SB 2541

Abstract

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that for facilities licensed by the Department of Public Health under the ID/DD Community Care Act as ID/DD Facilities and under the MC/DD Act as MC/DD Facilities, subject to federal approval, the rates taking effect on the latter of the approval date of the State Plan Amendment for these facilities or the Waiver Amendment for the home and community-based services settings shall include an increase sufficient to provide a $0.26 per hour wage increase to the base wage for non-executive staff. Requires the Department to adopt emergency rules. Amends the Illinois Administrative Procedure Act. Provides that emergency rules may be adopted to implement the provisions of the amendatory Act. Effective immediately. House Floor Amendment No. 1 Deletes reference to: 305 ILCS 5/5-5.4 Adds reference to: 5 ILCS 100/5-45.1 new 5 ILCS 100/5-46.3 rep. 20 ILCS 3960/3 from Ch. 111 1/2, par. 1153 20 ILCS 3960/8.7 30 ILCS 105/6z-81 210 ILCS 50/32.5 305 ILCS 5/5-5.05c new 305 ILCS 5/5-5e.1 305 ILCS 5/5A-2 from Ch. 23, par. 5A-2 305 ILCS 5/5A-4 from Ch. 23, par. 5A-4 305 ILCS 5/5A-8 from Ch. 23, par. 5A-8 305 ILCS 5/5A-10 from Ch. 23, par. 5A-10 305 ILCS 5/5A-12.7 new 305 ILCS 5/5A-12.8 new 305 ILCS 5/5A-13 305 ILCS 5/5A-14 305 ILCS 5/5A-17 new 305 ILCS 5/12-4.105 305 ILCS 5/14-12 Replaces everything after the enacting clause. Amends the Illinois Public Aid Code. Extends the time period that a hospital can qualify as a safety-net hospital. Makes changes to provisions concerning annual assessments on inpatient services for hospital providers for the period of July 1, 2020 through December 31, 2020 and calendar years 2021 and 2022 (rather than for State fiscal years 2021 through 2024). Provides that should the change in the assessment methodology for fiscal years 2021 through December 31, 2022 not be approved on or before June 30, 2020, the assessment in effect for fiscal year 2020 shall remain in place until the new assessment is approved. Provides that if the assessment methodology for July 1, 2020 through December 31, 2022, is approved on or after July 1, 2020, it shall be retroactive to July 1, 2020, subject to federal approval and provided that certain hospital access payments authorized under the Code have the same effective date as the new assessment methodology. Contains provisions concerning an Assessment Adjustment for hospital providers beginning July 1, 2020. Provides that the Hospital Provider Fund shall make certain transfers to designated funds during State fiscal years 2021 and 2022. Contain provisions requiring the Department of Healthcare and Family Services to make hospital access payments to hospitals or to require capitated managed care organizations to make such payments for hospital services rendered on and after July 1, 2020. Provides that such hospital access payments are not due and payable until (1) certain payment methodologies are approved by the federal government in an appropriate State Plan amendment or directed payment preprint; and (2) a specified assessment is determined to be a permissible tax under the Social Security Act. Contains provisions concerning graduation medical education payments, Medicaid indirect medical education payments, and Medicaid Intern Resident Cost calculations for hospitals. Provides that critical access hospitals, safety-net hospitals, long term acute care hospitals, freestanding psychiatric hospitals, freestanding rehabilitation hospitals, and general acute care hospitals shall receive annual fee-for-service supplemental payments to be paid in 12 equal installments. Provides that certain hospitals shall receive Alzheimer's treatment access payments. Requires the Department to require managed care organizations to make directed payments and pass-through payments each calendar year. Provides that for the purpose of allocating funds included in capitation payments to managed care organizations, Illinois hospitals shall be divided into specified classes. Provides that beginning July 1, 2020, the Department shall issue payments to managed care organizations which shall be used to issue directed payments to qualified Illinois safety-net hospitals and critical access hospitals on a monthly basis. Contains provisions concerning quarterly inpatient per unit add-ons; quarterly inpatient directed payments; and quarterly outpatient per unit add-ons for specified hospitals. Sets forth specified amounts to be allocated to specified hospital class directed payment pools for the quarterly development of a uniform per unit add-on for the period July 1, 2020 through December 2020. Requires the Department to direct managed care organizations to make certain payments to general acute care hospitals, high Medicaid hospitals, long term acute care hospitals, and other specified hospitals based on each hospital's claims data for the relevant determination quarter. Requires the Department to submit certain reports to the General Assembly beginning February 1, 2022. Extends the repeal date of certain assessments and disbursements to December 31, 2022 (rather than July 1, 2020). Changes the name of the hospital transformation program to the hospital and health care transformation program. Provides that during State Fiscal Years 2021 through 2023, the hospital and health care transformation program shall be supported by an annual transformation funding pool of at least $150,000,000 to be allocated during the specified fiscal years for the purpose of facilitating hospital and health care transformation. Contains provisions concerning other matters. Amends the Illinois Administrative Procedure Act. Grants the Department of Healthcare and Family Services emergency rulemaking authority for changes made to the Illinois Public Aid Code by the amendatory Act. Amends the Illinois Health Facilities Planning Act. Provides that an application to close a health care facility shall only be deemed complete if it includes evidence that the health care facility provided written notice at least 30 days prior to filing the application of its intent to do so to the municipality in which it is located, the State Representative and State Senator of the district in which the health care facility is located, the State Board, the Director of Public Health, and the Director of Healthcare and Family Services. Amends the Emergency Medical Services (EMS) Systems Act. Provides that the Department of Public Health shall issue an annual Freestanding Emergency Center (FEC) license to a facility if the Department of Healthcare and Family Services has approved the conversion to an FEC (rather than certified the conversion to an FEC was approved by the Hospital Transformation Review Committee) as a project subject to the hospital's transformation in accordance with a specified provision under the Illinois Public Aid Code. Effective immediately.