Senate Sponsors: MAITLAND. House Sponsors: DAVIS,MONIQUE-KRAUSE-GILES-MCKEON-ACEVEDO Short description: MEDICAID-REIMBURSEMENT RATES Synopsis of Bill as introduced: Amends the "Medical Assistance" Article of the Public Aid Code. With respect to standards of payment to long-term care providers, provides that after June 30, 1998 the payment rates shall include an update for inflation and shall be based on the most recent cost reports on file with the Department no later than April 1 of the current rate year. With respect to the reimbursement methodology for long-term care providers, provides that (i) beginning not later than July 1, 1999 the nursing component of the reimbursement rate shall be calculated according to a Resource Utilization Grouping System (RUGS) model and (ii) beginning not later than July 1, 2000 the capital, support, and nursing components of the reimbursement rate shall be calculated according to a methodology that is entirely cost-based. Effective immediately. SENATE AMENDMENT NO. 1. Deletes reference to: 305 ILCS 5/5-5.4 Deletes everything. Amends the "Medical Assistance" Article of the Public Aid Code. Makes stylistic changes in a Section concerning reimbursement methodology for long-term care providers. HOUSE AMENDMENT NO. 1. Deletes reference to: 305 ILCS 5/5-5.21 Adds reference to: 305 ILCS 5/5-5.4 from Ch. 23, par. 5-5.4 Deletes everything. Amends the "Medical Assistance" Article of the Public Aid Code. In Section concerning standards of payment for skilled nursing and intermediate care services, provides that rates established on July 1, 1998 shall be based on facility cost reports on file with the Department of Public Aid on April 1, 1996, and reimbursement based on those rates shall be payable for services provided on or after October 1, 1998. Provides that effective October 1, 1998, the Department shall reimburse for the actual cost of real estate taxes paid by the facility, prorated for the facility's Medicaid census. Effective immediately. FISCAL NOTE, H-AM 1 (Dpt. Public Aid) Estimated cost is $41.4 M for FY99 (GRF share, $15.2 M). Annualized cost for subsequent fiscal years is $46.9 M (GRF share for FY2000, $22.8 M.) STATE MANDATES ACT FISCAL NOTE, H-AM 1 Fails to create a State mandate. FISCAL NOTE (Dpt. Human Services) SB 1420 is to be $1.9 million for FY99. The annualized cost will exceed the upper limits in FY2000 by $5.5 million. HOUSE AMENDMENT NO. 2. Replaces everything after the enacting clause. Amends the Public Aid Code with respect to standards of Medicaid payments for nursing home services. Provides that rates established on July 1, 1998 shall be based on the facility cost reports on file with the Department of Public Aid on April 1, 1997, updated to the midpoint of the rate year, and reimbursement based upon those rates shall be payable for services provided on or after October 1, 1998. Effective October 1, 1998 the Department shall reimburse for the actual cost of real estate taxes paid by the facility, prorated for the facility's Medicaid census. Effective immediately. STATE MANDATES ACT FISCAL NOTE, H-AM 2 No change from previous State mandates note. CORRECTIONAL NOTE, H-AM 2 No fiscal or prison population impact on DOC. JUDICIAL NOTE, H-AM 2 No decrease or increase in need for the number of judges. FISCAL NOTE, H-AM 2 (Dpt. Public Aid) Estimated cost is $91 M for FY99. Annualized cost for subsequent fiscal years is $136.4 M. FISCAL NOTE H-AM 2 (Dpt. Human Services) Full cost would be $306,120,132; annualized difference from current cost is $22,788,882, and annualized difference with October implementation adjustments is $15,667,357. Last action on Bill: SESSION SINE DIE Last action date: 99-01-12 Location: Senate Amendments to Bill: AMENDMENTS ADOPTED: HOUSE - 2 SENATE - 1 END OF INQUIRY Full Text Bill Status