Rep. Gary Hannig

Filed: 5/20/2008

09500HB6526ham001 HDS095 00223 CIN 20223 a

AMENDMENT TO HOUSE BILL 6526

    AMENDMENT NO. ______. Amend House Bill 6526, by deleting everything after the enacting clause and inserting in lieu thereof the following:

“ARTICLE 1

    Section 10.  The following named amounts, or so much thereof as may be necessary, respectively, are appropriated to the Department of Healthcare and Family Services for Medical Assistance for persons meeting the eligibility requirements set forth in the Medicaid State Plan or the Title XXI plan at any time; or the Illinois statues and the Illinois Administrative Code as of October, 31, 2007.  Any payment for a person not meeting these eligibility requirements must be the result of an order from an agency of the United States Government or any court with jurisdiction over eligibility issues.  Payments for operations related to the eligible populations are permitted where applicable in this section:

FOR MEDICAL ASSISTANCE UNDER THE ILLINOIS PUBLIC AID CODE,

THE CHILDREN'S HEALTH INSURANCE PROGRAM ACT, AND

THE COVERING ALL KIDS HEALTH INSURANCE ACT

Payable from General Revenue Fund:

  For Physicians............................... 990,972,300

  To increase physician rates................... 32,000,000

  To increase pediatric specialty rates

    by 34% on January 1, 2009................... 17,000,000

  For Dentists................................. 208,391,750

  For a rate increase for Dentists.............. 20,000,000

  For Optometrists.............................. 23,575,300  For Podiatrists...................................... 5,758,300  For Chiropractors.................................... 1,906,800

  For a rate increase for Chiropractors.......... 1,750,000

  For Hospital In-Patient, Disproportionate

   Share and Ambulatory Care................. 3,225,634,550

  To increase hospital inpatient psychiatric

    per diem rates statewide to $363.77.......... 3,000,000

  For federally defined Institutions for

   Mental Diseases............................. 139,987,100  For Supportive Living Facilities.................... 90,219,600  For all other Skilled, Intermediate, and Other

   Related Long Term Care Services............. 462,132,300

  Implement phase-three of the new

    MDS-based reimbursement system.............. 84,000,000

  Adjust the support component of the

    Intermediate, and Other Related

    Long Term Care Services rate to the

    2004 cost report level...................... 14,000,000

  For Community Health Centers................. 310,734,650

  For Hospice Care.............................. 71,847,350  For Independent Laboratories........................ 39,019,350  For Home Health Care, Therapy, and

    Nursing Services............................ 65,620,350  For Appliances...................................... 71,258,700       For Transportation................................. 122,968,100

  For increasing rates paid for ground

    ambulance service pursuant to Section

    5-4.2 of the Illinois Public Aid code........ 9,000,000

  For Medicare Part A Premiums.................. 20,780,300  For Medicare Part B Premiums................................ 273,559,700  For Medicare Part B Premiums for

   Qualified Individuals under the

   Federal Balanced Budget Act of 1997.......... 18,162,600  For Health Maintenance Organizations and

   Managed Care Entities....................... 240,320,750  For Division of Specialized Care

   for Children................................. 71,043,200

    Total                                    $6,634,643,050       In addition to any amounts heretofore appropriated, the following named amounts, or so much thereof as may be necessary, are appropriated to the Department of Healthcare and Family Services for Medical Assistance under the Illinois Public Aid Code, the Children's Health Insurance Program Act, the Covering ALL KIDS Health Insurance Act, and the Senior Citizens and Disabled Persons Property Tax Relief and Pharmaceutical Assistance Act for Prescribed Drugs, including costs associated with the implementation and operation of the Illinois Cares Rx Program, and costs related to the operation of the Health Benefits for Workers with Disabilities Program:

Payable from:

  General Revenue Fund......................... 945,990,100

  Drug Rebate Fund............................. 420,000,000  Tobacco Settlement Recovery Fund....................... 580,600,000  Medicaid Buy-In Program Revolving Fund...................... 300,000

    Total                                    $1,946,890,100

    The following named amounts, or so much thereof as may be necessary, are appropriated to the Department of Healthcare and Family Services for the purposes hereinafter named:

FOR MEDICAL ASSISTANCE

Payable from General Revenue Fund:

  For Grants for Medical Care for Persons

   Suffering from Chronic Renal Disease.......... 1,903,550  For Grants for Medical Care for Persons

   Suffering from Hemophilia.................... 13,636,400  For Grants for Medical Care for Sexual

   Assault Victims............................... 2,200,600

  For Grants to Altgeld Clinic..................... 400,000

  For grant to the Rush Alzheimer’s

    Disease Center................................. 500,000

  For a grant to the Gilead Outreach

    And referral Center............................ 500,000

  For Grants to Oak Forest Hospital of

   Cook County................................... 2,000,000

    Total                                       $20,140,550

    The Department, with the consent in writing from the Governor, may reapportion not more than four percent of the total General Revenue Fund appropriations in Section 10 above among the various purposes therein enumerated.

    In addition to any amounts heretofore appropriated, the amount of $8,505,600, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the General Revenue Fund for expenses relating to the Children's Health Insurance Program Act, including payments under Section 25 (a)(1) of that Act, and related operating and administrative costs.

    Section 20.  The following named amounts, or so much thereof as may be necessary, respectively, are appropriated to the Department of Healthcare and Family Services for Medical Assistance for persons meeting the eligibility requirements set forth in the Medicaid State Plan or the Title XXI plan at any time; or the Illinois statues and the Illinois Administrative Code as of October, 31, 2007.  Any payment for a person not meeting these eligibility requirements must be the result of an order from an agency of the United States Government or any court with jurisdiction over eligibility issues.  Payments for operations related to the eligible populations are permitted where applicable in this section: 

The amount of $40,000,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the Family Care Fund for i) Medical Assistance payments on behalf of individuals eligible for Medical Assistance programs administered by the Department of Healthcare and Family Services, and ii) pursuant to an interagency agreement, medical services and other costs associated with children’s mental health programs administered by another agency of state government, including operating and administrative costs.

    Section 30.  The following named amounts, or so much thereof as may be necessary, respectively, are appropriated to the Department of Healthcare and Family Services for the purposes hereinafter named:

Payable from the General Revenue Fund:

  For Electronic Health Records.................. 5,000,000

    Section 40.  The following named amounts, or so much thereof as may be necessary, respectively, are appropriated to the Department of Healthcare and Family Services for the purposes hereinafter named:

Payable from Tobacco Settlement Recovery Fund:

  For Deposit into the Medical Research

   and Development Fund.......................... 6,400,000

  For Deposit into the Post-Tertiary

   Clinical Services Fund........................ 6,400,000

  For Deposit into the Independent Academic

   Medical Center Fund........................... 1,000,000

    Total                                       $13,800,000

    Section 50.  The following named amounts, or so much thereof as may be necessary, respectively, are appropriated to the Department of Healthcare and Family Services for the purposes hereinafter named:

FOR THE PURPOSES ENUMERATED IN THE

EXCELLENCE IN ACADEMIC MEDICINE ACT

  Payable from:

    Independent Academic Medical

     Center Fund................................. 2,000,000

    Medical Research and Development Fund....... 12,800,000

    Post-Tertiary Clinical Services Fund........ 12,800,000

    Total                                       $27,600,000

    Section 60.  The following named amounts, or so much thereof as may be necessary, respectively, are appropriated to the Department of Healthcare and Family Services for Medical Assistance for persons meeting the eligibility requirements set forth in the Medicaid State Plan or the Title XXI plan at any time; or the Illinois statues and the Illinois Administrative Code as of October, 31, 2007.  Any payment for a person not meeting these eligibility requirements must be the result of an order from an agency of the United States Government or any court with jurisdiction over eligibility issues.  Payments for operations related to the eligible populations are permitted where applicable in this section: 

FOR MEDICAL ASSISTANCE UNDER THE ILLINOIS PUBLIC AID CODE, THE CHILDREN’S HEALTH INSURANCE PROGRAM ACT, AND THE COVERING ALL KIDS HEALTH INSURANCE ACT

Payable from Care Provider Fund for Persons

  With A Developmental Disability:

  For Administrative Expenditures.................. 129,100

Payable from Long-Term Care Provider Fund:

  For Skilled, Intermediate, and Other Related

    Long Term Care Services.................... 855,328,300

  For Administrative Expenditures................ 2,050,300

    Total                                      $857,507,700

Payable from Hospital Provider Fund:

  For Hospitals.............................. 1,540,000,000

    Total                                    $1,540,000,000

    Section 70.  In addition to any amounts heretofore appropriated, the following named amounts, or so much thereof as may be necessary, respectively, are appropriated to the Department of Healthcare and Family Services for Medical Assistance and Administrative Expenditures:

FOR MEDICAL ASSISTANCE UNDER THE ILLINOIS PUBLIC AID CODE,

THE CHILDREN'S HEALTH INSURANCE PROGRAM ACT, AND

THE COVERING ALL KIDS HEALTH INSURANCE ACT

Payable from County Provider Trust Fund:

  For Distributive Hospitals................. 1,981,119,000

  For Administrative Expenditures.................. 500,000

    Total                                    $1,981,619,000

    Section 80.  The following named amounts, or so much thereof as may be necessary, respectively, are appropriated to the Department of Healthcare and Family Services for the purposes hereinafter named:

  For Refunds of Overpayments of Assessments or

   Inter-Governmental Transfers Made by Providers

   During the Period From July 1, 1991 through

   June 30, 2007:

    Payable from:

     Care Provider Fund for Persons

      With A Developmental Disability............ 1,000,000

     Long-Term Care Provider Fund................ 2,750,000

     Hospital Provider Fund...................... 5,000,000

     County Provider Trust Fund.................. 1,000,000

    Total                                        $9,750,000

    Section 90.  The amount of $15,000,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the Trauma Center Fund for adjustment payments to certain Level I and Level II trauma centers.

    Section 100.  The amount of $270,000,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the University of Illinois Hospital Services Fund to reimburse the University of Illinois Hospital for hospital services.

    Section 110.  The amount of $8,500,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the Juvenile Rehabilitation Services Medicaid Matching Fund for grants to the Department of Juvenile Justice and counties for court-ordered juvenile behavioral health services under the Medicaid Rehabilitation Option and the Children's Health Insurance Program Act.

    Section 120.  The amount of $9,787,700, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the Medical Special Purposes Trust Fund for medical demonstration projects and costs associated with the implementation of federal Health Insurance Portability and Accountability Act mandates.

    Section 130.  The amount of $200,000,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the Special Education Medicaid Matching Fund for grants to local education agencies for medical services and other costs eligible for federal reimbursement under Title XIX or Title XXI of the federal Social Security Act.

    Section 140.  The amount of $34,100,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the General Revenue Fund for contractual obligations associated with the Disease Management Contract.

    Section 150.  The amount of $27,500,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the General Revenue Fund for contractual obligations associated with the Primary Care Case Management Contract.

    Section 160.  The following named amounts, or so much thereof as may be necessary, respectively, are appropriated to the Department of Healthcare and Family Services:

ENERGY ASSISTANCE

GRANTS-IN-AID

Payable from Supplemental Low-Income Energy

 Assistance Fund:

  For Grants and Administrative Expenses

   Pursuant to Section 13 of the Energy

   Assistance Act of 1989, as Amended,

   Including Prior Year Costs.................. 103,900,000

Payable from Energy Administration Fund:

  For Grants and Technical Assistance

   Services for Nonprofit Community

   Organizations Including Reimbursement

   For Costs in Prior Years..................... 17,500,000

Payable from Low Income Home Energy

 Assistance Block Grant Fund:

  For Grants to Eligible Recipients

   Under the Low Income Home Energy

   Assistance Act of 1981, Including

   Reimbursement for Costs in Prior

   Years....................................... 302,000,000

Payable from Good Samaritan Energy Trust Fund:

  For Grants, Contracts and Administrative

   Expenses Pursuant to the Good

   Samaritan Energy Plan Act..................... 2,150,000

    Section 170.  The following named amounts, or so much thereof as may be necessary, respectively, are appropriated to the Department of Healthcare and Family Services:

ENERGY ASSISTANCE

REFUNDS

  For refunds to the Federal Government and other refunds:

   Payable from Energy Administration

    Fund........................................... 300,000

   Payable from Low Income Home

    Energy Assistance Block

    Grant Fund..................................... 600,000

    Total                                          $900,000

ARTICLE 998

    Section 998.  Each of the amounts appropriated in this Act (after all actions by the Governor and the General Assembly) controls over any lower amount appropriated in any other Public Act (after all actions by the Governor and the General Assembly) for the same purpose unless that other Public Act expressly states otherwise.

ARTICLE 999

Section 999.  Effective Date.  This Act takes effect July 1, 2008.”.