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HB 2508

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2025 Regular Session Introduced by Tim Griffin

Illinois Medicaid must reimburse long-term ambulatory ECG monitoring at no less than 80% of the Medicare Physician Fee Schedule, improving access to arrhythmia diagnosis.

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Bill Summary · HB 2508

Summary — HB 2508 (Medicaid — Electrocardiograms)

Status: Enacted (signed by Governor June 20, 2025)
Primary sponsor: Rep. Anna Moeller (IL)
Citation added: Illinois Public Aid Code — new Section 5-65
Effective for dates of service on and after January 1, 2026 (subject to federal approval; see enrolled bill remarks)

Purpose

Require Illinois Medicaid (the Department of Healthcare and Family Services) to reimburse diagnostic testing facilities that provide long‑term ambulatory electrocardiogram (ECG) monitoring services at a minimum rate, aligned to the Medicare Physician Fee Schedule (PFS). The intent is to raise Medicaid payment for extended ambulatory cardiac monitoring to improve access to diagnostic services that detect arrhythmias associated with stroke, cardiac arrest, and other serious outcomes.

Key provisions

  • Adds new Section 5‑65 to the Illinois Public Aid Code.
  • Defines “long‑term ambulatory electrocardiogram monitoring services” to mean the provision of external cardiac patch monitoring devices worn by patients for an extended monitoring period and the interpretation of the data gathered to detect clinically significant arrhythmias. (Note: the provided text omits the specific number of hours for the wear period; consult the enrolled/official act for the precise duration.)
  • Payment provision: Subject to federal approval, for dates of service on or after January 1, 2026, the Department shall reimburse diagnostic testing facilities that provide these long‑term ambulatory ECG monitoring services at a rate of not less than 80% of the Medicare Physician Fee Schedule rate applicable to those services.

Who is affected

  • Medicaid beneficiaries who require prolonged ambulatory cardiac rhythm monitoring (e.g., patch monitors).
  • Diagnostic testing facilities and providers that supply and interpret long‑term ambulatory ECG monitoring — these entities will receive higher minimum reimbursement from Medicaid.
  • Illinois Department of Healthcare and Family Services (implementation and rate setting).
  • Potential downstream impact on hospitals and other providers through changes in access to diagnostic testing and management of arrhythmias.

Timeline and implementation notes

  • Applies to services dated January 1, 2026 and after, but implementation is conditioned on federal approval (CMS) because the change affects Medicaid payment policy.
  • Technical or fiscal details (exact monitoring duration in the definition, fiscal impact estimates) should be verified in the enrolled, codified statute and any accompanying fiscal notes or rulemaking.
  • Enactment and procedural history indicate final legislative approval and governor’s signature on June 20, 2025.

Potential impacts

  • Access: Higher Medicaid reimbursement may increase provider participation in Medicaid for long‑term ECG monitoring and improve beneficiary access to arrhythmia diagnosis.
  • Costs: State Medicaid spending could rise depending on utilization; however, earlier detection of arrhythmias may reduce longer‑term costs associated with stroke and other complications.
  • Administrative: HFS will need to implement new rates and secure necessary federal approvals; providers will need to track applicable billing codes and Medicare PFS references.

For exact statutory language, monitoring-duration specifics, and fiscal estimates, consult the enrolled act and the Department of Healthcare and Family Services implementation guidance.

Compiled from official sources — confirm details with the bill’s official record.

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