Illinois General Assembly - Bill Status for HB4573
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 Bill Status of HB4573  102nd General Assembly


Short Description:  MEDICAID-MMAI-REIMBURSEMENT

House Sponsors
Rep. Elizabeth Hernandez

Last Action
DateChamber Action
  2/25/2022HouseRule 19(a) / Re-referred to Rules Committee

Statutes Amended In Order of Appearance
305 ILCS 5/5F-35


Synopsis As Introduced
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. Provides that managed care organizations are expressly prohibited, at any time and for any reason, from offering, negotiating, or entering into contracts with a nursing facility for a level of compensation less than the fee-for-service rate in effect at the time the service is rendered. Effective immediately.

Actions 
DateChamber Action
  1/14/2022HouseFiled with the Clerk by Rep. Elizabeth Hernandez
  1/21/2022HouseFirst Reading
  1/21/2022HouseReferred to Rules Committee
  2/9/2022HouseAssigned to Appropriations-Human Services Committee
  2/18/2022HouseCommittee Deadline Extended-Rule 9(b) February 25, 2022
  2/25/2022HouseRule 19(a) / Re-referred to Rules Committee

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