Illinois General Assembly - Full Text of Public Act 101-0669
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Public Act 101-0669


Public Act 0669 101ST GENERAL ASSEMBLY



Public Act 101-0669
SB1530 EnrolledLRB101 08495 JRG 53572 b

    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.

Effective Date: 4/2/2021