MEDICAID-MMAI-REIMBURSEMENT
Summary
Amends the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall provide each managed care organization with the quarterly fee-for-service facility-specific nursing component (rather than facility-specific RUG-IV nursing component) per diem along with any add-ons for enhanced care services, support component per diem, and capital component per diem effective for each nursing home under contract with the managed care organization. Provides that no managed care contract shall provide for a level of reimbursement lower than the fee-for-service rate in effect for the facility at the time service is rendered. Effective immediately. House Committee Amendment No. 1 Deletes reference to: 305 ILCS 5/5F-35 Adds reference to: 305 ILCS 5/5-4 from Ch. 23, par. 5-4 Replaces everything after the enacting clause. Amends the Illinois Public Aid Code. Makes a technical change in a Section concerning the amount and nature of medical assistance.
Bill status
failed
3 of 5 stages cleared
Introduction
Apr 2021
Committee Review
Apr 2022
Senate Passage
Apr 2021
House Passage
Governor
Introduced Apr 26, 2021
Last action Jan 10, 2023
Floor votes · Senate Apr 23, 2021
How they voted
40–4
Passed · 2 other
Total votes 46
Apr 23, 2021
D
Democratic29
93% Yea
R
Republican17
76% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
57
Key actions
7
Committee
14
Amendments
2
Apr 11, 2022
Committee
Rule 19(a) / Re-referred to Rules Committee
lower
Mar 1, 2022
Lower · Passed
Approved for Consideration Rules Committee; 005-000-000
lower
Nov 29, 2021
Committee
Rule 19(b) / Re-referred to Rules Committee
lower
Oct 20, 2021
Lower · Passed
Do Pass as Amended / Short Debate Executive Committee; 009-006-000
lower
Oct 20, 2021
Lower · Passed
House Committee Amendment No. 1 Adopted in Executive Committee; by Voice Vote
lower
Oct 19, 2021
Lower · Passed
House Committee Amendment No. 1 Rules Refers to Executive Committee
lower
Oct 18, 2021
Committee
House Committee Amendment No. 1 Referred to Rules Committee
lower
Oct 18, 2021
Introduced
House Committee Amendment No. 1 Filed with Clerk by Rep. Elizabeth Hernandez
lower
Oct 14, 2021
Committee
Assigned to Executive Committee
lower
May 15, 2021
Committee
Rule 19(a) / Re-referred to Rules Committee
lower
May 4, 2021
Committee
Assigned to Executive Committee
lower
Apr 27, 2021
Committee
Referred to Rules Committee
lower
Apr 26, 2021
Introduced
Arrived in House
lower
Apr 23, 2021
Upper · Passed
Third Reading - Passed; 053-004-000
upper
Mar 16, 2021
Upper · Passed
Do Pass Health; 010-006-000
upper
Mar 9, 2021
Upper · Passed
To Subcommittee on Managed Care Organizations (MCO's)
upper
Feb 24, 2021
Committee
Assigned to Health
upper
Feb 17, 2021
Committee
Referred to Assignments
upper
2 primary · 23 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Dave Koehler
DDemocratic
P
Lisa Hernandez
DDemocratic
Co
Adriane Johnson
DDemocratic
Co
AM
Antonio Muñoz
DDemocratic
Co
Bill Cunningham
DDemocratic
Co
Cristina Castro
DDemocratic
Co
Don DeWitte
RRepublican
Co
Jay Hoffman
DDemocratic
Co
John Connor
DDemocratic
Co
Karina Villa
DDemocratic
Co
Laura Murphy
DDemocratic
Co
Linda Holmes
DDemocratic
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