Illinois General Assembly - Bill Status for SB1773

Replaces everything after the enacting clause. Amends the Illinois Health Facilities Planning Act. Expands the definition of health care facility to include any project the Department of Healthcare and Family Services certifies was approved by the Hospital Transformation Review Committee as a project subject to the hospital's transformation as provided under the Illinois Public Aid Code. Amends the Emergency Medical Services (EMS) Systems Act. Requires the Department of Public Health to issue an annual freestanding emergency center license to certain facilities. Amends the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to establish a cost-based reimbursement methodology for determining payments to hospitals for approved graduate medical education programs for dates of service on and after July 1, 2018. Contains provisions concerning an amendment to the Illinois Title XIX State Plan defining graduate medical education (GME); GME payments to hospitals including such costs in support of clients enrolled in Medicaid managed care entities; and a requirement that the Department take all actions necessary for reimbursement to be effective for dates of service on and after July 1, 2018. Defines terms and grants the Department emergency rulemaking authority. Extends the time period under which certain hospitals shall be designated a safety-net hospital. Contains provisions concerning: hospital assessments for State fiscal years 2019 through 2024; a requirement that certain hospital assessments be paid in monthly installments; hospital assessments for hospital providers that did not conduct, operate, or maintain a hospital in the year that is the basis of the calculation of the assessment; disbursements from the Hospital Provider Fund for State fiscal years 2019 through 2024; the continuation of hospital access payments on or after July 1, 2018; rate increase-based adjustments; the calculation of graduate medical education payments; Alzheimer's treatment access payments; safety-net hospital, private critical access hospital, and outpatient high volume access payments; Medicaid dependent or high volume hospital access payments; trauma care access payments; long-term acute care access payments; small public hospital access payments; psychiatric care access payments; emergency rules to implement the hospital access payments; increase capitation payments to capitated managed care organizations; and other matters. Extends the repeal date of certain assessments on inpatient and outpatient services to July 1, 2020 (rather than July 1, 2018). Requires the Department to preserve payment methodologies for certain hospital assessments pending federal approval of changes made under the amendatory Act to those hospital assessments. Contains provisions concerning reimbursement for inpatient psychiatric services beginning July 1, 2020; reimbursement increases for inpatient rehabilitation services; add-on payments for outpatient expensive devices and drugs; and other matters. Requires the Department, in conjunction with the Hospital Transformation Review Committee, to develop a hospital transformation program to provide financial assistance to hospitals in transforming their services and care models to better align with the needs of the communities they serve. Provides that the Hospital Transformation Review Committee shall consist of 14 appointed members and that 9 of the 14 committee members must first approve any rule adopted to implement the hospital transformation program before the rule is submitted to the Joint Committee on Administrative Rules. Requires the Department to develop reimbursement methodologies to recognize the importance of out-of-state hospitals located in states that border Illinois and provide access to specialty hospital services, with some exceptions. Makes other changes. Effective immediately, but the Act does not take effect at all unless Senate Bill 1573 of the 100th General Assembly, as amended, becomes law.

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