|
| Public Act 103-1075
|
| HB4907 Enrolled | LRB103 38362 CES 68497 b |
|
|
|
AN ACT concerning health.
|
Be it enacted by the People of the State of Illinois, |
represented in the General Assembly:
|
Section 5. The Hospital Licensing Act is amended by |
changing Section 4.5 as follows:
|
(210 ILCS 85/4.5) |
Sec. 4.5. Hospital with multiple locations; single |
license. |
(a) A hospital located in a county with fewer than |
3,000,000 inhabitants may apply to the Department for approval |
to conduct its operations from more than one location within |
the county under a single license. At the time of the |
application to operate under a single license, a hospital |
located in a county with fewer than 125,000 inhabitants may |
apply to the Department for approval to conduct its operations |
from more than one location within contiguous counties in |
which both facilities are located, provided that the second |
county has fewer than 235,000 35,000 inhabitants. |
(b) The facilities or buildings at those locations must be |
owned or operated together by a single corporation or other |
legal entity serving as the licensee and must share: |
(1) a single board of directors with responsibility |
for governance, including financial oversight and the |
|
authority to designate or remove the chief executive |
officer; |
(2) a single medical staff accountable to the board of |
directors and governed by a single set of medical staff |
bylaws, rules, and regulations with responsibility for the |
quality of the medical services; and |
(3) a single chief executive officer, accountable to |
the board of directors, with management responsibility. |
(c) Each hospital building or facility that is located on |
a site geographically separate from the campus or premises of |
another hospital building or facility operated by the licensee |
must, at a minimum, individually comply with the Department's |
hospital licensing requirements for emergency services. |
(d) The hospital shall submit to the Department a |
comprehensive plan in relation to the waiver or waivers |
requested describing the services and operations of each |
facility or building and how common services or operations |
will be coordinated between the various locations. With the |
exception of items required by subsection (c), the Department |
is authorized to waive compliance with the hospital licensing |
requirements for specific buildings or facilities, provided |
that the hospital has documented which other building or |
facility under its single license provides that service or |
operation, and that doing so would not endanger the public's |
health, safety, or welfare. Nothing in this Section relieves a |
hospital from the requirements of the Health Facilities |
|
Planning Act. |
(Source: P.A. 102-887, eff. 5-17-22.)
|
Section 10. The Illinois Public Aid Code is amended by |
changing Section 5-5.2 as follows:
|
(305 ILCS 5/5-5.2) |
Sec. 5-5.2. Payment. |
(a) All nursing facilities that are grouped pursuant to |
Section 5-5.1 of this Act shall receive the same rate of |
payment for similar services. |
(b) It shall be a matter of State policy that the Illinois |
Department shall utilize a uniform billing cycle throughout |
the State for the long-term care providers. |
(c) (Blank). |
(c-1) Notwithstanding any other provisions of this Code, |
the methodologies for reimbursement of nursing services as |
provided under this Article shall no longer be applicable for |
bills payable for nursing services rendered on or after a new |
reimbursement system based on the Patient Driven Payment Model |
(PDPM) has been fully operationalized, which shall take effect |
for services provided on or after the implementation of the |
PDPM reimbursement system begins. For the purposes of Public |
Act 102-1035, the implementation date of the PDPM |
reimbursement system and all related provisions shall be July |
1, 2022 if the following conditions are met: (i) the Centers |
|
for Medicare and Medicaid Services has approved corresponding |
changes in the reimbursement system and bed assessment; and |
(ii) the Department has filed rules to implement these changes |
no later than June 1, 2022. Failure of the Department to file |
rules to implement the changes provided in Public Act 102-1035 |
no later than June 1, 2022 shall result in the implementation |
date being delayed to October 1, 2022. |
(d) The new nursing services reimbursement methodology |
utilizing the Patient Driven Payment Model, which shall be |
referred to as the PDPM reimbursement system, taking effect |
July 1, 2022, upon federal approval by the Centers for |
Medicare and Medicaid Services, shall be based on the |
following: |
(1) The methodology shall be resident-centered, |
facility-specific, cost-based, and based on guidance from |
the Centers for Medicare and Medicaid Services. |
(2) Costs shall be annually rebased and case mix index |
quarterly updated. The nursing services methodology will |
be assigned to the Medicaid enrolled residents on record |
as of 30 days prior to the beginning of the rate period in |
the Department's Medicaid Management Information System |
(MMIS) as present on the last day of the second quarter |
preceding the rate period based upon the Assessment |
Reference Date of the Minimum Data Set (MDS). |
(3) Regional wage adjustors based on the Health |
Service Areas (HSA) groupings and adjusters in effect on |
|
April 30, 2012 shall be included, except no adjuster shall |
be lower than 1.06. |
(4) PDPM nursing case mix indices in effect on March |
1, 2022 shall be assigned to each resident class at no less |
than 0.7858 of the Centers for Medicare and Medicaid |
Services PDPM unadjusted case mix values, in effect on |
March 1, 2022. |
(5) The pool of funds available for distribution by |
case mix and the base facility rate shall be determined |
using the formula contained in subsection (d-1). |
(6) The Department shall establish a variable per diem |
staffing add-on in accordance with the most recent |
available federal staffing report, currently the Payroll |
Based Journal, for the same period of time, and if |
applicable adjusted for acuity using the same quarter's |
MDS. The Department shall rely on Payroll Based Journals |
provided to the Department of Public Health to make a |
determination of non-submission. If the Department is |
notified by a facility of missing or inaccurate Payroll |
Based Journal data or an incorrect calculation of |
staffing, the Department must make a correction as soon as |
the error is verified for the applicable quarter. |
Beginning October 1, 2024, the staffing percentage |
used in the calculation of the per diem staffing add-on |
shall be its PDPM STRIVE Staffing Ratio which equals: its |
Reported Total Nurse Staffing Hours Per Resident Per Day |
|
as published in the most recent federal staffing report |
(the Provider Information File), divided by the facility's |
PDPM STRIVE Staffing Target. Each facility's PDPM STRIVE |
Staffing Target is equal to .82 times the facility's |
Illinois Adjusted Facility Case-Mix Hours Per Resident Per |
Day. A facility's Illinois Adjusted Facility Case Mix |
Hours Per Resident Per Day is equal to its Case-Mix Total |
Nurse Staffing Hours Per Resident Per Day (as published in |
the most recent federal Provider Information file staffing |
report) times 3.662 (which reflects the national resident |
days-weighted mean Reported Total Nurse Staffing Hours Per |
Resident Per Day as calculated using the January 2024 |
federal Provider Information Files), divided by the |
national resident days-weighted mean Reported Total Nurse |
Staffing Hours Per Resident Per Day calculated using the |
most recent State US Averages file federal Provider |
Information File. |
Beginning January 1, 2025, the staffing percentage |
used in the calculation of the per diem staffing add-on |
shall be its PDPM STRIVE Staffing Ratio which equals: its |
Reported Total Nurse Staffing Hours Per Resident Per Day |
as published in the most recent federal staffing report |
(the Provider Information File), divided by the facility's |
PDPM STRIVE Staffing Target. Each facility's PDPM STRIVE |
Staffing Target is equal to .7122 times the facility's |
Illinois Adjusted Facility Case-Mix Hours Per Resident Per |
|
Day. A facility's Illinois Adjusted Facility Case Mix |
Hours Per Resident Per Day is equal to its Case-Mix Total |
Nurse Staffing Hours Per Resident Per Day (as published in |
the most recent federal staffing report Provider |
Information file) times 3.79 (which is the Reported Total |
Nurse Staffing Hours Per Resident Per Day for the Nation |
as reported the January 2024 State US Averages file), |
divided by the Reported Total Nurse Staffing Hours Per |
Resident Per Day for the Nation as reported in the most |
recent State US Averages file. |
(6.5) Beginning July 1, 2024, the paid per diem |
staffing add-on shall be the paid per diem staffing add-on |
in effect April 1, 2024. For dates beginning October 1, |
2024 and through September 30, 2025, the denominator for |
the staffing percentage shall be the lesser of the |
facility's PDPM STRIVE Staffing Target and: |
(A) For the quarter beginning October 1, 2024, the |
sum of 20% of the facility's PDPM STRIVE Staffing |
Target and 80% of the facility's Case-Mix Total Nurse |
Staffing Hours Per Resident Per Day (as published in |
the January 2024 federal staffing report). |
(B) For the quarter beginning January 1, 2025, the |
sum of 40% of the facility's PDPM STRIVE Staffing |
Target and 60% of the facility's Case-Mix Total Nurse |
Staffing Hours Per Resident Per Day (as published in |
the January 2024 federal staffing report). |
|
(C) For the quarter beginning March 1, 2025, the |
sum of 60% of the facility's PDPM STRIVE Staffing |
Target and 40% of the facility's Case-Mix Total Nurse |
Staffing Hours Per Resident Per Day (as published in |
the January 2024 federal staffing report). |
(D) For the quarter beginning July 1, 2025, the |
sum of 80% of the facility's PDPM STRIVE Staffing |
Target and 20% of the facility's Case-Mix Total Nurse |
Staffing Hours Per Resident Per Day (as published in |
the January 2024 federal staffing report). |
Facilities with at least 70% of the staffing |
indicated by the STRIVE study shall be paid a per diem |
add-on of $9, increasing by equivalent steps for each |
whole percentage point until the facilities reach a per |
diem of $16.52. Facilities with at least 80% of the |
staffing indicated by the STRIVE study shall be paid a per |
diem add-on of $16.52, increasing by equivalent steps for |
each whole percentage point until the facilities reach a |
per diem add-on of $25.77. Facilities with at least 92% of |
the staffing indicated by the STRIVE study shall be paid a |
per diem add-on of $25.77, increasing by equivalent steps |
for each whole percentage point until the facilities reach |
a per diem add-on of $30.98. Facilities with at least 100% |
of the staffing indicated by the STRIVE study shall be |
paid a per diem add-on of $30.98, increasing by equivalent |
steps for each whole percentage point until the facilities |
|
reach a per diem add-on of $36.44. Facilities with at |
least 110% of the staffing indicated by the STRIVE study |
shall be paid a per diem add-on of $36.44, increasing by |
equivalent steps for each whole percentage point until the |
facilities reach a per diem add-on of $38.68. Facilities |
with at least 125% or higher of the staffing indicated by |
the STRIVE study shall be paid a per diem add-on of $38.68. |
No nursing facility's variable staffing per diem add-on |
shall be reduced by more than 5% in 2 consecutive |
quarters. For the quarters beginning July 1, 2022 and |
October 1, 2022, no facility's variable per diem staffing |
add-on shall be calculated at a rate lower than 85% of the |
staffing indicated by the STRIVE study. No facility below |
70% of the staffing indicated by the STRIVE study shall |
receive a variable per diem staffing add-on after December |
31, 2022. |
(7) For dates of services beginning July 1, 2022, the |
PDPM nursing component per diem for each nursing facility |
shall be the product of the facility's (i) statewide PDPM |
nursing base per diem rate, $92.25, adjusted for the |
facility average PDPM case mix index calculated quarterly |
and (ii) the regional wage adjuster, and then add the |
Medicaid access adjustment as defined in (e-3) of this |
Section. Transition rates for services provided between |
July 1, 2022 and October 1, 2023 shall be the greater of |
the PDPM nursing component per diem or: |
|
(A) for the quarter beginning July 1, 2022, the |
RUG-IV nursing component per diem; |
(B) for the quarter beginning October 1, 2022, the |
sum of the RUG-IV nursing component per diem |
multiplied by 0.80 and the PDPM nursing component per |
diem multiplied by 0.20; |
(C) for the quarter beginning January 1, 2023, the |
sum of the RUG-IV nursing component per diem |
multiplied by 0.60 and the PDPM nursing component per |
diem multiplied by 0.40; |
(D) for the quarter beginning April 1, 2023, the |
sum of the RUG-IV nursing component per diem |
multiplied by 0.40 and the PDPM nursing component per |
diem multiplied by 0.60; |
(E) for the quarter beginning July 1, 2023, the |
sum of the RUG-IV nursing component per diem |
multiplied by 0.20 and the PDPM nursing component per |
diem multiplied by 0.80; or |
(F) for the quarter beginning October 1, 2023 and |
each subsequent quarter, the transition rate shall end |
and a nursing facility shall be paid 100% of the PDPM |
nursing component per diem. |
(d-1) Calculation of base year Statewide RUG-IV nursing |
base per diem rate. |
(1) Base rate spending pool shall be: |
(A) The base year resident days which are |
|
calculated by multiplying the number of Medicaid |
residents in each nursing home as indicated in the MDS |
data defined in paragraph (4) by 365. |
(B) Each facility's nursing component per diem in |
effect on July 1, 2012 shall be multiplied by |
subsection (A). |
(C) Thirteen million is added to the product of |
subparagraph (A) and subparagraph (B) to adjust for |
the exclusion of nursing homes defined in paragraph |
(5). |
(2) For each nursing home with Medicaid residents as |
indicated by the MDS data defined in paragraph (4), |
weighted days adjusted for case mix and regional wage |
adjustment shall be calculated. For each home this |
calculation is the product of: |
(A) Base year resident days as calculated in |
subparagraph (A) of paragraph (1). |
(B) The nursing home's regional wage adjustor |
based on the Health Service Areas (HSA) groupings and |
adjustors in effect on April 30, 2012. |
(C) Facility weighted case mix which is the number |
of Medicaid residents as indicated by the MDS data |
defined in paragraph (4) multiplied by the associated |
case weight for the RUG-IV 48 grouper model using |
standard RUG-IV procedures for index maximization. |
(D) The sum of the products calculated for each |
|
nursing home in subparagraphs (A) through (C) above |
shall be the base year case mix, rate adjusted |
weighted days. |
(3) The Statewide RUG-IV nursing base per diem rate: |
(A) on January 1, 2014 shall be the quotient of the |
paragraph (1) divided by the sum calculated under |
subparagraph (D) of paragraph (2); |
(B) on and after July 1, 2014 and until July 1, |
2022, shall be the amount calculated under |
subparagraph (A) of this paragraph (3) plus $1.76; and |
(C) beginning July 1, 2022 and thereafter, $7 |
shall be added to the amount calculated under |
subparagraph (B) of this paragraph (3) of this |
Section. |
(4) Minimum Data Set (MDS) comprehensive assessments |
for Medicaid residents on the last day of the quarter used |
to establish the base rate. |
(5) Nursing facilities designated as of July 1, 2012 |
by the Department as "Institutions for Mental Disease" |
shall be excluded from all calculations under this |
subsection. The data from these facilities shall not be |
used in the computations described in paragraphs (1) |
through (4) above to establish the base rate. |
(e) Beginning July 1, 2014, the Department shall allocate |
funding in the amount up to $10,000,000 for per diem add-ons to |
the RUGS methodology for dates of service on and after July 1, |
|
2014: |
(1) $0.63 for each resident who scores in I4200 |
Alzheimer's Disease or I4800 non-Alzheimer's Dementia. |
(2) $2.67 for each resident who scores either a "1" or |
"2" in any items S1200A through S1200I and also scores in |
RUG groups PA1, PA2, BA1, or BA2. |
(e-1) (Blank). |
(e-2) For dates of services beginning January 1, 2014 and |
ending September 30, 2023, the RUG-IV nursing component per |
diem for a nursing home shall be the product of the statewide |
RUG-IV nursing base per diem rate, the facility average case |
mix index, and the regional wage adjustor. For dates of |
service beginning July 1, 2022 and ending September 30, 2023, |
the Medicaid access adjustment described in subsection (e-3) |
shall be added to the product. |
(e-3) A Medicaid Access Adjustment of $4 adjusted for the |
facility average PDPM case mix index calculated quarterly |
shall be added to the statewide PDPM nursing per diem for all |
facilities with annual Medicaid bed days of at least 70% of all |
occupied bed days adjusted quarterly. For each new calendar |
year and for the 6-month period beginning July 1, 2022, the |
percentage of a facility's occupied bed days comprised of |
Medicaid bed days shall be determined by the Department |
quarterly. For dates of service beginning January 1, 2023, the |
Medicaid Access Adjustment shall be increased to $4.75. This |
subsection shall be inoperative on and after January 1, 2028. |
|
(e-4) Subject to federal approval, on and after January 1, |
2024, the Department shall increase the rate add-on at |
paragraph (7) subsection (a) under 89 Ill. Adm. Code 147.335 |
for ventilator services from $208 per day to $481 per day. |
Payment is subject to the criteria and requirements under 89 |
Ill. Adm. Code 147.335. |
(f) (Blank). |
(g) Notwithstanding any other provision of this Code, on |
and after July 1, 2012, for facilities not designated by the |
Department of Healthcare and Family Services as "Institutions |
for Mental Disease", rates effective May 1, 2011 shall be |
adjusted as follows: |
(1) (Blank); |
(2) (Blank); |
(3) Facility rates for the capital and support |
components shall be reduced by 1.7%. |
(h) Notwithstanding any other provision of this Code, on |
and after July 1, 2012, nursing facilities designated by the |
Department of Healthcare and Family Services as "Institutions |
for Mental Disease" and "Institutions for Mental Disease" that |
are facilities licensed under the Specialized Mental Health |
Rehabilitation Act of 2013 shall have the nursing, |
socio-developmental, capital, and support components of their |
reimbursement rate effective May 1, 2011 reduced in total by |
2.7%. |
(i) On and after July 1, 2014, the reimbursement rates for |
|
the support component of the nursing facility rate for |
facilities licensed under the Nursing Home Care Act as skilled |
or intermediate care facilities shall be the rate in effect on |
June 30, 2014 increased by 8.17%. |
(i-1) Subject to federal approval, on and after January 1, |
2024, the reimbursement rates for the support component of the |
nursing facility rate for facilities licensed under the |
Nursing Home Care Act as skilled or intermediate care |
facilities shall be the rate in effect on June 30, 2023 |
increased by 12%. |
(j) Notwithstanding any other provision of law, subject to |
federal approval, effective July 1, 2019, sufficient funds |
shall be allocated for changes to rates for facilities |
licensed under the Nursing Home Care Act as skilled nursing |
facilities or intermediate care facilities for dates of |
services on and after July 1, 2019: (i) to establish, through |
June 30, 2022 a per diem add-on to the direct care per diem |
rate not to exceed $70,000,000 annually in the aggregate |
taking into account federal matching funds for the purpose of |
addressing the facility's unique staffing needs, adjusted |
quarterly and distributed by a weighted formula based on |
Medicaid bed days on the last day of the second quarter |
preceding the quarter for which the rate is being adjusted. |
Beginning July 1, 2022, the annual $70,000,000 described in |
the preceding sentence shall be dedicated to the variable per |
diem add-on for staffing under paragraph (6) of subsection |
|
(d); and (ii) in an amount not to exceed $170,000,000 annually |
in the aggregate taking into account federal matching funds to |
permit the support component of the nursing facility rate to |
be updated as follows: |
(1) 80%, or $136,000,000, of the funds shall be used |
to update each facility's rate in effect on June 30, 2019 |
using the most recent cost reports on file, which have had |
a limited review conducted by the Department of Healthcare |
and Family Services and will not hold up enacting the rate |
increase, with the Department of Healthcare and Family |
Services. |
(2) After completing the calculation in paragraph (1), |
any facility whose rate is less than the rate in effect on |
June 30, 2019 shall have its rate restored to the rate in |
effect on June 30, 2019 from the 20% of the funds set |
aside. |
(3) The remainder of the 20%, or $34,000,000, shall be |
used to increase each facility's rate by an equal |
percentage. |
(k) During the first quarter of State Fiscal Year 2020, |
the Department of Healthcare of Family Services must convene a |
technical advisory group consisting of members of all trade |
associations representing Illinois skilled nursing providers |
to discuss changes necessary with federal implementation of |
Medicare's Patient-Driven Payment Model. Implementation of |
Medicare's Patient-Driven Payment Model shall, by September 1, |
|
2020, end the collection of the MDS data that is necessary to |
maintain the current RUG-IV Medicaid payment methodology. The |
technical advisory group must consider a revised reimbursement |
methodology that takes into account transparency, |
accountability, actual staffing as reported under the |
federally required Payroll Based Journal system, changes to |
the minimum wage, adequacy in coverage of the cost of care, and |
a quality component that rewards quality improvements. |
(l) The Department shall establish per diem add-on |
payments to improve the quality of care delivered by |
facilities, including: |
(1) Incentive payments determined by facility |
performance on specified quality measures in an initial |
amount of $70,000,000. Nothing in this subsection shall be |
construed to limit the quality of care payments in the |
aggregate statewide to $70,000,000, and, if quality of |
care has improved across nursing facilities, the |
Department shall adjust those add-on payments accordingly. |
The quality payment methodology described in this |
subsection must be used for at least State Fiscal Year |
2023. Beginning with the quarter starting July 1, 2023, |
the Department may add, remove, or change quality metrics |
and make associated changes to the quality payment |
methodology as outlined in subparagraph (E). Facilities |
designated by the Centers for Medicare and Medicaid |
Services as a special focus facility or a hospital-based |
|
nursing home do not qualify for quality payments. |
(A) Each quality pool must be distributed by |
assigning a quality weighted score for each nursing |
home which is calculated by multiplying the nursing |
home's quality base period Medicaid days by the |
nursing home's star rating weight in that period. |
(B) Star rating weights are assigned based on the |
nursing home's star rating for the LTS quality star |
rating. As used in this subparagraph, "LTS quality |
star rating" means the long-term stay quality rating |
for each nursing facility, as assigned by the Centers |
for Medicare and Medicaid Services under the Five-Star |
Quality Rating System. The rating is a number ranging |
from 0 (lowest) to 5 (highest). |
(i) Zero-star or one-star rating has a weight |
of 0. |
(ii) Two-star rating has a weight of 0.75. |
(iii) Three-star rating has a weight of 1.5. |
(iv) Four-star rating has a weight of 2.5. |
(v) Five-star rating has a weight of 3.5. |
(C) Each nursing home's quality weight score is |
divided by the sum of all quality weight scores for |
qualifying nursing homes to determine the proportion |
of the quality pool to be paid to the nursing home. |
(D) The quality pool is no less than $70,000,000 |
annually or $17,500,000 per quarter. The Department |
|
shall publish on its website the estimated payments |
and the associated weights for each facility 45 days |
prior to when the initial payments for the quarter are |
to be paid. The Department shall assign each facility |
the most recent and applicable quarter's STAR value |
unless the facility notifies the Department within 15 |
days of an issue and the facility provides reasonable |
evidence demonstrating its timely compliance with |
federal data submission requirements for the quarter |
of record. If such evidence cannot be provided to the |
Department, the STAR rating assigned to the facility |
shall be reduced by one from the prior quarter. |
(E) The Department shall review quality metrics |
used for payment of the quality pool and make |
recommendations for any associated changes to the |
methodology for distributing quality pool payments in |
consultation with associations representing long-term |
care providers, consumer advocates, organizations |
representing workers of long-term care facilities, and |
payors. The Department may establish, by rule, changes |
to the methodology for distributing quality pool |
payments. |
(F) The Department shall disburse quality pool |
payments from the Long-Term Care Provider Fund on a |
monthly basis in amounts proportional to the total |
quality pool payment determined for the quarter. |
|
(G) The Department shall publish any changes in |
the methodology for distributing quality pool payments |
prior to the beginning of the measurement period or |
quality base period for any metric added to the |
distribution's methodology. |
(2) Payments based on CNA tenure, promotion, and CNA |
training for the purpose of increasing CNA compensation. |
It is the intent of this subsection that payments made in |
accordance with this paragraph be directly incorporated |
into increased compensation for CNAs. As used in this |
paragraph, "CNA" means a certified nursing assistant as |
that term is described in Section 3-206 of the Nursing |
Home Care Act, Section 3-206 of the ID/DD Community Care |
Act, and Section 3-206 of the MC/DD Act. The Department |
shall establish, by rule, payments to nursing facilities |
equal to Medicaid's share of the tenure wage increments |
specified in this paragraph for all reported CNA employee |
hours compensated according to a posted schedule |
consisting of increments at least as large as those |
specified in this paragraph. The increments are as |
follows: an additional $1.50 per hour for CNAs with at |
least one and less than 2 years' experience plus another |
$1 per hour for each additional year of experience up to a |
maximum of $6.50 for CNAs with at least 6 years of |
experience. For purposes of this paragraph, Medicaid's |
share shall be the ratio determined by paid Medicaid bed |
|
days divided by total bed days for the applicable time |
period used in the calculation. In addition, and additive |
to any tenure increments paid as specified in this |
paragraph, the Department shall establish, by rule, |
payments supporting Medicaid's share of the |
promotion-based wage increments for CNA employee hours |
compensated for that promotion with at least a $1.50 |
hourly increase. Medicaid's share shall be established as |
it is for the tenure increments described in this |
paragraph. Qualifying promotions shall be defined by the |
Department in rules for an expected 10-15% subset of CNAs |
assigned intermediate, specialized, or added roles such as |
CNA trainers, CNA scheduling "captains", and CNA |
specialists for resident conditions like dementia or |
memory care or behavioral health. |
(m) The Department shall work with nursing facility |
industry representatives to design policies and procedures to |
permit facilities to address the integrity of data from |
federal reporting sites used by the Department in setting |
facility rates. |
(Source: P.A. 102-77, eff. 7-9-21; 102-558, eff. 8-20-21; |
102-1035, eff. 5-31-22; 102-1118, eff. 1-18-23; 103-102, |
Article 40, Section 40-5, eff. 1-1-24; 103-102, Article 50, |
Section 50-5, eff. 1-1-24; 103-593, eff. 6-7-24; 103-605, eff. |
7-1-24.)
|
|
Section 15. The Workforce Direct Care Expansion Act is |
amended by changing Section 15 as follows:
|
(405 ILCS 162/15) |
Sec. 15. Membership. The Task Force shall be chaired by |
Illinois' Chief Behavioral Health Officer or the Officer's |
designee. The chair of the Task Force may designate an a |
nongovernmental entity or entities to provide pro bono |
administrative support to the Task Force. Except as otherwise |
provided in this Section, members of the Task Force shall be |
appointed by the chair. The Task Force shall consist of at |
least 15 members, including, but not limited to, the |
following: |
(1) community mental health and substance use |
providers representing geographical regions across the |
State; |
(2) representatives of statewide associations that |
represent behavioral health providers; |
(3) representatives of advocacy organizations either |
led by or consisting primarily of individuals with lived |
experience; |
(4) a representative from the Division of Mental |
Health in the Department of Human Services; |
(5) a representative from the Division of Substance |
Use Prevention and Recovery in the Department of Human |
Services; |
|
(6) a representative from the Department of Children |
and Family Services; |
(7) a representative from the Department of Public |
Health; |
(8) one member of the House of Representatives, |
appointed by the Speaker of the House of Representatives; |
(9) one member of the House of Representatives, |
appointed by the Minority Leader of the House of |
Representatives; |
(10) one member of the Senate, appointed by the |
President of the Senate; and |
(11) one member of the Senate, appointed by the |
Minority Leader of the Senate. |
(Source: P.A. 103-690, eff. 7-19-24.)
|
Section 99. Effective date. This Act takes effect upon |
becoming law. |
