Rep. Gregory Harris
Filed: 1/12/2021
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1 | AMENDMENT TO SENATE BILL 1530
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2 | AMENDMENT NO. ______. Amend Senate Bill 1530, AS AMENDED, | ||||||
3 | by replacing everything after the enacting clause with the | ||||||
4 | following:
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5 | "Section 5. The Illinois Public Aid Code is amended by | ||||||
6 | changing Section 5-5e.1 as follows: | ||||||
7 | (305 ILCS 5/5-5e.1) | ||||||
8 | Sec. 5-5e.1. Safety-Net Hospitals. | ||||||
9 | (a) A Safety-Net Hospital is an Illinois hospital that: | ||||||
10 | (1) is licensed by the Department of Public Health as a | ||||||
11 | general acute care or pediatric hospital; and | ||||||
12 | (2) is a disproportionate share hospital, as described | ||||||
13 | in Section 1923 of the federal Social Security Act, as | ||||||
14 | determined by the Department; and | ||||||
15 | (3) meets one of the following: | ||||||
16 | (A) has a MIUR of at least 40% and a charity |
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1 | percent of at least 4%; or | ||||||
2 | (B) has a MIUR of at least 50%. | ||||||
3 | (b) Definitions. As used in this Section: | ||||||
4 | (1) "Charity percent" means the ratio of (i) the | ||||||
5 | hospital's charity charges for services provided to | ||||||
6 | individuals without health insurance or another source of | ||||||
7 | third party coverage to (ii) the Illinois total hospital | ||||||
8 | charges, each as reported on the hospital's OBRA form. | ||||||
9 | (2) "MIUR" means Medicaid Inpatient Utilization Rate | ||||||
10 | and is defined as a fraction, the numerator of which is the | ||||||
11 | number of a hospital's inpatient days provided in the | ||||||
12 | hospital's fiscal year ending 3 years prior to the rate | ||||||
13 | year, to patients who, for such days, were eligible for | ||||||
14 | Medicaid under Title XIX of the federal Social Security | ||||||
15 | Act, 42 USC 1396a et seq., excluding those persons eligible | ||||||
16 | for medical assistance pursuant to 42 U.S.C. | ||||||
17 | 1396a(a)(10)(A)(i)(VIII) as set forth in paragraph 18 of | ||||||
18 | Section 5-2 of this Article, and the denominator of which | ||||||
19 | is the total number of the hospital's inpatient days in | ||||||
20 | that same period, excluding those persons eligible for | ||||||
21 | medical assistance pursuant to 42 U.S.C. | ||||||
22 | 1396a(a)(10)(A)(i)(VIII) as set forth in paragraph 18 of | ||||||
23 | Section 5-2 of this Article. | ||||||
24 | (3) "OBRA form" means form HFS-3834, OBRA '93 data | ||||||
25 | collection form, for the rate year. | ||||||
26 | (4) "Rate year" means the 12-month period beginning on |
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1 | October 1. | ||||||
2 | (c) Beginning July 1, 2012 and ending on December 31, 2022, | ||||||
3 | a hospital that would have qualified for the rate year | ||||||
4 | beginning October 1, 2011 or October 1, 2012 , shall be a | ||||||
5 | Safety-Net Hospital. | ||||||
6 | (d) No later than August 15 preceding the rate year, each | ||||||
7 | hospital shall submit the OBRA form to the Department. Prior to | ||||||
8 | October 1, the Department shall notify each hospital whether it | ||||||
9 | has qualified as a Safety-Net Hospital. | ||||||
10 | (e) The Department may promulgate rules in order to | ||||||
11 | implement this Section.
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12 | (f) Nothing in this Section shall be construed as limiting | ||||||
13 | the ability of the Department to include the Safety-Net | ||||||
14 | Hospitals in the hospital rate reform mandated by Section 14-11 | ||||||
15 | of this Code and implemented under Section 14-12 of this Code | ||||||
16 | and by administrative rulemaking. | ||||||
17 | (Source: P.A. 100-581, eff. 3-12-18; 101-650, eff. 7-7-20.)
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18 | Section 99. Effective date. This Act takes effect upon | ||||||
19 | becoming law.".
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