Illinois General Assembly - Full Text of SB2443
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Full Text of SB2443  102nd General Assembly

SB2443 102ND GENERAL ASSEMBLY

  
  

 


 
102ND GENERAL ASSEMBLY
State of Illinois
2021 and 2022
SB2443

 

Introduced 2/26/2021, by Sen. Mattie Hunter

 

SYNOPSIS AS INTRODUCED:
 
305 ILCS 5/5-5e

    Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the rates or payments for home health visits shall be as follows: $111 for dates of service from January 1, 2021 through December 31, 2021; and $131 for dates of service on and after January 1, 2022. Provides that the rates or payments for the certified nursing assistant component of the home health agency rate shall be as follows: $20 for dates of service prior to January 1, 2021; $25 for dates of service from January 1, 2021 through December 31, 2021; $30 for dates of service from January 1, 2022 through December 31, 2022; and $35 for dates of service on and after January 1, 2023. Effective immediately.


LRB102 11334 KTG 16667 b

FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

SB2443LRB102 11334 KTG 16667 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 5-5e as follows:
 
6    (305 ILCS 5/5-5e)
7    Sec. 5-5e. Adjusted rates of reimbursement.
8    (a) Rates or payments for services in effect on June 30,
92012 shall be adjusted and services shall be affected as
10required by any other provision of Public Act 97-689. In
11addition, the Department shall do the following:
12        (1) Delink the per diem rate paid for supportive
13    living facility services from the per diem rate paid for
14    nursing facility services, effective for services provided
15    on or after May 1, 2011 and before July 1, 2019.
16        (2) Cease payment for bed reserves in nursing
17    facilities and specialized mental health rehabilitation
18    facilities; for purposes of therapeutic home visits for
19    individuals scoring as TBI on the MDS 3.0, beginning June
20    1, 2015, the Department shall approve payments for bed
21    reserves in nursing facilities and specialized mental
22    health rehabilitation facilities that have at least a 90%
23    occupancy level and at least 80% of their residents are

 

 

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1    Medicaid eligible. Payment shall be at a daily rate of 75%
2    of an individual's current Medicaid per diem and shall not
3    exceed 10 days in a calendar month.
4        (2.5) Cease payment for bed reserves for purposes of
5    inpatient hospitalizations to intermediate care facilities
6    for persons with developmental disabilities, except in the
7    instance of residents who are under 21 years of age.
8        (3) Cease payment of the $10 per day add-on payment to
9    nursing facilities for certain residents with
10    developmental disabilities.
11    (b) After the application of subsection (a),
12notwithstanding any other provision of this Code to the
13contrary and to the extent permitted by federal law, on and
14after July 1, 2012, the rates of reimbursement for services
15and other payments provided under this Code shall further be
16reduced as follows:
17        (1) Rates or payments for physician services, dental
18    services, or community health center services reimbursed
19    through an encounter rate, and services provided under the
20    Medicaid Rehabilitation Option of the Illinois Title XIX
21    State Plan shall not be further reduced, except as
22    provided in Section 5-5b.1.
23        (2) Rates or payments, or the portion thereof, paid to
24    a provider that is operated by a unit of local government
25    or State University that provides the non-federal share of
26    such services shall not be further reduced, except as

 

 

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1    provided in Section 5-5b.1.
2        (3) Rates or payments for hospital services delivered
3    by a hospital defined as a Safety-Net Hospital under
4    Section 5-5e.1 of this Code shall not be further reduced,
5    except as provided in Section 5-5b.1.
6        (4) Rates or payments for hospital services delivered
7    by a Critical Access Hospital, which is an Illinois
8    hospital designated as a critical care hospital by the
9    Department of Public Health in accordance with 42 CFR 485,
10    Subpart F, shall not be further reduced, except as
11    provided in Section 5-5b.1.
12        (5) Rates or payments for Nursing Facility Services
13    shall only be further adjusted pursuant to Section 5-5.2
14    of this Code.
15        (6) Rates or payments for services delivered by long
16    term care facilities licensed under the ID/DD Community
17    Care Act or the MC/DD Act and developmental training
18    services shall not be further reduced.
19        (7) Rates or payments for services provided under
20    capitation rates shall be adjusted taking into
21    consideration the rates reduction and covered services
22    required by Public Act 97-689.
23        (8) For hospitals not previously described in this
24    subsection, the rates or payments for hospital services
25    shall be further reduced by 3.5%, except for payments
26    authorized under Section 5A-12.4 of this Code.

 

 

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1        (9) For all other rates or payments for services
2    delivered by providers not specifically referenced in
3    paragraphs (1) through (8), rates or payments shall be
4    further reduced by 2.7%.
5    (c) Any assessment imposed by this Code shall continue and
6nothing in this Section shall be construed to cause it to
7cease.
8    (d) Notwithstanding any other provision of this Code to
9the contrary, subject to federal approval under Title XIX of
10the Social Security Act, for dates of service on and after July
111, 2014, rates or payments for services provided for the
12purpose of transitioning children from a hospital to home
13placement or other appropriate setting by a children's
14community-based health care center authorized under the
15Alternative Health Care Delivery Act shall be $683 per day.
16    (e) (Blank).
17    (f) (Blank).
18    (g) Notwithstanding any other provision of this Code to
19the contrary, subject to federal approval under Title XIX of
20the Social Security Act, for dates of service from January 1,
212021 through December 31, 2021, rates or payments for home
22health visits shall be $111. For dates of service on and after
23January 1, 2022, rates or payments for home health visits
24shall be $131.
25    (h) Notwithstanding any other provision of this Code to
26the contrary, subject to federal approval under Title XIX of

 

 

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1the Social Security Act, for dates of service prior to January
21, 2021, rates or payments for the certified nursing assistant
3component of the home health agency rate shall be $20. For
4dates of service from January 1, 2021 through December 31,
52021, rates or payments for the certified nursing assistant
6component of the home health agency rate shall be $25. For
7dates of service from January 1, 2022 through December 31,
82022, rates or payments for the certified nursing assistant
9component of the home health agency rate shall be $30. For
10dates of service on and after January 1, 2023, rates or
11payments for the certified nursing assistant component of the
12home health agency rate shall be $35.
13(Source: P.A. 101-10, eff. 6-5-19; 101-649, eff. 7-7-20.)
 
14    Section 99. Effective date. This Act takes effect upon
15becoming law.