SB1530 EnrolledLRB101 08495 JRG 53572 b


  
1    AN ACT concerning regulation.
  
 
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 5-5e.1 as follows:
 
6    (305 ILCS 5/5-5e.1)
7    Sec. 5-5e.1. Safety-Net Hospitals.
8    (a) A Safety-Net Hospital is an Illinois hospital that:
9        (1) is licensed by the Department of Public Health as a 
10    general acute care or pediatric hospital; and
11        (2) is a disproportionate share hospital, as described 
12    in Section 1923 of the federal Social Security Act, as 
13    determined by the Department; and
14        (3) meets one of the following:
15            (A) has a MIUR of at least 40% and a charity 
16        percent of at least 4%; or
17            (B) has a MIUR of at least 50%.
18    (b) Definitions. As used in this Section:
19        (1) "Charity percent" means the ratio of (i) the 
20    hospital's charity charges for services provided to 
21    individuals without health insurance or another source of 
22    third party coverage to (ii) the Illinois total hospital 
23    charges, each as reported on the hospital's OBRA form.
 
 
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1        (2) "MIUR" means Medicaid Inpatient Utilization Rate 
2    and is defined as a fraction, the numerator of which is the 
3    number of a hospital's inpatient days provided in the 
4    hospital's fiscal year ending 3 years prior to the rate 
5    year, to patients who, for such days, were eligible for 
6    Medicaid under Title XIX of the federal Social Security 
7    Act, 42 USC 1396a et seq., excluding those persons eligible 
8    for medical assistance pursuant to 42 U.S.C. 
9    1396a(a)(10)(A)(i)(VIII) as set forth in paragraph 18 of 
10    Section 5-2 of this Article,  and the denominator of which 
11    is the total number of the hospital's inpatient days in 
12    that same period, excluding those persons eligible for 
13    medical assistance pursuant to 42 U.S.C. 
14    1396a(a)(10)(A)(i)(VIII) as set forth in paragraph 18 of 
15    Section 5-2 of this Article.
16        (3) "OBRA form" means form HFS-3834, OBRA '93 data 
17    collection form, for the rate year.
18        (4) "Rate year" means the 12-month period beginning on 
19    October 1.
20    (c) Beginning July 1, 2012 and ending on December 31, 2022, 
21a hospital that would have qualified for the rate year 
22beginning October 1, 2011 or October 1, 2012 , shall be a 
23Safety-Net Hospital.
24    (d) No later than August 15 preceding the rate year, each 
25hospital shall submit the OBRA form to the Department. Prior to 
26October 1, the Department shall notify each hospital whether it 
 
 
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1has qualified as a Safety-Net Hospital.
2    (e) The Department may promulgate rules in order to 
3implement this Section.

4    (f)         Nothing in this Section shall be construed as limiting 
5the ability of the Department to include the Safety-Net 
6Hospitals in the hospital rate reform mandated by Section 14-11 
7of this Code and implemented under Section 14-12 of this Code 
8and by administrative rulemaking. 
9(Source: P.A. 100-581, eff. 3-12-18; 101-650, eff. 7-7-20.)
 

10    Section 99. Effective date. This Act takes effect upon 
11becoming law.