Bill Text: IL HB4554 | 2013-2014 | 98th General Assembly | Introduced

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Bill Title: Amends the Hospital Provider Funding Article of the Illinois Public Aid Code. Extends the period of time certain hospital assessments are imposed through State fiscal year 2016. Effective immediately.

Sponsorship: Moderate Partisan Bill (Democrat 5-1)

Status: (Failed) 2014-12-03 - Session Sine Die [HB4554 Detail]

Download: Illinois-2013-HB4554-Introduced.html

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98TH GENERAL ASSEMBLY State of Illinois 2013 and 2014 HB4554 Introduced , by Rep. Greg Harris SYNOPSIS AS INTRODUCED:
305 ILCS 5/5A-2 from Ch. 23, par. 5A-2
305 ILCS 5/5A-14
Amends the Hospital Provider Funding Article of the Illinois Public Aid Code. Extends the period of time certain hospital assessments are imposed through State fiscal year 2016. Effective immediately.
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FISCAL NOTE ACT MAY APPLY
A BILL FOR
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AN ACT concerning public aid.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Illinois Public Aid Code is amended by
changing Sections 5A-2 and 5A-14 as follows:
(305 ILCS 5/5A-2) (from Ch. 23, par. 5A-2)
(Section scheduled to be repealed on January 1, 2015)
Sec. 5A-2. Assessment.
(a) Subject to Sections 5A-3 and 5A-10, for State fiscal
years 2009 through 2016 2014, and from July 1, 2014 through
December 31, 2014, an annual assessment on inpatient services
is imposed on each hospital provider in an amount equal to
$218.38 multiplied by the difference of the hospital's occupied
bed days less the hospital's Medicare bed days.
For State fiscal years 2009 through 2016 2014, and after a
hospital's occupied bed days and Medicare bed days shall be
determined using the most recent data available from each
hospital's 2005 Medicare cost report as contained in the
Healthcare Cost Report Information System file, for the quarter
ending on December 31, 2006, without regard to any subsequent
adjustments or changes to such data. If a hospital's 2005
Medicare cost report is not contained in the Healthcare Cost
Report Information System, then the Illinois Department may

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obtain the hospital provider's occupied bed days and Medicare
bed days from any source available, including, but not limited
to, records maintained by the hospital provider, which may be
inspected at all times during business hours of the day by the
Illinois Department or its duly authorized agents and
employees.
(b) (Blank).
(b-5) Subject to Sections 5A-3 and 5A-10, for the portion
of State fiscal year 2012, beginning June 10, 2012 through June
30, 2012, and for State fiscal years 2013 through 2016 2014,
and July 1, 2014 through December 31, 2014, an annual
assessment on outpatient services is imposed on each hospital
provider in an amount equal to .008766 multiplied by the
hospital's outpatient gross revenue. For the period beginning
June 10, 2012 through June 30, 2012, the annual assessment on
outpatient services shall be prorated by multiplying the
assessment amount by a fraction, the numerator of which is 21
days and the denominator of which is 365 days.
For the portion of State fiscal year 2012, beginning June
10, 2012 through June 30, 2012, and State fiscal years 2013
through 2016 2014, and July 1, 2014 through December 31, 2014,
a hospital's outpatient gross revenue shall be determined using
the most recent data available from each hospital's 2009
Medicare cost report as contained in the Healthcare Cost Report
Information System file, for the quarter ending on June 30,
2011, without regard to any subsequent adjustments or changes

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to such data. If a hospital's 2009 Medicare cost report is not
contained in the Healthcare Cost Report Information System,
then the Department may obtain the hospital provider's
outpatient gross revenue from any source available, including,
but not limited to, records maintained by the hospital
provider, which may be inspected at all times during business
hours of the day by the Department or its duly authorized
agents and employees.
(c) (Blank).
(d) Notwithstanding any of the other provisions of this
Section, the Department is authorized to adopt rules to reduce
the rate of any annual assessment imposed under this Section,
as authorized by Section 5-46.2 of the Illinois Administrative
Procedure Act.
(e) Notwithstanding any other provision of this Section,
any plan providing for an assessment on a hospital provider as
a permissible tax under Title XIX of the federal Social
Security Act and Medicaid-eligible payments to hospital
providers from the revenues derived from that assessment shall
be reviewed by the Illinois Department of Healthcare and Family
Services, as the Single State Medicaid Agency required by
federal law, to determine whether those assessments and
hospital provider payments meet federal Medicaid standards. If
the Department determines that the elements of the plan may
meet federal Medicaid standards and a related State Medicaid
Plan Amendment is prepared in a manner and form suitable for

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submission, that State Plan Amendment shall be submitted in a
timely manner for review by the Centers for Medicare and
Medicaid Services of the United States Department of Health and
Human Services and subject to approval by the Centers for
Medicare and Medicaid Services of the United States Department
of Health and Human Services. No such plan shall become
effective without approval by the Illinois General Assembly by
the enactment into law of related legislation. Notwithstanding
any other provision of this Section, the Department is
authorized to adopt rules to reduce the rate of any annual
assessment imposed under this Section. Any such rules may be
adopted by the Department under Section 5-50 of the Illinois
Administrative Procedure Act.
(Source: P.A. 97-688, eff. 6-14-12; 97-689, eff. 6-14-12;
98-104, eff. 7-22-13.)
(305 ILCS 5/5A-14)
Sec. 5A-14. Repeal of assessments and disbursements.
(a) Section 5A-2 is repealed on July 1, 2016 January 1,
2015.
(b) Section 5A-12 is repealed on July 1, 2005.
(c) Section 5A-12.1 is repealed on July 1, 2008.
(d) Section 5A-12.2 and Section 5A-12.4 are repealed on
July 1, 2016 January 1, 2015.
(e) Section 5A-12.3 is repealed on July 1, 2011.
(Source: P.A. 96-821, eff. 11-20-09; 96-1530, eff. 2-16-11;

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97-688, eff. 6-14-12; 97-689, eff. 6-14-12.)
Section 99. Effective date. This Act takes effect upon
becoming law.