Illinois General Assembly - Bill Status for HB1950
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 Bill Status of HB1950  102nd General Assembly


Short Description:  MEDICAID TECHNICAL ASSISTANCE

House Sponsors
Rep. Greg Harris - Carol Ammons - Camille Y. Lilly, Seth Lewis, Deanne M. Mazzochi, Ryan Spain, Keith R. Wheeler, Amy Elik, Michael T. Marron, Dan Caulkins, Bradley Stephens, Amy Grant, Tom Weber, David A. Welter, Martin McLaughlin, Chris Bos and Paul Jacobs

Senate Sponsors
(Sen. Ann Gillespie - Jacqueline Y. Collins - Mattie Hunter)

Last Action
DateChamber Action
  5/17/2022HousePublic Act . . . . . . . . . 102-0886

Statutes Amended In Order of Appearance
New Act
30 ILCS 105/5.935 new


Synopsis As Introduced
Creates the Medicaid Technical Assistance Center Act. Requires the Department of Healthcare and Family Services to establish a Medicaid Technical Assistance Center (Center). Provides that the Center shall operate as a cross-system educational resource to strengthen the business infrastructure of health care provider organizations in Illinois to ultimately increase the capacity, access, health equity, and quality of Illinois' Medicaid managed care programs: HealthChoice Illinois and YouthCare. Requires the Center to be established within the Department's Office of Medicaid Innovation. Requires the Center to collaborate with public and private partners throughout the State to identify, establish, and maintain best practices necessary for health providers to ensure their capacity to participate in HealthChoice Illinois or YouthCare. Requires the Center to: (i) create and administer ongoing trainings for health care providers; (ii) maintain an independent, easy to navigate, and up-to-date website; and (iii) host regional learning collaboratives that will supplement the Center's training curriculum to bring together groups of stakeholders to share issues and best practices, and to escalate issues. Requires the Department to maximize federal financial participation for any moneys appropriated to the Department for the Medicaid Technical Assistance Center. Provides that any federal financial participation funds obtained shall be used for the further development and expansion of the Medicaid Technical Assistance Center. Amends the State Finance Act. Creates the Medicaid Technical Assistance Center Fund. Effective immediately.

Senate Committee Amendment No. 1
Deletes reference to:
New Act
30 ILCS 105/5.935 new
Adds reference to:
305 ILCS 5/1-5from Ch. 23, par. 1-5

Replaces everything after the enacting clause. Amends the Illinois Public Aid Code. Makes a technical change in a Section concerning construction of the Code.

Senate Floor Amendment No. 2
Deletes reference to:
305 ILCS 5/1-5
Adds reference to:
305 ILCS 5/5-5e.1
305 ILCS 5/5A-2from Ch. 23, par. 5A-2
305 ILCS 5/5A-5from Ch. 23, par. 5A-5
305 ILCS 5/5A-8from Ch. 23, par. 5A-8
305 ILCS 5/5A-10from Ch. 23, par. 5A-10
305 ILCS 5/5A-12.7
305 ILCS 5/5A-14
305 ILCS 5/5-45 new
305 ILCS 5/12-4.105
20 ILCS 2310/2310-710 new
305 ILCS 5/5-5.02from Ch. 23, par. 5-5.02
35 ILCS 5/223
35 ILCS 105/3-8
35 ILCS 110/3-8
35 ILCS 115/3-8
35 ILCS 120/2-9

Replaces everything after the enacting clause. Amends the Illinois Public Aid Code. In a provision concerning safety-net hospitals, provides that beginning July 1, 2020 and ending on December 31, 2026, a hospital that would have qualified for the rate year beginning October 1, 2020 and was designated a federal rural referral center on October 1, 2020 shall be a Safety-Net Hospital. In provisions concerning hospital provider funding, provides that certain annual assessments on inpatient services and outpatient services shall be imposed on each hospital provider for calendar years 2021 through 2026 (rather than for calendar years 2021 and 2022). Makes changes to the definition of "Assessment Adjustment". Extends the period during which certain transfers shall be made from the Hospital Provider Fund. Contains provisions concerning: (i) the applicable reimbursement factor from July 1, 2020 through December 31, 2022 and January 1, 2023 through December 31, 2026; and (ii) fee for-service supplemental payments beginning January 1, 2023. In a provision concerning the classification of Illinois hospitals for the purpose of allocating the funds included in capitation payments to managed care organizations, defines "critical access hospital" and "public hospital". Provides that, beginning January 1, 2023 and each calendar year thereafter, assignment to the safety-net class shall be based on the annual safety-net rate year beginning 15 months before the beginning of the first Payout Quarter of the calendar year. Makes changes to provisions concerning high Medicaid hospitals and defines "regional high volume hospital". Provides that, from January 1, 2023 through December 31, 2023, the Department of Healthcare and Family Services shall establish the amounts that shall be allocated to the hospital class directed payment fixed pools identified under a specified provision of the Code for the quarterly development of a uniform per unit add-on. Requires the Department to ensure that hospitals assigned to the fixed pools are paid no less than 95% of the annual initial rate for each 6-month period of each annual payout period. Contains provisions concerning directed payment amounts established by the Department for the Payout Quarter beginning January 1, 2023; pass-through payments for calendar year 2023; the sum of the total estimated annual payments to each hospital class for calendar year 2023; and other matters. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that a general acute care hospital is authorized to file a notice with the Department of Public Health and the Health Facilities and Services Review Board to establish an acute mental illness category of service in accordance with the Illinois Health Facilities Planning Act and add authorized acute mental illness beds if the following conditions are met: (i) the general acute care hospital qualifies as a safety-net hospital as determined by the Department of Healthcare and Family Services at the time of filing the notice or for the year immediately prior to the date of filing the notice; (ii) the notice seeks to establish no more than 24 authorized acute mental illness beds; and (iii) the notice seeks to reduce the number of authorized beds in another category of service to offset the number of authorized acute mental illness beds. In provisions requiring the Department of Healthcare and Family Services to pay certain amounts to the human poison control center designated under the Poison Control System Act, provides that not less than $3,750,000 shall be paid for State fiscal years 2021 through 2026 (rather than for State fiscal year 2021 and 2022) and not less than $1,875,000 shall be paid for the period July 1, 2026 through December 31, 2026 (rather than for the period July 1, 2022 through December 31, 2022). Amends the Department of Public Health Powers and Duties Law. Provides that, by February 1, 2023, the Department of Public Health and the Department of Healthcare and Family Services shall provide a joint report to the General Assembly on options and recommendations for the establishment of a permanent Safety-Net Hospital Health Equity and Access Leadership (HEAL) Grant Program. Provides that the Departments of Public Health and Healthcare and Family Services may consult with the statewide association representing a majority of hospitals and safety-net hospitals on the report. Sets forth information that may be included in the report, including, but not limited to: (1) criteria for a safety-net hospital to be eligible for the program; (2) potential projects eligible for grant funds, which may include projects to reduce health disparities, advance health equity, or improve access to or the quality of healthcare services; and (3) potential strategies to generate federal Medicaid matching funds for expenditures under the program. Amends the Medical Assistance Article of the Illinois Public Aid Code. In provisions requiring the Department of Healthcare and Family Services to make adjustment payments for inpatient services to hospitals that meet certain requirements, provides that such adjustment payments shall be made to a hospital that reopens a previously closed hospital facility within 4 (rather than 3) calendar years of the hospital facility's closure. Amends the Illinois Income Tax Act. Extends the income tax credit for certain hospitals through taxable years ending on or before December 31, 2027 (currently, December 31, 2022). Amends the Use Tax Act, the Service Use Tax Act, the Service Occupation Tax Act, and the Retailers' Occupation Tax Act. Provides that the credit for personal property sold to or used by certain hospitals is exempt from the Acts' automatic sunset provisions. Effective immediately.

Senate Floor Amendment No. 3
Deletes reference to:
305 ILCS 5/1-5
Adds reference to:
305 ILCS 5/5-5e.1
305 ILCS 5/5A-2from Ch. 23, par. 5A-2
305 ILCS 5/5A-5from Ch. 23, par. 5A-5
305 ILCS 5/5A-8from Ch. 23, par. 5A-8
305 ILCS 5/5A-10from Ch. 23, par. 5A-10
305 ILCS 5/5A-12.7
305 ILCS 5/5A-14
305 ILCS 5/5-45 new
305 ILCS 5/12-4.105
20 ILCS 2310/2310-710 new
305 ILCS 5/5-5.02from Ch. 23, par. 5-5.02
35 ILCS 5/223
35 ILCS 105/3-8
35 ILCS 110/3-8
35 ILCS 115/3-8
35 ILCS 120/2-9

Replaces everything after the enacting clause. Amends the Illinois Public Aid Code. In a provision concerning safety-net hospitals, provides that beginning July 1, 2020 and ending on December 31, 2026, a hospital that would have qualified for the rate year beginning October 1, 2020 and was designated a federal rural referral center on October 1, 2020 shall be a Safety-Net Hospital. In provisions concerning hospital provider funding, provides that certain annual assessments on inpatient services and outpatient services shall be imposed on each hospital provider for calendar years 2021 through 2026 (rather than for calendar years 2021 and 2022). Makes changes to the definition of "Assessment Adjustment". Extends the period during which certain transfers shall be made from the Hospital Provider Fund. Contains provisions concerning: (i) the applicable reimbursement factor from July 1, 2020 through December 31, 2022 and January 1, 2023 through December 31, 2026; and (ii) fee for-service supplemental payments beginning January 1, 2023. In a provision concerning the classification of Illinois hospitals for the purpose of allocating the funds included in capitation payments to managed care organizations, defines "critical access hospital" and "public hospital". Provides that, beginning January 1, 2023 and each calendar year thereafter, assignment to the safety-net class shall be based on the annual safety-net rate year beginning 15 months before the beginning of the first Payout Quarter of the calendar year. Makes changes to provisions concerning high Medicaid hospitals and defines "regional high volume hospital". Provides that, from January 1, 2023 through December 31, 2023, the Department of Healthcare and Family Services shall establish the amounts that shall be allocated to the hospital class directed payment fixed pools identified under a specified provision of the Code for the quarterly development of a uniform per unit add-on. Requires the Department to ensure that hospitals assigned to the fixed pools are paid no less than 95% of the annual initial rate for each 6-month period of each annual payout period. Contains provisions concerning directed payment amounts established by the Department for the Payout Quarter beginning January 1, 2023; pass-through payments for calendar year 2023; the sum of the total estimated annual payments to each hospital class for calendar year 2023; and other matters. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that a general acute care hospital is authorized to file a notice with the Department of Public Health and the Health Facilities and Services Review Board to establish an acute mental illness category of service in accordance with the Illinois Health Facilities Planning Act and add authorized acute mental illness beds if the following conditions are met: (i) the general acute care hospital qualifies as a safety-net hospital as determined by the Department of Healthcare and Family Services at the time of filing the notice or for the year immediately prior to the date of filing the notice; (ii) the notice seeks to establish no more than 24 authorized acute mental illness beds; and (iii) the notice seeks to reduce the number of authorized beds in another category of service to offset the number of authorized acute mental illness beds. In provisions requiring the Department of Healthcare and Family Services to pay certain amounts to the human poison control center designated under the Poison Control System Act, provides that not less than $3,750,000 shall be paid for State fiscal years 2021 through 2026 (rather than for State fiscal year 2021 and 2022) and not less than $1,875,000 shall be paid for the period July 1, 2026 through December 31, 2026 (rather than for the period July 1, 2022 through December 31, 2022). Amends the Department of Public Health Powers and Duties Law. Provides that, by February 1, 2023, the Department of Public Health and the Department of Healthcare and Family Services shall provide a joint report to the General Assembly on options and recommendations for the establishment of a permanent Safety-Net Hospital Health Equity and Access Leadership (HEAL) Grant Program. Provides that the Departments of Public Health and Healthcare and Family Services may consult with the statewide association representing a majority of hospitals and safety-net hospitals on the report. Sets forth information that may be included in the report, including, but not limited to: (1) criteria for a safety-net hospital to be eligible for the program; (2) potential projects eligible for grant funds, which may include projects to reduce health disparities, advance health equity, or improve access to or the quality of healthcare services; and (3) potential strategies to generate federal Medicaid matching funds for expenditures under the program. Amends the Medical Assistance Article of the Illinois Public Aid Code. In provisions requiring the Department of Healthcare and Family Services to make adjustment payments for inpatient services to hospitals that meet certain requirements, provides that such adjustment payments shall be made to a hospital that reopens a previously closed hospital facility within 4 (rather than 3) calendar years of the hospital facility's closure. Amends the Illinois Income Tax Act. Extends the income tax credit for certain hospitals through taxable years ending on or before December 31, 2027 (currently, December 31, 2022). Amends the Use Tax Act, the Service Use Tax Act, the Service Occupation Tax Act, and the Retailers' Occupation Tax Act. Provides that certain hospital exemptions apply on a continuous basis. Effective immediately.

Actions 
DateChamber Action
  2/16/2021HouseFiled with the Clerk by Rep. Lamont J. Robinson, Jr.
  2/17/2021HouseFirst Reading
  2/17/2021HouseReferred to Rules Committee
  3/9/2021HouseAssigned to Human Services Committee
  3/16/2021HouseDo Pass / Consent Calendar Human Services Committee; 015-000-000
  3/18/2021HousePlaced on Calendar 2nd Reading - Consent Calendar
  4/6/2021HouseAdded Chief Co-Sponsor Rep. Carol Ammons
  4/14/2021HouseSecond Reading - Consent Calendar
  4/14/2021HouseHeld on Calendar Order of Second Reading - Consent Calendar
  4/14/2021HousePlaced on Calendar Order of 3rd Reading - Consent Calendar
  4/16/2021HouseAdded Co-Sponsor Rep. Seth Lewis
  4/16/2021HouseThird Reading - Consent Calendar - First Day
  4/21/2021HouseThird Reading - Consent Calendar - Passed 117-000-000
  4/21/2021SenateArrive in Senate
  4/21/2021SenatePlaced on Calendar Order of First Reading April 22, 2021
  4/23/2021SenateChief Senate Sponsor Sen. Mattie Hunter
  4/23/2021SenateFirst Reading
  4/23/2021SenateReferred to Assignments
  5/7/2021SenateAdded as Alternate Chief Co-Sponsor Sen. Jacqueline Y. Collins
  5/18/2021SenateAssigned to Executive
  5/21/2021SenateRule 2-10 Committee Deadline Established As May 29, 2021
  5/26/2021SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. Don Harmon
  5/26/2021SenateSenate Committee Amendment No. 1 Referred to Assignments
  5/26/2021SenateSenate Committee Amendment No. 1 Assignments Refers to Executive
  5/27/2021SenateSenate Committee Amendment No. 1 Adopted
  5/27/2021SenateDo Pass as Amended Executive; 009-005-000
  5/27/2021SenatePlaced on Calendar Order of 2nd Reading
  5/27/2021SenateSecond Reading
  5/27/2021SenatePlaced on Calendar Order of 3rd Reading May 28, 2021
  5/31/2021SenateRule 2-10 Third Reading Deadline Established As June 15, 2021
  6/15/2021SenateRule 3-9(a) / Re-referred to Assignments
  4/7/2022SenateApproved for Consideration Assignments
  4/7/2022SenatePlaced on Calendar Order of 3rd Reading
  4/7/2022SenateRule 2-10 Third Reading Deadline Established As April 8, 2022
  4/8/2022SenateSenate Floor Amendment No. 2 Filed with Secretary by Sen. Ann Gillespie
  4/8/2022SenateSenate Floor Amendment No. 2 Referred to Assignments
  4/8/2022SenateSenate Floor Amendment No. 2 Assignments Refers to Executive
  4/8/2022SenateSenate Floor Amendment No. 2 Recommend Do Adopt Executive; 017-000-000
  4/8/2022SenateAlternate Chief Sponsor Changed to Sen. Ann Gillespie
  4/8/2022SenateAdded as Alternate Chief Co-Sponsor Sen. Mattie Hunter
  4/8/2022SenateSenate Floor Amendment No. 3 Filed with Secretary by Sen. Ann Gillespie
  4/8/2022SenateSenate Floor Amendment No. 3 Referred to Assignments
  4/8/2022SenateSenate Floor Amendment No. 3 Be Approved for Consideration Assignments
  4/9/2022SenateRecalled to Second Reading
  4/9/2022SenateSenate Floor Amendment No. 2 Adopted; Gillespie
  4/9/2022SenateSenate Floor Amendment No. 3 Adopted; Gillespie
  4/9/2022SenatePlaced on Calendar Order of 3rd Reading
  4/9/2022SenateThird Reading - Passed; 056-000-000
  4/9/2022HouseArrived in House
  4/9/2022HousePlaced on Calendar Order of Concurrence Senate Amendment(s) 1, 2, 3
  4/9/2022HouseChief Sponsor Changed to Rep. Greg Harris
  4/9/2022HouseSenate Committee Amendment No. 1 Motion Filed Concur Rep. Greg Harris
  4/9/2022HouseSenate Floor Amendment No. 2 Motion Filed Concur Rep. Greg Harris
  4/9/2022HouseSenate Floor Amendment No. 3 Motion Filed Concur Rep. Greg Harris
  4/9/2022HouseSenate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee
  4/9/2022HouseSenate Floor Amendment No. 2 Motion to Concur Referred to Rules Committee
  4/9/2022HouseSenate Floor Amendment No. 3 Motion to Concur Referred to Rules Committee
  4/9/2022HouseSenate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Rules Committee; 004-000-000
  4/9/2022HouseSenate Floor Amendment No. 2 Motion to Concur Recommends Be Adopted Rules Committee; 004-000-000
  4/9/2022HouseSenate Floor Amendment No. 3 Motion to Concur Recommends Be Adopted Rules Committee; 004-000-000
  4/9/2022HouseAdded Chief Co-Sponsor Rep. Camille Y. Lilly
  4/9/2022HouseAdded Co-Sponsor Rep. Deanne M. Mazzochi
  4/9/2022HouseAdded Co-Sponsor Rep. Ryan Spain
  4/9/2022HouseAdded Co-Sponsor Rep. Keith R. Wheeler
  4/9/2022HouseAdded Co-Sponsor Rep. Amy Elik
  4/9/2022HouseAdded Co-Sponsor Rep. Michael T. Marron
  4/9/2022HouseAdded Co-Sponsor Rep. Dan Caulkins
  4/9/2022HouseAdded Co-Sponsor Rep. Bradley Stephens
  4/9/2022HouseAdded Co-Sponsor Rep. Amy Grant
  4/9/2022HouseAdded Co-Sponsor Rep. Tom Weber
  4/9/2022HouseAdded Co-Sponsor Rep. David A. Welter
  4/9/2022HouseAdded Co-Sponsor Rep. Martin McLaughlin
  4/9/2022HouseAdded Co-Sponsor Rep. Chris Bos
  4/9/2022HouseAdded Co-Sponsor Rep. Paul Jacobs
  4/9/2022HouseSenate Committee Amendment No. 1 House Concurs 113-000-000
  4/9/2022HouseSenate Floor Amendment No. 2 House Concurs 113-000-000
  4/9/2022HouseSenate Floor Amendment No. 3 House Concurs 113-000-000
  4/9/2022HouseHouse Concurs
  4/9/2022HousePassed Both Houses
  4/20/2022HouseSent to the Governor
  5/17/2022HouseGovernor Approved
  5/17/2022HouseEffective Date May 17, 2022
  5/17/2022HousePublic Act . . . . . . . . . 102-0886

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