DHFS-HOSPITALS-PAYMENTS Senate SponsorsSen. Heather A. Steans-Patricia Van Pelt-Jacqueline Y. Collins-Mattie Hunter and Dave Syverson-Iris Y. Martinez House Sponsors(Rep. Gregory Harris-Patricia R. Bellock-Juliana Stratton-Sara Feigenholtz-Tom Demmer, Robyn Gabel, Ryan Spain, Luis Arroyo and Mary E. Flowers) 3/12/2018SenatePublic Act . . . . . . . . . 100-0581 305 ILCS 5/5-5.4gAmends the Medical Assistance Article of the Illinois Public Aid Code. In a provision permitting a nursing facility to appeal a change in its Minimum Data Set rate, provides that the facility shall be permitted to offer any and all additional documentation during the appeal hearing that is necessary to refute the State's findings (rather than the facility may not offer any additional documentation during the appeal hearing, but may identify documentation provided during the on-site review that may support a specific area of documentation deemed deficient by the Department of Healthcare and Family Services).Senate Committee Amendment No. 1 Deletes reference to:305 ILCS 5/5-5.4gAdds reference to:305 ILCS 5/5-5.2from Ch. 23, par. 5-5.2Replaces everything after the enacting clause. Amends the Illinois Public Aid Code. In provisions concerning payments to nursing facilities, provides that the Department of Healthcare and Family Services shall provide an update on the status of payments from both the General Revenue Fund and the Long-Term Care Provider Fund for expedited and non-expedited facilities by schedule. Provides that the Department may provide the information monthly electronically, post it on the Department's website, or provide it upon request in compliance with this requirement. Effective immediately.House Committee Amendment No. 3 Deletes reference to:305 ILCS 5/5-5.2Adds reference to:305 ILCS 5/5-1from Ch. 23, par. 5-1Replaces everything after the enacting clause. Amends the Illinois Public Aid Code. Makes a technical change in a Section concerning the purpose of the Medical Assistance Article.House Floor Amendment No. 8 Deletes reference to:305 ILCS 5/5-1Adds reference to:5 ILCS 100/5-45from Ch. 127, par. 1005-455 ILCS 100/5-46.3 new20 ILCS 3960/3from Ch. 111 1/2, par. 1153210 ILCS 50/32.5305 ILCS 5/5-5.02from Ch. 23, par. 5-5.02305 ILCS 5/5-5e.1305 ILCS 5/5A-2from Ch. 23, par. 5A-2305 ILCS 5/5A-4from Ch. 23, par. 5A-4305 ILCS 5/5A-5from Ch. 23, par. 5A-5305 ILCS 5/5A-8from Ch. 23, par. 5A-8305 ILCS 5/5A-10from Ch. 23, par. 5A-10305 ILCS 5/5A-12.5305 ILCS 5/5A-12.6 new305 ILCS 5/5A-13305 ILCS 5/5A-14305 ILCS 5/5A-15305 ILCS 5/5A-16 new305 ILCS 5/12-4.105305 ILCS 5/14-12Replaces everything after the enacting clause. Amends the Illinois Health Facilities Planning Act. Expands the definition of health care facility to include any project the Department of Healthcare and Family Services certifies was approved by the Hospital Transformation Review Committee as a project subject to the hospital's transformation as provided under the Illinois Public Aid Code. Amends the Emergency Medical Services (EMS) Systems Act. Requires the Department of Public Health to issue an annual freestanding emergency center license to certain facilities. Amends the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to establish a cost-based reimbursement methodology for determining payments to hospitals for approved graduate medical education programs for dates of service on and after July 1, 2018. Contains provisions concerning an amendment to the Illinois Title XIX State Plan defining graduate medical education (GME); GME payments to hospitals including such costs in support of clients enrolled in Medicaid managed care entities; and a requirement that the Department take all actions necessary for reimbursement to be effective for dates of service on and after July 1, 2018. Defines terms and grants the Department emergency rulemaking authority. Extends the time period under which certain hospitals shall be designated a safety-net hospital. Contains provisions concerning: hospital assessments for State fiscal years 2019 through 2024; a requirement that certain hospital assessments be paid in monthly installments; hospital assessments for hospital providers that did not conduct, operate, or maintain a hospital in the year that is the basis of the calculation of the assessment; disbursements from the Hospital Provider Fund for State fiscal years 2019 through 2024; the continuation of hospital access payments on or after July 1, 2018; rate increase-based adjustments; the calculation of graduate medical education payments; Alzheimer's treatment access payments; safety-net hospital, private critical access hospital, and outpatient high volume access payments; Medicaid dependent or high volume hospital access payments; trauma care access payments; long-term acute care access payments; small public hospital access payments; psychiatric care access payments; emergency rules to implement the hospital access payments; increase capitation payments to capitated managed care organizations; and other matters. Extends the repeal date of certain assessments on inpatient and outpatient services to July 1, 2020 (rather than July 1, 2018). Requires the Department to preserve payment methodologies for certain hospital assessments pending federal approval of changes made under the amendatory Act to those hospital assessments. Contains provisions concerning reimbursement for inpatient psychiatric services beginning July 1, 2020; reimbursement increases for inpatient rehabilitation services; add-on payments for outpatient expensive devices and drugs; and other matters. Requires the Department, in conjunction with the Hospital Transformation Review Committee, to develop a hospital transformation program to provide financial assistance to hospitals in transforming their services and care models to better align with the needs of the communities they serve. Provides that the Hospital Transformation Review Committee shall consist of 14 appointed members and that 9 of the 14 committee members must first approve any rule adopted to implement the hospital transformation program before the rule is submitted to the Joint Committee on Administrative Rules. Requires the Department to develop reimbursement methodologies to recognize the importance of out-of-state hospitals located in states that border Illinois and provide access to specialty hospital services, with some exceptions. Makes other changes. Effective immediately, but the Act does not take effect at all unless Senate Bill 1573 of the 100th General Assembly, as amended, becomes law.House Floor Amendment No. 9 In a provision concerning the composition of the Hospital Transformation Review Committee, provides that the Chair and Vice-Chair (rather than the Chair and Co-Chair) cannot be appointed by the same appointing authority and must be from different political parties. 2/9/2017SenateFiled with Secretary by Sen. Don Harmon 2/9/2017SenateFirst Reading 2/9/2017SenateReferred to Assignments 2/28/2017SenateAssigned to Public Health 3/8/2017SenatePostponed - Public Health 3/10/2017SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. Don Harmon 3/10/2017SenateSenate Committee Amendment No. 1 Referred to Assignments 3/14/2017SenateSenate Committee Amendment No. 1 Assignments Refers to Public Health 3/17/2017SenateRule 2-10 Committee Deadline Established As April 7, 2017 3/29/2017SenatePostponed - Public Health 3/29/2017SenateSenate Committee Amendment No. 1 To Subcommittee on Long Term Care 4/4/2017SenateSenate Committee Amendment No. 1 Reported Back To Public Health; 003-000-000 4/4/2017SenateSenate Committee Amendment No. 1 Adopted 4/5/2017SenateDo Pass as Amended Public Health; 007-000-000 4/5/2017SenatePlaced on Calendar Order of 2nd Reading April 6, 2017 4/6/2017SenateSecond Reading 4/6/2017SenatePlaced on Calendar Order of 3rd Reading April 25, 2017 4/28/2017SenateRule 2-10 Third Reading Deadline Established As May 31, 2017 5/5/2017SenateThird Reading - Passed; 046-000-000 5/8/2017HouseArrived in House 5/11/2017HouseChief House Sponsor Rep. Jerry Costello, II 5/11/2017HouseFirst Reading 5/11/2017HouseReferred to Rules Committee 5/15/2017HouseAssigned to Human Services Committee 5/16/2017HouseAlternate Chief Sponsor Changed to Rep. Robyn Gabel 5/16/2017HouseHouse Committee Amendment No. 1 Filed with Clerk by Rep. Robyn Gabel 5/16/2017HouseHouse Committee Amendment No. 1 Referred to Rules Committee 5/17/2017HouseHouse Committee Amendment No. 1 Rules Refers to Human Services Committee 5/17/2017HouseHouse Committee Amendment No. 2 Filed with Clerk by Rep. Robyn Gabel 5/17/2017HouseHouse Committee Amendment No. 2 Referred to Rules Committee 5/18/2017HouseHouse Committee Amendment No. 2 Rules Refers to Human Services Committee 5/19/2017HouseCommittee Deadline Extended-Rule 9(b) May 26, 2017 5/19/2017HouseHouse Committee Amendment No. 1 Committee Deadline Extended-Rule 9(b) May 26, 2017 5/19/2017HouseHouse Committee Amendment No. 2 Committee Deadline Extended-Rule 9(b) May 26, 2017 5/26/2017HouseFinal Action Deadline Extended-9(b) May 31, 2017 5/31/2017HouseRule 19(a) / Re-referred to Rules Committee 5/31/2017HouseHouse Committee Amendment No. 1 Rule 19(a) / Re-referred to Rules Committee 5/31/2017HouseHouse Committee Amendment No. 2 Rule 19(a) / Re-referred to Rules Committee 10/17/2017HouseAssigned to Executive Committee 10/17/2017HouseHouse Committee Amendment No. 3 Filed with Clerk by Rep. Barbara Flynn Currie 10/17/2017HouseHouse Committee Amendment No. 3 Referred to Rules Committee 10/17/2017HouseHouse Committee Amendment No. 3 Rules Refers to Executive Committee 10/24/2017HouseHouse Committee Amendment No. 3 Adopted in Executive Committee; by Voice Vote 10/24/2017HouseDo Pass as Amended / Short Debate Executive Committee; 011-000-000 10/24/2017HouseHouse Committee Amendment No. 1 Tabled Pursuant to Rule 40 10/24/2017HouseHouse Committee Amendment No. 2 Tabled Pursuant to Rule 40 10/24/2017HousePlaced on Calendar 2nd Reading - Short Debate 10/24/2017HouseSecond Reading - Short Debate 10/24/2017HouseHeld on Calendar Order of Second Reading - Short Debate 10/24/2017HouseFinal Action Deadline Extended-9(b) November 10, 2017 11/10/2017HouseRule 19(a) / Re-referred to Rules Committee 1/24/2018HouseApproved for Consideration Rules Committee; 005-000-000 1/24/2018HousePlaced on Calendar 2nd Reading - Short Debate 1/30/2018HouseAlternate Chief Sponsor Changed to Rep. Gregory Harris 2/6/2018HouseHouse Floor Amendment No. 4 Filed with Clerk by Rep. Gregory Harris 2/6/2018HouseHouse Floor Amendment No. 4 Referred to Rules Committee 2/7/2018HouseHouse Floor Amendment No. 5 Filed with Clerk by Rep. Camille Y. Lilly 2/7/2018HouseHouse Floor Amendment No. 5 Referred to Rules Committee 2/7/2018HouseHouse Floor Amendment No. 6 Filed with Clerk by Rep. Sara Feigenholtz 2/7/2018HouseHouse Floor Amendment No. 6 Referred to Rules Committee 2/7/2018HouseHouse Floor Amendment No. 4 Rules Refers to Appropriations-Human Services Committee 2/7/2018HouseHouse Floor Amendment No. 5 Rules Refers to Appropriations-Human Services Committee 2/7/2018HouseHouse Floor Amendment No. 6 Rules Refers to Appropriations-Human Services Committee 2/7/2018HouseHouse Floor Amendment No. 7 Filed with Clerk by Rep. Mary E. Flowers 2/7/2018HouseHouse Floor Amendment No. 7 Referred to Rules Committee 2/9/2018HouseAdded Alternate Co-Sponsor Rep. Sara Feigenholtz 2/12/2018HouseHouse Floor Amendment No. 7 Rules Refers to Appropriations-Human Services Committee 2/15/2018SenateAdded as Chief Co-Sponsor Sen. Patricia Van Pelt 2/20/2018SenateAdded as Chief Co-Sponsor Sen. Jacqueline Y. Collins 2/21/2018SenateAdded as Chief Co-Sponsor Sen. Mattie Hunter 2/22/2018SenateAdded as Co-Sponsor Sen. Dave Syverson 2/26/2018HouseAlternate Co-Sponsor Removed Rep. Sara Feigenholtz 2/26/2018HouseAdded Alternate Chief Co-Sponsor Rep. Patricia R. Bellock 2/26/2018HouseAdded Alternate Chief Co-Sponsor Rep. Juliana Stratton 2/26/2018HouseAdded Alternate Chief Co-Sponsor Rep. Sara Feigenholtz 2/26/2018HouseAdded Alternate Chief Co-Sponsor Rep. Tom Demmer 2/26/2018HouseAdded Alternate Co-Sponsor Rep. Robyn Gabel 2/26/2018HouseAdded Alternate Co-Sponsor Rep. Ryan Spain 2/26/2018HouseAdded Alternate Co-Sponsor Rep. Camille Y. Lilly 2/26/2018HouseHouse Floor Amendment No. 8 Filed with Clerk by Rep. Gregory Harris 2/26/2018HouseHouse Floor Amendment No. 8 Referred to Rules Committee 2/26/2018HouseHouse Floor Amendment No. 8 Rules Refers to Appropriations-Human Services Committee 2/27/2018HouseHouse Floor Amendment No. 8 Recommends Be Adopted Appropriations-Human Services Committee; 014-000-000 2/27/2018SenateChief Sponsor Changed to Sen. Heather A. Steans 2/27/2018HouseHouse Floor Amendment No. 9 Filed with Clerk by Rep. Gregory Harris 2/27/2018HouseHouse Floor Amendment No. 9 Referred to Rules Committee 2/28/2018HouseHouse Floor Amendment No. 9 Recommends Be Adopted Rules Committee; 004-000-000 2/28/2018HouseHouse Floor Amendment No. 8 Adopted 2/28/2018HouseHouse Floor Amendment No. 9 Adopted 2/28/2018HousePlaced on Calendar Order of 3rd Reading - Short Debate 2/28/2018HouseThird Reading - Short Debate - Passed 107-007-000 2/28/2018HouseAlternate Co-Sponsor Removed Rep. Camille Y. Lilly 2/28/2018HouseAdded Alternate Co-Sponsor Rep. Luis Arroyo 2/28/2018HouseHouse Floor Amendment No. 4 Tabled Pursuant to Rule 40 2/28/2018HouseHouse Floor Amendment No. 5 Tabled Pursuant to Rule 40 2/28/2018HouseHouse Floor Amendment No. 6 Tabled Pursuant to Rule 40 2/28/2018HouseHouse Floor Amendment No. 7 Tabled Pursuant to Rule 40 2/28/2018SenateSecretary's Desk - Concurrence House Amendment(s) 3, 8, 9 2/28/2018SenatePlaced on Calendar Order of Concurrence House Amendment(s) 3, 8, 9 - February 28, 2018 2/28/2018SenateHouse Committee Amendment No. 3 Motion to Concur Filed with Secretary Sen. Heather A. Steans 2/28/2018SenateHouse Committee Amendment No. 3 Motion to Concur Referred to Assignments 2/28/2018SenateHouse Floor Amendment No. 8 Motion to Concur Filed with Secretary Sen. Heather A. Steans 2/28/2018SenateHouse Floor Amendment No. 8 Motion to Concur Referred to Assignments 2/28/2018SenateHouse Floor Amendment No. 9 Motion to Concur Filed with Secretary Sen. Heather A. Steans 2/28/2018SenateHouse Floor Amendment No. 9 Motion to Concur Referred to Assignments 2/28/2018SenateHouse Committee Amendment No. 3 Motion to Concur Be Approved for Consideration Assignments 2/28/2018SenateHouse Floor Amendment No. 8 Motion to Concur Be Approved for Consideration Assignments 2/28/2018SenateHouse Floor Amendment No. 9 Motion to Concur Be Approved for Consideration Assignments 2/28/2018SenateAdded as Chief Co-Sponsor Sen. Iris Y. Martinez 2/28/2018SenateHouse Committee Amendment No. 3 Senate Concurs 053-003-001 2/28/2018SenateHouse Floor Amendment No. 8 Senate Concurs 053-003-001 2/28/2018SenateHouse Floor Amendment No. 9 Senate Concurs 053-003-001 2/28/2018SenateSenate Concurs 2/28/2018SenatePassed Both Houses 2/28/2018HouseAdded Alternate Co-Sponsor Rep. Mary E. Flowers 2/28/2018SenateSent to the Governor 3/12/2018SenateGovernor Approved 3/12/2018SenateEffective Date March 12, 2018 3/12/2018SenatePublic Act . . . . . . . . . 100-0581