Bill Amendment: IL SB1821 | 2015-2016 | 99th General Assembly

NOTE: For additional amemendments please see the Bill Drafting List

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Bill Title: MEDICAID-TEMP MEDICAL CARD

Status: 2017-01-10 - House Floor Amendment No. 2 Motion to Concur Postponed State Government and Veterans Affairs [SB1821 Detail]

Download: Illinois-2015-SB1821-House_Amendment_001.html

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Rep. Jay Hoffman

Filed: 11/16/2016

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AMENDMENT TO SENATE BILL 1821
AMENDMENT NO. ______. Amend Senate Bill 1821 by replacing
everything after the enacting clause with the following:
"Section 5. The Illinois Public Aid Code is amended by
changing Section 5A-5 and by adding Section 14-13 as follows:
(305 ILCS 5/5A-5) (from Ch. 23, par. 5A-5)
Sec. 5A-5. Notice; penalty; maintenance of records.
(a) The Illinois Department shall send a notice of
assessment to every hospital provider subject to assessment
under this Article. The notice of assessment shall notify the
hospital of its assessment and shall be sent after receipt by
the Department of notification from the Centers for Medicare
and Medicaid Services of the U.S. Department of Health and
Human Services that the payment methodologies required under
this Article and, if necessary, the waiver granted under 42 CFR
433.68 have been approved. The notice shall be on a form

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prepared by the Illinois Department and shall state the
following:
(1) The name of the hospital provider.
(2) The address of the hospital provider's principal
place of business from which the provider engages in the
occupation of hospital provider in this State, and the name
and address of each hospital operated, conducted, or
maintained by the provider in this State.
(3) The occupied bed days, occupied bed days less
Medicare days, adjusted gross hospital revenue, or
outpatient gross revenue of the hospital provider
(whichever is applicable), the amount of assessment
imposed under Section 5A-2 for the State fiscal year for
which the notice is sent, and the amount of each
installment to be paid during the State fiscal year.
(4) (Blank).
(5) Other reasonable information as determined by the
Illinois Department.
(b) If a hospital provider conducts, operates, or maintains
more than one hospital licensed by the Illinois Department of
Public Health, the provider shall pay the assessment for each
hospital separately.
(c) Notwithstanding any other provision in this Article, in
the case of a person who ceases to conduct, operate, or
maintain a hospital in respect of which the person is subject
to assessment under this Article as a hospital provider, the

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assessment for the State fiscal year in which the cessation
occurs shall be adjusted by multiplying the assessment computed
under Section 5A-2 by a fraction, the numerator of which is the
number of days in the year during which the provider conducts,
operates, or maintains the hospital and the denominator of
which is 365. Immediately upon ceasing to conduct, operate, or
maintain a hospital, the person shall pay the assessment for
the year as so adjusted (to the extent not previously paid).
(d) Notwithstanding any other provision in this Article, a
provider who commences conducting, operating, or maintaining a
hospital, upon notice by the Illinois Department, shall pay the
assessment computed under Section 5A-2 and subsection (e) in
installments on the due dates stated in the notice and on the
regular installment due dates for the State fiscal year
occurring after the due dates of the initial notice.
(e) Notwithstanding any other provision in this Article,
for State fiscal years 2009 through 2018, in the case of a
hospital provider that did not conduct, operate, or maintain a
hospital in 2005, the assessment for that State fiscal year
shall be computed on the basis of hypothetical occupied bed
days for the full calendar year as determined by the Illinois
Department. Notwithstanding any other provision in this
Article, for the portion of State fiscal year 2012 beginning
June 10, 2012 through June 30, 2012, and for State fiscal years
2013 through 2018, in the case of a hospital provider that did
not conduct, operate, or maintain a hospital in 2009, the

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assessment under subsection (b-5) of Section 5A-2 for that
State fiscal year shall be computed on the basis of
hypothetical gross outpatient revenue for the full calendar
year as determined by the Illinois Department. The Illinois
Department is prohibited from increasing any assessment based
upon hypothetical occupied bed days or hypothetical gross
outpatient revenue under this Section once the initial
assessment has been calculated by the Department and the
hospital has been notified of the amount of the assessment
based upon hypothetical occupied bed days or hypothetical gross
outpatient revenue.
(f) Every hospital provider subject to assessment under
this Article shall keep sufficient records to permit the
determination of adjusted gross hospital revenue for the
hospital's fiscal year. All such records shall be kept in the
English language and shall, at all times during regular
business hours of the day, be subject to inspection by the
Illinois Department or its duly authorized agents and
employees.
(g) The Illinois Department may, by rule, provide a
hospital provider a reasonable opportunity to request a
clarification or correction of any clerical or computational
errors contained in the calculation of its assessment, but such
corrections shall not extend to updating the cost report
information used to calculate the assessment.
(h) (Blank).

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(Source: P.A. 98-104, eff. 7-22-13; 98-463, eff. 8-16-13;
98-651, eff. 6-16-14; 98-756, eff. 7-16-14; 99-78, eff.
7-20-15.)
(305 ILCS 5/14-13 new)
Sec. 14-13. Treatment of newly licensed general acute care
hospitals.
(a) For any general acute care hospital licensed by the
Department of Public Health after January 1, 2008, the Illinois
Department must calculate and pay enhanced payments for
Medicaid services similar to enhanced Medicaid payments
received by other general acute care hospitals.
(b) The Illinois Department may create new payments or
increase other existing Medicaid reimbursement programs in
order to meet the requirements of subsection (a).
(c) The Illinois Department may meet the requirements of
this Section by increasing Medicaid payment amounts for a
hospital within the same system or ownership structure as the
newly licensed hospital.
(d) The Illinois Department must insert any new Medicaid
inpatient methodology created under this Section in the
Medicaid Facilitation and Utilization Payment section of the
Illinois Medicaid State Plan.
(e) The Illinois Department must insert any new Medicaid
outpatient methodology created under this Section in the
Hospital Outpatient Assistance Adjustment Payments section of

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the Illinois Medicaid State Plan.
(f) The Illinois Department may, by rule, specify the
amount of funding to invest in the payments required by this
Section if not otherwise specified below:
(1) For general acute care hospitals licensed after
January 1, 2008 and before January 1, 2016, the pool must
be $4,500,000 annually with no less than 2 years of this
amount distributed before July 1, 2018.
(2) For general acute care hospitals licensed after
January 1, 2016 and before July 1, 2016, the pool must be
$3,500,000 annually with no less than 2 years of this
amount distributed before July 1, 2018.
(3) For general acute care hospitals licensed on and
after July 1, 2016, the pool may be established by the
Illinois Department by rule.
(g) The Medicaid payments authorized under this Section
shall continue so long as the payments under subsection (f) of
Section 14-12 are in effect.".