Bill > HB4851

This bill, effective immediately, modifies how the Medicaid inpatient utilization rate is calculated for certain hospitals to determine eligibility for inpatient adjustment payments, beginning with the rate year 2027 (October 1, 2026, and thereafter). Specifically, it will exclude from both the numerator (days of care provided to Medicaid patients) and the denominator (total inpatient days) any days of care funded by the U.S. Department of Veterans Affairs (VA) at hospitals that operate from multiple locations within contiguous counties under a single license, provided that the hospital was initially licensed in a county with fewer than 125,000 residents and its second facility is in a contiguous county with fewer than 235,000 residents. This exclusion also applies to authorized VA community care provided at non-VA hospitals. The Medicaid inpatient utilization rate is a key factor in determining whether a hospital qualifies for additional payments intended to support hospitals with a high proportion of Medicaid patients.

https://www.ilga.gov/Legislation/BillStatus?DocNum=4851&GAID=18&DocTypeID=HB&SessionID=114&GA=104