SB1654 100TH GENERAL ASSEMBLY

LRB100 07051 KTG 17105 b

100TH GENERAL ASSEMBLY
State of Illinois
2017 and 2018
SB1654

Introduced 2/9/2017, by Sen. Andy Manar

SYNOPSIS AS INTRODUCED:

305 ILCS 5/5-30.6 new

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that whenever a hospital notifies a managed care organization that a medical assistance enrollee has a discharge order from the attending physician and is ready for discharge from an inpatient hospital stay to another level of care, the managed care organization must secure the enrollee's placement in or transfer to another facility within 24 hours of receiving the hospital's notification. Provides that in addition to any payments for which the managed care organization is responsible through the designated discharge date, a managed care organization that fails to comply with the requirement shall reimburse the hospital for each additional inpatient day beyond the designated discharge date until the enrollee is actually discharged at a rate no less than the effective per day rate for the initial inpatient stay. Effective July 1, 2017.

FISCAL NOTE ACT MAY APPLY

A BILL FOR

AN ACT concerning public aid.

Be it enacted by the People of the State of Illinois, represented in the General Assembly:

Section 5. The Illinois Public Aid Code is amended by adding Section 5-30.6 as follows:

(305 ILCS 5/5-30.6 new)

Sec. 5-30.6. Discharge notification and facility placement; managed care organizations. Whenever a hospital notifies a managed care organization that a medical assistance enrollee has a discharge order from the attending physician and is ready for discharge from an inpatient hospital stay to another level of care, the managed care organization must secure the enrollee's placement in or transfer to another facility within 24 hours of receiving the hospital's notification. In addition to any payments for which the managed care organization is responsible through the designated discharge date, a managed care organization that fails to comply with this requirement shall reimburse the hospital for each additional inpatient day beyond the designated discharge date until the enrollee is actually discharged at a rate no less than the effective per day rate for the initial inpatient stay.

Section 99. Effective date. This Act takes effect July 1, 2017.