Bill > HB1785

This bill amends the Illinois Public Aid Code to modify how nursing facilities calculate their staffing ratios and receive per diem staffing add-on payments. Beginning January 1, 2025, nursing facilities will calculate their PDPM (Patient Driven Payment Model) STRIVE Staffing Ratio by dividing their Reported Total Nurse Staffing Hours Per Resident Per Day by their facility-specific PDPM STRIVE Staffing Target. The Staffing Target will be calculated as 0.76 times the facility's Illinois Adjusted Facility Case-Mix Hours Per Resident Per Day, which is determined by dividing the facility's Nursing Case-Mix by 1.4627 and multiplying by 3.79 (the national Reported Total Nurse Staffing Hours Per Resident Per Day). The bill introduces a graduated payment structure where facilities meeting certain staffing percentage thresholds receive increasing per diem add-on payments, ranging from $9 to $38.68, to incentivize higher staffing levels. This change is part of ongoing efforts to improve staffing and care quality in nursing facilities by linking reimbursement to staffing performance, with the new calculations and payment structure taking effect on July 1, 2025.

https://www.ilga.gov/legislation/BillStatus.asp?DocNum=1785&GAID=18&DocTypeID=HB&SessionID=114&GA=104