SB 1298

Abstract

Amends the Nursing Home Care Act. Provides that the Directory published each year by the Department of Public Health for each public health region listing facilities shall contain the facility website address, if any. House Floor Amendment No. 2 Deletes reference to: 210 ILCS 45/2-207 Adds reference to: New Act 5 ILCS 100/5-45.35 new 20 ILCS 301/55-30 305 ILCS 5/5-47 new 5 ILCS 100/5-45.36 new 305 ILCS 5/5-5.05 305 ILCS 5/5A-12.7 305 ILCS 5/12-4.105 305 ILCS 5/14-12 305 ILCS 5/14-12.5 new 305 ILCS 5/14-12.7 new 305 ILCS 5/5-5 from Ch. 23, par. 5-5 305 ILCS 5/5-5.01a 305 ILCS 5/12-4.57 new 210 ILCS 49/5-107 305 ILCS 5/5-2b 305 ILCS 5/5-5.2 from Ch. 23, par. 5-5.2 20 ILCS 105/4.02 from Ch. 23, par. 6104.02 305 ILCS 5/5-5.2 from Ch. 23, par. 5-5.2 305 ILCS 5/5-5i new 305 ILCS 5/5-35.5 new 305 ILCS 66/20-10 305 ILCS 66/20-20 305 ILCS 66/20-22 new 305 ILCS 5/5-4.2 305 ILCS 5/5-5.4h 305 ILCS 5/5-4.2 20 ILCS 105/4.02 from Ch. 23, par. 6104.02 20 ILCS 105/4.06 20 ILCS 105/4.02 from Ch. 23, par. 6104.02 20 ILCS 105/4.07 320 ILCS 10/12 from Ch. 23, par. 6212 210 ILCS 85/6.09 from Ch. 111 1/2, par. 147.09 215 ILCS 5/5.5 305 ILCS 5/5-5 from Ch. 23, par. 5-5 305 ILCS 5/12-8 from Ch. 23, par. 12-8 305 ILCS 5/5-5.01a 305 ILCS 5/5A-2 from Ch. 23, par. 5A-2 215 ILCS 5/513b7 new 305 ILCS 5/5-30.11 305 ILCS 5/5-5a.1 new 305 ILCS 5/5-48 new 215 ILCS 5/363 from Ch. 73, par. 975 305 ILCS 5/5-49 new 305 ILCS 5/5-30.8 225 ILCS 60/15.5 new 225 ILCS 60/54.2 5 ILCS 100/5-45.37 new 305 ILCS 5/12-4.35 Replaces everything after the enacting clause. Creates the Substance Use Disorder Residential and Detox Rate Equity Act. Requires the General Assembly to appropriate sufficient funds to the Department of Human Services, for State Fiscal Year 2024 and for each State fiscal year thereafter, to ensure reimbursement rates will be increased and subsequently adjusted upward by an amount equal to the Consumer Price Index-U from the previous year, not to exceed 5% in any State fiscal year, for licensed or certified community-based substance use disorder treatment providers under community service grant programs for persons with substance use disorders, including, but not limited to, certain residential and withdrawal management services provided in accordance with criteria established by the American Society of Addiction Medicine. Amends the Illinois Public Aid Code. In the Medical Assistance Article of the Code, provides that on and after January 1, 2024, the inpatient, per diem rate to be paid to a hospital for inpatient psychiatric services shall be not less than 90% of the per diem rate established under a specified provision of the Code. Makes changes to provisions concerning funding to the human poison control center designated under the Poison Control System Act; hospital reimbursement rates for specified inpatient and outpatient services; medical assistance coverage for cognitive assessment and care planning services provided to a person who experiences signs or symptoms of cognitive impairment; the supportive living program rate for dementia care; and Prospective Payment System rates increases for federally qualified health centers. Amends the Specialized Mental Health Rehabilitation Act of 2013. Provides that beginning July 1, 2023, for improving the quality of life and the quality of care at specialized mental health rehabilitation facilities, a payment of no less than $10.50 per day, per single room occupancy shall be added to the existing $15 additional per day, per single room occupancy rate for a total of at least $25.50 per day, per single room occupancy. Sets forth a rate increase for each Medicaid-occupied bed in dual-occupancy rooms. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that, subject to federal approval, on and after July 1, 2023, the reimbursement rates paid to providers of private duty nursing services for medically fragile and technology dependent children shall be at a specified percentage rate higher than the reimbursement rates in effect for nursing services on June 30, 2023. Amends the Illinois Act on the Aging. Increases rates for homemaker services, subject to federal approval. Requires providers of in-home services to be required to certify to the Department on Aging that they remain in compliance with the mandated wage increase for direct service workers. Provides that fringe benefits shall not be reduced in relation to the rate increases described in the amendatory Act. Amends the Medical Assistance Article of the Illinois Public Aid Code. Increases the reimbursement rate for ventilator services, speech therapy services, physical therapy services, and occupational therapy services. Establishes a $60 personal needs allowance for nursing home residents who are eligible for medical assistance. Amends the Rebuild Illinois Mental Health Workforce Act. Increases the Mobile Crisis Response Medicaid Payment rate, the Crisis Intervention Medicaid Payment rate, and other specified rates. In a provision concerning reimbursement rates for ambulance services, provides that ambulance services includes medical transportation services provided by means of air ambulance. Provides for an increase in the base rate for both base charges and mileage charges for medical transportation services provided by means of an air ambulance. In a provision concerning the tiered exceptional care per diem rates for medically complex for the developmentally disabled facilities, provides that, subject to federal approval, each tier rate shall be increased 6% over the amount in effect on the effective date of the amendatory Act. Provides that, subject to federal approval, the Department of Healthcare and Family Services shall increase the base rate of reimbursement for both base charges and mileage charges for ground ambulance service providers not participating in the Ground Emergency Medical Transportation (GEMT) Program for medical transportation services provided by means of a ground ambulance to a level not lower than 140% (rather than 112%) of the base rate in effect as of January 1, 2023 (rather than July 30, 2018). Makes other changes. Some provisions take effect immediately. Some provisions take effect July 1, 2023. House Floor Amendment No. 3 Deletes reference to: 210 ILCS 45/2-207 Adds reference to: New Act 5 ILCS 100/5-45.35 new 20 ILCS 301/55-30 305 ILCS 5/5-47 new 5 ILCS 100/5-45.36 new 305 ILCS 5/5-5.05 305 ILCS 5/5A-12.7 305 ILCS 5/12-4.105 305 ILCS 5/14-12 305 ILCS 5/14-12.5 new 305 ILCS 5/14-12.7 new 305 ILCS 5/5-5 from Ch. 23, par. 5-5 305 ILCS 5/5-5.01a 305 ILCS 5/12-4.57 new 210 ILCS 49/5-107 305 ILCS 5/5-2b 305 ILCS 5/5-5.2 from Ch. 23, par. 5-5.2 20 ILCS 105/4.02 from Ch. 23, par. 6104.02 305 ILCS 5/5-5.2 from Ch. 23, par. 5-5.2 305 ILCS 5/5-5i new 305 ILCS 5/5-35.5 new 305 ILCS 66/20-10 305 ILCS 66/20-20 305 ILCS 66/20-22 new 305 ILCS 5/5-4.2 305 ILCS 5/5-5.4h 305 ILCS 5/5-4.2 20 ILCS 105/4.02 from Ch. 23, par. 6104.02 20 ILCS 105/4.06 20 ILCS 105/4.02 from Ch. 23, par. 6104.02 20 ILCS 105/4.07 320 ILCS 10/12 from Ch. 23, par. 6212 210 ILCS 85/6.09 from Ch. 111 1/2, par. 147.09 215 ILCS 5/5.5 305 ILCS 5/5-5 from Ch. 23, par. 5-5 305 ILCS 5/12-8 from Ch. 23, par. 12-8 305 ILCS 5/5-5.01a 305 ILCS 5/5A-2 from Ch. 23, par. 5A-2 215 ILCS 5/513b7 new 305 ILCS 5/5-30.11 305 ILCS 5/5-5a.1 new 305 ILCS 5/5-48 new 215 ILCS 5/363 from Ch. 73, par. 975 305 ILCS 5/5-49 new 305 ILCS 5/5-30.8 225 ILCS 60/15.5 new 225 ILCS 60/54.2 5 ILCS 100/5-45.37 new 305 ILCS 5/12-4.35 Replaces everything after the enacting clause. Creates the Substance Use Disorder Residential and Detox Rate Equity Act. Requires the General Assembly to appropriate sufficient funds to the Department of Human Services, for State Fiscal Year 2024 and for each State fiscal year thereafter, to ensure reimbursement rates will be increased and subsequently adjusted upward by an amount equal to the Consumer Price Index-U from the previous year, not to exceed 5% in any State fiscal year, for licensed or certified community-based substance use disorder treatment providers under community service grant programs for persons with substance use disorders, including, but not limited to, certain residential and withdrawal management services provided in accordance with criteria established by the American Society of Addiction Medicine. Amends the Illinois Public Aid Code. In the Medical Assistance Article of the Code, provides that on and after January 1, 2024, the inpatient, per diem rate to be paid to a hospital for inpatient psychiatric services shall be not less than 90% of the per diem rate established under a specified provision of the Code. Makes changes to provisions concerning funding to the human poison control center designated under the Poison Control System Act; hospital reimbursement rates for specified inpatient and outpatient services; medical assistance coverage for cognitive assessment and care planning services provided to a person who experiences signs or symptoms of cognitive impairment; the supportive living program rate for dementia care; and Prospective Payment System rates increases for federally qualified health centers. Amends the Specialized Mental Health Rehabilitation Act of 2013. Provides that beginning July 1, 2023, for improving the quality of life and the quality of care at specialized mental health rehabilitation facilities, a payment of no less than $10.50 per day, per single room occupancy shall be added to the existing $15 additional per day, per single room occupancy rate for a total of at least $25.50 per day, per single room occupancy. Sets forth a rate increase for each Medicaid-occupied bed in dual-occupancy rooms. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that, subject to federal approval, on and after July 1, 2023, the reimbursement rates paid to providers of private duty nursing services for medically fragile and technology dependent children shall be at a specified percentage rate higher than the reimbursement rates in effect for nursing services on June 30, 2023. Amends the Illinois Act on the Aging. Increases rates for homemaker services, subject to federal approval. Requires providers of in-home services to be required to certify to the Department on Aging that they remain in compliance with the mandated wage increase for direct service workers. Provides that fringe benefits shall not be reduced in relation to the rate increases described in the amendatory Act. Amends the Medical Assistance Article of the Illinois Public Aid Code. Increases the reimbursement rate for ventilator services, speech therapy services, physical therapy services, and occupational therapy services. Establishes a $60 personal needs allowance for nursing home residents who are eligible for medical assistance. Amends the Rebuild Illinois Mental Health Workforce Act. Increases the Mobile Crisis Response Medicaid Payment rate, the Crisis Intervention Medicaid Payment rate, and other specified rates. In a provision concerning reimbursement rates for ambulance services, provides that ambulance services includes medical transportation services provided by means of air ambulance. Provides for an increase in the base rate for both base charges and mileage charges for medical transportation services provided by means of an air ambulance. In a provision concerning the tiered exceptional care per diem rates for medically complex for the developmentally disabled facilities, provides that, subject to federal approval, each tier rate shall be increased 6% over the amount in effect on the effective date of the amendatory Act. Provides that, subject to federal approval, the Department of Healthcare and Family Services shall increase the base rate of reimbursement for both base charges and mileage charges for ground ambulance service providers not participating in the Ground Emergency Medical Transportation (GEMT) Program for medical transportation services provided by means of a ground ambulance to a level not lower than 140% (rather than 112%) of the base rate in effect as of January 1, 2023 (rather than July 30, 2018). Makes other changes. Some provisions take effect immediately. Some provisions take effect July 1, 2023.