Rep. Gregory Harris
Filed: 5/29/2018
 
 


 




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1
AMENDMENT TO SENATE BILL 1851




2 AMENDMENT NO. ______. Amend Senate Bill 1851, AS AMENDED, 
3with reference to page and line numbers of House Amendment No. 
42, by replacing line 10 on page 64 through line 11 on page 66 
5with the following:

6 "(c) Notwithstanding any other provision of this Code, if 
7by July 11, 2018 the federal Centers for Medicare and Medicaid 
8Services has neither approved the changes authorized under 
9Public Act 100-581 nor has formally approved an extension of 
10the reimbursement methodologies and payments to hospitals 
11under Sections 5A-12.5 and 14-12 as they are in effect on June 
1230, 2018, then the following shall apply: 
13  (1) All reimbursement methodologies and payments for 
14 hospital services authorized under Sections 5A-12.2, 
15 5A-12.4, and 5A-12.5 in effect on June 30, 2018 shall 
16 continue subject to the availability of federal matching 
17 funds for such expenditures and subject to the provisions 
18 of subsection (c) of Section 5A-15. 
 
 
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1  (2) All supplemental payments to hospitals authorized 
2 in Illinois' Medicaid State
Plan in effect on June 30, 
3 2018, which are scheduled to terminate under Illinois' 
4 Medicaid State
Plan on June 30, 2018, shall continue 
5 subject to the availability of federal matching funds for 
6 such expenditures. 
7  (3) All assessments imposed under Section 5A-2, as they 
8 are in effect on June 30, 2018, shall continue.
9  (4) Notwithstanding any other provision in this 
10 subsection (c), the Department shall make monthly advance 
11 payments to any safety-net hospital or critical access 
12 hospital requesting such advance payments in an amount, as 
13 requested by the hospital, provided that the total monthly 
14 payments to the hospital under this subsection shall not 
15 exceed 1/12th of the payments the hospital would have 
16 received under Sections 5A-12.2, 5A-12.4, and 5A-12.5 and 
17 subsections (d) and (f) of Section 14-12. 
18  Notwithstanding any other provision in this subsection 
19 (c), the Department may make monthly advance payments to a 
20 hospital requesting such advance payments in an amount, as 
21 requested by the hospital, provided that the total monthly 
22 payments to the hospital under this subsection shall not 
23 exceed 1/12th of the payments the hospital would have 
24 received under Sections 5A-12.2, 5A-12.4, and 5A-12.5 and 
25 subsections (d) and (f) of Section 14-12. 
26  Advance payments under this paragraph (4) shall be made 
 
 
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1 regardless of federal approval for federal financial 
2 participation under Title XIX or XXI of the federal Social 
3 Security Act. 
4  As used in this paragraph (4), "safety-net hospital" 
5 means a hospital as defined in Section 5-5e.1 for Rate Year 
6 2017 or an Illinois hospital that meets the criteria in 
7 paragraphs (2) and (3) of subsection (a) of Section 5-5e.1 
8 for Rate Year 2017.
9  As used in this paragraph (4), "critical access 
10 hospital" means a hospital that has such status as of June 
11 30, 2018. 
12  (5) The changes authorized under this subsection (c) 
13 shall continue, on the same time schedule as otherwise 
14 authorized under this Article, until the effective date of 
15 the new and revised methodologies and payments under Public 
16 Act 100-581, which shall be the first day of the second 
17 month following the date of approval by the federal Centers 
18 for Medicare and Medicaid Services.".