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 Bill Status of HB3374  100th General Assembly


Short Description:  DHFS-NURS FACILITY-RATE APPEAL

House Sponsors
Rep. Elgie R. Sims, Jr.

Last Action
DateChamber Action
  4/28/2017HouseRule 19(a) / Re-referred to Rules Committee

Statutes Amended In Order of Appearance
305 ILCS 5/5-5.4g


Synopsis As Introduced
Amends the Medical Assistance Article of the Illinois Public Aid Code. In a provision permitting a nursing facility to appeal a change in its Minimum Data Set rate, provides that the facility shall be permitted to offer any and all additional documentation during the appeal hearing that is necessary to refute the State's findings (rather than the facility may not offer any additional documentation during the appeal hearing, but may identify documentation provided during the on-site review that may support a specific area of documentation deemed deficient by the Department of Healthcare and Family Services).

 Fiscal Note (Dept. of Human Services)
 The Department of Human Services reviews approximately 20 facilities and recoups about $2 million per quarter in overpayments. Allowing facilities to provide additional documentation at the time of appeal may result in the Department obtaining smaller recoupments of taxpayer funds - both due to the additional time the review will take, as well as, the potential for fraudulent documentation to be used to support reimbursement by a facility. In addition, current reviews are limited in number due to staffing levels. If the Department expands the number of reviews in the future to account for the changes required in this bill, the fiscal impact could be significantly larger.

Actions 
DateChamber Action
  2/9/2017HouseFiled with the Clerk by Rep. Elgie R. Sims, Jr.
  2/10/2017HouseFirst Reading
  2/10/2017HouseReferred to Rules Committee
  2/22/2017HouseAssigned to Human Services Committee
  3/15/2017HouseDo Pass / Standard Debate Human Services Committee; 007-004-000
  3/15/2017HousePlaced on Calendar 2nd Reading - Standard Debate
  3/16/2017HouseFiscal Note Requested by Rep. Tom Demmer
  4/4/2017HouseFiscal Note Filed
  4/26/2017HouseSecond Reading - Standard Debate
  4/26/2017HouseHeld on Calendar Order of Second Reading - Standard Debate
  4/28/2017HouseRule 19(a) / Re-referred to Rules Committee

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