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republic-os/legislation/us/states/il/102nd/sb-2325.md
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Fabio 5941153bb7 Legislation: batch B — IL IN KS KY LA MA MD ME MI MN 
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
2026-07-06 17:27:20 -04:00

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---
type: "Bill"
title: "MEDICAID-AMBULANCE PAYMENTS"
description: "Amends the Medical Assistance Article of the Illinois Public Aid Code. In a provision requiring the Department of Healthcare and Family Services to establish, by rule, a process by which a provider of ambulance services can appeal a denied request for payment of ambulance services (rather than payment of non-emergency transportation by means of ground ambulance service), provides that for all appeals concerning ambulance services provided on and after December 15, 2012, the provider shall establish the medical necessity of the transport utilizing the patient care report and any other materials available in accordance with specified criteria established under the Code. Provides that a Physician Certification Statement, Certificate of Transportation Services, or Medical Certification for Non-Emergency Ambulance form is not necessary to establish subject matter jurisdiction for appeal or medical necessity on appeal but may be considered if available. Provides that all Department rules, or parts thereof, in conflict with the provisions of the amendatory Act shall not apply. Provides that nothing in the amendatory Act shall be construed to affect any rights, actions, or causes of action that accrued prior to the effective date of the amendatory Act, except that the non-necessity of a Physician Certification Statement, Certificate of Transportation Services, or Medical Certification for Non-Emergency Ambulance form as provided in the amendatory Act shall be retroactively applied to the full extent permissible."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "102nd"
identifier: "SB 2325"
citation: "Illinois SB 2325 (102nd)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Jay Hoffman", "Sara Feigenholtz"]
version_count: 5
action_count: 47
vote_count: 3
first_action: "2021-02-26"
last_action: "2021-08-27"
source: "openstates"
source_identifier: "ocd-bill/cb0e93c9-1f38-4492-b6e3-26ef26588ca1"
source_url: "https://ilga.gov/legislation/BillStatus.asp?DocNum=2325&GAID=16&DocTypeID=SB&LegId=134979&SessionID=110&GA=102"
source_hash: "04c4d98eeebf7317df0966bf6090d8c7d5e05da0ddfe78fecb4e8271b5e44efc"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-il"]
---
# Illinois SB 2325 (102nd) — MEDICAID-AMBULANCE PAYMENTS
Amends the Medical Assistance Article of the Illinois Public Aid Code. In a provision requiring the Department of Healthcare and Family Services to establish, by rule, a process by which a provider of ambulance services can appeal a denied request for payment of ambulance services (rather than payment of non-emergency transportation by means of ground ambulance service), provides that for all appeals concerning ambulance services provided on and after December 15, 2012, the provider shall establish the medical necessity of the transport utilizing the patient care report and any other materials available in accordance with specified criteria established under the Code. Provides that a Physician Certification Statement, Certificate of Transportation Services, or Medical Certification for Non-Emergency Ambulance form is not necessary to establish subject matter jurisdiction for appeal or medical necessity on appeal but may be considered if available. Provides that all Department rules, or parts thereof, in conflict with the provisions of the amendatory Act shall not apply. Provides that nothing in the amendatory Act shall be construed to affect any rights, actions, or causes of action that accrued prior to the effective date of the amendatory Act, except that the non-necessity of a Physician Certification Statement, Certificate of Transportation Services, or Medical Certification for Non-Emergency Ambulance form as provided in the amendatory Act shall be retroactively applied to the full extent permissible.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Introduced** (filed) — [source](https://ilga.gov/legislation/102/SB/PDF/10200SB2325.pdf)
2. **Engrossed** (committee substitute) — [source](https://ilga.gov/legislation/102/SB/PDF/10200SB2325eng.pdf)
3. **House Amendment 001** (committee substitute) — [source](https://ilga.gov/legislation/102/SB/PDF/10200SB2325ham001.pdf)
4. **Senate Amendment 001** (committee substitute) — [source](https://ilga.gov/legislation/102/SB/PDF/10200SB2325sam001.pdf)
5. **Enrolled** (enrolled) — [source](https://ilga.gov/legislation/102/SB/PDF/10200SB2325enr.pdf)
## Votes
- Concurrence, Amendment 1 — **58–0** (pass) · upper
- Third Reading — **56–0** (pass) · upper
- Third Reading — **114–0** (pass) · lower
## Sponsors
- Jay Hoffman — primary (person)
- Sara Feigenholtz — primary (person)
- Bradley Stephens — cosponsor (person)
- Thaddeus Jones — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2021-02-26** Filed with Secretary by Sen. Sara Feigenholtz `filing`
- **2021-02-26** First Reading `reading-1`
- **2021-02-26** Referred to Assignments `referral-committee`
- **2021-03-23** Assigned to Health `referral-committee`
- **2021-03-31** To Subcommittee on Medicaid
- **2021-04-07** Reported Back To Health; 005-000-000
- **2021-04-14** Do Pass Health; 013-000-000 `committee-passage`
- **2021-04-14** Placed on Calendar Order of 2nd Reading April 15, 2021
- **2021-04-16** Senate Floor Amendment No. 1 Filed with Secretary by Sen. Sara Feigenholtz `amendment-introduction`
- **2021-04-16** Senate Floor Amendment No. 1 Referred to Assignments `referral-committee`
- **2021-04-20** Senate Floor Amendment No. 1 Assignments Refers to Health
- **2021-04-20** Senate Floor Amendment No. 1 Recommend Do Adopt Health; 011-000-000
- **2021-04-20** Senate Floor Amendment No. 1 Adopted; Feigenholtz `amendment-passage`
- **2021-04-20** Second Reading `reading-2`
- **2021-04-20** Placed on Calendar Order of 3rd Reading April 21, 2021
- **2021-04-21** Third Reading - Passed; 056-000-000 `passage, reading-3`
- **2021-04-28** Arrived in House `introduction`
- **2021-04-28** Chief House Sponsor Rep. Jay Hoffman
- **2021-04-28** First Reading `reading-1`
- **2021-04-28** Referred to Rules Committee `referral-committee`
- **2021-04-28** Assigned to Appropriations-Human Services Committee `referral-committee`
- **2021-05-05** Added Alternate Co-Sponsor Rep. Bradley Stephens
- **2021-05-13** Added Alternate Co-Sponsor Rep. Thaddeus Jones
- **2021-05-13** Do Pass / Short Debate Appropriations-Human Services Committee; 021-000-000 `committee-passage`
- **2021-05-13** Placed on Calendar 2nd Reading - Short Debate
- **2021-05-19** House Floor Amendment No. 1 Filed with Clerk by Rep. Jay Hoffman `amendment-introduction`
- **2021-05-19** House Floor Amendment No. 1 Referred to Rules Committee `referral-committee`
- **2021-05-24** House Floor Amendment No. 1 Recommends Be Adopted Rules Committee; 003-001-000 `committee-passage-favorable`
- **2021-05-26** Second Reading - Short Debate `reading-2`
- **2021-05-26** Held on Calendar Order of Second Reading - Short Debate `reading-2`
- **2021-05-28** Final Action Deadline Extended-9(b) May 31, 2021
- **2021-05-30** House Floor Amendment No. 1 Adopted `amendment-passage`
- **2021-05-30** Placed on Calendar Order of 3rd Reading - Short Debate
- **2021-05-30** Third Reading - Short Debate - Passed 114-000-000 `passage, reading-3`
- **2021-05-30** Secretary's Desk - Concurrence House Amendment(s) 1
- **2021-05-30** Placed on Calendar Order of Concurrence House Amendment(s) 1 - May 31, 2021
- **2021-05-30** House Floor Amendment No. 1 Motion to Concur Filed with Secretary Sen. Sara Feigenholtz `filing`
- **2021-05-30** House Floor Amendment No. 1 Motion to Concur Referred to Assignments `referral-committee`
- **2021-05-30** House Floor Amendment No. 1 Motion to Concur Assignments Referred to State Government `referral-committee`
- **2021-05-31** House Floor Amendment No. 1 Motion To Concur Recommended Do Adopt State Government; 009-000-000
- **2021-05-31** House Floor Amendment No. 1 Senate Concurs 058-000-000
- **2021-05-31** Senate Concurs
- **2021-05-31** Passed Both Houses
- **2021-06-29** Sent to the Governor `executive-receipt`
- **2021-08-27** Governor Approved `executive-signature`
- **2021-08-27** Effective Date August 27, 2021
- **2021-08-27** Public Act . . . . . . . . . 102-0650 `became-law`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/cb0e93c9-1f38-4492-b6e3-26ef26588ca1`. Confidence: reported (aggregated from official Illinois legislature records).
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