Full Text of SB0769 97th General Assembly
SB0769eng 97TH GENERAL ASSEMBLY |
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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 Sections 5-5.4, 5B-2, 5B-4, and 5B-8 as follows: | 6 | | (305 ILCS 5/5-5.4) (from Ch. 23, par. 5-5.4) | 7 | | Sec. 5-5.4. Standards of Payment - Department of Healthcare | 8 | | and Family Services.
The Department of Healthcare and Family | 9 | | Services shall develop standards of payment of
nursing facility | 10 | | and ICF/DD services in facilities providing such services
under | 11 | | this Article which:
| 12 | | (1) Provide for the determination of a facility's payment
| 13 | | for nursing facility or ICF/DD services on a prospective basis.
| 14 | | The amount of the payment rate for all nursing facilities | 15 | | certified by the
Department of Public Health under the MR/DD | 16 | | Community Care Act or the Nursing Home Care Act as Intermediate
| 17 | | Care for the Developmentally Disabled facilities, Long Term | 18 | | Care for Under Age
22 facilities, Skilled Nursing facilities, | 19 | | or Intermediate Care facilities
under the
medical assistance | 20 | | program shall be prospectively established annually on the
| 21 | | basis of historical, financial, and statistical data | 22 | | reflecting actual costs
from prior years, which shall be | 23 | | applied to the current rate year and updated
for inflation, |
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| 1 | | except that the capital cost element for newly constructed
| 2 | | facilities shall be based upon projected budgets. The annually | 3 | | established
payment rate shall take effect on July 1 in 1984 | 4 | | and subsequent years. No rate
increase and no
update for | 5 | | inflation shall be provided on or after July 1, 1994 and before
| 6 | | July 1, 2012, unless specifically provided for in this
Section.
| 7 | | The changes made by Public Act 93-841
extending the duration of | 8 | | the prohibition against a rate increase or update for inflation | 9 | | are effective retroactive to July 1, 2004.
| 10 | | For facilities licensed by the Department of Public Health | 11 | | under the Nursing
Home Care Act as Intermediate Care for the | 12 | | Developmentally Disabled facilities
or Long Term Care for Under | 13 | | Age 22 facilities, the rates taking effect on July
1, 1998 | 14 | | shall include an increase of 3%. For facilities licensed by the
| 15 | | Department of Public Health under the Nursing Home Care Act as | 16 | | Skilled Nursing
facilities or Intermediate Care facilities, | 17 | | the rates taking effect on July 1,
1998 shall include an | 18 | | increase of 3% plus $1.10 per resident-day, as defined by
the | 19 | | Department. For facilities licensed by the Department of Public | 20 | | Health under the Nursing Home Care Act as Intermediate Care | 21 | | Facilities for the Developmentally Disabled or Long Term Care | 22 | | for Under Age 22 facilities, the rates taking effect on January | 23 | | 1, 2006 shall include an increase of 3%.
For facilities | 24 | | licensed by the Department of Public Health under the Nursing | 25 | | Home Care Act as Intermediate Care Facilities for the | 26 | | Developmentally Disabled or Long Term Care for Under Age 22 |
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| 1 | | facilities, the rates taking effect on January 1, 2009 shall | 2 | | include an increase sufficient to provide a $0.50 per hour wage | 3 | | increase for non-executive staff. | 4 | | For facilities licensed by the Department of Public Health | 5 | | under the
Nursing Home Care Act as Intermediate Care for the | 6 | | Developmentally Disabled
facilities or Long Term Care for Under | 7 | | Age 22 facilities, the rates taking
effect on July 1, 1999 | 8 | | shall include an increase of 1.6% plus $3.00 per
resident-day, | 9 | | as defined by the Department. For facilities licensed by the
| 10 | | Department of Public Health under the Nursing Home Care Act as | 11 | | Skilled Nursing
facilities or Intermediate Care facilities, | 12 | | the rates taking effect on July 1,
1999 shall include an | 13 | | increase of 1.6% and, for services provided on or after
October | 14 | | 1, 1999, shall be increased by $4.00 per resident-day, as | 15 | | defined by
the Department.
| 16 | | For facilities licensed by the Department of Public Health | 17 | | under the
Nursing Home Care Act as Intermediate Care for the | 18 | | Developmentally Disabled
facilities or Long Term Care for Under | 19 | | Age 22 facilities, the rates taking
effect on July 1, 2000 | 20 | | shall include an increase of 2.5% per resident-day,
as defined | 21 | | by the Department. For facilities licensed by the Department of
| 22 | | Public Health under the Nursing Home Care Act as Skilled | 23 | | Nursing facilities or
Intermediate Care facilities, the rates | 24 | | taking effect on July 1, 2000 shall
include an increase of 2.5% | 25 | | per resident-day, as defined by the Department.
| 26 | | For facilities licensed by the Department of Public Health |
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| 1 | | under the
Nursing Home Care Act as skilled nursing facilities | 2 | | or intermediate care
facilities, a new payment methodology must | 3 | | be implemented for the nursing
component of the rate effective | 4 | | July 1, 2003. The Department of Public Aid
(now Healthcare and | 5 | | Family Services) shall develop the new payment methodology | 6 | | using the Minimum Data Set
(MDS) as the instrument to collect | 7 | | information concerning nursing home
resident condition | 8 | | necessary to compute the rate. The Department
shall develop the | 9 | | new payment methodology to meet the unique needs of
Illinois | 10 | | nursing home residents while remaining subject to the | 11 | | appropriations
provided by the General Assembly.
A transition | 12 | | period from the payment methodology in effect on June 30, 2003
| 13 | | to the payment methodology in effect on July 1, 2003 shall be | 14 | | provided for a
period not exceeding 3 years and 184 days after | 15 | | implementation of the new payment
methodology as follows:
| 16 | | (A) For a facility that would receive a lower
nursing | 17 | | component rate per patient day under the new system than | 18 | | the facility
received
effective on the date immediately | 19 | | preceding the date that the Department
implements the new | 20 | | payment methodology, the nursing component rate per | 21 | | patient
day for the facility
shall be held at
the level in | 22 | | effect on the date immediately preceding the date that the
| 23 | | Department implements the new payment methodology until a | 24 | | higher nursing
component rate of
reimbursement is achieved | 25 | | by that
facility.
| 26 | | (B) For a facility that would receive a higher nursing |
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| 1 | | component rate per
patient day under the payment | 2 | | methodology in effect on July 1, 2003 than the
facility | 3 | | received effective on the date immediately preceding the | 4 | | date that the
Department implements the new payment | 5 | | methodology, the nursing component rate
per patient day for | 6 | | the facility shall be adjusted.
| 7 | | (C) Notwithstanding paragraphs (A) and (B), the | 8 | | nursing component rate per
patient day for the facility | 9 | | shall be adjusted subject to appropriations
provided by the | 10 | | General Assembly.
| 11 | | For facilities licensed by the Department of Public Health | 12 | | under the
Nursing Home Care Act as Intermediate Care for the | 13 | | Developmentally Disabled
facilities or Long Term Care for Under | 14 | | Age 22 facilities, the rates taking
effect on March 1, 2001 | 15 | | shall include a statewide increase of 7.85%, as
defined by the | 16 | | Department.
| 17 | | Notwithstanding any other provision of this Section, for | 18 | | facilities licensed by the Department of Public Health under | 19 | | the
Nursing Home Care Act as skilled nursing facilities or | 20 | | intermediate care
facilities, except facilities participating | 21 | | in the Department's demonstration program pursuant to the | 22 | | provisions of Title 77, Part 300, Subpart T of the Illinois | 23 | | Administrative Code, the numerator of the ratio used by the | 24 | | Department of Healthcare and Family Services to compute the | 25 | | rate payable under this Section using the Minimum Data Set | 26 | | (MDS) methodology shall incorporate the following annual |
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| 1 | | amounts as the additional funds appropriated to the Department | 2 | | specifically to pay for rates based on the MDS nursing | 3 | | component methodology in excess of the funding in effect on | 4 | | December 31, 2006: | 5 | | (i) For rates taking effect January 1, 2007, | 6 | | $60,000,000. | 7 | | (ii) For rates taking effect January 1, 2008, | 8 | | $110,000,000. | 9 | | (iii) For rates taking effect January 1, 2009, | 10 | | $194,000,000. | 11 | | (iv) For rates taking effect April 1, 2011, or the | 12 | | first day of the month that begins at least 45 days after | 13 | | the effective date of this amendatory Act of the 96th | 14 | | General Assembly, $416,500,000 or an amount as may be | 15 | | necessary to complete the transition to the MDS methodology | 16 | | for the nursing component of the rate. Increased payments | 17 | | under this item (iv) are not due and payable, however, | 18 | | until (i) the methodologies described in this paragraph are | 19 | | approved by the federal government in an appropriate State | 20 | | Plan amendment and (ii) the assessment imposed by Section | 21 | | 5B-2 of this Code is determined to be a permissible tax | 22 | | under Title XIX of the Social Security Act. | 23 | | Notwithstanding any other provision of this Section, for | 24 | | facilities licensed by the Department of Public Health under | 25 | | the Nursing Home Care Act as skilled nursing facilities or | 26 | | intermediate care facilities, the support component of the |
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| 1 | | rates taking effect on January 1, 2008 shall be computed using | 2 | | the most recent cost reports on file with the Department of | 3 | | Healthcare and Family Services no later than April 1, 2005, | 4 | | updated for inflation to January 1, 2006. | 5 | | For facilities licensed by the Department of Public Health | 6 | | under the
Nursing Home Care Act as Intermediate Care for the | 7 | | Developmentally Disabled
facilities or Long Term Care for Under | 8 | | Age 22 facilities, the rates taking
effect on April 1, 2002 | 9 | | shall include a statewide increase of 2.0%, as
defined by the | 10 | | Department.
This increase terminates on July 1, 2002;
beginning | 11 | | July 1, 2002 these rates are reduced to the level of the rates
| 12 | | in effect on March 31, 2002, as defined by the Department.
| 13 | | For facilities licensed by the Department of Public Health | 14 | | under the
Nursing Home Care Act as skilled nursing facilities | 15 | | or intermediate care
facilities, the rates taking effect on | 16 | | July 1, 2001 shall be computed using the most recent cost | 17 | | reports
on file with the Department of Public Aid no later than | 18 | | April 1, 2000,
updated for inflation to January 1, 2001. For | 19 | | rates effective July 1, 2001
only, rates shall be the greater | 20 | | of the rate computed for July 1, 2001
or the rate effective on | 21 | | June 30, 2001.
| 22 | | Notwithstanding any other provision of this Section, for | 23 | | facilities
licensed by the Department of Public Health under | 24 | | the Nursing Home Care Act
as skilled nursing facilities or | 25 | | intermediate care facilities, the Illinois
Department shall | 26 | | determine by rule the rates taking effect on July 1, 2002,
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| 1 | | which shall be 5.9% less than the rates in effect on June 30, | 2 | | 2002.
| 3 | | Notwithstanding any other provision of this Section, for | 4 | | facilities
licensed by the Department of Public Health under | 5 | | the Nursing Home Care Act as
skilled nursing
facilities or | 6 | | intermediate care facilities, if the payment methodologies | 7 | | required under Section 5A-12 and the waiver granted under 42 | 8 | | CFR 433.68 are approved by the United States Centers for | 9 | | Medicare and Medicaid Services, the rates taking effect on July | 10 | | 1, 2004 shall be 3.0% greater than the rates in effect on June | 11 | | 30, 2004. These rates shall take
effect only upon approval and
| 12 | | implementation of the payment methodologies required under | 13 | | Section 5A-12.
| 14 | | Notwithstanding any other provisions of this Section, for | 15 | | facilities licensed by the Department of Public Health under | 16 | | the Nursing Home Care Act as skilled nursing facilities or | 17 | | intermediate care facilities, the rates taking effect on | 18 | | January 1, 2005 shall be 3% more than the rates in effect on | 19 | | December 31, 2004.
| 20 | | Notwithstanding any other provision of this Section, for | 21 | | facilities licensed by the Department of Public Health under | 22 | | the Nursing Home Care Act as skilled nursing facilities or | 23 | | intermediate care facilities, effective January 1, 2009, the | 24 | | per diem support component of the rates effective on January 1, | 25 | | 2008, computed using the most recent cost reports on file with | 26 | | the Department of Healthcare and Family Services no later than |
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| 1 | | April 1, 2005, updated for inflation to January 1, 2006, shall | 2 | | be increased to the amount that would have been derived using | 3 | | standard Department of Healthcare and Family Services methods, | 4 | | procedures, and inflators. | 5 | | Notwithstanding any other provisions of this Section, for | 6 | | facilities licensed by the Department of Public Health under | 7 | | the Nursing Home Care Act as intermediate care facilities that | 8 | | are federally defined as Institutions for Mental Disease, a | 9 | | socio-development component rate equal to 6.6% of the | 10 | | facility's nursing component rate as of January 1, 2006 shall | 11 | | be established and paid effective July 1, 2006. The | 12 | | socio-development component of the rate shall be increased by a | 13 | | factor of 2.53 on the first day of the month that begins at | 14 | | least 45 days after January 11, 2008 (the effective date of | 15 | | Public Act 95-707). As of August 1, 2008, the socio-development | 16 | | component rate shall be equal to 6.6% of the facility's nursing | 17 | | component rate as of January 1, 2006, multiplied by a factor of | 18 | | 3.53. For services provided on or after April 1, 2011, or the | 19 | | first day of the month that begins at least 45 days after the | 20 | | effective date of this amendatory Act of the 96th General | 21 | | Assembly, whichever is later, the Illinois Department may by | 22 | | rule adjust these socio-development component rates, and may | 23 | | use different adjustment methodologies for those facilities | 24 | | participating, and those not participating, in the Illinois | 25 | | Department's demonstration program pursuant to the provisions | 26 | | of Title 77, Part 300, Subpart T of the Illinois Administrative |
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| 1 | | Code, but in no case may such rates be diminished below those | 2 | | in effect on August 1, 2008.
| 3 | | For facilities
licensed
by the
Department of Public Health | 4 | | under the Nursing Home Care Act as Intermediate
Care for
the | 5 | | Developmentally Disabled facilities or as long-term care | 6 | | facilities for
residents under 22 years of age, the rates | 7 | | taking effect on July 1,
2003 shall
include a statewide | 8 | | increase of 4%, as defined by the Department.
| 9 | | For facilities licensed by the Department of Public Health | 10 | | under the
Nursing Home Care Act as Intermediate Care for the | 11 | | Developmentally Disabled
facilities or Long Term Care for Under | 12 | | Age 22 facilities, the rates taking
effect on the first day of | 13 | | the month that begins at least 45 days after the effective date | 14 | | of this amendatory Act of the 95th General Assembly shall | 15 | | include a statewide increase of 2.5%, as
defined by the | 16 | | Department. | 17 | | Notwithstanding any other provision of this Section, for | 18 | | facilities licensed by the Department of Public Health under | 19 | | the Nursing Home Care Act as skilled nursing facilities or | 20 | | intermediate care facilities, effective January 1, 2005, | 21 | | facility rates shall be increased by the difference between (i) | 22 | | a facility's per diem property, liability, and malpractice | 23 | | insurance costs as reported in the cost report filed with the | 24 | | Department of Public Aid and used to establish rates effective | 25 | | July 1, 2001 and (ii) those same costs as reported in the | 26 | | facility's 2002 cost report. These costs shall be passed |
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| 1 | | through to the facility without caps or limitations, except for | 2 | | adjustments required under normal auditing procedures.
| 3 | | Rates established effective each July 1 shall govern | 4 | | payment
for services rendered throughout that fiscal year, | 5 | | except that rates
established on July 1, 1996 shall be | 6 | | increased by 6.8% for services
provided on or after January 1, | 7 | | 1997. Such rates will be based
upon the rates calculated for | 8 | | the year beginning July 1, 1990, and for
subsequent years | 9 | | thereafter until June 30, 2001 shall be based on the
facility | 10 | | cost reports
for the facility fiscal year ending at any point | 11 | | in time during the previous
calendar year, updated to the | 12 | | midpoint of the rate year. The cost report
shall be on file | 13 | | with the Department no later than April 1 of the current
rate | 14 | | year. Should the cost report not be on file by April 1, the | 15 | | Department
shall base the rate on the latest cost report filed | 16 | | by each skilled care
facility and intermediate care facility, | 17 | | updated to the midpoint of the
current rate year. In | 18 | | determining rates for services rendered on and after
July 1, | 19 | | 1985, fixed time shall not be computed at less than zero. The
| 20 | | Department shall not make any alterations of regulations which | 21 | | would reduce
any component of the Medicaid rate to a level | 22 | | below what that component would
have been utilizing in the rate | 23 | | effective on July 1, 1984.
| 24 | | (2) Shall take into account the actual costs incurred by | 25 | | facilities
in providing services for recipients of skilled | 26 | | nursing and intermediate
care services under the medical |
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| 1 | | assistance program.
| 2 | | (3) Shall take into account the medical and psycho-social
| 3 | | characteristics and needs of the patients.
| 4 | | (4) Shall take into account the actual costs incurred by | 5 | | facilities in
meeting licensing and certification standards | 6 | | imposed and prescribed by the
State of Illinois, any of its | 7 | | political subdivisions or municipalities and by
the U.S. | 8 | | Department of Health and Human Services pursuant to Title XIX | 9 | | of the
Social Security Act.
| 10 | | The Department of Healthcare and Family Services
shall | 11 | | develop precise standards for
payments to reimburse nursing | 12 | | facilities for any utilization of
appropriate rehabilitative | 13 | | personnel for the provision of rehabilitative
services which is | 14 | | authorized by federal regulations, including
reimbursement for | 15 | | services provided by qualified therapists or qualified
| 16 | | assistants, and which is in accordance with accepted | 17 | | professional
practices. Reimbursement also may be made for | 18 | | utilization of other
supportive personnel under appropriate | 19 | | supervision.
| 20 | | The Department shall develop enhanced payments to offset | 21 | | the additional costs incurred by a
facility serving exceptional | 22 | | need residents and shall allocate at least $8,000,000 of the | 23 | | funds
collected from the assessment established by Section 5B-2 | 24 | | of this Code for such payments. For
the purpose of this | 25 | | Section, "exceptional needs" means, but need not be limited to, | 26 | | ventilator care, tracheotomy care,
bariatric care, complex |
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| 1 | | wound care, and traumatic brain injury care. The enhanced | 2 | | payments for exceptional need residents under this paragraph | 3 | | are not due and payable, however, until (i) the methodologies | 4 | | described in this paragraph are approved by the federal | 5 | | government in an appropriate State Plan amendment and (ii) the | 6 | | assessment imposed by Section 5B-2 of this Code is determined | 7 | | to be a permissible tax under Title XIX of the Social Security | 8 | | Act. | 9 | | (5) Beginning July 1, 2012 the methodologies for | 10 | | reimbursement of nursing facility services as provided under | 11 | | this Section 5-5.4 shall no longer be applicable for bills | 12 | | payable for State fiscal years 2012 and thereafter. | 13 | | (6) No payment increase under this Section for the MDS | 14 | | methodology, exceptional care residents, or the | 15 | | socio-development component rate established by Public Act | 16 | | 96-1530 of the 96th General Assembly and funded by the | 17 | | assessment imposed under Section 5B-2 of this Code shall be due | 18 | | and payable until after the Department notifies the long-term | 19 | | care providers, in writing, that the payment methodologies to | 20 | | long-term care providers required under this Section have been | 21 | | approved by the Centers for Medicare and Medicaid Services of | 22 | | the U.S. Department of Health and Human Services and the | 23 | | waivers under 42 CFR 433.68 for the assessment imposed by this | 24 | | Section, if necessary, have been granted by the Centers for | 25 | | Medicare and Medicaid Services of the U.S. Department of Health | 26 | | and Human Services. Upon notification to the Department of |
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| 1 | | approval of the payment methodologies required under this | 2 | | Section and the waivers granted under 42 CFR 433.68, all | 3 | | increased payments otherwise due under this Section prior to | 4 | | the date of notification shall be due and payable within 90 | 5 | | days of the date federal approval is received. | 6 | | (Source: P.A. 95-12, eff. 7-2-07; 95-331, eff. 8-21-07; 95-707, | 7 | | eff. 1-11-08; 95-744, eff. 7-18-08; 96-45, eff. 7-15-09; | 8 | | 96-339, eff. 7-1-10; 96-959, eff. 7-1-10; 96-1000, eff. 7-2-10; | 9 | | 96-1530, eff. 2-16-11.)
| 10 | | (305 ILCS 5/5B-2) (from Ch. 23, par. 5B-2)
| 11 | | Sec. 5B-2. Assessment; no local authorization to tax.
| 12 | | (a) For the privilege of engaging in the occupation of | 13 | | long-term care
provider, beginning July 1, 2011 an assessment | 14 | | is imposed upon each long-term care provider in an amount equal | 15 | | to $6.07 times the number of occupied bed days due and payable | 16 | | each month. Notwithstanding any provision of any other Act to | 17 | | the
contrary, this assessment shall be construed as a tax, but | 18 | | may not be added
to the charges of an individual's nursing home | 19 | | care that is paid for in
whole, or in part, by a federal, | 20 | | State, or combined federal-state medical
care program.
| 21 | | (b) Nothing in this amendatory Act of 1992 shall be | 22 | | construed to
authorize any home rule unit or other unit of | 23 | | local government to license
for revenue or impose a tax or | 24 | | assessment upon long-term care providers or
the occupation of | 25 | | long-term care provider, or a tax or assessment measured
by the |
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| 1 | | income or earnings or occupied bed days of a long-term care | 2 | | provider.
| 3 | | (c) The assessment imposed by this Section shall not be due | 4 | | and payable, however, until after the Department notifies the | 5 | | long-term care providers, in writing, that the payment | 6 | | methodologies to long-term care providers required under | 7 | | Section 5-5.4 of this Code have been approved by the Centers | 8 | | for Medicare and Medicaid Services of the U.S. Department of | 9 | | Health and Human Services and the waivers under 42 CFR 433.68 | 10 | | for the assessment imposed by this Section, if necessary, have | 11 | | been granted by the Centers for Medicare and Medicaid Services | 12 | | of the U.S. Department of Health and Human Services. | 13 | | (Source: P.A. 96-1530, eff. 2-16-11.)
| 14 | | (305 ILCS 5/5B-4) (from Ch. 23, par. 5B-4)
| 15 | | Sec. 5B-4. Payment of assessment; penalty.
| 16 | | (a) The assessment imposed by Section 5B-2 shall be due and | 17 | | payable monthly, on the last State business day of the month | 18 | | for occupied bed days reported for the preceding third month | 19 | | prior to the month in which the tax is payable and due. A | 20 | | facility that has delayed payment due to the State's failure to | 21 | | reimburse for services rendered may request an extension on the | 22 | | due date for payment pursuant to subsection (b) and shall pay | 23 | | the assessment within 30 days of reimbursement by the | 24 | | Department.
The Illinois Department may provide that county | 25 | | nursing homes directed and
maintained pursuant to Section |
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| 1 | | 5-1005 of the Counties Code may meet their
assessment | 2 | | obligation by certifying to the Illinois Department that county
| 3 | | expenditures have been obligated for the operation of the | 4 | | county nursing
home in an amount at least equal to the amount | 5 | | of the assessment.
| 6 | | (a-5) Each assessment payment shall be accompanied by an | 7 | | assessment report to be completed by the long-term care | 8 | | provider. A separate report shall be completed for each | 9 | | long-term care facility in this State operated by a long-term | 10 | | care provider. The report shall be in a form and manner | 11 | | prescribed by the Illinois Department and shall at a minimum | 12 | | provide for the reporting of the number of occupied bed days of | 13 | | the long-term care facility for the reporting period and other | 14 | | reasonable information the Illinois Department requires for | 15 | | the administration of its responsibilities under this Code. To | 16 | | the extent practicable, the Department shall coordinate the | 17 | | assessment reporting requirements with other reporting | 18 | | required of long-term care facilities. | 19 | | (b) The Illinois Department is authorized to establish
| 20 | | delayed payment schedules for long-term care providers that are
| 21 | | unable to make assessment payments when due under this Section
| 22 | | due to financial difficulties, as determined by the Illinois
| 23 | | Department. The Illinois Department may not deny a request for | 24 | | delay of payment of the assessment imposed under this Article | 25 | | if the long-term care provider has not been paid for services | 26 | | provided during the month on which the assessment is levied.
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| 1 | | (c) If a long-term care provider fails to pay the full
| 2 | | amount of an assessment payment when due (including any | 3 | | extensions
granted under subsection (b)), there shall, unless | 4 | | waived by the
Illinois Department for reasonable cause, be | 5 | | added to the
assessment imposed by Section 5B-2 a
penalty | 6 | | assessment equal to the lesser of (i) 5% of the amount of
the | 7 | | assessment payment not paid on or before the due date plus 5% | 8 | | of the
portion thereof remaining unpaid on the last day of each | 9 | | month
thereafter or (ii) 100% of the assessment payment amount | 10 | | not paid on or
before the due date. For purposes of this | 11 | | subsection, payments
will be credited first to unpaid | 12 | | assessment payment amounts (rather than
to penalty or | 13 | | interest), beginning with the most delinquent assessment | 14 | | payments. Payment cycles of longer than 60 days shall be one | 15 | | factor the Director takes into account in granting a waiver | 16 | | under this Section.
| 17 | | (c-5) If a long-term care provider fails to file its report | 18 | | with payment, there shall, unless waived by the Illinois | 19 | | Department for reasonable cause, be added to the assessment due | 20 | | a penalty assessment equal to 25% of the assessment due. | 21 | | (d) Nothing in this amendatory Act of 1993 shall be | 22 | | construed to prevent
the Illinois Department from collecting | 23 | | all amounts due under this Article
pursuant to an assessment | 24 | | imposed before the effective date of this amendatory
Act of | 25 | | 1993.
| 26 | | (e) Nothing in this amendatory Act of the 96th General |
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| 1 | | Assembly shall be construed to prevent
the Illinois Department | 2 | | from collecting all amounts due under this Code
pursuant to an | 3 | | assessment, tax, fee, or penalty imposed before the effective | 4 | | date of this amendatory
Act of the 96th General Assembly. | 5 | | (f) No installment of the assessment imposed by Section | 6 | | 5B-2 shall be due and payable until after the Department | 7 | | notifies the long-term care providers, in writing, that the | 8 | | payment methodologies to long-term care providers required | 9 | | under Section 5-5.4 of this Code have been approved by the | 10 | | Centers for Medicare and Medicaid Services of the U.S. | 11 | | Department of Health and Human Services and the waivers under | 12 | | 42 CFR 433.68 for the assessment imposed by this Section, if | 13 | | necessary, have been granted by the Centers for Medicare and | 14 | | Medicaid Services of the U.S. Department of Health and Human | 15 | | Services. Upon notification to the Department of approval of | 16 | | the payment methodologies required under Section 5-5.4 of this | 17 | | Code and the waivers granted under 42 CFR 433.68, all | 18 | | installments otherwise due under Section 5B-4 prior to the date | 19 | | of notification shall be due and payable to the Department upon | 20 | | written direction from the Department within 90 days after | 21 | | issuance by the Comptroller of the payments required under | 22 | | Section 5-5.4 of this Code. | 23 | | (Source: P.A. 96-444, eff. 8-14-09; 96-1530, eff. 2-16-11.)
| 24 | | (305 ILCS 5/5B-8) (from Ch. 23, par. 5B-8)
| 25 | | Sec. 5B-8. Long-Term Care Provider Fund.
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| 1 | | (a) There is created in the State Treasury the Long-Term
| 2 | | Care Provider Fund. Interest earned by the Fund shall be
| 3 | | credited to the Fund. The Fund shall not be used to replace any
| 4 | | moneys appropriated to the Medicaid program by the General | 5 | | Assembly.
| 6 | | (b) The Fund is created for the purpose of receiving and
| 7 | | disbursing moneys in accordance with this Article. | 8 | | Disbursements
from the Fund shall be made only as follows:
| 9 | | (1) For payments to nursing
facilities, including | 10 | | county nursing facilities but excluding
State-operated | 11 | | facilities, under Title XIX of the Social Security
Act and | 12 | | Article V of this Code.
| 13 | | (2) For the reimbursement of moneys collected by the
| 14 | | Illinois Department through error or mistake.
| 15 | | (3) For payment of administrative expenses incurred by | 16 | | the
Illinois Department or its agent in performing the | 17 | | activities
authorized by this Article.
| 18 | | (3.5) For reimbursement of expenses incurred by | 19 | | long-term care facilities, and payment of administrative | 20 | | expenses incurred by the Department of Public Health, in | 21 | | relation to the conduct and analysis of background checks | 22 | | for identified offenders under the Nursing Home Care Act.
| 23 | | (4) For payments of any amounts that are reimbursable | 24 | | to the
federal government for payments from this Fund that | 25 | | are required
to be paid by State warrant.
| 26 | | (5) For making transfers to the General Obligation Bond
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| 1 | | Retirement and Interest Fund, as those transfers are | 2 | | authorized
in the proceedings authorizing debt under the | 3 | | Short Term Borrowing Act,
but transfers made under this | 4 | | paragraph (5) shall not exceed the
principal amount of debt | 5 | | issued in anticipation of the receipt by
the State of | 6 | | moneys to be deposited into the Fund.
| 7 | | (6) For making transfers, at the direction of the | 8 | | Director of the Governor's Office of Management and Budget | 9 | | during each fiscal year beginning on or after July 1, 2011, | 10 | | to other State funds in an annual amount of $20,000,000 of | 11 | | the tax collected pursuant to this Article for the purpose | 12 | | of enforcement of nursing home standards, support of the | 13 | | ombudsman program, and efforts to expand home and | 14 | | community-based services. No transfer under this paragraph | 15 | | shall occur until (i) the payment methodologies created by | 16 | | Public Act 96-1530 under Section 5-5.4 of this Code have | 17 | | been approved by the Centers for Medicare and Medicaid | 18 | | Services of the U.S. Department of Health and Human | 19 | | Services and (ii) the assessment imposed by Section 5B-2 of | 20 | | this Code is determined to be a permissible tax under Title | 21 | | XIX of the Social Security Act. | 22 | | Disbursements from the Fund, other than transfers made | 23 | | pursuant to paragraphs (5) and (6) of this subsection, shall be | 24 | | by
warrants drawn by the State Comptroller upon receipt of | 25 | | vouchers
duly executed and certified by the Illinois | 26 | | Department.
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| 1 | | (c) The Fund shall consist of the following:
| 2 | | (1) All moneys collected or received by the Illinois
| 3 | | Department from the long-term care provider assessment | 4 | | imposed by
this Article.
| 5 | | (2) All federal matching funds received by the Illinois
| 6 | | Department as a result of expenditures made by the Illinois
| 7 | | Department that are attributable to moneys deposited in the | 8 | | Fund.
| 9 | | (3) Any interest or penalty levied in conjunction with | 10 | | the
administration of this Article.
| 11 | | (4) (Blank).
| 12 | | (5) All other monies received for the Fund from any | 13 | | other source,
including interest earned thereon.
| 14 | | (Source: P.A. 95-707, eff. 1-11-08; 96-1530, eff. 2-16-11.)
| 15 | | Section 99. Effective date. This Act takes effect upon | 16 | | becoming law.
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