102ND GENERAL ASSEMBLY
State of Illinois
2021 and 2022
Introduced 1/21/2022, by Rep. Elizabeth Hernandez - LaToya Greenwood - Jay Hoffman - Jonathan Carroll - Daniel Didech, et al.
SYNOPSIS AS INTRODUCED:
Amends the Medical Assistance Article of the Illinois Public Aid
Code. Declares that all changes to the existing nursing facility direct
care reimbursement rate methodologies and to the bed assessment and
collection procedures must be approached with caution, executed
deliberately, and held to the highest of standards in order to protect
nursing facility residents from disruption in care, protect workers from
lost wages and jobs, and protect providers from the increased instability
within the industry. Provides that a Nursing Facility Oversight Committee
(Committee) shall be named by the 4 legislative leaders to oversee,
assess, and provide direction to the Department of Healthcare and Family
Services as it relates to long term care services. Contains provisions on
the Committee's composition, meetings, proxy voting, and other matters.
Requires the Department to seek the advice and consent of the Committee
prior to filing emergency or permanent administrative rules with the
Secretary of State or submitting Medicaid State Plan amendments and all
correspondence to the Centers for Medicare and Medicaid Services. Requires
the Department to prepare transition plans for the redesign of the direct
care reimbursement rate methodologies and the assessment tax schedule and
collection proceedings. Contains provisions concerning advanced notice to
nursing facilities of all payment, award, and rate changes; a quarterly
direct care per diem reimbursement rate for each nursing facility; direct
care reimbursement rate components subject to redesign; establishment of a
single quarterly non-Medicare occupied bed varied tax assessment; State
Plan amendments to permit expedited implementation of the redesigned bed
assessment; compliance requirements for managed care organizations;
penalties for non-compliance; and other matters. Effective immediately.
A BILL FOR
|HB4443||LRB102 24090 KTG 33314 b|
AN ACT concerning public aid.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
The Illinois Public Aid Code is amended by
adding Section 5-5.2a as follows:
(305 ILCS 5/5-5.2a new)
Nursing facility direct care reimbursement
rates and bed tax methodologies.
(a) This Section may be referred to as the Nursing
Facilities Direct Care Reimbursement Rate and Bed Tax Redesign
of 2022 Act.
The General Assembly declares that the following are in
the best interest of the State:
(1) All changes to the existing nursing facility
direct care reimbursement rate methodologies and to the
bed assessment and collection procedures must be
approached with caution, executed deliberately, and held
to the highest of standards to protect nursing facility
residents from disruption in care, protect workers from
lost wages and jobs, and protect providers from the
increased instability within the industry.
(2) All direct care reimbursements shall be paid on a
per diem basis, except lump sum awards for staff years of