IL HB3352 | 2019-2020 | 101st General Assembly

Status

Spectrum: Partisan Bill (Democrat 2-0)
Status: Introduced on February 15 2019 - 25% progression, died in committee
Action: 2019-03-29 - Rule 19(a) / Re-referred to Rules Committee
Pending: House Rules Committee
Text: Latest bill text (Introduced) [HTML]

Summary

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that a managed care organization that contracts with a safety-net hospitals shall: (i) be liable for 50% of the amount due on any unadjudicated claims properly submitted by the safety-net hospital; (ii) if pre-admission certification is required by the managed care organization prior to authorizing inpatient care, pay the full admission rate to any contracted safety-net hospital that does not receive such authorization within 24 hours after the safety-net hospital first made its request for authorization; (iii) update its provider roster within 48 hours of contracting with a safety-net hospital and pay the full amount on any claim properly submitted by a contracted safety-net hospital even if the managed care organization fails to update its provider roster as required; and (iv) equally share those costs incurred by a contracted safety-net hospital for services provided to a Medicaid enrollee beyond the enrollee's scheduled date of discharge or transfer to another facility, if the managed care organization fails to facilitate the enrollee's discharge or transfer by the scheduled date.

Tracking Information

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Title

DHFS-MCO-SAFETY-NET HOSPITAL

Sponsors


History

DateChamberAction
2019-03-29HouseRule 19(a) / Re-referred to Rules Committee
2019-03-22HouseTo Medicaid & Managed Care Subcommittee
2019-03-05HouseAssigned to Appropriations-Human Services Committee
2019-02-21HouseAdded Chief Co-Sponsor Rep. Kambium Buckner
2019-02-15HouseReferred to Rules Committee
2019-02-15HouseFirst Reading
2019-02-15HouseFiled with the Clerk by Rep. Marcus C. Evans, Jr.

Code Citations

ChapterArticleSectionCitation TypeStatute Text
30555-36New CodeSee Bill Text

Illinois State Sources


Bill Comments

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