Bill Status of HB 4978   103rd General Assembly

Short Description:  DHFS-EXTENDED HOSP STAYS

House Sponsors
Rep. Robyn Gabel and Dagmara Avelar

Last Action  View All Actions

DateChamber Action
  5/31/2024HouseRule 19(a) / Re-referred to Rules Committee

Statutes Amended In Order of Appearance
305 ILCS 5/14-13

Synopsis As Introduced
Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to by rule implement a methodology to reimburse hospitals for inpatient stays extended beyond medical necessity due to the inability of the Department, the managed care organization (MCO) in which a medical assistance recipient is enrolled in, or the hospital discharge planner to find an appropriate placement after discharge from the hospital to the next level of care. Requires the Department to by rule implement a methodology effective for dates of service January 1, 2025 and later to reimburse hospitals for emergency department stays extended beyond medical necessity due to the inability of the Department, the MCO, or the hospital discharge planner to find an appropriate placement after discharge from the hospital setting to the next appropriate level of care. Provides that both methodologies shall provide reasonable compensation for the services provided attributable to the hours of the extended stay for which the prevailing rate methodology provides no reimbursement. Contains provisions concerning the rate for inpatient days of care; hourly rates of reimbursement for emergency department stays; a prohibition on MCOs restricting coverage due to delays caused by the Department or the MCOs in completing the pre-admission screening and resident review process; a prohibition on MCOs imposing authorization or documentation requirements and other conditions of reimbursement that are more restrictive than standards under the fee-for-service medical assistance program; sanctions on MCOs for noncompliance; and administrative rules. Effective immediately.

Actions 
DateChamber Action
  2/7/2024HouseFiled with the Clerk by Rep. Robyn Gabel
  2/8/2024HouseFirst Reading
  2/8/2024HouseReferred to Rules Committee
  2/28/2024HouseAssigned to Appropriations-Health & Human Services Committee
  3/6/2024HouseAdded Co-Sponsor Rep. Dagmara Avelar
  4/4/2024HouseTo Medicaid & Managed Care Subcommittee
  4/5/2024HouseCommittee/3rd Reading Deadline Extended-Rule May 24, 2024
  5/24/2024HouseCommittee/3rd Reading Deadline Extended-Rule May 27, 2024
  5/26/2024HouseCommittee/3rd Reading Deadline Extended-Rule May 31, 2024
  5/31/2024HouseRule 19(a) / Re-referred to Rules Committee

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