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Rep. Camille Y. Lilly
Filed: 2/7/2018
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| 1 | | AMENDMENT TO SENATE BILL 1773
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| 2 | | AMENDMENT NO. ______. Amend Senate Bill 1773, AS AMENDED, |
| 3 | | with reference to page and line numbers of House Amendment No. |
| 4 | | 4 as follows:
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| 5 | | on page 52, line 15, by replacing "and 5A-16 as" with "5A-16, |
| 6 | | and 5A-17 as"; and |
| 7 | | on page 131, immediately below line 15, by inserting the |
| 8 | | following: |
| 9 | | "(c) This Section does not apply to Section 5A-17."; and |
| 10 | | on page 133, immediately below line 8, by inserting the |
| 11 | | following: |
| 12 | | "(305 ILCS 5/5A-17 new) |
| 13 | | Sec. 5A-17. Safety-Net Gap Payments. |
| 14 | | (a) Payments under this Section are to protect access to |
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| 1 | | care in vulnerable communities served by safety-net hospitals. |
| 2 | | Payments made under this Section must be made in State Fiscal |
| 3 | | Year 2019 and each subsequent State Fiscal Year during any |
| 4 | | month for which federal financial participation under Title XIX |
| 5 | | of the Social Security Act is not available for the payments |
| 6 | | under Section 5A-12.5 or the payments under subsections (d) and |
| 7 | | (f) of Section 14-12. |
| 8 | | (b) For the purposes of this Section, safety-net hospitals |
| 9 | | which qualify for payments under this Section are: |
| 10 | | (1) hospitals which meet the criteria under Section |
| 11 | | 5-5e.1 for the period October 1, 2016 through September 30, |
| 12 | | 2017; or |
| 13 | | (2) hospitals licensed as Illinois freestanding |
| 14 | | psychiatric hospitals which meet the criteria under |
| 15 | | Section 5-5e.1 for the period October 1, 2016 through |
| 16 | | September 30, 2017 with the exception of licensure as a |
| 17 | | general acute-care hospital. |
| 18 | | (c) Payments made under this Section in each State Fiscal |
| 19 | | Year beginning with State Fiscal Year 2019 must be made to each |
| 20 | | hospital in an amount equal to what the hospital received in |
| 21 | | State Fiscal Year 2018 under Section 5A-12.5 and the payments |
| 22 | | under subsections (d) and (f) of Section 14-12. |
| 23 | | (d) If a new payment program is approved by the federal |
| 24 | | Centers for Medicare and Medicaid Services to receive federal |
| 25 | | financial participation under Title XIX of the Social Security |
| 26 | | Act which replaces the payments authorized under Sections |
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| 1 | | 5A-12.2, 5A-12.4, and 5A-12.5 and under subsection (d) of |
| 2 | | Section 14-12, then any payments made under the new program |
| 3 | | which retroactively overlap time periods in which a payment was |
| 4 | | made under this Section must be reduced by the Department in |
| 5 | | the respective time period by the amount of the safety-net gap |
| 6 | | payment made under this Section. |
| 7 | | (e) Payments under this Section must be made regardless of |
| 8 | | federal approval for federal financial participation under |
| 9 | | Title XIX of the Social Security Act. Section 5A-15 is |
| 10 | | inapplicable to this Section.".
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