Bill Text: IL HB2944 | 2025-2026 | 104th General Assembly | Introduced


Bill Title: Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that for an extended hospital stay beyond medical necessity due to multiple failed attempts to place an emergency room patient who presented for dementia or other long-term care needs into a nursing or other long-term care facility, the Department of Healthcare and Family Services shall reimburse the hospital at a rate calculated to cover the entire hospital stay if (i) the hospital presents documentation, as prescribed by the Department, of multiple unsuccessful attempts to place the patient in a nursing or other long-term care facility and (ii) if each nursing or long-term care facility the hospital solicited for placement gave a substantially similar reason for denying the patient admission.

Spectrum: Partisan Bill (Republican 1-0)

Status: (Introduced) 2025-02-06 - Referred to Rules Committee [HB2944 Detail]

Download: Illinois-2025-HB2944-Introduced.html

104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
HB2944

Introduced , by Rep. Ryan Spain

SYNOPSIS AS INTRODUCED:
305 ILCS 5/5-65 new

    Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that for an extended hospital stay beyond medical necessity due to multiple failed attempts to place an emergency room patient who presented for dementia or other long-term care needs into a nursing or other long-term care facility, the Department of Healthcare and Family Services shall reimburse the hospital at a rate calculated to cover the entire hospital stay if (i) the hospital presents documentation, as prescribed by the Department, of multiple unsuccessful attempts to place the patient in a nursing or other long-term care facility and (ii) if each nursing or long-term care facility the hospital solicited for placement gave a substantially similar reason for denying the patient admission.
LRB104 10454 KTG 20529 b

A BILL FOR

HB2944LRB104 10454 KTG 20529 b
1    AN ACT concerning public aid.
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
4    Section 5. The Illinois Public Aid Code is amended by
5adding Section 5-65 as follows:
6    (305 ILCS 5/5-65 new)
7    Sec. 5-65. Reimbursement for extended hospital stays for
8dementia patient. For an extended hospital stay beyond medical
9necessity due to multiple failed attempts to place an
10emergency room patient who presented for dementia or other
11long-term care needs into a nursing or other long-term care
12facility, the Department of Healthcare and Family Services
13shall reimburse the hospital at a rate calculated to cover the
14entire hospital stay if (i) the hospital presents
15documentation, as prescribed by the Department, of multiple
16unsuccessful attempts to place the patient in a nursing or
17other long-term care facility and (ii) if each nursing or
18long-term care facility the hospital solicited for placement
19gave a substantially similar reason for denying the patient
20admission.
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