summary
Introduced
02/05/2025
02/05/2025
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. Provides that for an extended hospital stay beyond medical necessity due to multiple failed attempts to place an emergency room patient who presented for dementia or other long-term care needs into a nursing or other long-term care facility, the Department of Healthcare and Family Services shall reimburse the hospital at a rate calculated to cover the entire hospital stay if (i) the hospital presents documentation, as prescribed by the Department, of multiple unsuccessful attempts to place the patient in a nursing or other long-term care facility and (ii) if each nursing or long-term care facility the hospital solicited for placement gave a substantially similar reason for denying the patient admission.
AI Summary
This bill addresses an issue faced by hospitals when patients with dementia or long-term care needs cannot be quickly placed in a nursing facility after an emergency room visit. Specifically, the bill proposes that the Department of Healthcare and Family Services (HFS) will reimburse hospitals for extended hospital stays beyond medical necessity if two conditions are met: first, the hospital must provide documentation showing multiple unsuccessful attempts to place the patient in a nursing or long-term care facility, and second, each facility that denied admission did so for substantially similar reasons. The goal is to ensure hospitals are not financially penalized when they are unable to transfer patients due to systemic placement challenges, particularly for vulnerable populations like those with dementia. This provision aims to provide financial relief to hospitals while highlighting the difficulties in finding long-term care placements for certain patient populations.
Committee Categories
Budget and Finance
Sponsors (1)
Last Action
Fiscal Note Requested by Rep. Ryan Spain (on 04/22/2025)
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=2944&GAID=18&DocTypeID=HB&SessionID=114&GA=104 |
| BillText | https://www.ilga.gov/legislation/104/HB/10400HB2944.htm |
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