State of Illinois
90th General Assembly
Legislation

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90_SB0444sam002

                                         SDS/90SB0444pam1/nop
 1                    AMENDMENT TO SENATE BILL 444
 2        AMENDMENT NO.     .  Amend Senate Bill 444  by  replacing
 3    the title with the following:
 4        "AN  ACT  to  amend the Nursing Home Care Act by changing
 5    Section 3-401.1."; and
 6    by replacing everything after the enacting  clause  with  the
 7    following:
 8        "Section  5.   The  Nursing  Home  Care Act is amended by
 9    changing Section 3-401.1 as follows:
10        (210 ILCS 45/3-401.1) (from Ch. 111 1/2, par. 4153-401.1)
11        Sec.  3-401.1.   (a)  A  facility  participating  in  the
12    Medical Assistance Program  is  prohibited  from  failing  or
13    refusing to retain as a resident any person because he or she
14    is  a recipient of or an applicant for the Medical Assistance
15    Program.
16        (a-5)  After the effective date of this amendatory Act of
17    1997, a facility of which only a distinct part  is  certified
18    to  participate  in the Medical Assistance Program may refuse
19    to retain as a resident any person who resides in a  part  of
20    the  facility  that  does  not  participate  in  the  Medical
21    Assistance  Program  and  who is unable to pay for his or her
                            -2-          SDS/90SB0444pam1/nop
 1    care in the facility without Medical Assistance only if:
 2             (1)  the facility, no later  than  at  the  time  of
 3        admission,  explains to the resident (unless he or she is
 4        incompetent), and to the resident's  representative,  and
 5        to  the  person  making payment on behalf of the resident
 6        for the resident's stay, in writing,  that  the  facility
 7        may  discharge  the resident if the resident is no longer
 8        able to pay for his or her care in the  facility  without
 9        Medical Assistance;
10             (2)  the  resident (unless he or she is incompetent)
11        the resident's  representative,  and  the  person  making
12        payment  on  behalf  of  the  resident for the resident's
13        stay, acknowledge in writing that they have received  the
14        written explanation.
15        (a-10)  For  the purposes of this Section, a recipient or
16    applicant shall be considered  a  resident  in  the  facility
17    during any hospital stay totaling 10 days or less following a
18    hospital  admission.  The  Illinois  Department of Public Aid
19    shall recoup funds from a facility when, as a result  of  the
20    facility's    refusal    to   readmit   a   recipient   after
21    hospitalization for 10 days or  less,  the  recipient  incurs
22    hospital  bills  in  an  amount  greater than the amount that
23    would have been paid by  that  Department  for  care  of  the
24    recipient in the facility. The amount of the recoupment shall
25    be  the  difference between the Illinois Department of Public
26    Aid's  payment  for  hospital  care  and  the   amount   that
27    Department would have paid for care in the facility.
28        (b)  A  facility  which  violates  this  Section shall be
29    guilty of a business offense and fined not less than $500 nor
30    more than $1,000 for the first  offense  and  not  less  than
31    $1,000 nor more than $5,000 for each subsequent offense.
32    (Source: P.A. 85-1231.)
33        Section  99.  Effective date.  This Act takes effect upon
                            -3-          SDS/90SB0444pam1/nop
 1    becoming law.".

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