Illinois General Assembly - Full Text of HB4573
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Full Text of HB4573  102nd General Assembly

HB4573 102ND GENERAL ASSEMBLY

  
  

 


 
102ND GENERAL ASSEMBLY
State of Illinois
2021 and 2022
HB4573

 

Introduced 1/21/2022, by Rep. Elizabeth Hernandez

 

SYNOPSIS AS INTRODUCED:
 
305 ILCS 5/5F-35

    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.


LRB102 23916 KTG 33114 b

 

 

A BILL FOR

 

HB4573LRB102 23916 KTG 33114 b

1    AN ACT concerning public aid.
 
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 5F-35 as follows:
 
6    (305 ILCS 5/5F-35)
7    Sec. 5F-35. Reimbursement. The Department shall provide
8each managed care organization with the quarterly
9fee-for-service facility-specific RUG-IV nursing component per
10diem along with any add-ons for enhanced care services,
11support component per diem, and capital component per diem
12effective for each nursing home under contract with the
13managed care organization. No managed care contract shall
14provide for a level of reimbursement lower than the
15fee-for-service rate in effect for the facility at the time
16service is rendered. Managed care organizations are expressly
17prohibited, at any time and for any reason, from offering,
18negotiating, or entering into contracts with a nursing
19facility for a level of compensation less than the
20fee-for-service rate in effect at the time the service is
21rendered.
22(Source: P.A. 98-651, eff. 6-16-14.)
 

 

 

HB4573- 2 -LRB102 23916 KTG 33114 b

1    Section 99. Effective date. This Act takes effect upon
2becoming law.