Illinois General Assembly - Bill Status for SB1863

Amends the Illinois Health Care Finance Reform Act. Requires the Department of Public Health to require all ambulatory surgical treatment centers licensed to operate in the State (now, the requirement applies only to hospitals licensed to operate in the State) to adopt a uniform system for submitting patient claims and encounter data (now, patient billing data) for payment from public and private payors. Requires hospitals and ambulatory surgical centers to submit billing data to the Department of Public Health no later than 60 days after the end of each calendar quarter. Requires the Department to include certain information in its "Consumer Guide to Health Care" on its website. Authorizes the Department to disclose certain information on its website. Authorizes the Department to promulgate rules concerning the provisions of the Illinois Health Care Finance Reform Act. Requires that ambulatory surgical treatment centers, organizations representing ambulatory surgical treatment centers, purchasers, consumer groups, and health plans be meaningfully involved in the development of all aspects of the Department's methodology for collecting, analyzing, and disclosing the information collected under this Act. Requires the Department to evaluate additional methods for comparing the performance of hospitals and ambulatory surgical treatment centers and report its findings and recommendations on its Internet website and to the Governor and General Assembly no later than January 1, 2006. Makes other changes. Effective immediately.

Replaces everything after the enacting clause. Creates the FY2007 Budget Implementation (Human Services) Act for the purpose of implementing the Governor's FY2007 budget recommendations concerning human services. Amends the Illinois Administrative Procedure Act and the Illinois Public Aid Code. Authorizes the Department of Healthcare and Family Services to adopt emergency rules during FY2007, including rules effective July 1, 2007, to the extent necessary to administer the Department's responsibilities with respect to amendments and waivers to the State plans and Illinois waivers approved by the federal Centers for Medicare and Medicaid Services necessitated by the requirements of Title XIX and Title XXI of the federal Social Security Act, in order to provide for the expeditious and timely implementation of the provisions of the State's fiscal year 2007 budget. Provides that in order to provide for the timely and expeditious implementation of the federally approved amendment to the State Medicaid Plan, the Department of Healthcare and Family Services may adopt rules necessary to implement changes resulting from that amendment to the hospital access improvement payments authorized by Public Act 94-242 and the Illinois Public Aid Code. Authorizes the Department to use emergency rulemaking. Provides that this emergency rulemaking authority is granted by, and may be exercised only during, the 94th General Assembly. Provides that in connection with Medicaid rates paid to nursing homes, no rate increase and no update for inflation shall be provided before July 1, 2007 (instead of 2006) unless specifically provided for in those provisions. Also in connection with Medicaid rates paid to nursing homes, (i) provides that for facilities licensed by the Department of Public Health under the Nursing Home Care Act as intermediate care facilities that are federally defined as Institutions for Mental Disease, a socio-development component rate equal to 6.6% of the facility's nursing component rate as of January 1, 2006 shall be established and paid effective July 1, 2006 and (ii) provides that these socio-development component rates may be adjusted, but in no case may they be diminished. Also authorizes the Department to adopt rules during the 94th General Assembly to reduce the rate of any annual assessment imposed on hospitals. Authorizes the Department of Human Services to initiate a 3-year pilot program of home and community-based medical services for persons who are medically fragile and technology-dependent. Makes other changes. Repeals provisions concerning nursing home inspections of care by the Department of Healthcare and Family Services. Effective immediately.

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