IL SB3256

Amends the Nursing Home Care Act to add criteria for when facilities with only a distinct part participating in the Medical Assistance Program may discharge residents from non-participating sections of the facility.

Requires facilities to provide written notice to residents (or their representatives) at admission and contract renewal that discharge is possible if the resident can no longer pay for care without Medical Assistance.

Requires residents, their representatives, and payment sources to acknowledge in writing that they received the written explanation of discharge policies.

Permits facility-initiated discharge only if the resident fails to pay or has a late payment and the facility follows federal discharge and transfer requirements, including issuing a notice of facility-initiated discharge as specified in 45 CFR 483.15(c).

Requires the Department of Healthcare and Family Services to recoup funds from facilities that refuse to readmit Medical Assistance recipients after hospital stays of 10 days or less, with recoupment equal to the difference between hospital bills incurred and what the Department would have paid for facility care.