summary
Introduced
01/29/2025
01/29/2025
In Committee
03/21/2025
03/21/2025
Crossed Over
Passed
Dead
Introduced Session
104th General Assembly
Bill Summary
Amends the Medical Assistance Article of the Illinois Public Aid Code. In a provision concerning payments to nursing facilities to increase compensation for certified nursing assistants (CNA), removes language requiring the Department of Healthcare and Family Services to establish, by rule, payments to nursing facilities equal to Medicaid's share of the tenure wage increments for all reported CNA employee hours compensated. Instead provides that, based on the schedule set forth in the amendatory Act, the Department shall pay to each facility Medicaid's share of the facility's estimated CNA hours performed by employees and agency workers, estimated overtime hours, and benefits and taxes paid to and on behalf of CNA workers at the beginning of each quarter. Provides that moneys paid by the Department to each facility and moneys paid by each facility to workers and agencies or on behalf of workers and agencies shall be reconciled at the end of each quarter. Sets for a schedule concerning the calculation of tenure compensation which shall include: (i) compensation for regular CNA hours; (ii) overtime calculated at time and a half; and (iii) benefits and taxes at 25%. Provides that estimates of overtime shall be calculated at time and a half and benefits and taxes at 25%. Requires the Department to pay the facility for qualifying promotions estimated at the beginning of each quarter and reconciled at the end of the quarter. Effective immediately.
AI Summary
This bill amends the Illinois Public Aid Code to modify how Medicaid payments are calculated for nursing facilities, specifically focusing on compensation for Certified Nursing Assistants (CNAs). The bill replaces the previous method of establishing tenure wage increments with a new quarterly payment system where the Department of Healthcare and Family Services will pay nursing facilities Medicaid's share of estimated CNA hours, including regular hours, overtime, and benefits. The tenure compensation calculation now includes an additional $1.50 per hour for CNAs with 1-2 years of experience, increasing by $1 per hour for each additional year up to a maximum of $6.50 for CNAs with 6 or more years of experience. Overtime will be calculated at time and a half, and benefits and taxes at 25%. The bill also introduces a new provision for promotion-based wage increments, with qualifying promotions defined as roles like CNA trainers, scheduling "captains", and specialists for specific resident care needs. At the beginning of each quarter, facilities will receive estimated payments for these compensation elements, which will be reconciled at the quarter's end, ensuring that the additional funds are directly incorporated into increased compensation for CNAs.
Committee Categories
Budget and Finance
Sponsors (1)
Last Action
Rule 19(a) / Re-referred to Rules Committee (on 03/21/2025)
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.ilga.gov/legislation/BillStatus.asp?DocNum=1922&GAID=18&DocTypeID=HB&SessionID=114&GA=104 |
| BillText | https://www.ilga.gov/legislation/104/HB/10400HB1922.htm |
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