summary
Introduced
02/05/2025
02/05/2025
In Committee
05/15/2025
05/15/2025
Crossed Over
04/09/2025
04/09/2025
Passed
06/16/2025
06/16/2025
Dead
Signed/Enacted/Adopted
06/16/2025
06/16/2025
Introduced Session
104th General Assembly
Bill Summary
Amends the Hospital Provider Funding Article of the Illinois Public Aid Code. Increases the annual assessment on hospital providers for inpatient and outpatient services. Makes implementation of the increases contingent on federal approval of specified directed payment increases to hospitals. Contains provisions concerning the determination of a hospital's occupied and Medicare bed days. Provides that, upon federal approval of the directed payment increases to hospitals, the Department of Healthcare and Family Services shall bill hospitals for the total tax due resulting from the assessment increases. Makes changes to provisions concerning a requirement for the Department to list the monthly assessment amount owed by each hospital and any unpaid assessment amounts that are more than 90 days delinquent; the withholding of reimbursements as payment for unpaid assessments, with some exceptions; specified transfer amounts from the Hospital Provider Fund to the Health and Human Services Medicaid Trust Fund, the Long-Term Care Provider Fund, and the Healthcare Provider Relief Fund; safety-net hospitals that elect to remain in the high Medicaid hospital class for purpose of receiving directed payments for certain services; rates increases for fixed pool directed payments and fixed rate directed payments, subject to federal approval; and other matters. Permits the Department to adopt emergency rules to implement the amendatory Act. Effective immediately.
AI Summary
This bill amends the Illinois Public Aid Code to increase and modify hospital assessment fees and related Medicaid reimbursement rates. Specifically, the bill makes several key changes: beginning January 1, 2025, it increases the annual assessment on hospital inpatient services from $221.50 to $362 per occupied bed day (though this increase is contingent on federal approval of new reimbursement rates), and similarly increases the outpatient service assessment rate. The bill provides a mechanism for the Department of Healthcare and Family Services to bill hospitals for the difference between the current and new assessment rates once federal approval is obtained. The bill also establishes new minimum funding levels for various hospital classes, including safety-net hospitals, critical access hospitals, high Medicaid hospitals, and others, with specific dollar amounts allocated for inpatient and outpatient services. Additionally, the bill includes provisions for pass-through payments, directed payments, and allows hospitals in certain circumstances to elect their payment classification. The implementation of these changes is subject to federal approval, and the Department is authorized to adopt emergency rules to facilitate the bill's implementation. The bill aims to maintain hospital reimbursement levels while providing a framework for potential future rate adjustments.
Committee Categories
Government Affairs
Sponsors (5)
Omar Aquino (D)*,
Camille Lilly (D)*,
Napoleon Harris (D),
Meg Loughran Cappel (D),
Chapin Rose (R),
Last Action
Public Act . . . . . . . . . 104-0007 (on 06/16/2025)
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=2771&GAID=18&DocTypeID=HB&SessionID=114&GA=104 |
| BillText | https://www.ilga.gov/legislation/publicacts/104/104-0007.htm |
| BillText | https://www.ilga.gov/legislation/104/HB/10400HB2771enr.htm |
| Senate Amendment 002 | https://www.ilga.gov/legislation/104/HB/10400HB2771sam002.htm |
| Senate Amendment 001 | https://www.ilga.gov/legislation/104/HB/10400HB2771sam001.htm |
| BillText | https://www.ilga.gov/legislation/104/HB/10400HB2771eng.htm |
| BillText | https://www.ilga.gov/legislation/104/HB/10400HB2771.htm |
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