IL HB5248 | 2019-2020 | 101st General Assembly

Status

Spectrum: Partisan Bill (Democrat 3-0)
Status: Introduced on February 14 2020 - 25% progression, died in committee
Action: 2020-03-10 - Added Co-Sponsor Rep. Camille Y. Lilly
Pending: House Rules Committee
Text: Latest bill text (Introduced) [HTML]

Summary

Amends the Illinois Public Aid Code. In provisions concerning payment rates for nursing facilities, provides that a benchmark rate equal to the facility's fee-for-service rate shall be established for any facility receiving payment from a managed care entity for services. Provides that on and after July 1, 2020, no managed care entity shall pay a facility less than the established benchmark rate unless the managed care entity and the facility contractually agree upon a rate different than the established benchmark rate. Requires the benchmark rate to be updated quarterly by the Department of Healthcare and Family Services to recognize any rate adjustments to each facility's fee-for-service rate. Provides that until the State is in compliance with federal deadlines for Medicaid eligibility determinations, the Department must not expand the Medicare-Medicaid Alignment Initiative. Provides that beginning July 1, 2020, or upon federal approval, any enrollee who resides in a facility for more than 90 consecutive days shall no longer be required to enroll with a managed care organization and shall revert to having his or her services covered through a fee-for-service arrangement between the facility and the Department for any services received after 90 consecutive days of service. Effective immediately.

Tracking Information

Register now for our free OneVote public service or GAITS Pro trial account and you can begin tracking this and other legislation, all driven by the real-time data of the LegiScan API. Providing tools allowing you to research pending legislation, stay informed with email alerts, content feeds, and share dynamic reports. Use our new PolitiCorps to join with friends and collegaues to monitor & discuss bills through the process.

Monitor Legislation or view this same bill number from multiple sessions or take advantage of our national legislative search.

Title

MEDICAID-MANAGED CARE-RATES

Sponsors


History

DateChamberAction
2020-03-10HouseAdded Co-Sponsor Rep. Camille Y. Lilly
2020-03-04HouseAdded Co-Sponsor Rep. Elizabeth Hernandez
2020-02-18HouseReferred to Rules Committee
2020-02-18HouseFirst Reading
2020-02-14HouseFiled with the Clerk by Rep. Yehiel M. Kalish

Code Citations

ChapterArticleSectionCitation TypeStatute Text
30555-30Amended CodeCitation Text
30555-5.2Amended CodeCitation Text
30555F-10Amended CodeCitation Text

Illinois State Sources


Bill Comments

feedback