SB2541 Summary

• Extends the hospital assessment and payment program under Article V-A of the Illinois Public Aid Code through December 31, 2022, with new assessment rates ($221.50 per inpatient bed day and .01525 per outpatient gross revenue) and modified payment methodologies.

• Establishes Section 5A-12.7 creating comprehensive hospital access payment system effective July 1, 2020, including graduate medical education payments, supplemental payments for critical access hospitals, safety-net hospitals, and specialty hospitals, plus directed payments through managed care organizations.

• Requires hospitals converting from non-profit to for-profit status to repay Medicaid access payments if they cease operations within 12 months of ownership change, with enforcement through liens and asset recovery provisions.

• Modifies the Safety-Net Hospital definition and extends the designation period through December 31, 2022, while authorizing emergency rulemaking for implementation through the Illinois Administrative Procedure Act without the standard 24-month limitation.

• Establishes a hospital and health care transformation program with $150,000,000 annual funding pool for State Fiscal Years 2021-2023 to support facility modernization and service delivery changes in underserved communities.