HB 1950

  • Illinois House Bill
  • 102nd Regular Session
  • Introduced in House Apr 09, 2022
  • Passed House Apr 21, 2021
  • Passed Senate Apr 09, 2022
  • Signed by Governor May 17, 2022

Medicaid Technical Assistance

Abstract

Creates the Medicaid Technical Assistance Center Act. Requires the Department of Healthcare and Family Services to establish a Medicaid Technical Assistance Center (Center). Provides that the Center shall operate as a cross-system educational resource to strengthen the business infrastructure of health care provider organizations in Illinois to ultimately increase the capacity, access, health equity, and quality of Illinois' Medicaid managed care programs: HealthChoice Illinois and YouthCare. Requires the Center to be established within the Department's Office of Medicaid Innovation. Requires the Center to collaborate with public and private partners throughout the State to identify, establish, and maintain best practices necessary for health providers to ensure their capacity to participate in HealthChoice Illinois or YouthCare. Requires the Center to: (i) create and administer ongoing trainings for health care providers; (ii) maintain an independent, easy to navigate, and up-to-date website; and (iii) host regional learning collaboratives that will supplement the Center's training curriculum to bring together groups of stakeholders to share issues and best practices, and to escalate issues. Requires the Department to maximize federal financial participation for any moneys appropriated to the Department for the Medicaid Technical Assistance Center. Provides that any federal financial participation funds obtained shall be used for the further development and expansion of the Medicaid Technical Assistance Center. Amends the State Finance Act. Creates the Medicaid Technical Assistance Center Fund. Effective immediately. Senate Committee Amendment No. 1 Deletes reference to: New Act 30 ILCS 105/5.935 new Adds reference to: 305 ILCS 5/1-5 from Ch. 23, par. 1-5 Replaces everything after the enacting clause. Amends the Illinois Public Aid Code. Makes a technical change in a Section concerning construction of the Code. Senate Floor Amendment No. 2 Deletes reference to: 305 ILCS 5/1-5 Adds reference to: 305 ILCS 5/5-5e.1 305 ILCS 5/5A-2 from Ch. 23, par. 5A-2 305 ILCS 5/5A-5 from Ch. 23, par. 5A-5 305 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-12.7 305 ILCS 5/5A-14 305 ILCS 5/5-45 new 305 ILCS 5/12-4.105 20 ILCS 2310/2310-710 new 305 ILCS 5/5-5.02 from Ch. 23, par. 5-5.02 35 ILCS 5/223 35 ILCS 105/3-8 35 ILCS 110/3-8 35 ILCS 115/3-8 35 ILCS 120/2-9 Replaces everything after the enacting clause. Amends the Illinois Public Aid Code. In a provision concerning safety-net hospitals, provides that beginning July 1, 2020 and ending on December 31, 2026, a hospital that would have qualified for the rate year beginning October 1, 2020 and was designated a federal rural referral center on October 1, 2020 shall be a Safety-Net Hospital. In provisions concerning hospital provider funding, provides that certain annual assessments on inpatient services and outpatient services shall be imposed on each hospital provider for calendar years 2021 through 2026 (rather than for calendar years 2021 and 2022). Makes changes to the definition of "Assessment Adjustment". Extends the period during which certain transfers shall be made from the Hospital Provider Fund. Contains provisions concerning: (i) the applicable reimbursement factor from July 1, 2020 through December 31, 2022 and January 1, 2023 through December 31, 2026; and (ii) fee for-service supplemental payments beginning January 1, 2023. In a provision concerning the classification of Illinois hospitals for the purpose of allocating the funds included in capitation payments to managed care organizations, defines "critical access hospital" and "public hospital". Provides that, beginning January 1, 2023 and each calendar year thereafter, assignment to the safety-net class shall be based on the annual safety-net rate year beginning 15 months before the beginning of the first Payout Quarter of the calendar year. Makes changes to provisions concerning high Medicaid hospitals and defines "regional high volume hospital". Provides that, from January 1, 2023 through December 31, 2023, the Department of Healthcare and Family Services shall establish the amounts that shall be allocated to the hospital class directed payment fixed pools identified under a specified provision of the Code for the quarterly development of a uniform per unit add-on. Requires the Department to ensure that hospitals assigned to the fixed pools are paid no less than 95% of the annual initial rate for each 6-month period of each annual payout period. Contains provisions concerning directed payment amounts established by the Department for the Payout Quarter beginning January 1, 2023; pass-through payments for calendar year 2023; the sum of the total estimated annual payments to each hospital class for calendar year 2023; and other matters. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that a general acute care hospital is authorized to file a notice with the Department of Public Health and the Health Facilities and Services Review Board to establish an acute mental illness category of service in accordance with the Illinois Health Facilities Planning Act and add authorized acute mental illness beds if the following conditions are met: (i) the general acute care hospital qualifies as a safety-net hospital as determined by the Department of Healthcare and Family Services at the time of filing the notice or for the year immediately prior to the date of filing the notice; (ii) the notice seeks to establish no more than 24 authorized acute mental illness beds; and (iii) the notice seeks to reduce the number of authorized beds in another category of service to offset the number of authorized acute mental illness beds. In provisions requiring the Department of Healthcare and Family Services to pay certain amounts to the human poison control center designated under the Poison Control System Act, provides that not less than $3,750,000 shall be paid for State fiscal years 2021 through 2026 (rather than for State fiscal year 2021 and 2022) and not less than $1,875,000 shall be paid for the period July 1, 2026 through December 31, 2026 (rather than for the period July 1, 2022 through December 31, 2022). Amends the Department of Public Health Powers and Duties Law. Provides that, by February 1, 2023, the Department of Public Health and the Department of Healthcare and Family Services shall provide a joint report to the General Assembly on options and recommendations for the establishment of a permanent Safety-Net Hospital Health Equity and Access Leadership (HEAL) Grant Program. Provides that the Departments of Public Health and Healthcare and Family Services may consult with the statewide association representing a majority of hospitals and safety-net hospitals on the report. Sets forth information that may be included in the report, including, but not limited to: (1) criteria for a safety-net hospital to be eligible for the program; (2) potential projects eligible for grant funds, which may include projects to reduce health disparities, advance health equity, or improve access to or the quality of healthcare services; and (3) potential strategies to generate federal Medicaid matching funds for expenditures under the program. Amends the Medical Assistance Article of the Illinois Public Aid Code. In provisions requiring the Department of Healthcare and Family Services to make adjustment payments for inpatient services to hospitals that meet certain requirements, provides that such adjustment payments shall be made to a hospital that reopens a previously closed hospital facility within 4 (rather than 3) calendar years of the hospital facility's closure. Amends the Illinois Income Tax Act. Extends the income tax credit for certain hospitals through taxable years ending on or before December 31, 2027 (currently, December 31, 2022). Amends the Use Tax Act, the Service Use Tax Act, the Service Occupation Tax Act, and the Retailers' Occupation Tax Act. Provides that the credit for personal property sold to or used by certain hospitals is exempt from the Acts' automatic sunset provisions. Effective immediately. Senate Floor Amendment No. 3 Deletes reference to: 305 ILCS 5/1-5 Adds reference to: 305 ILCS 5/5-5e.1 305 ILCS 5/5A-2 from Ch. 23, par. 5A-2 305 ILCS 5/5A-5 from Ch. 23, par. 5A-5 305 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-12.7 305 ILCS 5/5A-14 305 ILCS 5/5-45 new 305 ILCS 5/12-4.105 20 ILCS 2310/2310-710 new 305 ILCS 5/5-5.02 from Ch. 23, par. 5-5.02 35 ILCS 5/223 35 ILCS 105/3-8 35 ILCS 110/3-8 35 ILCS 115/3-8 35 ILCS 120/2-9 Replaces everything after the enacting clause. Amends the Illinois Public Aid Code. In a provision concerning safety-net hospitals, provides that beginning July 1, 2020 and ending on December 31, 2026, a hospital that would have qualified for the rate year beginning October 1, 2020 and was designated a federal rural referral center on October 1, 2020 shall be a Safety-Net Hospital. In provisions concerning hospital provider funding, provides that certain annual assessments on inpatient services and outpatient services shall be imposed on each hospital provider for calendar years 2021 through 2026 (rather than for calendar years 2021 and 2022). Makes changes to the definition of "Assessment Adjustment". Extends the period during which certain transfers shall be made from the Hospital Provider Fund. Contains provisions concerning: (i) the applicable reimbursement factor from July 1, 2020 through December 31, 2022 and January 1, 2023 through December 31, 2026; and (ii) fee for-service supplemental payments beginning January 1, 2023. In a provision concerning the classification of Illinois hospitals for the purpose of allocating the funds included in capitation payments to managed care organizations, defines "critical access hospital" and "public hospital". Provides that, beginning January 1, 2023 and each calendar year thereafter, assignment to the safety-net class shall be based on the annual safety-net rate year beginning 15 months before the beginning of the first Payout Quarter of the calendar year. Makes changes to provisions concerning high Medicaid hospitals and defines "regional high volume hospital". Provides that, from January 1, 2023 through December 31, 2023, the Department of Healthcare and Family Services shall establish the amounts that shall be allocated to the hospital class directed payment fixed pools identified under a specified provision of the Code for the quarterly development of a uniform per unit add-on. Requires the Department to ensure that hospitals assigned to the fixed pools are paid no less than 95% of the annual initial rate for each 6-month period of each annual payout period. Contains provisions concerning directed payment amounts established by the Department for the Payout Quarter beginning January 1, 2023; pass-through payments for calendar year 2023; the sum of the total estimated annual payments to each hospital class for calendar year 2023; and other matters. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that a general acute care hospital is authorized to file a notice with the Department of Public Health and the Health Facilities and Services Review Board to establish an acute mental illness category of service in accordance with the Illinois Health Facilities Planning Act and add authorized acute mental illness beds if the following conditions are met: (i) the general acute care hospital qualifies as a safety-net hospital as determined by the Department of Healthcare and Family Services at the time of filing the notice or for the year immediately prior to the date of filing the notice; (ii) the notice seeks to establish no more than 24 authorized acute mental illness beds; and (iii) the notice seeks to reduce the number of authorized beds in another category of service to offset the number of authorized acute mental illness beds. In provisions requiring the Department of Healthcare and Family Services to pay certain amounts to the human poison control center designated under the Poison Control System Act, provides that not less than $3,750,000 shall be paid for State fiscal years 2021 through 2026 (rather than for State fiscal year 2021 and 2022) and not less than $1,875,000 shall be paid for the period July 1, 2026 through December 31, 2026 (rather than for the period July 1, 2022 through December 31, 2022). Amends the Department of Public Health Powers and Duties Law. Provides that, by February 1, 2023, the Department of Public Health and the Department of Healthcare and Family Services shall provide a joint report to the General Assembly on options and recommendations for the establishment of a permanent Safety-Net Hospital Health Equity and Access Leadership (HEAL) Grant Program. Provides that the Departments of Public Health and Healthcare and Family Services may consult with the statewide association representing a majority of hospitals and safety-net hospitals on the report. Sets forth information that may be included in the report, including, but not limited to: (1) criteria for a safety-net hospital to be eligible for the program; (2) potential projects eligible for grant funds, which may include projects to reduce health disparities, advance health equity, or improve access to or the quality of healthcare services; and (3) potential strategies to generate federal Medicaid matching funds for expenditures under the program. Amends the Medical Assistance Article of the Illinois Public Aid Code. In provisions requiring the Department of Healthcare and Family Services to make adjustment payments for inpatient services to hospitals that meet certain requirements, provides that such adjustment payments shall be made to a hospital that reopens a previously closed hospital facility within 4 (rather than 3) calendar years of the hospital facility's closure. Amends the Illinois Income Tax Act. Extends the income tax credit for certain hospitals through taxable years ending on or before December 31, 2027 (currently, December 31, 2022). Amends the Use Tax Act, the Service Use Tax Act, the Service Occupation Tax Act, and the Retailers' Occupation Tax Act. Provides that certain hospital exemptions apply on a continuous basis. Effective immediately.

Bill Sponsors (20)

Votes


Actions


May 17, 2022

House

Governor Approved

House

Public Act . . . . . . . . . 102-0886

House

Effective Date May 17, 2022

Apr 20, 2022

House

Sent to the Governor

Apr 09, 2022

Senate

Senate Floor Amendment No. 2 Adopted; Gillespie

Senate

Senate Floor Amendment No. 3 Adopted; Gillespie

Senate

Placed on Calendar Order of 3rd Reading

Senate

Third Reading - Passed; 056-000-000

House

Arrived in House

House

Senate Committee Amendment No. 1 House Concurs 113-000-000

House

Added Co-Sponsor Rep. Paul Jacobs

House

Added Co-Sponsor Rep. Chris Bos

House

Added Co-Sponsor Rep. Martin McLaughlin

House

Added Co-Sponsor Rep. David A. Welter

House

Added Co-Sponsor Rep. Tom Weber

House

Added Co-Sponsor Rep. Amy Grant

House

Added Co-Sponsor Rep. Bradley Stephens

House

Added Co-Sponsor Rep. Dan Caulkins

House

Added Co-Sponsor Rep. Michael T. Marron

House

Added Co-Sponsor Rep. Amy Elik

House

Added Co-Sponsor Rep. Keith R. Wheeler

House

Added Co-Sponsor Rep. Ryan Spain

House

Added Co-Sponsor Rep. Deanne M. Mazzochi

House

Added Chief Co-Sponsor Rep. Camille Y. Lilly

House

Senate Floor Amendment No. 3 Motion to Concur Recommends Be Adopted Rules Committee; 004-000-000

House

Senate Floor Amendment No. 2 Motion to Concur Recommends Be Adopted Rules Committee; 004-000-000

House

Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Rules Committee; 004-000-000

House

Senate Floor Amendment No. 3 Motion to Concur Referred to Rules Committee

House

Senate Floor Amendment No. 2 Motion to Concur Referred to Rules Committee

House

Senate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee

House

Senate Floor Amendment No. 3 Motion Filed Concur Rep. Greg Harris

House

Senate Floor Amendment No. 2 Motion Filed Concur Rep. Greg Harris

House

Senate Committee Amendment No. 1 Motion Filed Concur Rep. Greg Harris

House

Chief Sponsor Changed to Rep. Greg Harris

House

Passed Both Houses

House

Senate Floor Amendment No. 3 House Concurs 113-000-000

House

House Concurs

House

Placed on Calendar Order of Concurrence Senate Amendment(s) 1, 2, 3

House

Senate Floor Amendment No. 2 House Concurs 113-000-000

Senate

Recalled to Second Reading

Apr 08, 2022

Senate

Senate Floor Amendment No. 3 Referred to Assignments

Senate

Senate Floor Amendment No. 2 Filed with Secretary by Sen. Ann Gillespie

Senate

Senate Floor Amendment No. 2 Referred to Assignments

Senate

Senate Floor Amendment No. 2 Assignments Refers to Executive

Senate

Senate Floor Amendment No. 2 Recommend Do Adopt Executive; 017-000-000

Senate

Alternate Chief Sponsor Changed to Sen. Ann Gillespie

Senate

Added as Alternate Chief Co-Sponsor Sen. Mattie Hunter

Senate

Senate Floor Amendment No. 3 Filed with Secretary by Sen. Ann Gillespie

Senate

Senate Floor Amendment No. 3 Be Approved for Consideration Assignments

Apr 07, 2022

Senate

Rule 2-10 Third Reading Deadline Established As April 8, 2022

Senate

Placed on Calendar Order of 3rd Reading

Senate

Approved for Consideration Assignments

Jun 15, 2021

Senate

Rule 3-9(a) / Re-referred to Assignments

May 31, 2021

Senate

Rule 2-10 Third Reading Deadline Established As June 15, 2021

May 27, 2021

Senate

Do Pass as Amended Executive; 009-005-000

Senate

Placed on Calendar Order of 3rd Reading May 28, 2021

Senate

Second Reading

Senate

Placed on Calendar Order of 2nd Reading

Senate

Senate Committee Amendment No. 1 Adopted

May 26, 2021

Senate

Senate Committee Amendment No. 1 Filed with Secretary by Sen. Don Harmon

Senate

Senate Committee Amendment No. 1 Assignments Refers to Executive

Senate

Senate Committee Amendment No. 1 Referred to Assignments

May 21, 2021

Senate

Rule 2-10 Committee Deadline Established As May 29, 2021

May 18, 2021

Senate

Assigned to Executive

May 07, 2021

Senate

Added as Alternate Chief Co-Sponsor Sen. Jacqueline Y. Collins

Apr 23, 2021

Senate

First Reading

Senate

Referred to Assignments

Senate

Chief Senate Sponsor Sen. Mattie Hunter

Apr 21, 2021

Senate

Arrive in Senate

Senate

Placed on Calendar Order of First Reading April 22, 2021

House

Third Reading - Consent Calendar - Passed 117-000-000

Apr 16, 2021

House

Third Reading - Consent Calendar - First Day

House

Added Co-Sponsor Rep. Seth Lewis

Apr 14, 2021

House

Held on Calendar Order of Second Reading - Consent Calendar

House

Placed on Calendar Order of 3rd Reading - Consent Calendar

House

Second Reading - Consent Calendar

Apr 06, 2021

House

Added Chief Co-Sponsor Rep. Carol Ammons

Mar 18, 2021

House

Placed on Calendar 2nd Reading - Consent Calendar

Mar 16, 2021

House

Do Pass / Consent Calendar Human Services Committee; 015-000-000

Mar 09, 2021

House

Assigned to Human Services Committee

Feb 17, 2021

House

First Reading

House

Referred to Rules Committee

Feb 16, 2021

House

Filed with the Clerk by Rep. Lamont J. Robinson, Jr.

Bill Text

Bill Text Versions Format
Introduced HTML PDF
Engrossed HTML PDF
Enrolled HTML PDF
Senate Amendment 001 HTML PDF
Senate Amendment 002 HTML PDF
Senate Amendment 003 HTML PDF

Related Documents

Document Format
Public Act

Sources

Data on Open States is updated periodically throughout the day from the official website of the Illinois General Assembly.

If you notice any inconsistencies with these official sources, feel free to file an issue.