Rep. Jack McGuire
Filed: 3/24/2004
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1 | AMENDMENT TO HOUSE BILL 4475
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2 | AMENDMENT NO. ______. Amend House Bill 4475, AS AMENDED, by | ||||||
3 | replacing everything after the enacting clause with the | ||||||
4 | following:
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5 | "Section 1. Short title. This Act may be cited as the | ||||||
6 | Excellence in Alzheimer's Disease Center Treatment Act. | ||||||
7 | Section 5. Purpose. This Act is intended to maintain and | ||||||
8 | enhance excellence in Alzheimer's disease treatment in | ||||||
9 | Illinois in order to develop strategies to treat and prevent | ||||||
10 | Alzheimer's disease in Illinois and across the United States, | ||||||
11 | ensure that all Illinois citizens obtain the highest quality | ||||||
12 | clinical care for Alzheimer's disease and other dementias, | ||||||
13 | reduce the enormous societal cost of this disease, ensure that | ||||||
14 | Illinois is a national center for Alzheimer's disease research, | ||||||
15 | and maintain and enhance Illinois' ability to attract | ||||||
16 | additional federal and private funding for these purposes. | ||||||
17 | Section 15. Definitions. As used in this Act: | ||||||
18 | "Academic medical center hospital" means a hospital | ||||||
19 | located in Illinois that is either (i) under common ownership | ||||||
20 | with the college of medicine of a college or university or (ii) | ||||||
21 | a free-standing hospital in which the majority of the clinical | ||||||
22 | chiefs of service are department chairmen in an affiliated | ||||||
23 | medical school.
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1 | "Qualified Academic Medical Center Hospital - Pre 1996 | ||||||
2 | Designation" means any academic medical center hospital that | ||||||
3 | was designated by the National Institutes of Health and | ||||||
4 | National Institutes on Aging as an Alzheimer's Disease Core (or | ||||||
5 | Research) Center prior to calendar year 1996. | ||||||
6 | "Qualified Academic Medical Center Hospital - Post 1996 | ||||||
7 | Designation" means any academic medical center hospital that | ||||||
8 | was designated by the National Institutes of Health and | ||||||
9 | National Institutes on Aging as an Alzheimer's Disease Core (or | ||||||
10 | Research) Center in or after calendar year 1996 through | ||||||
11 | calendar year 2003. | ||||||
12 | "Medicaid inpatient day of care" means total days contained | ||||||
13 | in the Illinois Department of Public Aid's paid claims | ||||||
14 | database, including obstetrical days multiplied by two and | ||||||
15 | excluding Medicare crossover days, for dates of service | ||||||
16 | occurring during State fiscal year 1998 and adjudicated through | ||||||
17 | June 30, 1999. | ||||||
18 | Section 20. Funds created. | ||||||
19 | (a) The Alzheimer's Disease Center Clinical Fund is created | ||||||
20 | as a special fund in the State treasury, to which the General | ||||||
21 | Assembly shall from time to time appropriate funds and from | ||||||
22 | which the Comptroller shall pay amounts as authorized by law. | ||||||
23 | (b) The Alzheimer's Disease Center Expanded Clinical Fund | ||||||
24 | is created as a special fund in the State treasury, to which | ||||||
25 | the General Assembly shall from time to time appropriate funds | ||||||
26 | and from which the Comptroller shall pay amounts as authorized | ||||||
27 | by law. | ||||||
28 | (c) The Alzheimer's Disease Center Independent Clinical | ||||||
29 | Fund is created as a special fund in the State treasury, to | ||||||
30 | which the General Assembly shall from time to time appropriate | ||||||
31 | funds and from which the Comptroller shall pay amounts as | ||||||
32 | authorized by law. |
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1 | Section 25. The Alzheimer's Disease Center Clinical Fund. | ||||||
2 | (a) Each institution defined as a Qualified Academic | ||||||
3 | Medical Center Hospital - Pre 1996 Designation shall be | ||||||
4 | eligible for payments from the Alzheimer's Disease Center | ||||||
5 | Clinical Fund. | ||||||
6 | (b) Appropriations allocated to this Fund shall be divided | ||||||
7 | among the qualifying hospitals. The Department of Public Aid | ||||||
8 | shall calculate payment rates for each hospital qualifying | ||||||
9 | under this Section as follows: | ||||||
10 | (1) Hospitals that qualify under the Qualified | ||||||
11 | Academic Medical Center Hospital - Pre 1996 Designation | ||||||
12 | shall be paid a rate of $55.50 for each Medicaid inpatient | ||||||
13 | day of care.
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14 | (2) No qualifying hospital shall receive payments | ||||||
15 | under this Section that exceed $1,200,000. | ||||||
16 | (c) Payments under this Section shall be made at least | ||||||
17 | quarterly. | ||||||
18 | Section 30. The Alzheimer's Disease Center Expanded | ||||||
19 | Clinical Fund. | ||||||
20 | (a) Each institution defined as a Qualified Academic | ||||||
21 | Medical Center Hospital - Pre 1996 Designation or as a | ||||||
22 | Qualified Academic Medical Center Hospital - Post 1996 | ||||||
23 | Designation shall be eligible for payments from the Alzheimer's | ||||||
24 | Disease Center Expanded Clinical Fund. | ||||||
25 | (b) Appropriations allocated to this Fund shall be divided | ||||||
26 | among the qualifying hospitals. The Department of Public Aid | ||||||
27 | shall calculate payment rates for each hospital qualifying | ||||||
28 | under this Section as follows: | ||||||
29 | (1) Hospitals that are defined as a Qualifying Academic | ||||||
30 | Medical Center Hospital - Pre 1996 Designation shall be | ||||||
31 | paid $13.90 for each Medicaid inpatient day of care. | ||||||
32 | (2) Hospitals that are defined as a Qualifying Academic | ||||||
33 | Medical Center Hospital - Post 1996 Designation and do not |
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1 | meet the Pre 1996 Designation criterion, shall be paid | ||||||
2 | $10.75 for each Medicaid inpatient day of care. | ||||||
3 | (3) Hospitals that qualify under the Pre and Post 1996 | ||||||
4 | Designation shall qualify for payments under this Section | ||||||
5 | according to the payment guidelines for Pre 1996 Designated | ||||||
6 | hospitals. | ||||||
7 | (4) No qualifying hospital shall receive payments | ||||||
8 | under this Section that exceed $300,000.
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9 | (c) Payments under this Section shall be made at least | ||||||
10 | quarterly. | ||||||
11 | Section 35. The Alzheimer's Disease Center Independent | ||||||
12 | Clinical Fund. | ||||||
13 | (a) Each institution defined as a Qualified Academic | ||||||
14 | Medical Center Hospital - Pre 1996 Designation or as a | ||||||
15 | Qualified Academic Medical Center Hospital - Post 1996 | ||||||
16 | Designation shall be eligible for payments from the Alzheimer's | ||||||
17 | Disease Center Independent Clinical Fund. | ||||||
18 | (b) Appropriations allocated to this Fund shall be | ||||||
19 | allocated to specific Qualified Academic Medical Center | ||||||
20 | Hospitals (either Pre 1996 or Post 1996 Designation) for | ||||||
21 | specific and unique clinical/research projects as determined | ||||||
22 | by the General Assembly. | ||||||
23 | (c) Payments under this Section shall be made at least | ||||||
24 | quarterly. | ||||||
25 | Section 40. Use of funds. Reimbursement for medical | ||||||
26 | services under this Act eligible for federal financial | ||||||
27 | participation under Title XIX of the Social Security Act shall | ||||||
28 | be used for the following 6 general purposes: | ||||||
29 | (1) Clinical Care. Funds disbursed to each Qualified | ||||||
30 | Academic Medical Center Hospital (either Pre 1996 or Post | ||||||
31 | 1996 Designation) must be used to support clinical care for | ||||||
32 | affected persons and their families. In addition to |
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1 | providing clinical care, the Qualified Academic Medical | ||||||
2 | Center Hospitals (either Pre 1996 or Post 1996 Designation) | ||||||
3 | shall serve as models of multi-disciplinary diagnostic and | ||||||
4 | treatment facilities for Alzheimer's disease and other | ||||||
5 | dementias. | ||||||
6 | (2) Underserved Community Outreach. Funds disbursed to | ||||||
7 | each Qualified Academic Medical Center Hospital (either | ||||||
8 | Pre 1996 or Post 1996 Designation) must be used to support | ||||||
9 | some type of outreach program in underserved communities. | ||||||
10 | (3) Research. Funds disbursed to each Qualified | ||||||
11 | Academic Medical Center Hospital (either Pre 1996 or Post | ||||||
12 | 1996 Designation) must be used to support research on aging | ||||||
13 | and dementia. | ||||||
14 | (4) Education. Funds disbursed to each Qualified | ||||||
15 | Academic Medical Center Hospital (either Pre 1996 or Post | ||||||
16 | 1996 Designation) must be used to support education | ||||||
17 | regarding aging and dementia. | ||||||
18 | (5) Brain Bank. Funds should be used by each Qualified | ||||||
19 | Academic Medical Center Hospital (either Pre 1996 or Post | ||||||
20 | 1996 Designation) to support a brain banking program. | ||||||
21 | (6) Administration. Funds, as needed, may be used to | ||||||
22 | cover administrative costs, facility costs, and other | ||||||
23 | costs commonly incurred by clinical, research, and | ||||||
24 | educational programs according to the rules governing each | ||||||
25 | Qualified Academic Medical Center Hospital (either Pre | ||||||
26 | 1996 or Post 1996 Designation). | ||||||
27 | Section 45. Payment of funds. The Comptroller shall | ||||||
28 | disburse all funds appropriated to the Alzheimer's Disease | ||||||
29 | Center Clinical Fund, the Alzheimer's Disease Center Expanded | ||||||
30 | Clinical Fund, and the Alzheimer's Disease Center Independent | ||||||
31 | Clinical Fund to the appropriate Qualified Academic Medical | ||||||
32 | Center Hospitals (either Pre 1996 or Post 1996 Designation) as | ||||||
33 | the funds are appropriated by the General Assembly and come due |
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1 | under this Act. The payment of these funds shall be made | ||||||
2 | through the Department of Public Aid. | ||||||
3 | Section 50. Reporting requirements. Qualified Academic | ||||||
4 | Medical Center Hospitals (either Pre 1996 or Post 1996 | ||||||
5 | Designation) receiving payments from the Alzheimer's Disease | ||||||
6 | Center Clinical Fund, the Alzheimer's Disease Center Expanded | ||||||
7 | Clinical Fund, or the Alzheimer's Disease Center Independent | ||||||
8 | Clinical Fund shall submit annual reports to the Department of | ||||||
9 | Public Health and the ADA Advisory Committee. | ||||||
10 | Section 55. Payment methodology. The Department of Public | ||||||
11 | Aid shall promulgate rules necessary to make payments to the | ||||||
12 | Qualifying Academic Medical Center Hospitals (either Pre 1996 | ||||||
13 | or Post 1996 Designation) utilizing a reimbursement | ||||||
14 | methodology consistent with this Act for distribution of all | ||||||
15 | moneys from the funds in a manner that would help ensure these | ||||||
16 | funds could be matchable to the maximum extent possible under | ||||||
17 | Title XIX of the Social Security Act. | ||||||
18 | Section 60. Reimbursements of payments by the State. | ||||||
19 | Nothing in this Act may be used to reduce reimbursements or | ||||||
20 | payments by the State to a Qualifying Academic Medical Center | ||||||
21 | Hospital (either Pre 1996 or Post 1996 Designation) under any | ||||||
22 | other Act. | ||||||
23 | Section 65. Contravention of law. Funds received under this | ||||||
24 | Act shall not be used in contravention of any law of this | ||||||
25 | State. | ||||||
26 | Section 90. The State Finance Act is amended by adding | ||||||
27 | Sections
5.625, 5.626, and 5.627 as follows:
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28 | (30 ILCS 105/5.625 new)
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1 | Sec. 5.625. The Alzheimer's Disease Center Clinical Fund. | ||||||
2 | (30 ILCS 105/5.626 new)
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3 | Sec. 5.626. The Alzheimer's Disease Center Expanded | ||||||
4 | Clinical Fund. | ||||||
5 | (30 ILCS 105/5.627 new)
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6 | Sec. 5.627. The Alzheimer's Disease Center Independent | ||||||
7 | Clinical Fund. | ||||||
8 | Section 95. The Alzheimer's Disease Assistance Act is | ||||||
9 | amended by changing Sections 2, 6, and 7 as follows:
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10 | (410 ILCS 405/2) (from Ch. 111 1/2, par. 6952)
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11 | Sec. 2. Policy declaration. The General Assembly finds that
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12 | Alzheimer's disease and related disorders are devastating | ||||||
13 | health conditions
which destroy certain vital cells of the | ||||||
14 | brain and which affect an estimated
4,500,000
1,500,000
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15 | Americans. This means that approximately 200,000
111,000
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16 | Illinois
citizens are victims. The General Assembly also finds | ||||||
17 | that 50% of all
nursing home admissions in the State may be | ||||||
18 | attributable to the Alzheimer's
disease and related disorders | ||||||
19 | and that these conditions are the fourth
leading cause of death | ||||||
20 | among the elderly. It is the opinion of the General
Assembly | ||||||
21 | that Alzheimer's disease and related disorders cause serious
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22 | financial, social and emotional hardships on the victims and | ||||||
23 | their families
of such a major consequence that it is essential | ||||||
24 | for the State to develop and
implement policies, plans, | ||||||
25 | programs and services to alleviate such hardships.
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26 | The General Assembly recognizes that there is no known | ||||||
27 | cause or cure
of Alzheimer's disease at this time, and that it | ||||||
28 | can progress
over an extended period of time and to such a | ||||||
29 | degree that the victim's
deteriorated condition makes him or | ||||||
30 | her susceptible to other medical
disorders that generally prove |
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1 | fatal. It is the intent of the General
Assembly, through | ||||||
2 | implementation of this Act, to establish a program for
the | ||||||
3 | conduct of research regarding the cause, cure and treatment of | ||||||
4 | Alzheimer's
disease and related disorders; and, through
the | ||||||
5 | establishment of Regional Alzheimer's Disease Assistance | ||||||
6 | Centers and
a comprehensive, Statewide system of regional and | ||||||
7 | community-based services,
to provide for the identification, | ||||||
8 | evaluation, diagnosis, referral and
treatment of victims of | ||||||
9 | such health problems.
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10 | (Source: P.A. 85-1209.)
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11 | (410 ILCS 405/6) (from Ch. 111 1/2, par. 6956)
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12 | Sec. 6. ADA Advisory Committee. There is created the | ||||||
13 | Alzheimer's
Disease Advisory Committee consisting of 21 voting | ||||||
14 | members appointed by the
Director of the Department, as well as | ||||||
15 | 5 nonvoting members as hereinafter
provided in this Section. | ||||||
16 | The Director or his designee shall serve as one
of the 21 | ||||||
17 | voting members and as
the Chairman of the Committee. Those | ||||||
18 | appointed as voting members shall
include persons who are | ||||||
19 | experienced in
research and the delivery of services to victims | ||||||
20 | and their families.
Such members shall include 4 physicians | ||||||
21 | licensed to practice medicine in all of
its branches, one | ||||||
22 | representative of a postsecondary educational institution
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23 | which administers or is affiliated with a medical center in the | ||||||
24 | State, one
representative of a licensed hospital, one | ||||||
25 | registered nurse, one
representative of a long term care | ||||||
26 | facility under the Nursing Home Care
Act, one representative of | ||||||
27 | an area
agency on aging as defined by Section 3.07 of the | ||||||
28 | Illinois Act on the
Aging, one social worker, one | ||||||
29 | representative of an organization established
under the | ||||||
30 | Illinois Insurance Code for the purpose of providing health
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31 | insurance, 5 family members or representatives of victims of | ||||||
32 | Alzheimer's
disease and related disorders, and 4 members of the | ||||||
33 | general public. Among
the physician appointments shall be |
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1 | persons with specialties in the fields
of neurology, family | ||||||
2 | medicine, psychiatry and pharmacology. Among the
general | ||||||
3 | public members, at least 2 appointments shall include persons | ||||||
4 | 65
years of age or older.
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5 | In addition to the 21 voting members, the Secretary of | ||||||
6 | Human Services (or
his or her designee) and
one additional | ||||||
7 | representative of the Department of Human Services designated | ||||||
8 | by
the Secretary plus the Directors of the following
State | ||||||
9 | agencies or their designees shall serve as nonvoting members:
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10 | Department on Aging, Department
of Public Aid, and Guardianship | ||||||
11 | and Advocacy Commission.
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12 | Each voting member appointed by the
Director of Public | ||||||
13 | Health shall serve for a term of 2 years, and until his
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14 | successor is appointed and qualified. Members of the Committee | ||||||
15 | shall not
be compensated but shall be reimbursed for expenses | ||||||
16 | actually incurred in
the performance of their duties. No more | ||||||
17 | than 11 voting members may be of
the same political party. | ||||||
18 | Vacancies shall be filled in the same manner as
original | ||||||
19 | appointments.
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20 | The Committee shall review all State programs and services | ||||||
21 | provided by State agencies that are directed toward persons | ||||||
22 | with Alzheimer's disease and related dementias, and recommend | ||||||
23 | changes to improve the State's response to this serious health | ||||||
24 | problem. | ||||||
25 | (Source: P.A. 89-507, eff. 7-1-97.)
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26 | (410 ILCS 405/7) (from Ch. 111 1/2, par. 6957)
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27 | Sec. 7. Regional ADA center funding. Pursuant to
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28 | appropriations enacted by the General Assembly, the Department | ||||||
29 | shall
provide funds to hospitals affiliated with each
Regional | ||||||
30 | ADA Center for
necessary research and
for the development and | ||||||
31 | maintenance of services for victims of Alzheimer's
disease and | ||||||
32 | related disorders and their families. For the fiscal year
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33 | beginning July 1, 2003, and each year thereafter, the |
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1 | Department shall effect
payments under this Section to | ||||||
2 | hospitals affiliated with each Regional ADA
Center through the | ||||||
3 | Illinois Department of Public Aid under the Excellence in | ||||||
4 | Alzheimer's Disease Center Treatment Act. The Department of | ||||||
5 | Public Aid shall annually report to the Advisory Committee | ||||||
6 | established under this Act regarding the funding of centers | ||||||
7 | under this Act . The Department shall
include the annual | ||||||
8 | expenditures for this purpose in the plan required by
Section 5 | ||||||
9 | of this Act.
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10 | (Source: P.A. 93-20, eff. 6-20-03.)
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11 | Section 99. Effective date. This Act takes effect upon | ||||||
12 | becoming law.".
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