103RD GENERAL ASSEMBLY

 

State of Illinois

 

2023 and 2024   

SB2493

 

Introduced 2/21/2023,  by Sen. Elgie R. Sims, Jr.

 

SYNOPSIS AS INTRODUCED:

 

Makes appropriations for the ordinary and contingent expenses of the Department of Healthcare and Family Services for the fiscal year beginning July 1, 2023, as follows:

 

General Funds                    $ 9,069,962,700

Other State Funds                $27,913,084,300

Federal Funds                    $   205,000,000

Total                            $37,188,047,000

 

 

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    AN ACT concerning appropriations.

 

        Be it enacted by the People of the State of Illinois, represented in the General Assembly:

 

ARTICLE 1

 

    Section 5.  The following named sums, or so much thereof as may be necessary, respectively, are appropriated to the Department of Healthcare and Family Services for the purposes hereinafter named:

PROGRAM ADMINISTRATION

Payable from General Revenue Fund:

  For Personal Services.......................... 17,001,900

  For State Contributions to

   Social Security................................ 1,300,600

  For Contractual Services......................... 1,760,100

  For Travel......................................... 71,200

  For Commodities......................................... 0

  For Printing............................................ 0

  For Equipment........................................... 0

  For Electronic Data Processing.................. 16,474,300

  For Telecommunications Services......................... 0

  For Operation of Auto Equipment..................... 34,000

  For Deposit into the Public Aid

   Recoveries Trust Fund......................... 14,899,100

    Total                                        $51,541,200

Payable from the HFS Technology Initiative Fund:

  For Costs Associated with the Illinois

   Health and Human Services Innovation

   Incubator Program, including Operational

   and Administrative Costs....................... 15,000,000

Payable from Public Aid Recoveries Trust Fund:

  For Personal Services........................... 2,222,100

  For State Contributions to State

   Employees' Retirement System.................... 1,177,700

  For State Contributions to

   Social Security.................................. 170,000

  For Group Insurance............................... 594,000

  For Contractual Services......................... 5,294,400

  For Commodities................................... 229,700

  For Printing...................................... 354,800

  For Equipment..................................... 936,100

  For Electronic Data Processing................... 2,455,100

  For Telecommunications Services.................. 1,165,100

  For Costs Associated with Information

   Technology Infrastructure...................... 54,723,000

  For State Prompt Payment Act Interest Costs......... 25,000

    Total                                        $69,347,000

OFFICE OF INSPECTOR GENERAL

Payable from General Revenue Fund:

  For Personal Services........................... 5,349,800

  For State Contributions to

   Social Security.................................. 409,300

  For Contractual Services................................ 0

  For Travel......................................... 10,000

  For Equipment.......................................... 0

    Total                                         $5,769,100

Payable from Public Aid Recoveries Trust Fund:

  For Personal Services.......................... 10,081,200

  For State Contributions to State

   Employees' Retirement System.................... 5,343,000

  For State Contributions to

   Social Security.................................. 771,200

  For Group Insurance............................. 2,717,000

  For Contractual Services......................... 6,418,500

  For Travel......................................... 78,800

  For Commodities......................................... 0

  For Printing............................................ 0

  For Equipment........................................... 0

  For Telecommunications Services........................ 0

    Total                                        $25,409,700

Payable from Long-Term Care Provider Fund:

  For Administrative Expenses........................ 275,000

CHILD SUPPORT SERVICES

Payable from General Revenue Fund:

  For Deposit into the Child Support

   Administrative Fund........................... 63,200,000

Payable from Child Support Administrative Fund:

  For Personal Services.......................... 57,404,900

  For Employee Retirement Contributions

   Paid by Employer.................................. 35,600

  For State Contributions to State

   Employees' Retirement System................... 30,424,600

  For State Contributions to

   Social Security................................ 4,391,500

  For Group Insurance............................ 20,542,700

  For Contractual Services........................ 91,402,300

  For Travel........................................ 233,000

  For Commodities................................... 292,000

  For Printing...................................... 180,000

  For Equipment................................... 1,500,000

  For Electronic Data Processing.................. 14,989,000

  For Telecommunications Services.................. 1,900,000

  For Child Support Enforcement

   Demonstration Projects........................... 500,000

  For Administrative Costs Related to

   Enhanced Collection Efforts including

   Paternity Adjudication Demonstration............ 7,500,000

  For Costs Related to the State

   Disbursement Unit.............................. 9,000,000

  For State Prompt Payment Act Interest Costs......... 50,000

    Total                                       $240,345,600

LEGAL REPRESENTATION

Payable from General Revenue Fund:

  For Personal Services............................. 893,900

  For Employee Retirement Contributions

   Paid by Employer................................... 6,900

  For State Contributions to

   Social Security................................... 68,400

  For Contractual Services........................... 95,000

  For Travel.......................................... 4,000

  For Equipment....................................... 1,800

    Total                                         $1,070,000

PUBLIC AID RECOVERIES

Payable from Public Aid Recoveries Trust Fund:

  For Personal Services........................... 9,207,600

  For State Contributions to State

   Employees' Retirement System.................... 4,880,000

  For State Contributions to

   Social Security.................................. 704,400

  For Group Insurance............................. 2,919,300

  For Contractual Services........................ 13,777,800

  For Travel......................................... 67,200

  For Commodities......................................... 0

  For Printing............................................ 0

  For Equipment........................................... 0

  For Telecommunications Services........................ 0

    Total                                        $31,556,300

MEDICAL

Payable from General Revenue Fund:

  For Deposit into the Medicaid Technical

   Assistance Center Fund........................... 500,000

  For Costs Associated with the Critical

   Access Care Pharmacy Program................... 10,000,000

    Total                                        $10,500,000

Payable from Provider Inquiry Trust Fund:

  For Expenses Associated with

   Providing Access and Utilization

   of Department Eligibility Files................... 200,000

Payable from Public Aid Recoveries Trust Fund:

  For Personal Services........................... 9,917,300

  For State Contributions to State

   Employees’ Retirement System.................... 5,256,200

  For State Contributions to

   Social Security.................................. 758,800

  For Group Insurance............................. 3,710,200

  For Contractual Services........................ 45,900,000

  For Commodities......................................... 0

  For Printing............................................ 0

  For Equipment........................................... 0

  For Telecommunications Services......................... 0

  For Costs Associated with the

   Development, Implementation and

   Operation of a Data Warehouse.................. 21,368,200

    Total                                        $86,910,700

Payable from Healthcare Provider Relief Fund:

  For Operational Expenses........................ 63,361,800

  For Payments in Support of the

   Operation of the Illinois

   Poison Center.................................. 3,750,000

 

    Section 10. The amount of $1,955,000,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the General Revenue Fund for deposit into the Healthcare Provider Relief Fund.

 

    Section 15. In addition to any amounts heretofore appropriated, the following named amounts, or so much thereof as may be necessary, respectively, are appropriated to the Department of Healthcare and Family Services for Medical Assistance and Administrative Expenditures:

 FOR MEDICAL ASSISTANCE UNDER ACTS INCLUDING THE ILLINOIS PUBLIC AID CODE, THE CHILDREN'S HEALTH INSURANCE PROGRAM ACT,

THE COVERING ALL KIDS HEALTH INSURANCE ACT, THE LONG TERM ACUTE CARE HOSPITAL QUALITY IMPROVEMENT TRANSFER PROGRAM ACT, AND THE INDIVIDUAL CARE GRANT PROGRAM AS TRANSFERRED BY PUBLIC ACT 99-479

Payable from General Revenue Fund:

  For Medical Assistance Providers and

   Related Operating and Administrative

   Costs..................................... $6,860,982,400

 

    In addition to any amounts heretofore appropriated, the following named amounts, or so much thereof as may be necessary, are appropriated to the Department of Healthcare and Family Services for Medical Assistance under Acts including the Illinois Public Aid Code, the Children's Health Insurance Program Act, the Covering ALL KIDS Health Insurance Act, and the Long Term Acute Care Hospital Quality Improvement Transfer Program Act for reimbursement or coverage of prescribed drugs, other pharmacy products, and payments to managed care organizations as defined in Section 5-30.1 of the Illinois Public Aid Code including related administrative and operation costs:

Payable from Drug Rebate Fund.................. 2,700,000,000

 

    In addition to any amounts heretofore appropriated, the following named amounts, or so much thereof as may be necessary, are appropriated to the Department of Healthcare and Family Services for costs related to the operation of the Health Benefits for Workers with Disabilities Program:

Payable from Medicaid Buy-In Program

 Revolving Fund..................................... 678,100

 

    Section 20. In addition to any amount heretofore appropriated, the amount of $50,000,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the Medical Interagency Program Fund for i) Medical Assistance payments on behalf of individuals eligible for Medical Assistance programs administered by the Department of Healthcare and Family Services, and ii) pursuant to an interagency agreement, medical services and other costs associated with programs administered by another agency of state government, including operating and administrative costs.

 

    Section 25. In addition to any amounts heretofore appropriated, the following named amounts, or so much thereof as may be necessary, respectively, are appropriated to the Department of Healthcare and Family Services for Medical Assistance and Administrative Expenditures:

FOR MEDICAL ASSISTANCE UNDER ACTS INCLUDING THE ILLINOIS PUBLIC AID CODE, THE CHILDREN’S HEALTH INSURANCE PROGRAM ACT, THE COVERING ALL KIDS HEALTH INSURANCE ACT AND THE LONG TERM ACUTE CARE HOSPITAL QUALITY IMPROVEMENT TRANSFER PROGRAM ACT

Payable from Care Provider Fund for Persons

 with a Developmental Disability:

  For Administrative Expenditures.................... 300,000

Payable from Long-Term Care Provider Fund:

  For Skilled, Intermediate, and Other Related

   Long-Term Care Services and Payments

   to Managed Care Organizations................. 875,000,000

  For Administrative Expenditures.................. 6,109,600

    Total                                       $881,109,600

Payable from Hospital Provider Fund:

  For Hospitals, Capitated Managed Care

   Organizations as necessary to comply

   With Article V-A of the

   Illinois Public Aid Code, and Related

   Operating and Administrative Costs.......... 4,500,000,000

Payable from Tobacco Settlement Recovery Fund:

  For Medical Assistance Providers............... 350,000,000

Payable from Healthcare Provider Relief Fund:

  For Medical Assistance Providers

   and Related Operating and

   Administrative Costs....................... 15,052,000,000

 

    Section 30. In addition to any amounts heretofore appropriated, the following named amounts, or so much thereof as may be necessary, respectively, are appropriated to the Department of Healthcare and Family Services for Medical Assistance and Administrative Expenditures:

FOR MEDICAL ASSISTANCE UNDER ACTS INCLUDING THE ILLINOIS PUBLIC AID CODE, THE CHILDREN'S HEALTH INSURANCE PROGRAM ACT, AND THE COVERING ALL KIDS HEALTH INSURANCE ACT

Payable from County Provider Trust Fund:

  For Medical Services........................ 3,400,000,000

  For Administrative Expenditures Including

   Pass-through of Federal Matching Funds......... 25,000,000

    Total                                     $3,425,000,000

 

    Section 35.  The following named amounts, or so much thereof as may be necessary, respectively, are appropriated to the Department of Healthcare and Family Services for refunds of overpayments of assessments or inter-governmental transfers made by providers during the period from July 1, 1991 through June 30, 2023:

Payable from:

  Care Provider Fund for Persons

   with a Developmental Disability................. 1,000,000

  Long-Term Care Provider Fund..................... 2,750,000

  Hospital Provider Fund.......................... 5,000,000

  County Provider Trust Fund....................... 1,000,000

    Total                                         $9,750,000

 

    Section 40.  The amount of $10,200,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the Trauma Center Fund for adjustment payments to certain Level I and Level II trauma centers.

 

    Section 45.  The amount of $375,000,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the University of Illinois Hospital Services Fund to reimburse the University of Illinois Hospital for medical services.

 

    Section 50.  The amount of $1,000,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the Juvenile Rehabilitation Services Medicaid Matching Fund for payments to the Department of Juvenile Justice and counties for court-ordered juvenile behavioral health services under the Illinois Public Aid Code and the Children's Health Insurance Program Act.

 

    Section 55.  The amount of $5,000,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the Medical Special Purposes Trust Fund for medical demonstration projects and costs associated with the implementation of federal Health Insurance Portability and Accountability Act mandates.

 

    Section 60.  The amount of $1,000,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the Medicaid Technical Assistance Center Fund for all costs, including grants and related operating and administrative costs, associated with the establishment, administration, and operations of the Medicaid Technical Assistance Center.

 

    Section 65.  The amount of $200,000,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the Special Education Medicaid Matching Fund for payments to local education agencies for medical services and other costs eligible for federal reimbursement under Title XIX or Title XXI of the federal Social Security Act.

 

    Section 70. In addition to any amounts heretofore appropriated, the amount of $10,200,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the Money Follows the Person Budget Transfer Fund for costs associated with long-term care, including related operating and administrative costs.  Such costs shall include, but not necessarily be limited to, those related to long-term care rebalancing efforts, institutional long-term care services, and pursuant to an interagency agreement, community-based services administered by another agency of state government.

 

    Section 75.  The sum of $5,000,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the Electronic Health Record Incentive Fund for the purpose of payments to qualifying health care providers to encourage the adoption and use of certified electronic health records technology pursuant to paragraph 1903 (t)(1) of the Social Security Act.

 

    Section 80. In addition to any amounts heretofore appropriated, the following named amounts, or so much thereof as may be necessary, respectively, are appropriated to the Department of Healthcare and Family Services for State Prompt Payment Act interest costs:

Payable from the General Revenue Fund............. 10,000,000

Payable from Long-Term Care Provider Fund:............ 10,000

Payable from the Hospital Provider Fund:............. 200,000

Payable from the Trauma Center Fund:.................. 10,000

Payable from the Money Follows the Person

   Budget Transfer Fund:............................. 10,000

Payable from the Medical Interagency

   Program Fund:.................................... 200,000

Payable from the Drug Rebate Fund:................... 200,000

Payable from the Tobacco Settlement

   Recovery Fund:.................................... 10,000

Payable from the Medicaid Buy-In Program

   Revolving Fund:...................................... 500

Payable from the Healthcare

   Provider Relief Fund:.......................... 5,000,000

Payable from the Medical Special

   Purposes Trust Fund:.............................. 50,000

 

    Section 85.  The amount of $7,000,000, or so much thereof as may be necessary, is appropriated from the General Revenue Fund to the Department of Healthcare and Family Services for all costs associated with providing enhanced Medicaid rates to underserved communities in need of mental health and substance use disorder treatments.

 

    Section 90.  The amount of $25,000,000, or so much thereof as may be necessary, is appropriated from the General Revenue Fund to the Department of Healthcare and Family Services for the purpose of updating prospective payment system rates for Federally Qualified Health Centers (FQHCs).

 

    Section 95. The amount of $7,600,000, or so much thereof as may be necessary, is appropriated from the General Revenue Fund to the Department of Healthcare and Family Services for stabilization payments to specialized mental health rehabilitation facilities.

 

    Section 100.  The amount of $60,000,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the General Revenue Fund for a demonstration project for preventive health.

 

    Section 105. The amount of $7,300,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the General Revenue Fund for incentives payments to specialized mental health rehabilitation facilities.

 

    Section 110.  The sum of $5,000,000, or so much thereof as may be necessary, is appropriated from the General Revenue Fund to the Department Healthcare and Family Services for grants for mental health wellness check programs.

 

Section 99. Effective date. This Act takes effect July 1, 2023.