Bill Text: IL HB4019 | 2013-2014 | 98th General Assembly | Amended
Bill Title: Amends the Illinois Public Aid Code. Makes a technical change in a Section regarding Medicaid co-payments.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Failed) 2014-12-03 - Session Sine Die [HB4019 Detail]
Download: Illinois-2013-HB4019-Amended.html
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1 | AMENDMENT TO HOUSE BILL 4019
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2 | AMENDMENT NO. ______. Amend House Bill 4019 by replacing | ||||||
3 | everything after the enacting clause with the following:
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4 | "Section 5. The Illinois Public Aid Code is amended by | ||||||
5 | changing Section 5-5e as follows:
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6 | (305 ILCS 5/5-5e) | ||||||
7 | Sec. 5-5e. Adjusted rates of reimbursement. | ||||||
8 | (a) Rates or payments for services in effect on June 30, | ||||||
9 | 2012 shall be adjusted and
services shall be affected as | ||||||
10 | required by any other provision of this amendatory Act of
the | ||||||
11 | 97th General Assembly. In addition, the Department shall do the | ||||||
12 | following: | ||||||
13 | (1) Delink the per diem rate paid for supportive living | ||||||
14 | facility services from the per diem rate paid for nursing | ||||||
15 | facility services, effective for services provided on or | ||||||
16 | after May 1, 2011. |
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1 | (2) Cease payment for bed reserves in nursing | ||||||
2 | facilities and specialized mental health rehabilitation | ||||||
3 | facilities. | ||||||
4 | (2.5) (Blank). Cease payment for bed reserves for | ||||||
5 | purposes of inpatient hospitalizations to intermediate | ||||||
6 | care facilities for persons with development disabilities, | ||||||
7 | except in the instance of residents who are under 21 years | ||||||
8 | of age. | ||||||
9 | (3) Cease payment of the $10 per day add-on payment to | ||||||
10 | nursing facilities for certain residents with | ||||||
11 | developmental disabilities. | ||||||
12 | (b) After the application of subsection (a), | ||||||
13 | notwithstanding any other provision of this
Code to the | ||||||
14 | contrary and to the extent permitted by federal law, on and | ||||||
15 | after July 1,
2012, the rates of reimbursement for services and | ||||||
16 | other payments provided under this
Code shall further be | ||||||
17 | reduced as follows: | ||||||
18 | (1) Rates or payments for physician services, dental | ||||||
19 | services, or community health center services reimbursed | ||||||
20 | through an encounter rate, and services provided under the | ||||||
21 | Medicaid Rehabilitation Option of the Illinois Title XIX | ||||||
22 | State Plan shall not be further reduced. | ||||||
23 | (2) Rates or payments, or the portion thereof, paid to | ||||||
24 | a provider that is operated by a unit of local government | ||||||
25 | or State University that provides the non-federal share of | ||||||
26 | such services shall not be further reduced. |
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1 | (3) Rates or payments for hospital services delivered | ||||||
2 | by a hospital defined as a Safety-Net Hospital under | ||||||
3 | Section 5-5e.1 of this Code shall not be further reduced. | ||||||
4 | (4) Rates or payments for hospital services delivered | ||||||
5 | by a Critical Access Hospital, which is an Illinois | ||||||
6 | hospital designated as a critical care hospital by the | ||||||
7 | Department of Public Health in accordance with 42 CFR 485, | ||||||
8 | Subpart F, shall not be further reduced. | ||||||
9 | (5) Rates or payments for Nursing Facility Services | ||||||
10 | shall only be further adjusted pursuant to Section 5-5.2 of | ||||||
11 | this Code. | ||||||
12 | (6) Rates or payments for services delivered by long | ||||||
13 | term care facilities licensed under the ID/DD Community | ||||||
14 | Care Act and developmental training services shall not be | ||||||
15 | further reduced. | ||||||
16 | (7) Rates or payments for services provided under | ||||||
17 | capitation rates shall be adjusted taking into | ||||||
18 | consideration the rates reduction and covered services | ||||||
19 | required by this amendatory Act of the 97th General | ||||||
20 | Assembly. | ||||||
21 | (8) For hospitals not previously described in this | ||||||
22 | subsection, the rates or payments for hospital services | ||||||
23 | shall be further reduced by 3.5%, except for payments | ||||||
24 | authorized under Section 5A-12.4 of this Code. | ||||||
25 | (9) For all other rates or payments for services | ||||||
26 | delivered by providers not specifically referenced in |
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1 | paragraphs (1) through (8), rates or payments shall be | ||||||
2 | further reduced by 2.7%. | ||||||
3 | (c) Any assessment imposed by this Code shall continue and | ||||||
4 | nothing in this Section shall be construed to cause it to | ||||||
5 | cease.
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6 | (Source: P.A. 97-689, eff. 6-14-12; 98-104, eff. 7-22-13.)
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7 | Section 99. Effective date. This Act takes effect upon | ||||||
8 | becoming law.".
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