SB1851ham003 100TH GENERAL ASSEMBLY

Rep. Gregory Harris

Filed: 5/29/2018

10000SB1851ham003 LRB100 10394 KTG 41067 a

AMENDMENT TO SENATE BILL 1851

AMENDMENT NO. ______. Amend Senate Bill 1851, AS AMENDED, with reference to page and line numbers of House Amendment No. 2, by replacing line 10 on page 64 through line 11 on page 66 with the following:

"(c) Notwithstanding any other provision of this Code, if by July 11, 2018 the federal Centers for Medicare and Medicaid Services has neither approved the changes authorized under Public Act 100-581 nor has formally approved an extension of the reimbursement methodologies and payments to hospitals under Sections 5A-12.5 and 14-12 as they are in effect on June 30, 2018, then the following shall apply:

(1) All reimbursement methodologies and payments for hospital services authorized under Sections 5A-12.2, 5A-12.4, and 5A-12.5 in effect on June 30, 2018 shall continue subject to the availability of federal matching funds for such expenditures and subject to the provisions of subsection (c) of Section 5A-15.

(2) All supplemental payments to hospitals authorized in Illinois' Medicaid State Plan in effect on June 30, 2018, which are scheduled to terminate under Illinois' Medicaid State Plan on June 30, 2018, shall continue subject to the availability of federal matching funds for such expenditures.

(3) All assessments imposed under Section 5A-2, as they are in effect on June 30, 2018, shall continue.

(4) Notwithstanding any other provision in this subsection (c), the Department shall make monthly advance payments to any safety-net hospital or critical access hospital requesting such advance payments in an amount, as requested by the hospital, provided that the total monthly payments to the hospital under this subsection shall not exceed 1/12th of the payments the hospital would have received under Sections 5A-12.2, 5A-12.4, and 5A-12.5 and subsections (d) and (f) of Section 14-12.

Notwithstanding any other provision in this subsection (c), the Department may make monthly advance payments to a hospital requesting such advance payments in an amount, as requested by the hospital, provided that the total monthly payments to the hospital under this subsection shall not exceed 1/12th of the payments the hospital would have received under Sections 5A-12.2, 5A-12.4, and 5A-12.5 and subsections (d) and (f) of Section 14-12.

Advance payments under this paragraph (4) shall be made regardless of federal approval for federal financial participation under Title XIX or XXI of the federal Social Security Act.

As used in this paragraph (4), "safety-net hospital" means a hospital as defined in Section 5-5e.1 for Rate Year 2017 or an Illinois hospital that meets the criteria in paragraphs (2) and (3) of subsection (a) of Section 5-5e.1 for Rate Year 2017.

As used in this paragraph (4), "critical access hospital" means a hospital that has such status as of June 30, 2018.

(5) The changes authorized under this subsection (c) shall continue, on the same time schedule as otherwise authorized under this Article, until the effective date of the new and revised methodologies and payments under Public Act 100-581, which shall be the first day of the second month following the date of approval by the federal Centers for Medicare and Medicaid Services.".