103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024
HB3675

 

Introduced 2/17/2023, by Rep. Kelly M. Burke

 

SYNOPSIS AS INTRODUCED:
 
305 ILCS 5/5-5.05

    Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that any freestanding psychiatric hospital located in Peoria County, for which construction commenced on or after January 1, 2023, shall be paid the inpatient per diem rate of no less than $630 for dates of service on and after January 1, 2025. Effective immediately.


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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    (b-10) Notwithstanding any other provision of this
23Section, effective with dates of service on and after January
241, 2022, any general acute care hospital with more than 9,500
25inpatient psychiatric Medicaid days in any calendar year shall
26be paid the inpatient per diem rate of no less than $630.

 

 

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1    (b-15) Notwithstanding any other provision of this
2Section, any freestanding psychiatric hospital located in
3Peoria County, for which construction commenced on or after
4January 1, 2023, shall be paid the inpatient per diem rate of
5no less than $630 for dates of service on and after January 1,
62025.
7    (c) No rules shall be promulgated to implement this
8Section. For purposes of this Section, "rules" is given the
9meaning contained in Section 1-70 of the Illinois
10Administrative Procedure Act.
11    (d) This Section shall not be in effect during any period
12of time that the State has in place a fully operational
13hospital assessment plan that has been approved by the Centers
14for Medicare and Medicaid Services of the U.S. Department of
15Health and Human Services.
16    (e) On and after July 1, 2012, the Department shall reduce
17any rate of reimbursement for services or other payments or
18alter any methodologies authorized by this Code to reduce any
19rate of reimbursement for services or other payments in
20accordance with Section 5-5e.
21(Source: P.A. 102-4, eff. 4-27-21; 102-674, eff. 11-30-21.)
 
22    Section 99. Effective date. This Act takes effect upon
23becoming law.