HB5746 Summary: Hospital Provider Assessments

• Imposes assessments on outpatient services for Illinois hospitals for State fiscal years 2012 through 2014 at a rate of .007236 multiplied by the hospital's outpatient gross revenue.

• No assessment payments are due until after the Department of Healthcare and Family Services notifies hospitals that payment methodologies have been approved by the Centers for Medicare and Medicaid Services and the required federal waiver has been granted.

• Creates hospital access improvement payments on or after January 1, 2012, including adjustments for magnet/perinatal hospitals ($200-$380 per Medicaid day), trauma level II centers ($135-$380 per day), dual eligible patients ($380 per day), high Medicaid volume hospitals ($75 per day), outpatient services ($100 per service), specialty hospitals ($715 per service), and physician supplemental payments (minimum $22 million annually).

• Requires transfers from the Hospital Provider Fund to the Healthcare Provider Relief Fund of $10 million in fiscal year 2012 and $20 million in fiscal years 2013-2014.

• Assessments cease if hospital payment rates are reduced below November 1, 2011 levels or if supplemental payments fall below fiscal year 2011 amounts; Section 5A-2 and related provisions are repealed July 1, 2014.