summary
Introduced
02/04/2026
02/04/2026
In Committee
02/24/2026
02/24/2026
Crossed Over
Passed
Dead
Introduced Session
104th General Assembly
Bill Summary
Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services, beginning January 1, 2027, to recompute the STAR rating of nursing facilities who had their antipsychotic medication quality measure score suppressed and their STAR rating set to one due to audit action by the federal Centers for Medicare and Medicaid Services. Requires quality payments to such nursing facilities to be made based on the recomputed score. Provides that in order to facilitate the recomputation, nursing facilities may provide the Department with documentation regarding the status of the suppression of the score and STAR rating as well as the quarterly report issued by the federal Centers for Medicare and Medicaid Services that lists the long-stay rating points for the quarter.
AI Summary
This bill requires the Illinois Department of Healthcare and Family Services to recompute the STAR rating of nursing facilities that had their antipsychotic medication quality measure score suppressed and their STAR rating lowered to one due to an audit by the federal Centers for Medicare and Medicaid Services (CMS). Beginning January 1, 2027, these facilities will have their STAR ratings recalculated based on their actual long-stay rating points, and any quality payments will be made using this recomputed score. To assist in this process, nursing facilities can provide the Department with documentation about the suppression of their score and STAR rating, as well as the relevant quarterly report from CMS that details long-stay rating points. This measure aims to correct potential inaccuracies in quality ratings and subsequent payments for facilities affected by specific audit actions.
Committee Categories
Budget and Finance
Sponsors (1)
Last Action
Assigned to Appropriations-Health and Human Services Committee (on 02/24/2026)
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