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|[ House Amendment 001 ]||[ Senate Amendment 001 ]|
92_SB0608sam003 SRS92SB0608DLspam03 1 AMENDMENT TO SENATE BILL 608 2 AMENDMENT NO. . Amend Senate Bill 608, AS AMENDED, 3 by replacing the title with the following: 4 "AN ACT in relation to public aid."; and 5 by replacing everything after the enacting clause with the 6 following: 7 "Section 5. The Illinois Public Aid Code is amended by 8 changing Section 5-5.4 as follows: 9 (305 ILCS 5/5-5.4) (from Ch. 23, par. 5-5.4) 10 Sec. 5-5.4. Standards of Payment - Department of Public 11 Aid. The Department of Public Aid shall develop standards of 12 payment of skilled nursing and intermediate care services in 13 facilities providing such services under this Article which: 14 (1) Provides for the determination of a facility's 15 payment for skilled nursing and intermediate care services on 16 a prospective basis. The amount of the payment rate for all 17 nursing facilities certified under the medical assistance 18 program shall be prospectively established annually on the 19 basis of historical, financial, and statistical data 20 reflecting actual costs from prior years, which shall be 21 applied to the current rate year and updated for inflation, -2- SRS92SB0608DLspam03 1 except that the capital cost element for newly constructed 2 facilities shall be based upon projected budgets. The 3 annually established payment rate shall take effect on July 1 4 in 1984 and subsequent years. Rate increases shall be 5 provided annually thereafter on July 1 in 1984 and on each 6 subsequent July 1 in the following years, except that no rate 7 increase and no update for inflation shall be provided on or 8 after July 1, 1994 and before July 1, 2002
July 1, 2001, 9 unless specifically provided for in this Section. 10 For facilities licensed by the Department of Public 11 Health under the Nursing Home Care Act as Intermediate Care 12 for the Developmentally Disabled facilities or Long Term Care 13 for Under Age 22 facilities, the rates taking effect on July 14 1, 1998 shall include an increase of 3%. For facilities 15 licensed by the Department of Public Health under the Nursing 16 Home Care Act as Skilled Nursing facilities or Intermediate 17 Care facilities, the rates taking effect on July 1, 1998 18 shall include an increase of 3% plus $1.10 per resident-day, 19 as defined by the Department. 20 For facilities licensed by the Department of Public 21 Health under the Nursing Home Care Act as Intermediate Care 22 for the Developmentally Disabled facilities or Long Term Care 23 for Under Age 22 facilities, the rates taking effect on July 24 1, 1999 shall include an increase of 1.6% plus $3.00 per 25 resident-day, as defined by the Department. For facilities 26 licensed by the Department of Public Health under the Nursing 27 Home Care Act as Skilled Nursing facilities or Intermediate 28 Care facilities, the rates taking effect on July 1, 1999 29 shall include an increase of 1.6% and, for services provided 30 on or after October 1, 1999, shall be increased by $4.00 per 31 resident-day, as defined by the Department. 32 For facilities licensed by the Department of Public 33 Health under the Nursing Home Care Act as Intermediate Care 34 for the Developmentally Disabled facilities or Long Term Care -3- SRS92SB0608DLspam03 1 for Under Age 22 facilities, the rates taking effect on July 2 1, 2000 shall include an increase of 2.5% per resident-day, 3 as defined by the Department. For facilities licensed by the 4 Department of Public Health under the Nursing Home Care Act 5 as Skilled Nursing facilities or Intermediate Care 6 facilities, the rates taking effect on July 1, 2000 shall 7 include an increase of 2.5% per resident-day, as defined by 8 the Department. 9 For facilities licensed by the Department of Public 10 Health under the Nursing Home Care Act as skilled nursing 11 facilities or intermediate care facilities, the rates taking 12 effect on July 1, 2001, and each subsequent year thereafter, 13 shall be computed using the most recent cost reports on file 14 with the Department of Public Aid no later than April 1, 2000 15 updated for inflation to January 1, 2001. For rates 16 effective July 1, 2001 only, rates shall be the greater of 17 the rate computed for July 1, 2001 or the rate effective on 18 June 30, 2001. 19 Rates established effective each July 1 shall govern 20 payment for services rendered throughout that fiscal year, 21 except that rates established on July 1, 1996 shall be 22 increased by 6.8% for services provided on or after January 23 1, 1997. Such rates will be based upon the rates calculated 24 for the year beginning July 1, 1990, and for subsequent years 25 thereafter until June 30, 2001 shall be based on the facility 26 cost reports for the facility fiscal year ending at any point 27 in time during the previous calendar year, updated to the 28 midpoint of the rate year. The cost report shall be on file 29 with the Department no later than April 1 of the current rate 30 year. Should the cost report not be on file by April 1, the 31 Department shall base the rate on the latest cost report 32 filed by each skilled care facility and intermediate care 33 facility, updated to the midpoint of the current rate year. 34 In determining rates for services rendered on and after July -4- SRS92SB0608DLspam03 1 1, 1985, fixed time shall not be computed at less than zero. 2 The Department shall not make any alterations of regulations 3 which would reduce any component of the Medicaid rate to a 4 level below what that component would have been utilizing in 5 the rate effective on July 1, 1984. 6 (2) Shall take into account the actual costs incurred by 7 facilities in providing services for recipients of skilled 8 nursing and intermediate care services under the medical 9 assistance program. 10 (3) Shall take into account the medical and 11 psycho-social characteristics and needs of the patients. 12 (4) Shall take into account the actual costs incurred by 13 facilities in meeting licensing and certification standards 14 imposed and prescribed by the State of Illinois, any of its 15 political subdivisions or municipalities and by the U.S. 16 Department of Health and Human Services pursuant to Title XIX 17 of the Social Security Act. 18 The Department of Public Aid shall develop precise 19 standards for payments to reimburse nursing facilities for 20 any utilization of appropriate rehabilitative personnel for 21 the provision of rehabilitative services which is authorized 22 by federal regulations, including reimbursement for services 23 provided by qualified therapists or qualified assistants, and 24 which is in accordance with accepted professional practices. 25 Reimbursement also may be made for utilization of other 26 supportive personnel under appropriate supervision. 27 (Source: P.A. 90-9, eff. 7-1-97; 90-588, eff. 7-1-98; 91-24, 28 eff. 7-1-99; 91-712, eff. 7-1-00.) 29 Section 99. Effective date. This Act takes effect upon 30 becoming law.".
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