103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024
SB2343
 
Introduced 2/10/2023, by Sen. Sara Feigenholtz
 
SYNOPSIS AS INTRODUCED:



305 ILCS 5/5-5.4e

 Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that for dates of service on and after July 1, 2023, the Department of Healthcare and Family Services shall set the per diem ventilator rate for skilled nursing facilities at a rate equal to the exceptional care per diem rate established for medically complex for the developmentally disabled facilities licensed under the MC/DD Act. Effective immediately.



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A BILL FOR
 


SB2343LRB103 30771 KTG 57255 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 
5changing Section 5-5.4e as follows:

6 (305 ILCS 5/5-5.4e)
7 Sec. 5-5.4e. Nursing facilities; ventilator rates. On and 
8after October 1, 2009, the Department of Healthcare and Family 
9Services shall adopt rules to provide medical assistance 
10reimbursement under this Article for the care of persons on 
11ventilators in skilled nursing facilities licensed under the 
12Nursing Home Care Act and certified to participate under the 
13medical assistance program. Accordingly, necessary amendments 
14to the rules implementing the Minimum Data Set (MDS) payment 
15methodology shall also be made to provide a separate per diem 
16ventilator rate based on days of service. The Department may 
17adopt rules necessary to implement this amendatory Act of the 
1896th General Assembly through the use of emergency rulemaking 
19in accordance with Section 5-45 of the Illinois Administrative 
20Procedure Act, except that the 24-month limitation on the 
21adoption of emergency rules under Section 5-45 and the 
22provisions of Sections 5-115 and 5-125 of that Act do not apply 
23to rules adopted under this Section. For purposes of that Act, 
 
 
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1the General Assembly finds that the adoption of rules to 
2implement this amendatory Act of the 96th General Assembly is 
3deemed an emergency and necessary for the public interest, 
4safety, and welfare.

5 On and after July 1, 2012, the Department shall reduce any 
6rate of reimbursement for services or other payments or alter 
7any methodologies authorized by this Code to reduce any rate 
8of reimbursement for services or other payments in accordance 
9with Section 5-5e.
10 For dates of service on and after July 1, 2023, the 
11Department shall set the per diem ventilator rate for skilled 
12nursing facilities at a rate equal to the exceptional care per 
13diem rate established under Section 5-5.4h for medically 
14complex for the developmentally disabled facilities licensed 
15under the MC/DD Act. 
16(Source: P.A. 96-743, eff. 8-25-09; 97-689, eff. 6-14-12.)


17 Section 99. Effective date. This Act takes effect upon 
18becoming law.