103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024
HB2549

 

Introduced 2/15/2023, by Rep. Elizabeth "Lisa" Hernandez

 

SYNOPSIS AS INTRODUCED:
 
305 ILCS 5/5F-35

    Amends the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall provide each managed care organization with the quarterly fee-for-service facility-specific nursing component (rather than facility-specific RUG-IV nursing component) per diem along with any add-ons for enhanced care services, support component per diem, and capital component per diem effective for each nursing home under contract with the managed care organization. Provides that no managed care contract shall provide for a level of reimbursement lower than the fee-for-service rate in effect for the facility at the time service is rendered. Effective immediately.


LRB103 29881 KTG 56292 b

 

 

A BILL FOR

 

HB2549LRB103 29881 KTG 56292 b

1    AN ACT concerning public aid.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Illinois Public Aid Code is amended by
5changing Section 5F-35 as follows:
 
6    (305 ILCS 5/5F-35)
7    Sec. 5F-35. Reimbursement. The Department shall provide
8each managed care organization with the quarterly
9fee-for-service facility-specific RUG-IV nursing component per
10diem along with any add-ons for enhanced care services,
11support component per diem, and capital component per diem
12effective for each nursing home under contract with the
13managed care organization. No managed care contract shall
14provide for a level of reimbursement lower than the
15fee-for-service rate in effect for the facility at the time
16service is rendered.
17(Source: P.A. 98-651, eff. 6-16-14.)
 
18    Section 99. Effective date. This Act takes effect upon
19becoming law.