Sen. Doris Turner

Filed: 3/8/2024

 

 


 

 


 
10300SB3256sam001LRB103 39314 RPS 70840 a

1
AMENDMENT TO SENATE BILL 3256

2    AMENDMENT NO. ______. Amend Senate Bill 3256 by replacing
3everything after the enacting clause with the following:
 
4    "Section 5. The Nursing Home Care Act is amended by
5changing Section 3-401.1 as follows:
 
6    (210 ILCS 45/3-401.1)  (from Ch. 111 1/2, par. 4153-401.1)
7    Sec. 3-401.1. (a) A facility participating in the Medical
8Assistance Program is prohibited from failing or refusing to
9retain as a resident any person because he or she is a
10recipient of or an applicant for the Medical Assistance
11Program.
12    (a-5) A After the effective date of this amendatory Act of
131997, a facility of which only a distinct part is certified to
14participate in the Medical Assistance Program may refuse to
15retain as a resident any person who resides in a part of the
16facility that does not participate in the Medical Assistance

 

 

10300SB3256sam001- 2 -LRB103 39314 RPS 70840 a

1Program and who is unable to pay for his or her care in the
2facility without Medical Assistance only if:
3        (1) the facility, no later than at the time of
4    admission and at the time of the resident's contract
5    renewal, explains to the resident (unless he or she is
6    incompetent), and to the resident's representative, and to
7    the person making payment on behalf of the resident for
8    the resident's stay, in writing, that the facility may
9    discharge the resident if the resident is no longer able
10    to pay for his or her care in the facility without Medical
11    Assistance;
12        (2) the resident (unless he or she is incompetent),
13    the resident's representative, and the person making
14    payment on behalf of the resident for the resident's stay,
15    acknowledge in writing that they have received the written
16    explanation; .
17        (3) the facility provides notice to the resident and
18    to the resident's representative that the resident's
19    Medicare coverage will likely end in 10 days. This
20    notification shall specify that the resident shall not be
21    required to move under this Section until these 10 days
22    are up.
23    (a-10) For the purposes of this Section, a recipient or
24applicant shall be considered a resident in the facility
25during any hospital stay totaling 10 days or less following a
26hospital admission. The Department of Healthcare and Family

 

 

10300SB3256sam001- 3 -LRB103 39314 RPS 70840 a

1Services shall recoup funds from a facility when, as a result
2of the facility's refusal to readmit a recipient after
3hospitalization for 10 days or less, the recipient incurs
4hospital bills in an amount greater than the amount that would
5have been paid by that Department (formerly the Illinois
6Department of Public Aid) for care of the recipient in the
7facility. The amount of the recoupment shall be the difference
8between the Department of Healthcare and Family Services'
9(formerly the Illinois Department of Public Aid's) payment for
10hospital care and the amount that Department would have paid
11for care in the facility.
12    (b) A facility which violates this Section shall be guilty
13of a business offense and fined not less than $500 nor more
14than $1,000 for the first offense and not less than $1,000 nor
15more than $5,000 for each subsequent offense.
16(Source: P.A. 95-331, eff. 8-21-07.)".