Bill Text: IL SB2972 | 2021-2022 | 102nd General Assembly | Introduced
Bill Title: Amends the Illinois Public Aid Code. Makes a technical change in a Section concerning assessments.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2021-12-15 - Referred to Assignments [SB2972 Detail]
Download: Illinois-2021-SB2972-Introduced.html
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1 | AN ACT concerning public aid.
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2 | Be it enacted by the People of the State of Illinois,
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3 | represented in the General Assembly:
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4 | Section 5. The Illinois Public Aid Code is amended by | |||||||||||||||||||
5 | changing Section 5A-2 as follows:
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6 | (305 ILCS 5/5A-2) (from Ch. 23, par. 5A-2) | |||||||||||||||||||
7 | (Section scheduled to be repealed on December 31, 2022) | |||||||||||||||||||
8 | Sec. 5A-2. Assessment.
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9 | (a)(1)
Subject to Sections 5A-3 and 5A-10, for State | |||||||||||||||||||
10 | fiscal years 2009 through 2018, or as long as continued under | |||||||||||||||||||
11 | Section 5A-16, an annual assessment on inpatient services is | |||||||||||||||||||
12 | imposed on each hospital provider in an amount equal to | |||||||||||||||||||
13 | $218.38 multiplied by the the difference of the hospital's | |||||||||||||||||||
14 | occupied bed days less the hospital's Medicare bed days, | |||||||||||||||||||
15 | provided, however, that the amount of $218.38 shall be | |||||||||||||||||||
16 | increased by a uniform percentage to generate an amount equal | |||||||||||||||||||
17 | to 75% of the State share of the payments authorized under | |||||||||||||||||||
18 | Section 5A-12.5, with such increase only taking effect upon | |||||||||||||||||||
19 | the date that a State share for such payments is required under | |||||||||||||||||||
20 | federal law. For the period of April through June 2015, the | |||||||||||||||||||
21 | amount of $218.38 used to calculate the assessment under this | |||||||||||||||||||
22 | paragraph shall, by emergency rule under subsection (s) of | |||||||||||||||||||
23 | Section 5-45 of the Illinois Administrative Procedure Act, be |
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1 | increased by a uniform percentage to generate $20,250,000 in | ||||||
2 | the aggregate for that period from all hospitals subject to | ||||||
3 | the annual assessment under this paragraph. | ||||||
4 | (2) In addition to any other assessments imposed under | ||||||
5 | this Article, effective July 1, 2016 and semi-annually | ||||||
6 | thereafter through June 2018, or as provided in Section 5A-16, | ||||||
7 | in addition to any federally required State share as | ||||||
8 | authorized under paragraph (1), the amount of $218.38 shall be | ||||||
9 | increased by a uniform percentage to generate an amount equal | ||||||
10 | to 75% of the ACA Assessment Adjustment, as defined in | ||||||
11 | subsection (b-6) of this Section. | ||||||
12 | For State fiscal years 2009 through 2018, or as provided | ||||||
13 | in Section 5A-16, a hospital's occupied bed days and Medicare | ||||||
14 | bed days shall be determined using the most recent data | ||||||
15 | available from each hospital's 2005 Medicare cost report as | ||||||
16 | contained in the Healthcare Cost Report Information System | ||||||
17 | file, for the quarter ending on December 31, 2006, without | ||||||
18 | regard to any subsequent adjustments or changes to such data. | ||||||
19 | If a hospital's 2005 Medicare cost report is not contained in | ||||||
20 | the Healthcare Cost Report Information System, then the | ||||||
21 | Illinois Department may obtain the hospital provider's | ||||||
22 | occupied bed days and Medicare bed days from any source | ||||||
23 | available, including, but not limited to, records maintained | ||||||
24 | by the hospital provider, which may be inspected at all times | ||||||
25 | during business hours of the day by the Illinois Department or | ||||||
26 | its duly authorized agents and employees. |
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1 | (3) Subject to Sections 5A-3, 5A-10, and 5A-16, for State | ||||||
2 | fiscal years 2019 and 2020, an annual assessment on inpatient | ||||||
3 | services is imposed on each hospital provider in an amount | ||||||
4 | equal to $197.19 multiplied by the difference of the | ||||||
5 | hospital's occupied bed days less the hospital's Medicare bed | ||||||
6 | days. For State fiscal years 2019 and 2020, a hospital's | ||||||
7 | occupied bed days and Medicare bed days shall be determined | ||||||
8 | using the most recent data available from each hospital's 2015 | ||||||
9 | Medicare cost report as contained in the Healthcare Cost | ||||||
10 | Report Information System file, for the quarter ending on | ||||||
11 | March 31, 2017, without regard to any subsequent adjustments | ||||||
12 | or changes to such data. If a hospital's 2015 Medicare cost | ||||||
13 | report is not contained in the Healthcare Cost Report | ||||||
14 | Information System, then the Illinois Department may obtain | ||||||
15 | the hospital provider's occupied bed days and Medicare bed | ||||||
16 | days from any source available, including, but not limited to, | ||||||
17 | records maintained by the hospital provider, which may be | ||||||
18 | inspected at all times during business hours of the day by the | ||||||
19 | Illinois Department or its duly authorized agents and | ||||||
20 | employees. Notwithstanding any other provision in this | ||||||
21 | Article, for a hospital provider that did not have a 2015 | ||||||
22 | Medicare cost report, but paid an assessment in State fiscal | ||||||
23 | year 2018 on the basis of hypothetical data, that assessment | ||||||
24 | amount shall be used for State fiscal years 2019 and 2020. | ||||||
25 | (4) Subject to Sections 5A-3 and 5A-10, for the period of | ||||||
26 | July 1, 2020 through December 31, 2020 and calendar years 2021 |
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1 | and 2022, an annual assessment on inpatient services is | ||||||
2 | imposed on each hospital provider in an amount equal to | ||||||
3 | $221.50 multiplied by the difference of the hospital's | ||||||
4 | occupied bed days less the hospital's Medicare bed days, | ||||||
5 | provided however: for the period of July 1, 2020 through | ||||||
6 | December 31, 2020, (i) the assessment shall be equal to 50% of | ||||||
7 | the annual amount; and (ii) the amount of $221.50 shall be | ||||||
8 | retroactively adjusted by a uniform percentage to generate an | ||||||
9 | amount equal to 50% of the Assessment Adjustment, as defined | ||||||
10 | in subsection (b-7). For the period of July 1, 2020 through | ||||||
11 | December 31, 2020 and calendar years 2021 and 2022, a | ||||||
12 | hospital's occupied bed days and Medicare bed days shall be | ||||||
13 | determined using the most recent data available from each | ||||||
14 | hospital's 2015 Medicare cost report as contained in the | ||||||
15 | Healthcare Cost Report Information System file, for the | ||||||
16 | quarter ending on March 31, 2017, without regard to any | ||||||
17 | subsequent adjustments or changes to such data. If a | ||||||
18 | hospital's 2015 Medicare cost report is not contained in the | ||||||
19 | Healthcare Cost Report Information System, then the Illinois | ||||||
20 | Department may obtain the hospital provider's occupied bed | ||||||
21 | days and Medicare bed days from any source available, | ||||||
22 | including, but not limited to, records maintained by the | ||||||
23 | hospital provider, which may be inspected at all times during | ||||||
24 | business hours of the day by the Illinois Department or its | ||||||
25 | duly authorized agents and employees. Should the change in the | ||||||
26 | assessment methodology for fiscal years 2021 through December |
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1 | 31, 2022 not be approved on or before June 30, 2020, the | ||||||
2 | assessment and payments under this Article in effect for | ||||||
3 | fiscal year 2020 shall remain in place until the new | ||||||
4 | assessment is approved. If the assessment methodology for July | ||||||
5 | 1, 2020 through December 31, 2022, is approved on or after July | ||||||
6 | 1, 2020, it shall be retroactive to July 1, 2020, subject to | ||||||
7 | federal approval and provided that the payments authorized | ||||||
8 | under Section 5A-12.7 have the same effective date as the new | ||||||
9 | assessment methodology. In giving retroactive effect to the | ||||||
10 | assessment approved after June 30, 2020, credit toward the new | ||||||
11 | assessment shall be given for any payments of the previous | ||||||
12 | assessment for periods after June 30, 2020. Notwithstanding | ||||||
13 | any other provision of this Article, for a hospital provider | ||||||
14 | that did not have a 2015 Medicare cost report, but paid an | ||||||
15 | assessment in State Fiscal Year 2020 on the basis of | ||||||
16 | hypothetical data, the data that was the basis for the 2020 | ||||||
17 | assessment shall be used to calculate the assessment under | ||||||
18 | this paragraph. | ||||||
19 | (b) (Blank).
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20 | (b-5)(1) Subject to Sections 5A-3 and 5A-10, for the | ||||||
21 | portion of State fiscal year 2012, beginning June 10, 2012 | ||||||
22 | through June 30, 2012, and for State fiscal years 2013 through | ||||||
23 | 2018, or as provided in Section 5A-16, an annual assessment on | ||||||
24 | outpatient services is imposed on each hospital provider in an | ||||||
25 | amount equal to .008766 multiplied by the hospital's | ||||||
26 | outpatient gross revenue, provided, however, that the amount |
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1 | of .008766 shall be increased by a uniform percentage to | ||||||
2 | generate an amount equal to 25% of the State share of the | ||||||
3 | payments authorized under Section 5A-12.5, with such increase | ||||||
4 | only taking effect upon the date that a State share for such | ||||||
5 | payments is required under federal law. For the period | ||||||
6 | beginning June 10, 2012 through June 30, 2012, the annual | ||||||
7 | assessment on outpatient services shall be prorated by | ||||||
8 | multiplying the assessment amount by a fraction, the numerator | ||||||
9 | of which is 21 days and the denominator of which is 365 days. | ||||||
10 | For the period of April through June 2015, the amount of | ||||||
11 | .008766 used to calculate the assessment under this paragraph | ||||||
12 | shall, by emergency rule under subsection (s) of Section 5-45 | ||||||
13 | of the Illinois Administrative Procedure Act, be increased by | ||||||
14 | a uniform percentage to generate $6,750,000 in the aggregate | ||||||
15 | for that period from all hospitals subject to the annual | ||||||
16 | assessment under this paragraph. | ||||||
17 | (2) In addition to any other assessments imposed under | ||||||
18 | this Article, effective July 1, 2016 and semi-annually | ||||||
19 | thereafter through June 2018, in addition to any federally | ||||||
20 | required State share as authorized under paragraph (1), the | ||||||
21 | amount of .008766 shall be increased by a uniform percentage | ||||||
22 | to generate an amount equal to 25% of the ACA Assessment | ||||||
23 | Adjustment, as defined in subsection (b-6) of this Section. | ||||||
24 | For the portion of State fiscal year 2012, beginning June | ||||||
25 | 10, 2012 through June 30, 2012, and State fiscal years 2013 | ||||||
26 | through 2018, or as provided in Section 5A-16, a hospital's |
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1 | outpatient gross revenue shall be determined using the most | ||||||
2 | recent data available from each hospital's 2009 Medicare cost | ||||||
3 | report as contained in the Healthcare Cost Report Information | ||||||
4 | System file, for the quarter ending on June 30, 2011, without | ||||||
5 | regard to any subsequent adjustments or changes to such data. | ||||||
6 | If a hospital's 2009 Medicare cost report is not contained in | ||||||
7 | the Healthcare Cost Report Information System, then the | ||||||
8 | Department may obtain the hospital provider's outpatient gross | ||||||
9 | revenue from any source available, including, but not limited | ||||||
10 | to, records maintained by the hospital provider, which may be | ||||||
11 | inspected at all times during business hours of the day by the | ||||||
12 | Department or its duly authorized agents and employees. | ||||||
13 | (3) Subject to Sections 5A-3, 5A-10, and 5A-16, for State | ||||||
14 | fiscal years 2019 and 2020, an annual assessment on outpatient | ||||||
15 | services is imposed on each hospital provider in an amount | ||||||
16 | equal to .01358 multiplied by the hospital's outpatient gross | ||||||
17 | revenue. For State fiscal years 2019 and 2020, a hospital's | ||||||
18 | outpatient gross revenue shall be determined using the most | ||||||
19 | recent data available from each hospital's 2015 Medicare cost | ||||||
20 | report as contained in the Healthcare Cost Report Information | ||||||
21 | System file, for the quarter ending on March 31, 2017, without | ||||||
22 | regard to any subsequent adjustments or changes to such data. | ||||||
23 | If a hospital's 2015 Medicare cost report is not contained in | ||||||
24 | the Healthcare Cost Report Information System, then the | ||||||
25 | Department may obtain the hospital provider's outpatient gross | ||||||
26 | revenue from any source available, including, but not limited |
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1 | to, records maintained by the hospital provider, which may be | ||||||
2 | inspected at all times during business hours of the day by the | ||||||
3 | Department or its duly authorized agents and employees. | ||||||
4 | Notwithstanding any other provision in this Article, for a | ||||||
5 | hospital provider that did not have a 2015 Medicare cost | ||||||
6 | report, but paid an assessment in State fiscal year 2018 on the | ||||||
7 | basis of hypothetical data, that assessment amount shall be | ||||||
8 | used for State fiscal years 2019 and 2020. | ||||||
9 | (4) Subject to Sections 5A-3 and 5A-10, for the period of | ||||||
10 | July 1, 2020 through December 31, 2020 and calendar years 2021 | ||||||
11 | and 2022, an annual assessment on outpatient services is | ||||||
12 | imposed on each hospital provider in an amount equal to .01525 | ||||||
13 | multiplied by the hospital's outpatient gross revenue, | ||||||
14 | provided however: (i) for the period of July 1, 2020 through | ||||||
15 | December 31, 2020, the assessment shall be equal to 50% of the | ||||||
16 | annual amount; and (ii) the amount of .01525 shall be | ||||||
17 | retroactively adjusted by a uniform percentage to generate an | ||||||
18 | amount equal to 50% of the Assessment Adjustment, as defined | ||||||
19 | in subsection (b-7). For the period of July 1, 2020 through | ||||||
20 | December 31, 2020 and calendar years 2021 and 2022, a | ||||||
21 | hospital's outpatient gross revenue shall be determined using | ||||||
22 | the most recent data available from each hospital's 2015 | ||||||
23 | Medicare cost report as contained in the Healthcare Cost | ||||||
24 | Report Information System file, for the quarter ending on | ||||||
25 | March 31, 2017, without regard to any subsequent adjustments | ||||||
26 | or changes to such data. If a hospital's 2015 Medicare cost |
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1 | report is not contained in the Healthcare Cost Report | ||||||
2 | Information System, then the Illinois Department may obtain | ||||||
3 | the hospital provider's outpatient revenue data from any | ||||||
4 | source available, including, but not limited to, records | ||||||
5 | maintained by the hospital provider, which may be inspected at | ||||||
6 | all times during business hours of the day by the Illinois | ||||||
7 | Department or its duly authorized agents and employees. Should | ||||||
8 | the change in the assessment methodology above for fiscal | ||||||
9 | years 2021 through calendar year 2022 not be approved prior to | ||||||
10 | July 1, 2020, the assessment and payments under this Article | ||||||
11 | in effect for fiscal year 2020 shall remain in place until the | ||||||
12 | new assessment is approved. If the change in the assessment | ||||||
13 | methodology above for July 1, 2020 through December 31, 2022, | ||||||
14 | is approved after June 30, 2020, it shall have a retroactive | ||||||
15 | effective date of July 1, 2020, subject to federal approval | ||||||
16 | and provided that the payments authorized under Section 12A-7 | ||||||
17 | have the same effective date as the new assessment | ||||||
18 | methodology. In giving retroactive effect to the assessment | ||||||
19 | approved after June 30, 2020, credit toward the new assessment | ||||||
20 | shall be given for any payments of the previous assessment for | ||||||
21 | periods after June 30, 2020. Notwithstanding any other | ||||||
22 | provision of this Article, for a hospital provider that did | ||||||
23 | not have a 2015 Medicare cost report, but paid an assessment in | ||||||
24 | State Fiscal Year 2020 on the basis of hypothetical data, the | ||||||
25 | data that was the basis for the 2020 assessment shall be used | ||||||
26 | to calculate the assessment under this paragraph. |
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1 | (b-6)(1) As used in this Section, "ACA Assessment | ||||||
2 | Adjustment" means: | ||||||
3 | (A) For the period of July 1, 2016 through December | ||||||
4 | 31, 2016, the product of .19125 multiplied by the sum of | ||||||
5 | the fee-for-service payments to hospitals as authorized | ||||||
6 | under Section 5A-12.5 and the adjustments authorized under | ||||||
7 | subsection (t) of Section 5A-12.2 to managed care | ||||||
8 | organizations for hospital services due and payable in the | ||||||
9 | month of April 2016 multiplied by 6. | ||||||
10 | (B) For the period of January 1, 2017 through June 30, | ||||||
11 | 2017, the product of .19125 multiplied by the sum of the | ||||||
12 | fee-for-service payments to hospitals as authorized under | ||||||
13 | Section 5A-12.5 and the adjustments authorized under | ||||||
14 | subsection (t) of Section 5A-12.2 to managed care | ||||||
15 | organizations for hospital services due and payable in the | ||||||
16 | month of October 2016 multiplied by 6, except that the | ||||||
17 | amount calculated under this subparagraph (B) shall be | ||||||
18 | adjusted, either positively or negatively, to account for | ||||||
19 | the difference between the actual payments issued under | ||||||
20 | Section 5A-12.5 for the period beginning July 1, 2016 | ||||||
21 | through December 31, 2016 and the estimated payments due | ||||||
22 | and payable in the month of April 2016 multiplied by 6 as | ||||||
23 | described in subparagraph (A). | ||||||
24 | (C) For the period of July 1, 2017 through December | ||||||
25 | 31, 2017, the product of .19125 multiplied by the sum of | ||||||
26 | the fee-for-service payments to hospitals as authorized |
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1 | under Section 5A-12.5 and the adjustments authorized under | ||||||
2 | subsection (t) of Section 5A-12.2 to managed care | ||||||
3 | organizations for hospital services due and payable in the | ||||||
4 | month of April 2017 multiplied by 6, except that the | ||||||
5 | amount calculated under this subparagraph (C) shall be | ||||||
6 | adjusted, either positively or negatively, to account for | ||||||
7 | the difference between the actual payments issued under | ||||||
8 | Section 5A-12.5 for the period beginning January 1, 2017 | ||||||
9 | through June 30, 2017 and the estimated payments due and | ||||||
10 | payable in the month of October 2016 multiplied by 6 as | ||||||
11 | described in subparagraph (B). | ||||||
12 | (D) For the period of January 1, 2018 through June 30, | ||||||
13 | 2018, the product of .19125 multiplied by the sum of the | ||||||
14 | fee-for-service payments to hospitals as authorized under | ||||||
15 | Section 5A-12.5 and the adjustments authorized under | ||||||
16 | subsection (t) of Section 5A-12.2 to managed care | ||||||
17 | organizations for hospital services due and payable in the | ||||||
18 | month of October 2017 multiplied by 6, except that: | ||||||
19 | (i) the amount calculated under this subparagraph | ||||||
20 | (D) shall be adjusted, either positively or | ||||||
21 | negatively, to account for the difference between the | ||||||
22 | actual payments issued under Section 5A-12.5 for the | ||||||
23 | period of July 1, 2017 through December 31, 2017 and | ||||||
24 | the estimated payments due and payable in the month of | ||||||
25 | April 2017 multiplied by 6 as described in | ||||||
26 | subparagraph (C); and |
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1 | (ii) the amount calculated under this subparagraph | ||||||
2 | (D) shall be adjusted to include the product of .19125 | ||||||
3 | multiplied by the sum of the fee-for-service payments, | ||||||
4 | if any, estimated to be paid to hospitals under | ||||||
5 | subsection (b) of Section 5A-12.5. | ||||||
6 | (2) The Department shall complete and apply a final | ||||||
7 | reconciliation of the ACA Assessment Adjustment prior to June | ||||||
8 | 30, 2018 to account for: | ||||||
9 | (A) any differences between the actual payments issued | ||||||
10 | or scheduled to be issued prior to June 30, 2018 as | ||||||
11 | authorized in Section 5A-12.5 for the period of January 1, | ||||||
12 | 2018 through June 30, 2018 and the estimated payments due | ||||||
13 | and payable in the month of October 2017 multiplied by 6 as | ||||||
14 | described in subparagraph (D); and | ||||||
15 | (B) any difference between the estimated | ||||||
16 | fee-for-service payments under subsection (b) of Section | ||||||
17 | 5A-12.5 and the amount of such payments that are actually | ||||||
18 | scheduled to be paid. | ||||||
19 | The Department shall notify hospitals of any additional | ||||||
20 | amounts owed or reduction credits to be applied to the June | ||||||
21 | 2018 ACA Assessment Adjustment. This is to be considered the | ||||||
22 | final reconciliation for the ACA Assessment Adjustment. | ||||||
23 | (3) Notwithstanding any other provision of this Section, | ||||||
24 | if for any reason the scheduled payments under subsection (b) | ||||||
25 | of Section 5A-12.5 are not issued in full by the final day of | ||||||
26 | the period authorized under subsection (b) of Section 5A-12.5, |
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1 | funds collected from each hospital pursuant to subparagraph | ||||||
2 | (D) of paragraph (1) and pursuant to paragraph (2), | ||||||
3 | attributable to the scheduled payments authorized under | ||||||
4 | subsection (b) of Section 5A-12.5 that are not issued in full | ||||||
5 | by the final day of the period attributable to each payment | ||||||
6 | authorized under subsection (b) of Section 5A-12.5, shall be | ||||||
7 | refunded. | ||||||
8 | (4) The increases authorized under paragraph (2) of | ||||||
9 | subsection (a) and paragraph (2) of subsection (b-5) shall be | ||||||
10 | limited to the federally required State share of the total | ||||||
11 | payments authorized under Section 5A-12.5 if the sum of such | ||||||
12 | payments yields an annualized amount equal to or less than | ||||||
13 | $450,000,000, or if the adjustments authorized under | ||||||
14 | subsection (t) of Section 5A-12.2 are found not to be | ||||||
15 | actuarially sound; however, this limitation shall not apply to | ||||||
16 | the fee-for-service payments described in subsection (b) of | ||||||
17 | Section 5A-12.5. | ||||||
18 | (b-7)(1) As used in this Section, "Assessment Adjustment" | ||||||
19 | means: | ||||||
20 | (A) For the period of July 1, 2020 through December | ||||||
21 | 31, 2020, the product of .3853 multiplied by the total of | ||||||
22 | the actual payments made under subsections (c) through (k) | ||||||
23 | of Section 5A-12.7 attributable to the period, less the | ||||||
24 | total of the assessment imposed under subsections (a) and | ||||||
25 | (b-5) of this Section for the period. | ||||||
26 | (B) For each calendar quarter beginning on and after |
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1 | January 1, 2021, the product of .3853 multiplied by the | ||||||
2 | total of the actual payments made under subsections (c) | ||||||
3 | through (k) of Section 5A-12.7 attributable to the period, | ||||||
4 | less the total of the assessment imposed under subsections | ||||||
5 | (a) and (b-5) of this Section for the period. | ||||||
6 | (2) The Department shall calculate and notify each | ||||||
7 | hospital of the total Assessment Adjustment and any additional | ||||||
8 | assessment owed by the hospital or refund owed to the hospital | ||||||
9 | on either a semi-annual or annual basis. Such notice shall be | ||||||
10 | issued at least 30 days prior to any period in which the | ||||||
11 | assessment will be adjusted. Any additional assessment owed by | ||||||
12 | the hospital or refund owed to the hospital shall be uniformly | ||||||
13 | applied to the assessment owed by the hospital in monthly | ||||||
14 | installments for the subsequent semi-annual period or calendar | ||||||
15 | year. If no assessment is owed in the subsequent year, any | ||||||
16 | amount owed by the hospital or refund due to the hospital, | ||||||
17 | shall be paid in a lump sum. | ||||||
18 | (3) The Department shall publish all details of the | ||||||
19 | Assessment Adjustment calculation performed each year on its | ||||||
20 | website within 30 days of completing the calculation, and also | ||||||
21 | submit the details of the Assessment Adjustment calculation as | ||||||
22 | part of the Department's annual report to the General | ||||||
23 | Assembly. | ||||||
24 | (c) (Blank).
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25 | (d) Notwithstanding any of the other provisions of this | ||||||
26 | Section, the Department is authorized to adopt rules to reduce |
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1 | the rate of any annual assessment imposed under this Section, | ||||||
2 | as authorized by Section 5-46.2 of the Illinois Administrative | ||||||
3 | Procedure Act.
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4 | (e) Notwithstanding any other provision of this Section, | ||||||
5 | any plan providing for an assessment on a hospital provider as | ||||||
6 | a permissible tax under Title XIX of the federal Social | ||||||
7 | Security Act and Medicaid-eligible payments to hospital | ||||||
8 | providers from the revenues derived from that assessment shall | ||||||
9 | be reviewed by the Illinois Department of Healthcare and | ||||||
10 | Family Services, as the Single State Medicaid Agency required | ||||||
11 | by federal law, to determine whether those assessments and | ||||||
12 | hospital provider payments meet federal Medicaid standards. If | ||||||
13 | the Department determines that the elements of the plan may | ||||||
14 | meet federal Medicaid standards and a related State Medicaid | ||||||
15 | Plan Amendment is prepared in a manner and form suitable for | ||||||
16 | submission, that State Plan Amendment shall be submitted in a | ||||||
17 | timely manner for review by the Centers for Medicare and | ||||||
18 | Medicaid Services of the United States Department of Health | ||||||
19 | and Human Services and subject to approval by the Centers for | ||||||
20 | Medicare and Medicaid Services of the United States Department | ||||||
21 | of Health and Human Services. No such plan shall become | ||||||
22 | effective without approval by the Illinois General Assembly by | ||||||
23 | the enactment into law of related legislation. Notwithstanding | ||||||
24 | any other provision of this Section, the Department is | ||||||
25 | authorized to adopt rules to reduce the rate of any annual | ||||||
26 | assessment imposed under this Section. Any such rules may be |
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1 | adopted by the Department under Section 5-50 of the Illinois | ||||||
2 | Administrative Procedure Act. | ||||||
3 | (Source: P.A. 100-581, eff. 3-12-18; 101-10, eff. 6-5-19; | ||||||
4 | 101-650, eff. 7-7-20; reenacted by P.A. 101-655, eff. | ||||||
5 | 3-12-21.)
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