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| | 103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024
HB3675 Introduced 2/17/2023, by Rep. Kelly M. Burke SYNOPSIS AS INTRODUCED:
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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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| | HB3675 | | LRB103 27711 KTG 54088 b |
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| 1 | | AN ACT concerning public aid.
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| 2 | | Be it enacted by the People of the State of Illinois,
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| 3 | | represented in the General Assembly:
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| 4 | | Section 5. The Illinois Public Aid Code is amended by |
| 5 | | changing Section 5-5.05 as follows:
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| 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 |
| 9 | | to be paid to a hospital for inpatient psychiatric services |
| 10 | | shall be $363.77. |
| 11 | | (b) For purposes of this Section, "hospital" means the |
| 12 | | following: |
| 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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| | HB3675 | - 3 - | LRB103 27711 KTG 54088 b |
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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 |
| 15 | | services" means those services provided to patients who are in |
| 16 | | need of short-term acute inpatient hospitalization for active |
| 17 | | treatment of an emotional or mental disorder. |
| 18 | | (b-5) Notwithstanding any other provision of this Section, |
| 19 | | and subject to appropriation, the inpatient, per diem rate to |
| 20 | | be paid to all safety-net hospitals for inpatient psychiatric |
| 21 | | services on and after January 1, 2021 shall be at least $630. |
| 22 | | (b-10) Notwithstanding any other provision of this |
| 23 | | Section, effective with dates of service on and after January |
| 24 | | 1, 2022, any general acute care hospital with more than 9,500 |
| 25 | | inpatient psychiatric Medicaid days in any calendar year shall |
| 26 | | be paid the inpatient per diem rate of no less than $630. |
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| 1 | | (b-15) Notwithstanding any other provision of this |
| 2 | | Section, any freestanding psychiatric hospital located in |
| 3 | | Peoria County, for which construction commenced on or after |
| 4 | | January 1, 2023, shall be paid the inpatient per diem rate of |
| 5 | | no less than $630 for dates of service on and after January 1, |
| 6 | | 2025. |
| 7 | | (c) No rules shall be promulgated to implement this |
| 8 | | Section. For purposes of this Section, "rules" is given the |
| 9 | | meaning contained in Section 1-70 of the Illinois |
| 10 | | Administrative Procedure Act. |
| 11 | | (d) This Section shall not be in effect during any period |
| 12 | | of time that the State has in place a fully operational |
| 13 | | hospital assessment plan that has been approved by the Centers |
| 14 | | for Medicare and Medicaid Services of the U.S. Department of |
| 15 | | Health and Human Services.
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| 16 | | (e) On and after July 1, 2012, the Department shall reduce |
| 17 | | any rate of reimbursement for services or other payments or |
| 18 | | alter any methodologies authorized by this Code to reduce any |
| 19 | | rate of reimbursement for services or other payments in |
| 20 | | accordance with Section 5-5e. |
| 21 | | (Source: P.A. 102-4, eff. 4-27-21; 102-674, eff. 11-30-21.)
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| 22 | | Section 99. Effective date. This Act takes effect upon |
| 23 | | becoming law. |