Bill > SB1490

This bill amends the Illinois Public Aid Code to modify how nursing facilities calculate their staffing ratios and per diem staffing add-on payments under the Patient Driven Payment Model (PDPM). Beginning January 1, 2025, the bill changes how facilities calculate their PDPM STRIVE Staffing Ratio by dividing their Reported Total Nurse Staffing Hours Per Resident Per Day (from the most recent federal staffing report) by their PDPM STRIVE Staffing Target. The Staffing Target is 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 from the January 2024 State US Averages file). The bill also establishes 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. These changes are part of ongoing efforts to improve nursing facility staffing and care quality by tying reimbursement to staffing performance.

https://www.ilga.gov/legislation/BillStatus.asp?DocNum=1490&GAID=18&DocTypeID=SB&SessionID=114&GA=104