Full Text of HB3346 99th General Assembly
HB3346 99TH GENERAL ASSEMBLY |
| | 99TH GENERAL ASSEMBLY
State of Illinois
2015 and 2016 HB3346 Introduced , by Rep. William Davis SYNOPSIS AS INTRODUCED: |
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Amends the Illinois Public Aid Code. Makes a technical change in a Section concerning Safety-Net Hospitals.
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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,
| 3 | | represented in the General Assembly:
| 4 | | Section 5. The Illinois Public Aid Code is amended by | 5 | | changing Section 5-5e.1 as follows: | 6 | | (305 ILCS 5/5-5e.1) | 7 | | Sec. 5-5e.1. Safety-Net Hospitals. | 8 | | (a) A Safety-Net Hospital is an Illinois hospital that: | 9 | | (1) is licensed by the the Department of Public Health | 10 | | as a general acute care or pediatric hospital; and | 11 | | (2) is a disproportionate share hospital, as described | 12 | | in Section 1923 of the federal Social Security Act, as | 13 | | determined by the Department; and | 14 | | (3) meets one of the following: | 15 | | (A) has a MIUR of at least 40% and a charity | 16 | | percent of at least 4%; or | 17 | | (B) has a MIUR of at least 50%. | 18 | | (b) Definitions. As used in this Section: | 19 | | (1) "Charity percent" means the ratio of (i) the | 20 | | hospital's charity charges for services provided to | 21 | | individuals without health insurance or another source of | 22 | | third party coverage to (ii) the Illinois total hospital | 23 | | charges, each as reported on the hospital's OBRA form. |
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| 1 | | (2) "MIUR" means Medicaid Inpatient Utilization Rate | 2 | | and is defined as a fraction, the numerator of which is the | 3 | | number of a hospital's inpatient days provided in the | 4 | | hospital's fiscal year ending 3 years prior to the rate | 5 | | year, to patients who, for such days, were eligible for | 6 | | Medicaid under Title XIX of the federal Social Security | 7 | | Act, 42 USC 1396a et seq., excluding those persons eligible | 8 | | for medical assistance pursuant to 42 U.S.C. | 9 | | 1396a(a)(10)(A)(i)(VIII) as set forth in paragraph 18 of | 10 | | Section 5-2 of this Article, and the denominator of which | 11 | | is the total number of the hospital's inpatient days in | 12 | | that same period, excluding those persons eligible for | 13 | | medical assistance pursuant to 42 U.S.C. | 14 | | 1396a(a)(10)(A)(i)(VIII) as set forth in paragraph 18 of | 15 | | Section 5-2 of this Article. | 16 | | (3) "OBRA form" means form HFS-3834, OBRA '93 data | 17 | | collection form, for the rate year. | 18 | | (4) "Rate year" means the 12-month period beginning on | 19 | | October 1. | 20 | | (c) Beginning July 1, 2012 and ending on June 30, 2018, a | 21 | | hospital that would have qualified for the rate year beginning | 22 | | October 1, 2011, shall be a Safety-Net Hospital. | 23 | | (d) No later than August 15 preceding the rate year, each | 24 | | hospital shall submit the OBRA form to the Department. Prior to | 25 | | October 1, the Department shall notify each hospital whether it | 26 | | has qualified as a Safety-Net Hospital. |
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| 1 | | (e) The Department may promulgate rules in order to | 2 | | implement this Section.
| 3 | | (f) Nothing in this Section shall be construed as limiting | 4 | | the ability of the Department to include the Safety-Net | 5 | | Hospitals in the hospital rate reform mandated by Section 14-11 | 6 | | of this Code and implemented under Section 14-12 of this Code | 7 | | and by administrative rulemaking. | 8 | | (Source: P.A. 97-689, eff. 6-14-12; 98-104, eff. 7-22-13; | 9 | | 98-651, eff. 6-16-14.)
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