102ND GENERAL ASSEMBLY
State of Illinois
2021 and 2022
HB4091

 

Introduced 5/25/2021, by Rep. Camille Y. Lilly

 

SYNOPSIS AS INTRODUCED:
 
305 ILCS 5/5-5.05

    Amends the Medical Assistance Article of the Illinois Public Aid Code. In a provision concerning the $630 per diem rate to be paid to safety net-hospitals for inpatient psychiatric services on and after January 1, 2021, removes language making the payment rate subject to appropriation. Effective July 1, 2021.


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FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

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1    AN ACT concerning public aid.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Illinois Public Aid Code is amended by
5changing Section 5-5.05 as follows:
 
6    (305 ILCS 5/5-5.05)
7    Sec. 5-5.05. Hospitals; psychiatric services.
8    (a) On and after July 1, 2008, the inpatient, per diem rate
9to be paid to a hospital for inpatient psychiatric services
10shall be $363.77.
11    (b) For purposes of this Section, "hospital" means the
12following:
13        (1) Advocate Christ Hospital, Oak Lawn, Illinois.
14        (2) Barnes-Jewish Hospital, St. Louis, Missouri.
15        (3) BroMenn Healthcare, Bloomington, Illinois.
16        (4) Jackson Park Hospital, Chicago, Illinois.
17        (5) Katherine Shaw Bethea Hospital, Dixon, Illinois.
18        (6) Lawrence County Memorial Hospital, Lawrenceville,
19    Illinois.
20        (7) Advocate Lutheran General Hospital, Park Ridge,
21    Illinois.
22        (8) Mercy Hospital and Medical Center, Chicago,
23    Illinois.

 

 

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1        (9) Methodist Medical Center of Illinois, Peoria,
2    Illinois.
3        (10) Provena United Samaritans Medical Center,
4    Danville, Illinois.
5        (11) Rockford Memorial Hospital, Rockford, Illinois.
6        (12) Sarah Bush Lincoln Health Center, Mattoon,
7    Illinois.
8        (13) Provena Covenant Medical Center, Urbana,
9    Illinois.
10        (14) Rush-Presbyterian-St. Luke's Medical Center,
11    Chicago, Illinois.
12        (15) Mt. Sinai Hospital, Chicago, Illinois.
13        (16) Gateway Regional Medical Center, Granite City,
14    Illinois.
15        (17) St. Mary of Nazareth Hospital, Chicago, Illinois.
16        (18) Provena St. Mary's Hospital, Kankakee, Illinois.
17        (19) St. Mary's Hospital, Decatur, Illinois.
18        (20) Memorial Hospital, Belleville, Illinois.
19        (21) Swedish Covenant Hospital, Chicago, Illinois.
20        (22) Trinity Medical Center, Rock Island, Illinois.
21        (23) St. Elizabeth Hospital, Chicago, Illinois.
22        (24) Richland Memorial Hospital, Olney, Illinois.
23        (25) St. Elizabeth's Hospital, Belleville, Illinois.
24        (26) Samaritan Health System, Clinton, Iowa.
25        (27) St. John's Hospital, Springfield, Illinois.
26        (28) St. Mary's Hospital, Centralia, Illinois.

 

 

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1        (29) Loretto Hospital, Chicago, Illinois.
2        (30) Kenneth Hall Regional Hospital, East St. Louis,
3    Illinois.
4        (31) Hinsdale Hospital, Hinsdale, Illinois.
5        (32) Pekin Hospital, Pekin, Illinois.
6        (33) University of Chicago Medical Center, Chicago,
7    Illinois.
8        (34) St. Anthony's Health Center, Alton, Illinois.
9        (35) OSF St. Francis Medical Center, Peoria, Illinois.
10        (36) Memorial Medical Center, Springfield, Illinois.
11        (37) A hospital with a distinct part unit for
12    psychiatric services that begins operating on or after
13    July 1, 2008.
14    For purposes of this Section, "inpatient psychiatric
15services" means those services provided to patients who are in
16need of short-term acute inpatient hospitalization for active
17treatment of an emotional or mental disorder.
18    (b-5) Notwithstanding any other provision of this Section,
19and subject to appropriation, the inpatient, per diem rate to
20be paid to all safety-net hospitals for inpatient psychiatric
21services on and after January 1, 2021 shall be at least $630.
22    (c) No rules shall be promulgated to implement this
23Section. For purposes of this Section, "rules" is given the
24meaning contained in Section 1-70 of the Illinois
25Administrative Procedure Act.
26    (d) This Section shall not be in effect during any period

 

 

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1of time that the State has in place a fully operational
2hospital assessment plan that has been approved by the Centers
3for Medicare and Medicaid Services of the U.S. Department of
4Health and Human Services.
5    (e) On and after July 1, 2012, the Department shall reduce
6any rate of reimbursement for services or other payments or
7alter any methodologies authorized by this Code to reduce any
8rate of reimbursement for services or other payments in
9accordance with Section 5-5e.
10(Source: P.A. 102-4, eff. 4-27-21.)
 
11    Section 99. Effective date. This Act takes effect July 1,
122021.