HB2501 98TH GENERAL ASSEMBLY

LRB098 06411 KTG 36453 b

98TH GENERAL ASSEMBLY
State of Illinois
2013 and 2014
HB2501

Introduced , by Rep. Esther Golar

SYNOPSIS AS INTRODUCED:

305 ILCS 5/5-5.4h new

Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to adopt rules which establish a policy of bed reserve payments to Intermediate Care Facilities for the Developmentally Disabled (ICF/DDs) which addresses the needs of facility residents and their families. Requires the Department to set, by rule, certain bed reserve payment rates based on the length of time a resident of an ICF/DD is absent from the ICF/DD (i) for purposes of a physician-authorized in-patient admission to a hospital or (ii) for purposes of a home visit with a family member. Provides that no Department rule regarding bed reserve payments shall require an ICF/DD to have a specified percentage of total facility occupancy as a requirement for receiving bed reserve payments. Exempts State-operated facilities from the provisions of this amendatory Act. Effective immediately.

FISCAL NOTE ACT MAY APPLY

A BILL FOR

AN ACT concerning public aid.

Be it enacted by the People of the State of Illinois, represented in the General Assembly:

Section 5. The Illinois Public Aid Code is amended by adding Section 5-5.4h as follows:

(305 ILCS 5/5-5.4h new)

Sec. 5-5.4h. Intermediate Care Facility for the Developmentally Disabled; bed reserve payments.

(a) In this Section, "ICF/DD" means an Intermediate Care Facility for the Developmentally Disabled.

(b) The Department shall adopt rules which establish a policy of bed reserve payments to ICF/DDs which addresses the needs of residents of ICF/DDs and their families.

(c) When a resident of an ICF/DD is absent from the ICF/DD in which he or she is a resident for purposes of a physician-authorized in-patient admission to a hospital, the Department's rules shall, at a minimum, provide: (1) bed reserve payments at a daily rate which is 100% of the client's current per diem rate, for a period not exceeding 10 consecutive days; (2) bed reserve payments at a daily rate which is 75% of a client's current per diem rate, for a period which exceeds 10 consecutive days but does not exceed 30 consecutive days; and (3) bed reserve payments at a daily rate which is 50% of a client's current per diem rate for a period which exceeds 30 consecutive days but does not exceed 45 consecutive days.

(d) When a resident of an ICF/DD is absent from the ICF/DD in which he or she is a resident for purposes of a home visit with a family member, the Department's rules shall, at a minimum, provide: (1) bed reserve payments at a rate which is 100% of a client's current per diem rate, for a period not exceeding 10 days per State fiscal year; and (2) bed reserve payments at a rate which is 75% of a client's current per diem rate, for a period which exceeds 10 days per State fiscal year but does not exceed 30 days per State fiscal year.

(e) No Department rule regarding bed reserve payments shall require an ICF/DD to have a specified percentage of total facility occupancy as a requirement for receiving bed reserve payments.

(f) This Section 5-5.4h does not apply to any State-operated facility.

Section 99. Effective date. This Act takes effect upon becoming law.