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| | 103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024
HB2292 Introduced 2/14/2023, by Rep. Camille Y. Lilly SYNOPSIS AS INTRODUCED:
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Amends the Medical Assistance Article of the Illinois Public Aid Code. In a provision concerning the $630 per diem rate to be paid to safety net-hospitals for inpatient psychiatric services on and after January 1, 2021, removes language making the payment rate subject to appropriation. Effective July 1, 2021.
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| | A BILL FOR |
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| | HB2292 | | LRB103 29502 KTG 55897 b |
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| 1 | | AN ACT concerning public aid.
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| 2 | | Be it enacted by the People of the State of Illinois,
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| 3 | | represented in the General Assembly:
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| 4 | | Section 5. The Illinois Public Aid Code is amended by |
| 5 | | changing Section 5-5.05 as follows:
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| 6 | | (305 ILCS 5/5-5.05) |
| 7 | | Sec. 5-5.05. Hospitals; psychiatric services. |
| 8 | | (a) On and after July 1, 2008, the inpatient, per diem rate |
| 9 | | to be paid to a hospital for inpatient psychiatric services |
| 10 | | shall be $363.77. |
| 11 | | (b) For purposes of this Section, "hospital" means the |
| 12 | | following: |
| 13 | | (1) Advocate Christ Hospital, Oak Lawn, Illinois. |
| 14 | | (2) Barnes-Jewish Hospital, St. Louis, Missouri. |
| 15 | | (3) BroMenn Healthcare, Bloomington, Illinois. |
| 16 | | (4) Jackson Park Hospital, Chicago, Illinois. |
| 17 | | (5) Katherine Shaw Bethea Hospital, Dixon, Illinois. |
| 18 | | (6) Lawrence County Memorial Hospital, Lawrenceville, |
| 19 | | Illinois. |
| 20 | | (7) Advocate Lutheran General Hospital, Park Ridge, |
| 21 | | Illinois. |
| 22 | | (8) Mercy Hospital and Medical Center, Chicago, |
| 23 | | Illinois. |
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| 1 | | (9) Methodist Medical Center of Illinois, Peoria, |
| 2 | | Illinois. |
| 3 | | (10) Provena United Samaritans Medical Center, |
| 4 | | Danville, Illinois. |
| 5 | | (11) Rockford Memorial Hospital, Rockford, Illinois. |
| 6 | | (12) Sarah Bush Lincoln Health Center, Mattoon, |
| 7 | | Illinois. |
| 8 | | (13) Provena Covenant Medical Center, Urbana, |
| 9 | | Illinois. |
| 10 | | (14) Rush-Presbyterian-St. Luke's Medical Center, |
| 11 | | Chicago, Illinois. |
| 12 | | (15) Mt. Sinai Hospital, Chicago, Illinois. |
| 13 | | (16) Gateway Regional Medical Center, Granite City, |
| 14 | | Illinois. |
| 15 | | (17) St. Mary of Nazareth Hospital, Chicago, Illinois. |
| 16 | | (18) Provena St. Mary's Hospital, Kankakee, Illinois. |
| 17 | | (19) St. Mary's Hospital, Decatur, Illinois. |
| 18 | | (20) Memorial Hospital, Belleville, Illinois. |
| 19 | | (21) Swedish Covenant Hospital, Chicago, Illinois. |
| 20 | | (22) Trinity Medical Center, Rock Island, Illinois. |
| 21 | | (23) St. Elizabeth Hospital, Chicago, Illinois. |
| 22 | | (24) Richland Memorial Hospital, Olney, Illinois. |
| 23 | | (25) St. Elizabeth's Hospital, Belleville, Illinois. |
| 24 | | (26) Samaritan Health System, Clinton, Iowa. |
| 25 | | (27) St. John's Hospital, Springfield, Illinois. |
| 26 | | (28) St. Mary's Hospital, Centralia, Illinois. |
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| 1 | | (29) Loretto Hospital, Chicago, Illinois. |
| 2 | | (30) Kenneth Hall Regional Hospital, East St. Louis, |
| 3 | | Illinois. |
| 4 | | (31) Hinsdale Hospital, Hinsdale, Illinois. |
| 5 | | (32) Pekin Hospital, Pekin, Illinois. |
| 6 | | (33) University of Chicago Medical Center, Chicago, |
| 7 | | Illinois. |
| 8 | | (34) St. Anthony's Health Center, Alton, Illinois. |
| 9 | | (35) OSF St. Francis Medical Center, Peoria, Illinois. |
| 10 | | (36) Memorial Medical Center, Springfield, Illinois. |
| 11 | | (37) A hospital with a distinct part unit for |
| 12 | | psychiatric services that begins operating on or after |
| 13 | | July 1, 2008. |
| 14 | | For purposes of this Section, "inpatient psychiatric |
| 15 | | services" means those services provided to patients who are in |
| 16 | | need of short-term acute inpatient hospitalization for active |
| 17 | | treatment of an emotional or mental disorder. |
| 18 | | (b-5) Notwithstanding any other provision of this Section, |
| 19 | | and subject to appropriation, the inpatient, per diem rate to |
| 20 | | be paid to all safety-net hospitals for inpatient psychiatric |
| 21 | | services on and after January 1, 2021 shall be at least $630. |
| 22 | | (b-10) Notwithstanding any other provision of this |
| 23 | | Section, effective with dates of service on and after January |
| 24 | | 1, 2022, any general acute care hospital with more than 9,500 |
| 25 | | inpatient psychiatric Medicaid days in any calendar year shall |
| 26 | | be paid the inpatient per diem rate of no less than $630. |
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| 1 | | (c) No rules shall be promulgated to implement this |
| 2 | | Section. For purposes of this Section, "rules" is given the |
| 3 | | meaning contained in Section 1-70 of the Illinois |
| 4 | | Administrative Procedure Act. |
| 5 | | (d) This Section shall not be in effect during any period |
| 6 | | of time that the State has in place a fully operational |
| 7 | | hospital assessment plan that has been approved by the Centers |
| 8 | | for Medicare and Medicaid Services of the U.S. Department of |
| 9 | | Health and Human Services.
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| 10 | | (e) On and after July 1, 2012, the Department shall reduce |
| 11 | | any rate of reimbursement for services or other payments or |
| 12 | | alter any methodologies authorized by this Code to reduce any |
| 13 | | rate of reimbursement for services or other payments in |
| 14 | | accordance with Section 5-5e. |
| 15 | | (Source: P.A. 102-4, eff. 4-27-21; 102-674, eff. 11-30-21.)
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| 16 | | Section 99. Effective date. This Act takes effect July 1, |
| 17 | | 2023.
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