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| | 101ST GENERAL ASSEMBLY
State of Illinois
2019 and 2020
SB3485 Introduced 2/14/2020, by Sen. David Koehler SYNOPSIS AS INTRODUCED:
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Amends the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall provide each managed care organization with the quarterly fee-for-service facility-specific nursing component (rather than facility-specific RUG-IV nursing component) per diem along with any add-ons for enhanced care services, support component per diem, and capital component per diem effective for each nursing home under contract with the managed care organization. Provides that no managed care contract shall provide for a level of reimbursement lower than the fee-for-service rate in effect for the facility at the time service is rendered. Effective immediately.
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| | | FISCAL NOTE ACT MAY APPLY | |
| | A BILL FOR |
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| | SB3485 | | LRB101 17772 KTG 67200 b |
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| 1 | | AN ACT concerning public aid.
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| 2 | | Be it enacted by the People of the State of Illinois,
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| 3 | | represented in the General Assembly:
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| 4 | | Section 5. The Illinois Public Aid Code is amended by |
| 5 | | changing Section 5F-35 as follows:
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| 6 | | (305 ILCS 5/5F-35) |
| 7 | | Sec. 5F-35. Reimbursement. The Department shall provide |
| 8 | | each managed care organization with the quarterly |
| 9 | | fee-for-service facility-specific RUG-IV nursing component per |
| 10 | | diem along with any add-ons for enhanced care services, support |
| 11 | | component per diem, and capital component per diem effective |
| 12 | | for each nursing home under contract with the managed care |
| 13 | | organization. No managed care contract shall provide for a |
| 14 | | level of reimbursement lower than the fee-for-service rate in |
| 15 | | effect for the facility at the time service is rendered.
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| 16 | | (Source: P.A. 98-651, eff. 6-16-14.)
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| 17 | | Section 99. Effective date. This Act takes effect upon |
| 18 | | becoming law.
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