93RD GENERAL ASSEMBLY
State of Illinois
2003 and 2004
HB6604

 

Introduced 02/09/04, by Dan Reitz

 

SYNOPSIS AS INTRODUCED:
 
305 ILCS 5/5-5.8c new

    Amends the Illinois Public Aid Code. Provides that under the Medicaid program, a nursing home may place up to 50% of its beds on layaway; sets forth requirements for placing beds on layaway. Provides for adjustment of a nursing home's Medicaid payment rate based on the nursing home's layaway or delicensure of beds.


LRB093 15229 DRJ 47301 b

FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

HB6604 LRB093 15229 DRJ 47301 b

1     AN ACT concerning public aid.
 
2     Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
 
4     Section 5. The Illinois Public Aid Code is amended by
5 adding Section 5-5.8c as follows:
 
6     (305 ILCS 5/5-5.8c new)
7     Sec. 5-5.8c. Nursing homes; bed layaway.
8     (a) Upon prior written notice to the Department of Public
9 Aid and in accordance with rules adopted by the Department, a
10 nursing facility may place up to 50% of the facility's beds on
11 layaway. A nursing facility may not discharge a resident in
12 order to lay away a bed. Notice to the Department must be given
13 60 days prior to the effective date of the layaway. Beds on
14 layaway shall have the same status as voluntarily delicensed
15 and decertified beds. In addition, beds on layaway may be
16 removed from layaway at any time on or after one year after the
17 effective date of layaway in the facility of origin, with a
18 60-day notice to the Department. A nursing facility that
19 removes beds from layaway may not place beds on layaway status
20 for one year after the effective date of the removal from
21 layaway. The Department may approve the immediate removal of
22 beds from layaway if necessary to provide access to those
23 nursing home beds to residents relocated from other nursing
24 homes due to emergency situations or closure. If approval is
25 granted, the one-year restriction on placing beds on layaway
26 after a removal of beds from layaway shall not apply. Beds may
27 remain on layaway for up to 5 years.
28     (b) For rate years beginning on or after July 1, 2005, a
29 nursing facility reimbursed under this Article that has placed
30 beds on layaway shall have those beds given the same effect as
31 if the beds had been delicensed, so long as the beds remain on
32 layaway. At the time of a layaway, a facility may change its

 

 

HB6604 - 2 - LRB093 15229 DRJ 47301 b

1 single bed election for use in calculating capacity days. The
2 property payment rate increase shall be effective the first day
3 of the month following the month in which the layaway of the
4 beds becomes effective.
5     (c) For rate years beginning on or after July 1, 2005, a
6 nursing facility that has placed beds on layaway shall, for so
7 long as the beds remain on layaway, be allowed to do the
8 following:
9         (1) Aggregate the applicable investment per bed limits
10     based on the number of beds licensed immediately before
11     entering the alternative payment system.
12         (2) Retain or change the facility's single bed election
13     for use in calculating capacity days as provided by rule.
14         (3) Establish capacity days based on the number of beds
15     immediately before the layaway and the number of beds after
16     the layaway. The Department shall increase the facility's
17     property payment rate according to rules adopted by the
18     Department.
19     (d) If a nursing facility removes a bed from layaway status
20     in accordance with rules adopted by the Department, the
21     Department shall establish capacity days based on the number of
22     licensed and certified beds in the facility not on layaway and
23     shall reduce the nursing facility's property payment rate in
24     accordance with subsection (c).
25     (e) For rate years beginning on or after July 1, 2005, a
26     nursing facility that has delicensed beds after July 1, 2005 by
27     giving notice of the delicensure to the Department of Public
28     Aid according to rules adopted by the Department shall be
29     allowed to do the following:
30         (1) Aggregate the applicable investment per bed limits
31     based on the number of beds licensed immediately before
32     entering the alternative payment system.
33         (2) Retain or change the facility's single bed election
34     for use in calculating capacity days as provided by rule.
35         (3) Establish capacity days based on the number of beds
36     immediately before the delicensure and the number of beds

 

 

HB6604 - 3 - LRB093 15229 DRJ 47301 b

1     after the delicensure. The Department shall increase the
2     facility's property payment rate according to rules
3     adopted by the Department.
4     (f) Any beds placed on layaway shall not be included in
5     calculating facility occupancy as it pertains to leave days as
6     provided in rules adopted by the Department.
7     (g) The rental rate calculated after placing beds on
8     layaway may not be less than the rental rate before placing
9     beds on layaway.
10     (h) A facility that does not utilize the space made
11     available as a result of bed layaway or delicensure under this
12     Section to reduce the number of beds per room or provide more
13     common space for nursing facility uses or perform other
14     activities related to the operation of the nursing facility
15     shall have its property rate increase calculated under this
16     Section reduced according to rules adopted by the Department.