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IL HB2549

Bill

Status

Failed

1/7/2025

Primary Sponsor

Elizabeth Hernandez

Click for details

Origin

House of Representatives

103rd General Assembly

AI Summary

  • Amends the Illinois Public Aid Code Section 5F-35 to change nursing home reimbursement methodology for managed care organizations from RUG-IV nursing component to fee-for-service facility-specific nursing component.

  • Requires the Department of Healthcare and Family Services to provide managed care organizations with quarterly fee-for-service rates including nursing component per diem, add-ons for enhanced care services, support component per diem, and capital component per diem for each contracted nursing home.

  • Prohibits managed care contracts from providing reimbursement rates lower than the fee-for-service rate in effect for the facility at the time services are rendered.

  • Takes effect immediately upon becoming law.

Legislative Description

MEDICAID-MMAI-REIMBURSEMENT

Last Action

Session Sine Die

1/7/2025

Committee Referrals

Rules5/19/2023
Appropriations-Health & Human Services3/1/2023
Rules2/15/2023

Full Bill Text

No bill text available