Illinois General Assembly - Full Text of SB1530
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Full Text of SB1530  101st General Assembly




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.