SB2245 - 104th General Assembly

MEDICAID-NURSING PAYMENTS
Last Action
2/07/2025 - Senate: Referred to Assignments
Statutes Amended In Order of Appearance
305 ILCS 5/5-5.2a new
Synopsis As Introduced
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that for the calendar year beginning January 1, 2026, and each calendar year thereafter, a nursing facility must spend at least 90% of its adjusted total revenue on resident care and other resident-related costs, as defined. Requires each nursing facility to provide as part of its financial reporting information necessary for the Department of Healthcare and Family Services to administer and enforce the provisions of the amendatory Act. Provides that such information shall be subject to audit provisions and comply with any applicable uniform standards under the Code. Provides that all non-allowable costs, related party adjustments, or compensation to owners reported shall be excluded from the calculation of the amount spent on resident care and other resident-related costs. Requires 25% of costs associated with contract nursing staff to be deducted from the amount spent on resident care and other resident-related costs. Provides that for the calendar year beginning January 1, 2027, and each calendar year thereafter, the Department shall use the required financial reporting submissions to determine whether each nursing facility has met the minimum resident care percent requirement. Provides that if a facility has not met the minimum resident care percent requirement, the amount defined by the facility's total adjusted revenue shall be treated as a vendor overpayment. Requires the Department to recover the full amount of any vendor overpayment by reducing future payments, requiring direct payment to the Department, or any other method permitted under the Code. Requires the Department to adopt rules.
Actions
Date Chamber Action
2/07/2025 Senate Filed with Secretary by Sen. Lakesia Collins
2/07/2025 Senate First Reading
2/07/2025 Senate Referred to Assignments
2/26/2025 Senate Added as Chief Co-Sponsor Sen. Javier L. Cervantes
2/26/2025 Senate Added as Co-Sponsor Sen. Karina Villa
2/27/2025 Senate Added as Co-Sponsor Sen. Mike Porfirio
3/03/2025 Senate Added as Chief Co-Sponsor Sen. Graciela Guzmán
3/05/2025 Senate Added as Co-Sponsor Sen. Mike Simmons
4/02/2025 Senate Added as Co-Sponsor Sen. Willie Preston
4/02/2025 Senate Added as Co-Sponsor Sen. Adriane Johnson
4/10/2025 Senate Added as Co-Sponsor Sen. Kimberly A. Lightford
5/19/2025 Senate Added as Co-Sponsor Sen. Doris Turner