| ||||
| Public Act 101-0669 | ||||
| ||||
| ||||
AN ACT concerning regulation.
| ||||
Be it enacted by the People of the State of Illinois,
| ||||
represented in the General Assembly:
| ||||
Section 5. The Illinois Public Aid Code is amended by | ||||
changing Section 5-5e.1 as follows: | ||||
(305 ILCS 5/5-5e.1) | ||||
Sec. 5-5e.1. Safety-Net Hospitals. | ||||
(a) A Safety-Net Hospital is an Illinois hospital that: | ||||
(1) is licensed by the Department of Public Health as a | ||||
general acute care or pediatric hospital; and | ||||
(2) is a disproportionate share hospital, as described | ||||
in Section 1923 of the federal Social Security Act, as | ||||
determined by the Department; and | ||||
(3) meets one of the following: | ||||
(A) has a MIUR of at least 40% and a charity | ||||
percent of at least 4%; or | ||||
(B) has a MIUR of at least 50%. | ||||
(b) Definitions. As used in this Section: | ||||
(1) "Charity percent" means the ratio of (i) the | ||||
hospital's charity charges for services provided to | ||||
individuals without health insurance or another source of | ||||
third party coverage to (ii) the Illinois total hospital | ||||
charges, each as reported on the hospital's OBRA form. | ||||
(2) "MIUR" means Medicaid Inpatient Utilization Rate | ||
and is defined as a fraction, the numerator of which is the | ||
number of a hospital's inpatient days provided in the | ||
hospital's fiscal year ending 3 years prior to the rate | ||
year, to patients who, for such days, were eligible for | ||
Medicaid under Title XIX of the federal Social Security | ||
Act, 42 USC 1396a et seq., excluding those persons eligible | ||
for medical assistance pursuant to 42 U.S.C. | ||
1396a(a)(10)(A)(i)(VIII) as set forth in paragraph 18 of | ||
Section 5-2 of this Article, and the denominator of which | ||
is the total number of the hospital's inpatient days in | ||
that same period, excluding those persons eligible for | ||
medical assistance pursuant to 42 U.S.C. | ||
1396a(a)(10)(A)(i)(VIII) as set forth in paragraph 18 of | ||
Section 5-2 of this Article. | ||
(3) "OBRA form" means form HFS-3834, OBRA '93 data | ||
collection form, for the rate year. | ||
(4) "Rate year" means the 12-month period beginning on | ||
October 1. | ||
(c) Beginning July 1, 2012 and ending on December 31, 2022, | ||
a hospital that would have qualified for the rate year | ||
beginning October 1, 2011 or October 1, 2012 , shall be a | ||
Safety-Net Hospital. | ||
(d) No later than August 15 preceding the rate year, each | ||
hospital shall submit the OBRA form to the Department. Prior to | ||
October 1, the Department shall notify each hospital whether it | ||
has qualified as a Safety-Net Hospital. | ||
(e) The Department may promulgate rules in order to | ||
implement this Section.
| ||
(f) Nothing in this Section shall be construed as limiting | ||
the ability of the Department to include the Safety-Net | ||
Hospitals in the hospital rate reform mandated by Section 14-11 | ||
of this Code and implemented under Section 14-12 of this Code | ||
and by administrative rulemaking. | ||
(Source: P.A. 100-581, eff. 3-12-18; 101-650, eff. 7-7-20.)
| ||
Section 99. Effective date. This Act takes effect upon | ||
becoming law.
| ||