please contact ISMS Senior Vice President of State Legislative Affairs Erin O'Brien by email.
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