Illinois § 5-18.3 Birth center; facility fee

Illinois Statutes

§ 5-18.3 — Birth center; facility fee

Illinois § 5-18.3

JurisdictionIllinois

TopicHUMAN NEEDS

Ch. 305PUBLIC AID

Act 305 ILCS 5/Illinois Public Aid Code.

Art.Article V - Medical Assistance

This text of Illinois § 5-18.3 (Birth center; facility fee) is published on Counsel Stack Legal Research, covering Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

305 Ill. Comp. Stat. 5-18.3 (2026).

Text

(a)Reimbursement for services covered under this Article and provided at a birth center as defined in Section 5 of the Birth Center Licensing Act shall include:

(1)Beginning January 1, 2025, subject to federal approval, a facility fee for the birthing person and baby that is no less than 80% of the statewide average facility payment rate made to a hospital for an uncomplicated vaginal birth. The facility fee shall include medications, laboratory tests, and supplies provided.

(2)Beginning January 1, 2025, no less than 80% of the Department fee schedule rate for professional services for the birthing person and baby covered under this Article that are reimbursable separate from the facility fee and provided within the scope of licensure or certification of both the practitioner and birth

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(a) Reimbursement for services covered under this Article and provided at a birth center as defined in Section 5 of the Birth Center Licensing Act shall include: (1) Beginning January 1, 2025, subject to federal approval, a facility fee for the birthing person and baby that is no less than 80% of the statewide average facility payment rate made to a hospital for an uncomplicated vaginal birth. The facility fee shall include medications, laboratory tests, and supplies provided. (2) Beginning January 1, 2025, no less than 80% of the Department fee schedule rate for professional services for the birthing person and baby covered under this Article that are reimbursable separate from the facility fee and provided within the scope of licensure or certification of both the practitioner and birth center. (b) The Department shall submit any necessary application to the federal Centers for Medicare and Medicaid Services for a waiver or State Plan amendment to implement the requirements of this Section.