Volume 9, Issue 18│May 9, 2025 | | | |
Third Party Update: 35% Rate Increase for Medicaid Fee-for-Service Now in Effect!
Last year, IOA worked to pass legislation that increased the optometric fee schedule for certain codes by 35%. The rates have now been approved by CMS and have gone into effect as of 1/1/2025. The new rate calculations have resulted in a >35% increase for commonly used optometric codes. HFS is now reprocessing claims sent on or after 1/1/2025 to reimburse at the revised rates.
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Volunteers Needed for Special Olympics Lions Club International Opening Eyes Program Coming June 20 & 21, ISU Campus Normal, IL! 🚩
Volunteers Needed
Last year was the twenty-first year that optometry was represented at the Illinois State Special Olympic Games held in Bloomington/Normal in June. 248 athletes were appraised at the event, and 127 pieces of eyewear were prescribed, whether it be an everyday Rx, or a sports goggle. The event was a great success for both the athletes who participated and the volunteers who made it run so smoothly!!
This year we will be doing it again, and we need your help! We had 15 optometrists, 4 opticians/ophthalmic techs, and students from both the Illinois College of Optometry and the Chicago College of Optometry. We also had a great turn-out of LIONS club volunteers along with many friends and family members. This year we need you! Of particular need are volunteers for Saturday, since it is a full day of screening. Bring your family, friends, and staff and make it a group activity!! We are always in need of opticians and optical technicians as well!
The Special Olympics is an international program of year-round sports and athletic competitions for children and adults with intellectual disabilities. All of the athletes must be at least eight years old to participate. The goal of the Special Olympics Lions Club International Opening Eyes Program is to bring quality vision care to this special population. Our vision appraisal consists of visual acuity testing, cover test, extraocular motility testing, pupils, color vision, stereopsis, non-contact tonometry, slit lamp evaluation, and ophthalmoscopy. If the athlete is determined to need glasses, they are given a full refraction with subjective testing. Afterwards all athletes are referred to their local optometrists for full vision examinations, including dilations.
This year’s event will take place on the Illinois State College Campus in Bloomington/Normal on Friday, June 20 from 12:00 – 4:00 pm, and Saturday, June 21 from 8:00 am – 4:00 pm. Friends, family, and optometric staff (especially opticians) are encouraged to participate. Please help us in making this year’s SOOE program as successful as the past twenty-one years have been!!
If you have any questions, please contact Christine Allison, O.D. via email at callison@ico.edu
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Thank you PAC donors!
Clint Taylor, OD
Southern Society
Brigette Colley, OD
West Central Society
Jon Reid, OD
Mid-State Society
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The PAC (Political Action Committee) is a group organized to promote its members' views on selected issues, usually through raising money that is contributed to the campaign funds of candidates who support the group's position to keep our friends in office.
Contributions to the IOA PAC can be made as a One-Time Donation or as Recurring Monthly Donation and deducted automatically from donor's bank account or charged to their credit card. Selecting to contribute a set amount on a monthly basis is a painless and effortless way to contribute to and support the IOA PAC. Contributions to the IOA PAC fund are not deductible for federal income tax purposes.
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Thank you Eyes on Tomorrow Fund donors!
Clint Taylor, OD
Southern Society
| | The Eyes on Tomorrow Fund, previously known as the Legislative Equity Fund, is a dedicated resource created by and for optometrists to support the Illinois Optometric Association’s (IOA) state-level advocacy efforts. This fund directly empowers optometry’s fight for scope expansion, the regulation of Vision Benefits Managers (VBMs), and other legislative battles crucial to protecting the profession and ensuring patient care. Unlike political action committees (PACs), this fund is not used to support candidates but instead provides critical resources for advancing optometry in Illinois. | | IOA's Public Health Director Brigette Colley, OD hosted the St. Paul Girl Scouts Troop and presented the Scouts with their IOA Vision Awareness Patch! This program is designed to enlighten and educate young individuals about the importance of vision awareness. | | IOA Fox Valley Society President Connor Robbs, O.D. hosted over 60 students from Bronzeville Classical School and Ra Messu-t Academy of Higher Learning at ICO. The students learned about the importance of maintaining eye health, the pre-requisites for becoming an optometrist, and systemic diseases that affect the eye. Afterwards, they toured the ICO/IEI facilities and ended the day by looking at their classmates' eyes in our EYEPOD labs. | | |
MEMBER BENEFIT: Vision Awareness Patch Program
Here’s a unique community outreach opportunity that you can easily incorporate into your practice!
There are thousands of participants in scouting programs across our state, with involvement starting at the kindergarten level. Many children remain involved up to and through high school.
As doctors of optometry, you know more than anyone that clear and comfortable vision is imperative to help ensure a child’s ability to learn, which can only be assessed through a comprehensive eye exam.
This outreach is also an opportunity to introduce careers in Science, Technology, Engineering, and Mathematics (STEM), most importantly the profession of optometry.
Our state association is making materials and suggested activities available to you and your staff to reach out to scouts, and their parent leaders and other volunteers, to introduce the program.
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We want to hear from YOU!
Do you have a business question or a dilemma we can answer for you? Others may have the same inquiry. Ask away! We will answer your question in an upcoming issue.
(Don't worry, we won't include your name.)
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Report illegal and unsafe contact lens sales to the FDA & FTC
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Report Vision Plan Abuses to the IOA
The IOA recognizes that Vision Care Plan Regulation Act constitutes a significant stride forward for optometry. However, it doesn't signal the conclusion of our efforts to champion fair contracting with vision plans. In the next few years, our members will be renewing and amending their contracts to reflect the changes in the new law. Throughout this process, we will gain valuable insight directly from our members regarding instances of vision plan abuses.
If you encounter vision plan abuses, we ask that you fill out the form below to report abuse. The IOA will collect this information to prevent further vision plan abuses on behalf of our members.
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Member Benefit: Complimentary One-On-One Student Loan Consultation
Young ODs with student loan debt may be unfamiliar with the numerous repayment options available, including refinancing, Public Service Loan Forgiveness (PSLF) and the recently updated Income-Driven Repayment (IDR) program. Navigating all of these choices may feel overwhelming. That’s why AOAExcel has partnered with Laurel Road to provide AOA members with a complimentary one-on-one student loan consultation with one of their GradFin student loan specialists.
In this 30-minute discussion, your student loan specialist will analyze your student loan portfolio and walk you through all your potential repayment strategies. You’ll see in real time how each option would apply to your specific loans and develop a personalized repayment plan. Learn more and schedule your consultation today.
For additional support, AOA members can sign up for an annual GradFin PSLF or IDR Counseling membership at a 20% discount† and get ongoing access to one-on-one student loan expertise and account audits. Thorough these membership options, the GradFin team will help you understand ongoing program eligibility requirements for forgiveness and help you with the annual recertification process year after year.
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AOAExcel partners with Laurel Road to provide AOA members with personal financial tools that empower them to practice with confidence. In addition to student loan consultations through their GradFin team, Laurel Road provides AOA members with High Yield Savings, student loan refinancing, and more financial tools. See how Laurel Road can benefit you at laurelroad.com/partnerships/aoa-excel.
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U.S. Rep. Schakowsky Announces She Will Not Seek Another Term
Chicago Tribune | By Olivia Olander
May 6, 2025
U.S. Rep. Jan Schakowsky, who represented a Far North Side and north and northwest suburban district in Congress for more than 2½ decades, announced Monday that she will not seek a 15th term next year.
“This is the official — that I’m not going to run again for Congress,” Schakowsky said to a crowd of about 1,000 people attending an Ultimate Women’s Power Luncheon event she hosted at the Sheraton Grand Chicago Hotel. “As much as I love and have loved being in the Congress of the United States, such an incredible, incredible privilege to work with the people of the district, to learn from them, to be an organizer, to be a fighter — well, that will never end. But I have made the decision that I am not going to seek reelection this time.”
The move marks the end of an era for a reliably Democratic district that Schakowsky, 80, of Evanston, has represented since 1999 after soundly defeating two opponents, including JB Pritzker, in an open-seat primary. Before her, Sidney Yates held the seat for 24 terms, almost 50 years.
Her retirement will undoubtedly set off a series of political maneuvers. Even before Schakowsky’s announcement, a social media content creator had declared candidacy for the seat: 26-year-old Kat Abughazaleh, a progressive critic of the far right who moved to Illinois last year [JUMP]and outraised Schakowsky in the first quarter.
Abughazaleh will almost certainly be joined by a field of Democratic hopefuls that could include Evanston Mayor Daniel Biss, state Sen. Laura Fine, state Rep. Hoan Huynh and others.
Schakowsky declined to say Monday whether she’d support any particular candidate to succeed her.
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IL State Senator Laura Fine Announces Run for Congress in 9th District
— Announcement comes after Jan Schakowsky announced she will not run for reelection
ABC7 | By Digital Team
May 6, 2025
In her announcement, Fine said, "Today, I'm excited to announce my campaign for Congress in Illinois' 9th District. With our rights and freedoms under attack by Donald Trump and his MAGA cronies, I'm ready to stand up and push back. My path to public service began with a fight for my family's future. I took on the special interests and won, and then led the fight to ensure working families were protected in Illinois. Now, I'm running to make sure that we continue to have a voice in Washington who puts people over special interests."
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US Rep. Raja Krishnamoorthi Joins Increasingly Crowded Race to Succeed Dick Durbin in Senate
Chicago Tribune | By Rick Pearson
May 7, 2025
Another contestant joined the still-emerging field of Democrats vying to succeed U.S. Sen. Dick Durbin Wednesday as five-term northwest suburban U.S. Rep. Raja Krishnamoorthi launched his bid, pitching himself as a “radical common sense progressive” to take on President Donald Trump.
“A president, ignoring the Constitution, out for revenge, acting like a dictator, claiming he’s a king, surrounded by billionaire backers and MAGA extremists, threatening our rights, rigging the rules to line their pockets,” the 51-year-old Krishnamoorthi of Schaumburg says in his near 2½-minute video announcement released Wednesday. “Wrecking the economy, they profit and working people pay. It’s insanity. People want to know, at this moment in this time, where is the power to fight back?”
“I’ve spent my career standing up to bullies, whether they’ve gone after our kids, our families or our country,” he continues in the video. “So if you’re ready to turn anger into action and make America work for working people, join our campaign.”
Krishnamoorthi’s formal announcement had been expected and it comes two weeks after the 80-year-old Durbin announced he would not seek a sixth term. It also follows announcements by Lt. Gov. Juliana Stratton and U.S. Rep. Robin Kelly of Matteson that they would enter the March 17 Democratic primary.
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Rep. Robin Kelly Jumps into Illinois Senate Race for Durbin's Seat
Washington Examiner | By Emily Hallas
May 6, 2025
Rep. Robin Kelly (D-IL) announced Tuesday she is launching a campaign to replace Senate Minority Whip Dick Durbin (D-IL) after he revealed last month he would not seek reelection to his Illinois Senate seat.
Ahead of the Illinois March 2026 primary, Kelly, who has represented the state’s 2nd Congressional District since 2013, signaled she would focus efforts on healthcare reform and increasing gun control measures if elected to the upper chamber.
“This moment requires proven leaders who have the experience to take on the toughest battles,” she said in a statement. “I’ve never backed down — not from gun lobbyists, not from MAGA extremists, and certainly not from a fight for what’s right.”
Kelly is the second Democrat to announce candidacy after Durbin, 80, announced in April he would not run for a sixth term in the Senate.
Illinois’s Democratic lieutenant governor, Juliana Stratton, promptly joined the race to take Durbin’s seat, claiming coveted endorsements from Gov. JB Pritzker (D-IL) and Sen. Tammy Duckworth (D-IL).
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Review Board Approves $20.1 Million Sarah Bush Lincoln Health Center Medical Office Building in Effingham, Other Projects
Health News Illinois | By Ryan Voyles
May 7, 2025
State regulators signed off Tuesday on a $20.1 million plan from Sarah Bush Lincoln Health Center to build a two-story medical office building in Effingham.
The site will include cardiology, laboratory, retail pharmacy and ear, nose and throat services. It will also include exam space and new physician offices.
Erica Stollard, vice president of operations at Sarah Bush Lincoln Health Center, told Illinois Health Facilities Services and Review Board members that they had seen an increased demand for those services in the region. The facility will consolidate several services it already provides in Effingham.
“We need this building to accommodate the growth that we've experienced in the Effingham market,” she said.
The building is slated to be completed by June 2027.
In other business, the board approved a nearly $20 million application from Southern Illinois Healthcare’s Harrisburg Medical Center to modernize and expand its 31-bed acute mental illness unit.
The project calls for the construction of an additional acute mental illness unit focused on medical and psychiatric services for patients in need of both physical and mental healthcare.
This will increase the facility’s acute mental illness beds by 11 while decreasing its medical-surgical beds by 3.
Bart Millstead, senior vice president and chief operating officer for Southern Illinois Healthcare, said the project addresses a need for such services in the region, which is medically underserved. He said they often must turn away patients at the Harrisburg site because they cannot meet the demand.
“The need for inpatient psychiatric care is great in our area,” Millstead said.
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Phelan to Serve as Next Medicaid Administrator
Health News Illinois | By Ryan Voyles
May 5, 2025
Laura Phelan will serve as Illinois’ next Medicaid administrator.
Department of Healthcare and Family Services Director Elizabeth Whitehorn made the announcement Friday after current administrator Kelly Cunningham said she will retire at the end of June.
Phelan, who has been at the agency since 2015 and serves as deputy director for new initiatives, will begin the new role on July 1.
“While Medicaid is a lot of moving pieces and there's a lot of complexity, I really appreciate everyone's feedback and insight, and so I look forward to working with you all,” she told members of the Medicaid Advisory Committee.
Cunningham has overseen the Medicaid program since March 2020. She told board members it was a privilege to oversee initiatives like nursing home funding reform.
“I'm very proud of this agency, very proud of our team (that) has really made some landmark efforts and accomplishments during this time,” she said
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House Commitee Approves Plan Requiring Insurers Notify Members of New State-Required Benefits
Health News Illinois | By Ryan Voyles
May 7, 2025
Lawmakers are considering a plan to require insurers to notify members of all basic healthcare benefits and services included in their plans, as well as newly enacted state-required benefits.
Rep. Bob Morgan, D-Deerfield, said his plan comes as Illinoisans often are “not being notified” about the steps lawmakers are taking to increase the number of services covered by insurance.
“So the reality is, most Illinois don't know if their insurance plan is regulated by the state, and they certainly aren't aware of the changes that we are making here to improve their insurance program in terms of the benefits that are being provided,” he told members of the House’s Insurance Committee.
The requirement would go into effect in 2027. Additionally, the plan requires the back of insurance cards to say whether a plan is fully funded or self-insured.
The committee also approved a plan from Rep. Tracy Katz Muhl, D-Northbrook, requiring insurers to cover medically necessary equine therapy performed by a licensed therapist and other therapeutic riding programs.
Both bills head to the full House for final consideration.
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A Roundup of Legislative News from 2025 So Far
— What to know about legislative moves that have been made through May this year.
Optometry Times | By Steven Reed, OD & Matt Burns
May 5, 2025
Optometric associations, ODs, and legislators have hit the ground running in 2025 with a flurry of legislative action. From initiatives ranging from Medicare payment reforms, vision plan abuses, and simpliyfing RX verification systems, legal advocacy has already taken many forms.
Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act
A new law passed in January this year provides physician recognition for Department of Veteran Affairs (VA) ODs, which grants leverage to the department to increase pay awards, bonuses, and annual evaluations to VA eye care providers. With the American Optometric Association (AOA) acting as a longtime advocator of the bill, AOA President Steven Reed, OD, said the new legislation is a critical win for all optometrists.
"This is huge, not only for the VA ODs, but for all of us," Reed said. "First of all, within the the VA system, back in 2004 is when a new law was created that that put physicians, the MDs and DOs, in a different pay scale. Well, at that time, the dentists, podiatrists, optometrists were left off. Over time, though, the dentist and podiatrist were able to be included. But even now 20 years later, until recently, optometrists were left off. So what that did in the VA system is created some gaps, because optometrists don't necessarily have a big motivation to practice in a system where they can't get paid at least comparable to what they could get in the in the general public. So there's a lot of holes in the in the system. And then to cap that off, you've got 20% of the VA optometrists that are at or nearing retirement, so we're about to have a big problem, because VA optometry takes care of the majority of the eye care within that system.
"So we're very proud for them, and we're it's a huge win. It's very significant. But I mentioned that it's good for us too, and the reason why is that many times when we're fighting these scope battles or these not-a-doctor bills, which are so prevalent, our opposition will say, 'Well, at the VA level, you guys aren't even recognized as physicians, not to mention that we are at Medicare.' They use that against us, but they can't anymore. So we just took away some of the ammunition."
VA ODs provide approximately 70% of essential primary and medical eye care services. Despite the important role optometry plays in VA health care, ODs were previously on the general schedule pay sale, which was largely unchanged since 1976.
What to know about VA eye care
- Vision and eye health care is the third-most requested services by veterans.
- It is estimated that there are approxiamtely 130,000 veterans in the United States who are legally blind, and more than a million veterans who have low vision that causes a loss of ability ot perform necessary daily activities.
- As many as 64% of services with traumatic brain injuries are estimated to also have a vision problem
HB 3122
Only a month later, HB3122 was filed in Texas to address anti-competitive practices in the vision benefits market. The bill is a continuation of efforts that can be traced back to June 2023, with HB 1696 getting signed into law. The bill works to prevent abuses including patient steering, doctor tiering, practice control, chargebacks, covered services, reguiring unrelated information on claims, and extrapolation in audits.
"HB 3211 strengthens patient choice by ensure that any properly credentialed optometrist who agrees to the VBM's contract terms can participate as an in-network provider – allowing Texans to see the optometrist of their choice when using their vision plan," said Tommy Lucas, OD, director of advocacy at the Texas Optometric Association in a news release.
Act 142
Other recent VBM news comes from Arkansas, with Act 142 of 2025 being signed into law in late February. Members of the Arkansas Optometric Association (ArOA) recently sat down with Optometry Times to discuss the new legislation.
"Everything we do in optometry is legislative, and if we're to advocate for ourselves or our patients, it has to be legislative, and we're going to be the only ones that's going to do that," said Matt Jones, OD, legislative cochair at the ArOA. "So not only was the Arkansas Optometric Association behind this bill, I mean, we did this for all eye care providers across the state, but as an affiliate of the American Optometric Association, they were also advocates for this bill. And along with Matt [Burns], Joe [Sugg] and I, we worked with several AOA leaders across the country to help formulate the bill and to help talk through the bill and to make sure that we were on the right path towards advocating better access for our patients through this VBM bill."
Unfortunately, for as long as I've practiced in longer contracts and terms between doctors and these vision plans have become contracts of adhesion, where we have no ability to negotiate," said Joe Sugg, OD, legislative cochair for ArOA. "So they really give a take it or leave it type of approach, not just in reimbursement aspect, but many other contractual aspects as well. Obviously, reimbursement is a big, big piece, and these plans, if doctors don't feel that they can run their practices and get reimbursed appropriately to make a plan make sense, then, unfortunately, they're not going to accept those plans. But now, inherently in optometry, we tend to do it anyway for the good of our patients, whether it makes sense from a business standpoint or not, but not only reimbursement, but just other contractual aspects that we just continue to get squeezed. You try and negotiate these things and just have really no leg to stand on, is ultimately why we felt something had to be done here to help our patients, ultimately, but also help doctors across the state. This bill also brings more authority for the Department of Insurance to regulate VBMs."
"Previously, it was a little limited, and this brings it under a health benefit plan, or changes that definition so it it gives them the ability to regulate these companies, whereas beforehand, that was not the case," said Matt Burns, executive director of ArOA. "So for our doctors, we're going to be implementing education resources from the association to help them with this transition, to make sure that these companies are following the law in conjunction with the Department of Insurance."
The bill will take effect in August 2025 with additional provisions to roll out based on plan renewals, contract changes, or by January 1, 2026.
HB 1267
Most recently, North Dakota was able to secure comprehensive telemedicine provisions in part of its scope of practice legislation.
"Our members' willingness to step up when called upon was truly incredible and we saw the passion our membership has for their profession," said Kim Hacker, North Dakota Optometric Association's executive director, in a release. "We built lasting relationships at the capitol and walked away from session with a positive reputation, and as many of you know, that's half the battle."
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Off the Cuff: Optometric Burnout
Review of Optometry | By Cory J. Lappin, OD
May 5, 2025
Burnout is an unfortunate reality in nearly every healthcare profession, and, according to a recent study, optometry is no exception. In fact, burnout appears to be especially pervasive in our profession with nearly 54% of all optometrists reporting some level of burnout.1 The study had many notable findings, such as female optometrists reporting greater rates of burnout than males, the use of EHR being associated with increased burnout, and optometrists with children actually displaying decreased symptoms of burnout. Each of these findings warrants its own in-depth discussion. However, what I am going to discuss in this editorial is what I would argue has the greatest impact on burnout—practice environment.
Unsurprisingly, the study found that a greater number of days in clinic and higher patient volume were both associated with greater burnout. By setting, OD/MD practices and commercial settings had greater burnout rates than academic environments and private practice. Again, I don’t think many will find this surprising, considering the former settings tend to require seeing higher patient volumes than the latter. Similarly, a lack of control over one’s workload was also associated with greater burnout, which can be more commonplace in commercial settings.
Although doctors in private practice are not immune to burnout, optometrists in these settings had relatively lower rates of burnout compared to other environments. Broadly speaking, this makes sense considering private practice potentially remedies some of the factors that lead to burnout, such as greater control over clinic days and patient volume. In fact, I know the desire to have control over these very factors has resulted in several of my friends pursuing practice ownership. However, it is a sad irony that we as a profession tend to be trending away from practice ownership, especially amongst younger doctors.
Although many assume that running a practice would lead to greater stress, these study findings appear to say otherwise. Hopefully, data like this will encourage new and recent grads, who tend to place a greater emphasis on mental health as a generational trait, to consider private practice. That being said, every person is different, and you can absolutely find happiness and fulfillment in any practice setting. Moreover, I think optometry needs to be present in these various practice environments and modalities. I will also admit it’s not all roses in private practice as it comes with its own unique challenges. However, when the majority of ODs are reporting burnout in general, and private practice is the only clinical setting (aside from self-reported “other” settings) where the average burnout rate is below 50%, a resurgence in independent optometry may be a welcome change.
1. Abbott K, Auer E, Gioia N, DeLoss K, Seibold L, Patnaik J. Insights into burnout among optometrists in the United States: findings from a nationwide survey. J Optom. Published online April 22, 2025. doi:10.1016/j.optom.2025.100552
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Check out the newest IOA classifieds here!
ODs Wanted:
Northern IL:
Small, Private Practice in Morris, IL seeking Part-Time OD (Read more)
OD Needed for Summer Maternity Leave (Read more)
Pediatric Optometrist Wanted, Full or Part-time (Read more)
Part time OD Needed at Medically Based Practice (Read more)
Chicago:
Optometrist Needed for Maternity Leave Coverage (Read more)
Chicago Suburbs:
OD Needed at Naper Grove Vision (Read more)
In Focus Eyecare Part Time, 1-4 Permanent Days or Fill in (Read more)
Optometrist - Part-Time/Full-Time, Private Practice - Chicago Heights (Read more)
Part-time OD Needed at Small Private Practice (Read more)
Full- Time OD Needed Burbank & Willowbrook, IL (Read more)
Part-Time OD Needed in Oak Park (Read more)
Full-Time optometrist Needed at Morrison Eyecare in Chicagoland (Read more)
OD Needed at Northwest Eye Center (Read more)
Looking for extra $$$, OD needed 1-2 days a week (Read more)
Looking for 2 optometrists in Buffalo Grove & Schaumburg offices (Read more)
Central IL:
Mobile Optometrist Needed (Read more)
Part-Time Optometrist Opportunity with Full-Time Potential – Private Practice (Read more)
OD needed in Decatur & Mt. Zion offices (Read more)
Springfield Clinic is seeking additional Optometrists to join its Eye Institute (Read more)
Southern IL:
Full Time Opening in Swansea IL, Metro East 20 minutes from St. Louis (Read more)
Optometrist Needed in Olney, IL (Read more)
OD Needed in Terre Haute (Read more)
Out of State:
Associate OD in Thriving Michigan Practice (Read more)
Immediate Opening for OD in Wisconsin (Read more)
Practices for Sale:
Practice for Sale on the Fox River (Read more)
Practice for Sale in Oak Park (Read more)
Practice for Sale in Rock Island County (Read more)
Northwest Suburb of Chicago Practice for Sale (Read more)
Equipment for Sale:
Selling equipment that is in great condition (Read more)
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Illinois Optometric Association
217-525-8012
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