Illinois 95th Regular Session Status: Passed Senate Bipartisan · 3 D · 2 R cosponsors

SB 2403 — MEDICAID-NURSING HOME RATES

Last action — Session Sine Die

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. 3
    Passed Senate
  4. 4
    Passed House
  5. 5
    To Executive
  6. 6
    Enacted

This bill died with 95th Regular Session. It reached “Passed Senate” 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This bill is no longer active — its legislative session has ended, so there is no live prognosis.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 Illinois Public Aid Code. In provisions concerning Medicaid rates for nursing homes, provides that for facilities licensed by the Department of Public Health under the Nursing Home Care Act as skilled nursing facilities or intermediate care facilities, the support component of the rates taking effect on July 1, 2008 shall be computed using the most recent cost reports on file with the Department of Healthcare and Family Services no later than April 1, 2006, updated for inflation to January 1, 2007. Provides that facilities shall have the support component of their Medicaid rate computed every year using the most recent cost reports on file with the Department of Healthcare and Family Services no later than April 1, 2 years prior to the year in which the new rate takes effect, updated for inflation to January 1 of the year prior to the year in which the new rate takes effect. Effective immediately.

Bill Text

What changed in the latest version

99 added · 121 removed

Plain-language change summary

The amendment to SB 2403 updates how Medicaid rates are calculated for certain intermediate care facilities. Specifically, facilities will now compute their support and real estate tax components every two years, using recent cost reports instead of the previous annual calculations. This change matters because it aims to ensure that funding aligns more closely with actual costs, providing better support for facilities that care for individuals with mental and physical disabilities.

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*LRB09518306DRJ44390b* SB2403 95TH GENERAL ASSEMBLY State of Illinois and 2008 SB2403 Introduced 2/14/2008, by Sen.
SB2403 Engrossed LRB095 18306 DRJ 44390 b AN ACT concerning public aid.
Iris Y.
Martinez SYNOPSIS AS INTRODUCED:
ILCS 5/5-5.4 from Ch.
23, par.
5-5.4 Amends the Illinois Public Aid Code.
In provisions concerning Medicaid rates for nursing homes, provides that for facilities licensed by the Department of Public Health under the Nursing Home Care Act as skilled nursing facilities or intermediate care facilities, the support component of the rates taking effect on July 1, 2008 shall be computed using the most recent cost reports on file with the Department of Healthcare and Family Services no later than April 1, 2006, updated for inflation to January 1, 2007.
Provides that facilities shall have the support component of their file with the Department of Healthcare and Family Services no later than April 1, 2 years prior to the year in which the new rate takes effect, updated for inflation to January 1 of the year prior to the year in which the new rate takes effect.
Effective immediately.
LRB095 18306 DRJ 44390 b FISCAL NOTE ACT MAY APPLY A BILL FOR SB2403 LRB095 18306 DRJ 44390 b AN ACT concerning public aid.
The amount of the payment rate for all nursing facilities certified by the Department of Public Health under the Nursing Home Care Act as Intermediate Care for the Developmentally Disabled facilities, Long Term Care for Under Age 22 facilities, Skilled Nursing facilities, or Intermediate Care facilities under the medical assistance program shall be prospectively established annually on the basis of historical, financial, and statistical data reflecting actual costs from prior years, which shall be applied to the current rate year and updated for inflation, except that the capital cost element SB2403 - 2 - LRB095 18306 DRJ 44390 b for newly constructed facilities shall be based upon projected budgets.
The amount of the payment rate for all nursing facilities certified by the Department of Public Health under the Nursing Home Care Act as Intermediate Care for the Developmentally Disabled facilities, Long Term Care for Under Age 22 facilities, Skilled Nursing facilities, or Intermediate Care facilities under the medical assistance program shall be prospectively established annually on the basis of historical, financial, and statistical data reflecting actual costs from prior years, which shall be applied to the current rate year and updated for inflation, except that the capital cost element SB2403 Engrossed - 2 - LRB095 18306 DRJ 44390 b for newly constructed facilities shall be based upon projected budgets.
For facilities licensed by the Department of Public Health under the Nursing Home Care Act as Intermediate Care for the Developmentally Disabled facilities or Long Term Care for Under SB2403 - 3 - LRB095 18306 DRJ 44390 b Age 22 facilities, the rates taking effect on July 1, 1999 shall include an increase of 1.6% plus $3.00 per resident-day, as defined by the Department.
For facilities licensed by the Department of Public Health under the Nursing Home Care Act as Intermediate Care for the Developmentally Disabled facilities or Long Term Care for Under SB2403 Engrossed - 3 - LRB095 18306 DRJ 44390 b Age 22 facilities, the rates taking effect on July 1, 1999 shall include an increase of 1.6% plus $3.00 per resident-day, as defined by the Department.
The Department of Public Aid (now Healthcare and Family Services) shall develop the new payment methodology using the Minimum Data Set (MDS) as the instrument to collect SB2403 - 4 - LRB095 18306 DRJ 44390 b information concerning nursing home resident condition necessary to compute the rate.
The Department of Public Aid (now Healthcare and Family Services) shall develop the new payment methodology using the Minimum Data Set (MDS) as the instrument to collect SB2403 Engrossed - 4 - LRB095 18306 DRJ 44390 b information concerning nursing home resident condition necessary to compute the rate.
SB2403 - 5 - LRB095 18306 DRJ 44390 b (C) Notwithstanding paragraphs (A) and (B), the nursing component rate per patient day for the facility shall be adjusted subject to appropriations provided by the General Assembly.
SB2403 Engrossed - 5 - LRB095 18306 DRJ 44390 b (C) Notwithstanding paragraphs (A) and (B), the nursing component rate per patient day for the facility shall be adjusted subject to appropriations provided by the General Assembly.
For rates effective July 1, 2001 only, rates shall be the greater of the rate computed for July 1, 2001 or the rate effective on SB2403 - 6 - LRB095 18306 DRJ 44390 b June 30, 2001.
For rates effective July 1, 2001 only, rates shall be the greater of the rate computed for July 1, 2001 or the rate effective on SB2403 Engrossed - 6 - LRB095 18306 DRJ 44390 b June 30, 2001.
Notwithstanding any other provisions of this Section, for SB2403 - 7 - LRB095 18306 DRJ 44390 b facilities licensed by the Department of Public Health under the Nursing Home Care Act as skilled nursing facilities or intermediate care facilities, the support component of the rates taking effect on July 1, 2008 shall be computed using the most recent cost reports on file with the Department of Healthcare and Family Services no later than April 1, 2006, updated for inflation to January 1, 2007.
Notwithstanding any other provision of this Section, for SB2403 Engrossed - 7 - LRB095 18306 DRJ 44390 b facilities licensed by the Department of Public Health under the Nursing Home Care Act as skilled nursing facilities or intermediate care facilities, the support and real estate tax components of the rates taking effect on July 1, 2009 shall be computed using the most recent cost reports on file with the Department of Healthcare and Family Services no later than April 1, 2007, updated for inflation to January 1, 2008.
After the effective date of this amendatory Act of the 95th General Assembly, facilities shall have the support component of their Medicaid rate computed every year using the most recent cost reports on file with the Department of Healthcare and Family Services no later than April 1, 2 years prior to the year in which the new rate takes effect, updated for inflation to January 1 of the year prior to the year in which the new rate takes effect.
After the effective date of this amendatory Act of the 95th General Assembly, facilities shall have the support and real estate tax components of their Medicaid rate computed every second July 1 using the most recent cost reports on file with the Department of Healthcare and Family Services no later than April 1, 2 years prior to the effective date of the rate, updated for inflation to January 1 of the year prior to the effective date of the rate.
For facilities licensed by the Department of Public Health under the Nursing Home Care Act as Intermediate Care for the Developmentally Disabled facilities or as long-term care SB2403 - 8 - LRB095 18306 DRJ 44390 b facilities for residents under 22 years of age, the rates taking effect on July 1, 2003 shall include a statewide increase of 4%, as defined by the Department.
For facilities licensed by the Department of Public Health under the Nursing Home Care Act as Intermediate Care for the SB2403 Engrossed - 8 - LRB095 18306 DRJ 44390 b Developmentally Disabled facilities or as long-term care facilities for residents under 22 years of age, the rates taking effect on July 1, 2003 shall include a statewide increase of 4%, as defined by the Department.
The cost report shall be on file with the Department no later than April 1 of the current rate SB2403 - 9 - LRB095 18306 DRJ 44390 b year.
The cost report shall be on file SB2403 Engrossed - 9 - LRB095 18306 DRJ 44390 b with the Department no later than April 1 of the current rate year.
The Department of Healthcare and Family Services shall develop precise standards for payments to reimburse nursing facilities for any utilization of appropriate rehabilitative personnel for the provision of rehabilitative services which is SB2403 - 10 - LRB095 18306 DRJ 44390 b authorized by federal regulations, including reimbursement for services provided by qualified therapists or qualified assistants, and which is in accordance with accepted professional practices.
The Department of Healthcare and Family Services shall develop precise standards for payments to reimburse nursing facilities for any utilization of appropriate rehabilitative SB2403 Engrossed - 10 - LRB095 18306 DRJ 44390 b personnel for the provision of rehabilitative services which is authorized by federal regulations, including reimbursement for services provided by qualified therapists or qualified assistants, and which is in accordance with accepted professional practices.
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Action History

  1. Session Sine Die

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

  3. Final Action Deadline Extended-9(b) May 31, 2008

  4. Added Alternate Co-Sponsor Rep. Eddie Washington

  5. Added Alternate Co-Sponsor Rep. Brandon W. Phelps

  6. Committee Deadline Extended-Rule 9(b) May 23, 2008

  7. Added Alternate Co-Sponsor Rep. Jack D. Franks

  8. Assigned to Human Services Committee

  9. Added Alternate Co-Sponsor Rep. Elizabeth Hernandez

  10. Added Alternate Co-Sponsor Rep. Mike Fortner

  11. Added Alternate Co-Sponsor Rep. Rosemary Mulligan

  12. Added Alternate Co-Sponsor Rep. Ronald A. Wait

  13. Added Alternate Co-Sponsor Rep. Franco Coladipietro

  14. Added Alternate Co-Sponsor Rep. Sandy Cole

  15. Added Alternate Co-Sponsor Rep. Kathleen A. Ryg

  16. Added Alternate Co-Sponsor Rep. Edward J. Acevedo

  17. Added Alternate Co-Sponsor Rep. Linda Chapa LaVia

  18. Added Alternate Co-Sponsor Rep. Patricia Reid Lindner

  19. Added Alternate Co-Sponsor Rep. Kevin Joyce

  20. Added Alternate Co-Sponsor Rep. Daniel V. Beiser

  21. Added Alternate Co-Sponsor Rep. Robert F. Flider

  22. Added Alternate Co-Sponsor Rep. Elizabeth Coulson

  23. Added Alternate Co-Sponsor Rep. Suzanne Bassi

  24. Added Alternate Co-Sponsor Rep. Naomi D. Jakobsson

  25. Added Alternate Co-Sponsor Rep. Annazette Collins

  26. Added Alternate Co-Sponsor Rep. Mary E. Flowers

  27. Added Alternate Co-Sponsor Rep. Maria Antonia Berrios

  28. Added Alternate Co-Sponsor Rep. Lou Lang

  29. Added Alternate Co-Sponsor Rep. Joseph M. Lyons

  30. Added Alternate Co-Sponsor Rep. Donald L. Moffitt

  31. Added Alternate Co-Sponsor Rep. Mike Boland

  32. Added Alternate Co-Sponsor Rep. John E. Bradley

  33. Added Alternate Co-Sponsor Rep. Chapin Rose

  34. Added Alternate Co-Sponsor Rep. Frank J. Mautino

  35. Added Alternate Co-Sponsor Rep. Dan Reitz

  36. Added Alternate Co-Sponsor Rep. Dan Brady

  37. Added Alternate Co-Sponsor Rep. Lisa M. Dugan

  38. Added Alternate Co-Sponsor Rep. Michael Tryon

  39. Added Alternate Co-Sponsor Rep. Patricia R. Bellock

  40. Added Alternate Co-Sponsor Rep. Robert Rita

  41. Added Alternate Co-Sponsor Rep. Esther Golar

  42. Added Alternate Co-Sponsor Rep. Jil Tracy

  43. Added Alternate Co-Sponsor Rep. Patrick J Verschoore

  44. Added Alternate Chief Co-Sponsor Rep. Paul D. Froehlich

  45. Added Alternate Chief Co-Sponsor Rep. Thomas Holbrook

  46. Added Alternate Chief Co-Sponsor Rep. Aaron Schock

  47. Referred to Rules Committee

  48. First Reading

  49. Chief House Sponsor Rep. Arthur L. Turner

  50. Placed on Calendar Order of First Reading

  51. Arrived in House

  52. Third Reading - Passed; 054-000-000

  53. Added as Chief Co-Sponsor Sen. Dan Rutherford

  54. Placed on Calendar Order of 3rd Reading April 17, 2008

  55. Second Reading

  56. Added as Co-Sponsor Sen. Jacqueline Y. Collins

  57. Added as Co-Sponsor Sen. Kimberly A. Lightford

  58. Added as Co-Sponsor Sen. Terry Link

  59. Added as Co-Sponsor Sen. Randall M. Hultgren

  60. Added as Co-Sponsor Sen. Bill Brady

  61. Added as Co-Sponsor Sen. John J. Millner

  62. Added as Co-Sponsor Sen. Gary Forby

  63. Added as Co-Sponsor Sen. Dale A. Righter

  64. Added as Co-Sponsor Sen. James T. Meeks

  65. Added as Co-Sponsor Sen. Kwame Raoul

  66. Added as Co-Sponsor Sen. Dan Kotowski

  67. Added as Co-Sponsor Sen. John M. Sullivan

  68. Added as Co-Sponsor Sen. Pamela J. Althoff

  69. Added as Co-Sponsor Sen. Donne E. Trotter

  70. Added as Co-Sponsor Sen. Rickey R. Hendon

  71. Senate Committee Amendment No. 1 Senator Haine added as Co-Sponsor

  72. Added as Co-Sponsor Sen. William Delgado

  73. Sponsor Removed Sen. Dan Rutherford

  74. Added as Co-Sponsor Sen. Dan Rutherford

  75. Added as Chief Co-Sponsor Sen. Ira I. Silverstein

  76. Placed on Calendar Order of 2nd Reading March 13, 2008

  77. Do Pass as Amended Human Services; 006-001-001

  78. Senate Committee Amendment No. 1 Adopted

  79. Senate Committee Amendment No. 1 Rules Refers to Human Services

  80. Senate Committee Amendment No. 1 Referred to Rules

  81. Senate Committee Amendment No. 1 Filed with Secretary by Sen. Iris Y. Martinez

  82. Assigned to Human Services

  83. Referred to Rules

  84. First Reading

  85. Filed with Secretary by Sen. Iris Y. Martinez

Sponsors

  • Lisa Hernandez · Cosponsor
  • Jil Tracy · Cosponsor
  • Iris Y. Martinez · Cosponsor
  • Patrick J Verschoore · Cosponsor
  • Esther Golar · Cosponsor
  • Robert "Bob" Rita · Cosponsor
  • Patricia R. Bellock · Cosponsor
  • Michael Tryon · Cosponsor
  • Lisa M. Dugan · Cosponsor
  • Dan Brady · Cosponsor
  • Dan Reitz · Cosponsor
  • Frank J. Mautino · Cosponsor
  • Chapin Rose · Cosponsor
  • John E. Bradley · Cosponsor
  • Mike Boland · Cosponsor
  • Donald L. Moffitt · Cosponsor
  • Joseph M. Lyons · Cosponsor
  • Lou Lang · Cosponsor
  • Maria Antonia Berrios · Cosponsor
  • Mary E. Flowers · Cosponsor
  • Naomi D. Jakobsson · Cosponsor
  • Suzanne Bassi · Cosponsor
  • Elizabeth Coulson · Cosponsor
  • Robert F. Flider · Cosponsor
  • Daniel V. Beiser · Cosponsor
  • Patricia Reid Lindner · Cosponsor
  • Edward J. Acevedo · Cosponsor
  • Kathleen A. Ryg · Cosponsor
  • Sandy Cole · Cosponsor
  • Franco Coladipietro · Cosponsor
  • Ronald A. Wait · Cosponsor
  • Rosemary Mulligan · Cosponsor
  • Mike Fortner · Cosponsor
  • Jack D. Franks · Cosponsor
  • Brandon W. Phelps · Cosponsor
  • Eddie Washington · Cosponsor
  • Patrick J. Joyce · Cosponsor
  • Lakesia Collins · Cosponsor
  • Chapa LaVia · Cosponsor

Sponsorship breakdown

Export CSV (upgrade) →

0 sponsors · 39 co-sponsors · 144 not signed on

Sponsors (0)

None.

Co-sponsors (39)

  • Hernandez, Lisa
  • Jil Tracy Republican
  • Iris Y. Martinez
  • Patrick J Verschoore
  • Esther Golar
  • Robert "Bob" Rita Democrat
  • Patricia R. Bellock
  • Michael Tryon
  • Lisa M. Dugan
  • Dan Brady
  • Dan Reitz
  • Frank J. Mautino
  • Chapin Rose Republican
  • John E. Bradley
  • Mike Boland
  • Donald L. Moffitt
  • Joseph M. Lyons
  • Lou Lang
  • Maria Antonia Berrios
  • Mary E. Flowers
  • Naomi D. Jakobsson
  • Suzanne Bassi
  • Elizabeth Coulson
  • Robert F. Flider
  • Daniel V. Beiser
  • Patricia Reid Lindner
  • Edward J. Acevedo
  • Kathleen A. Ryg
  • Sandy Cole
  • Franco Coladipietro
  • Ronald A. Wait
  • Rosemary Mulligan
  • Mike Fortner
  • Jack D. Franks
  • Brandon W. Phelps
  • Eddie Washington
  • Patrick J. Joyce Democrat
  • Lakesia Collins Democrat
  • Chapa LaVia

Not signed on (144)

144 members have not signed on to this bill.

Show all 144 →

"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

Votes

Third Reading

Passed 54 Yea · 0 Nay · 5 Other
Party YeaNayPresentNot Voting
Unaffiliated 45004
Democrat 9000
Republican 0001
Total 54005
% of votes cast 92%0%0%8%
How each member voted (59)
Member Party Vote
Halvorson — Yea
Lauzen — Yea
Link — Yea
Luechtefeld — Yea
Meeks — Yea
Millner — Yea
Noland — Yea
Peterson — Not Voting
Schoenberg — Yea
Silverstein — Yea
Brady — Yea
Steans — Yea
Trotter — Yea
Viverito — Not Voting
Sullivan — Yea
Wilhelmi — Yea
Munoz — Yea
Cullerton — Yea
Watson — Yea
Jacobs — Yea
Jones, J. — Yea
Demuzio — Yea
Clayborne — Yea
Cronin — Yea
Crotty — Yea
Dahl — Yea
DeLeo — Yea
Dillard — Yea
Forby — Yea
Frerichs — Yea
Garrett — Yea
Haine — Yea
Hendon — Yea
Hultgren — Yea
Kotowski — Yea
Pankau — Yea
Radogno — Yea
Raoul — Yea
Righter — Yea
Risinger — Yea
Rutherford — Yea
Sandoval — Not Voting
Maloney — Yea
Althoff — Not Voting
Martinez — Yea
Bivins — Yea
Bomke — Yea
Bond — Yea
Burzynski — Yea
David Koehler Democrat Yea
Don Harmon Democrat Yea
Emil Jones, III Democrat Yea
Eva-Dina Delgado Democrat Yea
Kimberly A. Lightford Democrat Yea
Lakesia Collins Democrat Yea
Laura M. Murphy Democrat Yea
Linda Holmes Democrat Yea
Mattie Hunter Democrat Yea
Dave Syverson Republican Not Voting

Official roll call →

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does SB 2403 do?
Amends the Illinois Public Aid Code. In provisions concerning Medicaid rates for nursing homes, provides that for facilities licensed by the Department of Public Health under the Nursing Home Care Act as skilled nursing facilities or intermediate care facilities, the support component of the rates taking effect on July 1, 2008 shall be computed using the most recent cost reports on file with the Department of Healthcare and Family Services no later than April 1, 2006, updated for inflation to January 1, 2007. Provides that facilities shall have the support component of their Medicaid rate computed every year using the most recent cost reports on file with the Department of Healthcare and Family Services no later than April 1, 2 years prior to the year in which the new rate takes effect, updated for inflation to January 1 of the year prior to the year in which the new rate takes effect. Effective immediately.
Who sponsors SB 2403?
SB 2403 is sponsored by Hernandez, Lisa, Jil Tracy (Republican), Iris Y. Martinez, Patrick J Verschoore, Esther Golar, Robert "Bob" Rita (Democrat), Patricia R. Bellock, Michael Tryon, Lisa M. Dugan, Dan Brady, Dan Reitz, Frank J. Mautino, Chapin Rose (Republican), John E. Bradley, Mike Boland, Donald L. Moffitt, Joseph M. Lyons, Lou Lang, Maria Antonia Berrios, Mary E. Flowers, Naomi D. Jakobsson, Suzanne Bassi, Elizabeth Coulson, Robert F. Flider, Daniel V. Beiser, Patricia Reid Lindner, Edward J. Acevedo, Kathleen A. Ryg, Sandy Cole, Franco Coladipietro, Ronald A. Wait, Rosemary Mulligan, Mike Fortner, Jack D. Franks, Brandon W. Phelps, Eddie Washington, Patrick J. Joyce (Democrat), Lakesia Collins (Democrat), and Chapa LaVia.
What is the current status of SB 2403?
This bill died with 95th Regular Session. It reached “Passed Senate” 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 SB 2403?
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