HB 4085

  • Illinois House Bill
  • 102nd Regular Session
  • Introduced in House
  • House
  • Senate
  • Governor

Medicaid-Nursing Rates

Abstract

Amends the Illinois Public Aid Code. Provides that it shall be a matter of State policy that the Department of Healthcare and Family Services shall set nursing facility rates by rule utilizing an evidenced-based methodology that rewards appropriate staffing, quality-of-life improvements for nursing facility residents, including the cessation of payments for rooms with 3 or more people residing in them by January 1, 2027, and the reduction of racial inequities and health disparities for nursing facility residents enrolled in Medicaid. Provides that the new nursing services reimbursement methodology taking effect January 1, 2022, upon federal approval, shall utilize the Patient Driven Payment Model (PDPM) (rather than the RUG-IV 48 grouper model). Sets the statewide base rate for dates of service on and after January 1, 2022 at $85.25. Requires the Department to establish, by rule, a multiplier based on information from the Payroll Based Journal. Provides that, beginning on and after January 1, 2022, the Department shall allocate funding, by rule, for per diem add-ons to the PDPM methodology for each resident with a diagnosis of Alzheimer's disease. Contains provisions concerning funds allocated for certain incentive payments to nursing facilities; emergency rules; payments to improve the quality of care delivered by nursing facilities; long-term care provider assessments; and other matters. Amends the Nurse Agency Licensing Act. Prohibits nurse agencies from entering into covenants not to compete with certified nurse aides. Amends the Illinois Administrative Procedure Act. Permits the Department of Healthcare and Family Services to adopt emergency rules. Effective immediately.

Bill Sponsors (27)

Deb Conroy

     
Cosponsor

Denyse Wang Stoneback

     
Cosponsor

Angelica Guerrero-Cuellar

     
Cosponsor

Votes


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Actions


May 28, 2021

House

Added Co-Sponsor Rep. Kelly M. Cassidy

House

Added Co-Sponsor Rep. Dave Vella

House

Added Co-Sponsor Rep. Anne Stava-Murray

House

Added Co-Sponsor Rep. Will Guzzardi

House

Added Co-Sponsor Rep. Debbie Meyers-Martin

House

Added Co-Sponsor Rep. Kambium Buckner

House

Added Co-Sponsor Rep. Justin Slaughter

House

Added Co-Sponsor Rep. Lance Yednock

House

Added Co-Sponsor Rep. Theresa Mah

House

Added Co-Sponsor Rep. Lamont J. Robinson, Jr.

House

Added Co-Sponsor Rep. Camille Y. Lilly

House

Added Co-Sponsor Rep. Angelica Guerrero-Cuellar

House

Added Co-Sponsor Rep. Maura Hirschauer

House

Added Co-Sponsor Rep. Kelly M. Burke

House

Added Co-Sponsor Rep. Stephanie A. Kifowit

House

Added Co-Sponsor Rep. Sue Scherer

House

Added Co-Sponsor Rep. Marcus C. Evans, Jr.

May 21, 2021

House

Added Co-Sponsor Rep. Janet Yang Rohr

House

Added Co-Sponsor Rep. Barbara Hernandez

House

Added Co-Sponsor Rep. Joyce Mason

House

Added Co-Sponsor Rep. Terra Costa Howard

May 20, 2021

House

Added Chief Co-Sponsor Rep. Lakesia Collins

House

Added Co-Sponsor Rep. Suzanne Ness

House

Added Co-Sponsor Rep. Michelle Mussman

House

Added Chief Co-Sponsor Rep. Deb Conroy

House

Added Chief Co-Sponsor Rep. Denyse Wang Stoneback

May 19, 2021

House

Filed with the Clerk by Rep. Anna Moeller

House

Referred to Rules Committee

House

First Reading

Bill Text

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Sources

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