Illinois 102nd Regular Session Status: Failed Bipartisan · 11 D · 4 R cosponsors

HB 4443 — DHFS-DIRECT CARE RATE-BED TAX

Last action — Session Sine Die

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. Died in session

This bill died with 102nd Regular Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.

Summary

Amends the Medical Assistance Article of the Illinois Public Aid Code. Declares that all changes to the existing nursing facility direct care reimbursement rate methodologies and to the bed assessment and collection procedures must be approached with caution, executed deliberately, and held to the highest of standards in order to protect nursing facility residents from disruption in care, protect workers from lost wages and jobs, and protect providers from the increased instability within the industry. Provides that a Nursing Facility Oversight Committee (Committee) shall be named by the 4 legislative leaders to oversee, assess, and provide direction to the Department of Healthcare and Family Services as it relates to long term care services. Contains provisions on the Committee's composition, meetings, proxy voting, and other matters. Requires the Department to seek the advice and consent of the Committee prior to filing emergency or permanent administrative rules with the Secretary of State or submitting Medicaid State Plan amendments and all correspondence to the Centers for Medicare and Medicaid Services. Requires the Department to prepare transition plans for the redesign of the direct care reimbursement rate methodologies and the assessment tax schedule and collection proceedings. Contains provisions concerning advanced notice to nursing facilities of all payment, award, and rate changes; a quarterly direct care per diem reimbursement rate for each nursing facility; direct care reimbursement rate components subject to redesign; establishment of a single quarterly non-Medicare occupied bed varied tax assessment; State Plan amendments to permit expedited implementation of the redesigned bed assessment; compliance requirements for managed care organizations; penalties for non-compliance; and other matters. Effective immediately.

Bill Text

Action History

  1. Session Sine Die

  2. Rule 19(a) / Re-referred to Rules Committee

  3. Final Action Deadline Extended-9(b) April 8, 2022

  4. Removed Co-Sponsor Rep. Ryan Spain

  5. Added Co-Sponsor Rep. Ryan Spain

  6. Final Action Deadline Extended-9(b) March 31, 2022

  7. Assigned to Appropriations-Human Services Committee

  8. Rule 19(a) / Re-referred to Rules Committee

  9. Committee Deadline Extended-Rule 9(b) February 25, 2022

  10. Added Co-Sponsor Rep. Joe Sosnowski

  11. Added Co-Sponsor Rep. Debbie Meyers-Martin

  12. Assigned to Appropriations-Human Services Committee

  13. Added Co-Sponsor Rep. Mark Batinick

  14. Added Co-Sponsor Rep. Barbara Hernandez

  15. Added Co-Sponsor Rep. Kelly M. Burke

  16. Added Co-Sponsor Rep. Charles Meier

  17. Referred to Rules Committee

  18. First Reading

  19. Added Co-Sponsor Rep. Bob Morgan

  20. Added Co-Sponsor Rep. Lamont J. Robinson, Jr.

  21. Added Co-Sponsor Rep. Dave Severin

  22. Added Co-Sponsor Rep. C.D. Davidsmeyer

  23. Added Co-Sponsor Rep. La Shawn K. Ford

  24. Added Co-Sponsor Rep. Stephanie A. Kifowit

  25. Added Co-Sponsor Rep. William Davis

  26. Added Co-Sponsor Rep. Chris Bos

  27. Added Co-Sponsor Rep. Justin Slaughter

  28. Added Co-Sponsor Rep. Thaddeus Jones

  29. Added Co-Sponsor Rep. Frances Ann Hurley

  30. Added Chief Co-Sponsor Rep. Daniel Didech

  31. Added Chief Co-Sponsor Rep. Jonathan Carroll

  32. Added Chief Co-Sponsor Rep. Jay Hoffman

  33. Added Chief Co-Sponsor Rep. LaToya Greenwood

  34. Filed with the Clerk by Rep. Elizabeth Hernandez

Sponsors

Sponsorship breakdown

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1 sponsors · 21 co-sponsors · 161 not signed on

Sponsors (1)

Co-sponsors (21)

Not signed on (161)

161 members have not signed on to this bill.

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"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

public-safety healthcare labor health-insurance
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Frequently asked questions

What does HB 4443 do?
Amends the Medical Assistance Article of the Illinois Public Aid Code. Declares that all changes to the existing nursing facility direct care reimbursement rate methodologies and to the bed assessment and collection procedures must be approached with caution, executed deliberately, and held to the highest of standards in order to protect nursing facility residents from disruption in care, protect workers from lost wages and jobs, and protect providers from the increased instability within the industry. Provides that a Nursing Facility Oversight Committee (Committee) shall be named by the 4 legislative leaders to oversee, assess, and provide direction to the Department of Healthcare and Family Services as it relates to long term care services. Contains provisions on the Committee's composition, meetings, proxy voting, and other matters. Requires the Department to seek the advice and consent of the Committee prior to filing emergency or permanent administrative rules with the Secretary of State or submitting Medicaid State Plan amendments and all correspondence to the Centers for Medicare and Medicaid Services. Requires the Department to prepare transition plans for the redesign of the direct care reimbursement rate methodologies and the assessment tax schedule and collection proceedings. Contains provisions concerning advanced notice to nursing facilities of all payment, award, and rate changes; a quarterly direct care per diem reimbursement rate for each nursing facility; direct care reimbursement rate components subject to redesign; establishment of a single quarterly non-Medicare occupied bed varied tax assessment; State Plan amendments to permit expedited implementation of the redesigned bed assessment; compliance requirements for managed care organizations; penalties for non-compliance; and other matters. Effective immediately.
Who sponsors HB 4443?
HB 4443 is sponsored by LaToya Greenwood, Jay Hoffman (Democrat), Jonathan Carroll, Daniel Didech (Democrat), Frances Ann Hurley, Thaddeus Jones (Democrat), Justin Slaughter (Democrat), Chris Bos, William "Will" Davis (Democrat), Stephanie A. Kifowit (Democrat), La Shawn K. Ford (Democrat), Christopher "C.D." Davidsmeyer (Republican), Dave Severin (Republican), Lamont J. Robinson, Jr., Bob Morgan (Democrat), Charles Meier (Republican), Kelly M. Burke, Barbara Hernandez (Democrat), Mark Batinick, Debbie Meyers-Martin (Democrat), Joe C. Sosnowski (Republican), and Elizabeth "Lisa" Hernandez (Democrat).
What is the current status of HB 4443?
This bill died with 102nd Regular Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track HB 4443?
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