Synopsis As Introduced Amends the Illinois Health Care Finance Reform Act. Requires the Department of Public Health to require all ambulatory surgical treatment centers licensed to operate in the State (now, the requirement applies only to hospitals licensed to operate in the State) to adopt a uniform system for submitting patient claims and encounter data (now, patient billing data) for payment from public and private payors. Requires hospitals and ambulatory surgical centers to submit billing data to the Department of Public Health no later than 60 days after the end of each calendar quarter. Requires the Department to include certain information in its "Consumer Guide to Health Care" on its website. Authorizes the Department to disclose certain information on its website. Authorizes the Department to promulgate rules concerning the provisions of the Illinois Health Care Finance Reform Act. Requires that ambulatory surgical treatment centers, organizations representing ambulatory surgical treatment centers, purchasers, consumer groups, and health plans be meaningfully involved in the development of all aspects of the Department's methodology for collecting, analyzing, and disclosing the information collected under this Act. Requires the Department to evaluate additional methods for comparing the performance of hospitals and ambulatory surgical treatment centers and report its findings and recommendations on its Internet website and to the Governor and General Assembly no later than January 1, 2006. Makes other changes. Effective immediately.
State Mandates Fiscal Note (Dept of Commerce and Economic Opportunity)
In the opinion of the Department of Commerce and Economic Opportunity, Senate Bill 1863 (Engrossed) does not create a State mandate under the State Mandates Act.
Fiscal Note (Department of Public Health)
The estimated fiscal impact of Senate Bill 1863 to the Illinois Department of Public Health is $200,000. These costs will be offset with the passage of the companion bill House Bill 2344.
Replaces everything after the enacting clause. Creates the FY2007 Budget Implementation (Human Services) Act for the purpose of implementing the Governor's FY2007 budget recommendations concerning human services. Amends the Illinois Administrative Procedure Act and the Illinois Public Aid Code. Authorizes the Department of Healthcare and Family Services to adopt emergency rules during FY2007, including rules effective July 1, 2007, to the extent necessary to administer the Department's responsibilities with respect to amendments and waivers to the State plans and Illinois waivers approved by the federal Centers for Medicare and Medicaid Services necessitated by the requirements of Title XIX and Title XXI of the federal Social Security Act, in order to provide for the expeditious and timely implementation of the provisions of the State's fiscal year 2007 budget. Provides that in order to provide for the timely and expeditious implementation of the federally approved amendment to the State Medicaid Plan, the Department of Healthcare and Family Services may adopt rules necessary to implement changes resulting from that amendment to the hospital access improvement payments authorized by Public Act 94-242 and the Illinois Public Aid Code. Authorizes the Department to use emergency rulemaking. Provides that this emergency rulemaking authority is granted by, and may be exercised only during, the 94th General Assembly. Provides that in connection with Medicaid rates paid to nursing homes, no rate increase and no update for inflation shall be provided before July 1, 2007 (instead of 2006) unless specifically provided for in those provisions. Also in connection with Medicaid rates paid to nursing homes, (i) provides that for facilities licensed by the Department of Public Health under the Nursing Home Care Act as intermediate care facilities that are federally defined as Institutions for Mental Disease, a socio-development component rate equal to 6.6% of the facility's nursing component rate as of January 1, 2006 shall be established and paid effective July 1, 2006 and (ii) provides that these socio-development component rates may be adjusted, but in no case may they be diminished. Also authorizes the Department to adopt rules during the 94th General Assembly to reduce the rate of any annual assessment imposed on hospitals. Authorizes the Department of Human Services to initiate a 3-year pilot program of home and community-based medical services for persons who are medically fragile and technology-dependent. Makes other changes. Repeals provisions concerning nursing home inspections of care by the Department of Healthcare and Family Services. Effective immediately.
State Mandates Fiscal Note (H-AM 2)(Dept of Commerce & Economic Opportunity)
This legislation does not impose requirements on units of local government, therefore, does not create a State mandate under the State Mandates Act.
Home Rule Note (H-AM 2) (Dept. of Commerce & Econ Opportunity.)
Does not pre-empt home rule authority.
Fiscal Note (H-AM 2) (Gov. Office of Management & Budget)
The Governor's Office of Management and Budget estimates that this bill, if enacted into law, will have a fiscal impact of at least $100 million, which will be necessary to enact a balanced budget.
Balanced Budget Note (H-AM 2)(Gov. Office of Management & Budget)
Will have impact of preserving a balanced State budget in fiscal year 2007.
Pension Note (H-AM 2)(Comm on Gov't Forecasting & Accountability)
This legislation would not impact any public pension fund or retirement system in Illinois.
State Debt Impact Note (H-AM 2)(Comm on Gov't Forecasting & Accountability)
Would not affect the level of state indebtedness.
Judicial Note (H-AM 2)(Admin Office of the Illinois Courts)
This legislation would neither increase nor decrease the number of judges needed in the State of Illinois.
Housing Affordability Impact Note (H-AM 2)(Housing Development Authority)
This legislation will have no effect on constructing, purchasing, owning, or selling a single-family residence.
Judicial Note (H-AM 2)(Admin Office of the Illinois Courts)
Based on a review of this bill, it has been determined that this legislation would neither increase nor decrease the number of judges needed in the State.