Bill Status of SB 3374   103rd General Assembly

Short Description:  DHFS-EXTENDED HOSP STAYS

Senate Sponsors
Sen. Don Harmon and Robert Peters

Last Action  View All Actions

DateChamber Action
  5/3/2024SenateRule 3-9(a) / Re-referred to Assignments

Statutes Amended In Order of Appearance
305 ILCS 5/14-13

Synopsis As Introduced
Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to by rule implement a methodology to reimburse hospitals for inpatient stays extended beyond medical necessity due to the inability of the Department, the managed care organization (MCO) in which a medical assistance recipient is enrolled in, or the hospital discharge planner to find an appropriate placement after discharge from the hospital to the next level of care. Requires the Department to by rule implement a methodology effective for dates of service January 1, 2025 and later to reimburse hospitals for emergency department stays extended beyond medical necessity due to the inability of the Department, the MCO, or the hospital discharge planner to find an appropriate placement after discharge from the hospital setting to the next appropriate level of care. Provides that both methodologies shall provide reasonable compensation for the services provided attributable to the hours of the extended stay for which the prevailing rate methodology provides no reimbursement. Contains provisions concerning the rate for inpatient days of care; hourly rates of reimbursement for emergency department stays; a prohibition on MCOs restricting coverage due to delays caused by the Department or the MCOs in completing the pre-admission screening and resident review process; a prohibition on MCOs imposing authorization or documentation requirements and other conditions of reimbursement that are more restrictive than standards under the fee-for-service medical assistance program; sanctions on MCOs for noncompliance; and administrative rules. Effective immediately.

Actions 
DateChamber Action
  2/7/2024SenateFiled with Secretary by Sen. Ann Gillespie
  2/7/2024SenateFirst Reading
  2/7/2024SenateReferred to Assignments
  2/20/2024SenateAssigned to Appropriations - Health and Human Services
  3/15/2024SenateRule 2-10 Committee Deadline Established As April 5, 2024
  4/5/2024SenateRule 2-10 Committee Deadline Established As May 3, 2024
  4/15/2024SenateChief Sponsor Changed to Sen. Don Harmon
  5/3/2024SenateRule 3-9(a) / Re-referred to Assignments
  5/14/2024SenateAdded as Co-Sponsor Sen. Robert Peters

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