102ND GENERAL ASSEMBLY
State of Illinois
2021 and 2022
HB4930

 

Introduced 1/27/2022, by Rep. Lance Yednock

 

SYNOPSIS AS INTRODUCED:
 
305 ILCS 5/5-5e.1

    Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that beginning July 1, 2020 and ending on December 31, 2025, a hospital that would have qualified for the rate year beginning October 1, 2020 and was designated a federal rural referral center under a specified provision of the Code of Federal Regulations as of October 1, 2020 shall be a Safety-Net Hospital. Effective immediately.


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A BILL FOR

 

HB4930LRB102 24661 KTG 33900 b

1    AN ACT concerning public aid.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Illinois Public Aid Code is amended by
5changing Section 5-5e.1 as follows:
 
6    (305 ILCS 5/5-5e.1)
7    Sec. 5-5e.1. Safety-Net Hospitals.
8    (a) A Safety-Net Hospital is an Illinois hospital that:
9        (1) is licensed by the Department of Public Health as
10    a general acute care or pediatric hospital; and
11        (2) is a disproportionate share hospital, as described
12    in Section 1923 of the federal Social Security Act, as
13    determined by the Department; and
14        (3) meets one of the following:
15            (A) has a MIUR of at least 40% and a charity
16        percent of at least 4%; or
17            (B) has a MIUR of at least 50%.
18    (b) Definitions. As used in this Section:
19        (1) "Charity percent" means the ratio of (i) the
20    hospital's charity charges for services provided to
21    individuals without health insurance or another source of
22    third party coverage to (ii) the Illinois total hospital
23    charges, each as reported on the hospital's OBRA form.

 

 

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1        (2) "MIUR" means Medicaid Inpatient Utilization Rate
2    and is defined as a fraction, the numerator of which is the
3    number of a hospital's inpatient days provided in the
4    hospital's fiscal year ending 3 years prior to the rate
5    year, to patients who, for such days, were eligible for
6    Medicaid under Title XIX of the federal Social Security
7    Act, 42 USC 1396a et seq., excluding those persons
8    eligible for medical assistance pursuant to 42 U.S.C.
9    1396a(a)(10)(A)(i)(VIII) as set forth in paragraph 18 of
10    Section 5-2 of this Article, and the denominator of which
11    is the total number of the hospital's inpatient days in
12    that same period, excluding those persons eligible for
13    medical assistance pursuant to 42 U.S.C.
14    1396a(a)(10)(A)(i)(VIII) as set forth in paragraph 18 of
15    Section 5-2 of this Article.
16        (3) "OBRA form" means form HFS-3834, OBRA '93 data
17    collection form, for the rate year.
18        (4) "Rate year" means the 12-month period beginning on
19    October 1.
20    (c) Beginning July 1, 2012 and ending on December 31,
212022, a hospital that would have qualified for the rate year
22beginning October 1, 2011 or October 1, 2012 shall be a
23Safety-Net Hospital.
24    (c-5) Beginning July 1, 2020 and ending on December 31,
252025, a hospital that would have qualified for the rate year
26beginning October 1, 2020 and was designated a federal rural

 

 

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1referral center under 42 CFR 412.96 as of October 1, 2020 shall
2be a Safety-Net Hospital.
3    (d) No later than August 15 preceding the rate year, each
4hospital shall submit the OBRA form to the Department. Prior
5to October 1, the Department shall notify each hospital
6whether it has qualified as a Safety-Net Hospital.
7    (e) The Department may promulgate rules in order to
8implement this Section.
9    (f) Nothing in this Section shall be construed as limiting
10the ability of the Department to include the Safety-Net
11Hospitals in the hospital rate reform mandated by Section
1214-11 of this Code and implemented under Section 14-12 of this
13Code and by administrative rulemaking.
14(Source: P.A. 100-581, eff. 3-12-18; 101-650, eff. 7-7-20;
15101-669, eff. 4-2-21.)
 
16    Section 99. Effective date. This Act takes effect upon
17becoming law.