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SPONSORED LEGISLATION
SB1766 - ANTITRUST-ATTORNEY GEN-NOTICE
Don Harmon, Ann Gillespie, Robert Peters
Last updated almost 2 years ago
6 Co-Sponsors
Amends the Illinois Antitrust Act. Provides that documentary material, transcripts of oral testimony, or answers to interrogatories obtained in an investigation of a violation of the Act may be used by the Attorney General in any administrative or judicial action or proceeding. Provides that information voluntarily produced to the Attorney General for purposes of an investigation of a violation of the Act or information provided to the Attorney General under a notice requirement shall be treated as if produced pursuant to a subpoena for purposes of maintaining the confidentiality of such information. Provides that health care facilities that are party to a covered transaction shall provide notice of such transaction to the Attorney General no later than 60 days prior to the transaction closing or effective date of the transaction. Provides that any health care facility that fails to comply with the notice requirement is subject to a civil penalty of not more than $500 per day for each day during which the health care facility is in violation of the requirement. When the Attorney General has reason to believe that a health care facility has engaged in or is engaging in a covered transaction without complying with the notice requirement, allows the Attorney General to apply for and obtain a temporary restraining order or injunction prohibiting the health care facility from continuing its noncompliance or doing any act in furtherance thereof. Makes a conforming change in the State Finance Act. Effective January 1, 2024.
STATUS
Introduced
HB1109 - PROP TAX-CERTIFICATE OF ERROR
Margaret Noble Croke, Don Harmon, Ann Gillespie
Last updated over 1 year ago
4 Co-Sponsors
Amends the Property Tax Code. Provides that the statute of limitations for the execution of a certificate of error does not apply to a certificate of error correcting an assessment to $1 when the property is used as a common area by a subdivision, association, or planned development. Makes additional technical changes.
STATUS
Engrossed
SB3374 - DHFS-EXTENDED HOSP STAYS
Don Harmon, Ann Gillespie, Robert Peters
Last updated 10 months ago
3 Co-Sponsors
Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to by rule implement a methodology to reimburse hospitals for inpatient stays extended beyond medical necessity due to the inability of the Department, the managed care organization (MCO) in which a medical assistance recipient is enrolled in, or the hospital discharge planner to find an appropriate placement after discharge from the hospital to the next level of care. Requires the Department to by rule implement a methodology effective for dates of service January 1, 2025 and later to reimburse hospitals for emergency department stays extended beyond medical necessity due to the inability of the Department, the MCO, or the hospital discharge planner to find an appropriate placement after discharge from the hospital setting to the next appropriate level of care. Provides that both methodologies shall provide reasonable compensation for the services provided attributable to the hours of the extended stay for which the prevailing rate methodology provides no reimbursement. Contains provisions concerning the rate for inpatient days of care; hourly rates of reimbursement for emergency department stays; a prohibition on MCOs restricting coverage due to delays caused by the Department or the MCOs in completing the pre-admission screening and resident review process; a prohibition on MCOs imposing authorization or documentation requirements and other conditions of reimbursement that are more restrictive than standards under the fee-for-service medical assistance program; sanctions on MCOs for noncompliance; and administrative rules. Effective immediately.
STATUS
Introduced
SB3433 - DHS-REPORTING SYST TASK FORCE
Don Harmon, Ann Gillespie
Last updated 10 months ago
2 Co-Sponsors
Amends the Mental Health and Developmental Disabilities Administrative Act. Creates the Department of Human Services Community Reporting Systems Task Force to work on upgrading the Department's Community Reporting Systems, otherwise known as ROCS, as well as any other applicable IT systems associated with ROCS that should need upgrading. Contains provisions on the composition of the Task Force and requires members to be appointed on or before January 1, 2025. Requires the Task Force to prepare a comprehensive report, on or before July 1, 2025, that summarizes its work and details its action plans to upgrade the Community Reporting System and other associated IT infrastructure, including contracting, fiscal impact, legislative appropriations, and any other barriers to upgrading the ROCS System. Provides that the Task Force is dissolved on January 1, 2026. Effective July 1, 2024.
STATUS
Introduced
SB3783 - DHFS-MANAGED CARE ASSESSMENT
Don Harmon, Ann Gillespie
Last updated 9 months ago
2 Co-Sponsors
Amends the Managed Care Organization Provider Assessment Article of the Illinois Public Aid Code. Changes the Tier 1 assessment amount for managed care organizations to $78.90 per member month (rather than $60.20 per member month). Changes the Tier 2 assessment amount for managed care organizations to $1.40 per member month (rather than $1.20 per member month). Provides that for State fiscal year 2020, and for each State fiscal year thereafter (rather than for State fiscal year 2020 through State fiscal year 2025), the Department of Healthcare and Family Services may adjust rates or tier parameters or both. Makes changes to the definition of "base year". Effective January 1, 2025.
STATUS
Introduced
SB3372 - DHFS-INPATIENT STABILIZATION
Don Harmon, Ann Gillespie, Adriane Johnson
Last updated 10 months ago
3 Co-Sponsors
Amends the Medical Assistance Article of the Illinois Public Aid Code. Makes changes to provisions requiring Medicaid managed care organizations (MCO) to make payments for emergency services. Requires an MCO to pay any provider of emergency services, including inpatient stabilization services provided during the inpatient stabilization period, that does not have in effect a contract with the MCO. Defines "inpatient stabilization period" to mean the initial 72 hours of inpatient stabilization services, beginning from the date and time of the order for inpatient admission to the hospital. Provides that when determining payment for all emergency services, including inpatient stabilization services provided during the inpatient stabilization period, the MCO shall: (i) not impose any service authorization requirements, including, but not limited to, prior authorization, prior approval, pre-certification, concurrent review, or certification of admission; (ii) have no obligation to cover emergency services provided on an emergency basis that are not covered services under the MCO's contract with the Department of Healthcare and Family Services; and (iii) not condition coverage for emergency services on the treating provider notifying the MCO of the enrollee's emergency medical screening examination and treatment within 10 days after presentation for emergency services. Provides that the determination of the attending emergency physician, or the practitioner responsible for the enrollee's care at the hospital, of whether an enrollee requires inpatient stabilization services, can be stabilized in the outpatient setting, or is sufficiently stabilized for discharge or transfer to another facility, shall be binding on the MCO. Provides that an MCO shall not reimburse inpatient stabilization services billed on an inpatient institutional claim under the outpatient reimbursement methodology and shall not reimburse providers for emergency services in cases of fraud. Requires the Department to impose sanctions on an MCO for noncompliance, including, but not limited to, financial penalties, suspension of enrollment of new enrollees, and termination of the MCO's contract with the Department. Effective immediately.
STATUS
Introduced
SB3268 - DHFS-FUND TRANSFERS
Omar Aquino, Don Harmon, Ann Gillespie
Last updated 6 months ago
20 Co-Sponsors
Amends the Illinois Public Aid Code. Makes changes to the Medical Assistance Article. Provides that beginning with dates of service on and after January 1, 2025, add-on rates for the services delivered by physicians who are board certified in psychiatry and advanced practice registered nurses who hold a current certification in psychiatric and mental health nursing shall be increased so that the sum of the base per service unit rate plus the rate add-on is no less than $264.42 per hour adjusted for time and intensity. In a provision concerning personal needs allowances, provides that the total monthly personal needs allowance from both the State and federal sources for a person who is a resident of a supportive living facility shall equal $120. Requires the Department of Children and Family Services to pay for all inpatient stays at a hospital beginning on the 3rd day a child is in the hospital beyond medical necessity, and the parent or caregiver has denied the child access to the home and has refused or failed to make provisions for another living arrangement for the child or the child's discharge is being delayed due to a pending inquiry or investigation by the Department of Children and Family Services. Provides that beginning January 1, 2025 (rather than January 1, 2020), the Department of Healthcare and Family Services shall reimburse Children's Community-Based Health Care Centers at the lower of their usual and customary charge to the public or at the Department rate of $1,300 (rather than $950). Contains provisions concerning reimbursement for remote ultrasound procedures and remote fetal nonstress tests; increased reimbursement rates for nursing services for medically fragile and technology dependent children; increased reimbursement rates for optometrist services; coverage and reimbursement rates for custom prosthetic and orthotic devices; per-claim add-on payments for renal dialysis services provided within a skilled nursing facility by a certified home dialysis provider; coverage for music therapy services provided by licensed professional music therapists; a deadline extension for reporting data recommendations for ground ambulance services cost structures; administrative rules updating the Handicapping Labio-Lingual Deviation orthodontic scoring tool; emergency rules; and other matters. Makes changes to provisions under the Hospital Services Trust Fund Article concerning reimbursement for hospital (rather than inpatient) stays extended beyond medical necessity. Makes changes to the Managed Care Organization Provider Assessment Article. Changes the Tier 1 assessment amount for managed care organizations to $78.90 per member month (rather than $60.20 per member month). Changes the Tier 2 assessment amount for managed care organizations to $1.40 per member month (rather than $1.20 per member month). Provides that for State fiscal year 2020, and for each State fiscal year thereafter (rather than for State fiscal year 2020 through State fiscal year 2025), the Department of Healthcare and Family Services may adjust rates or tier parameters or both. Makes changes to the Hospital Services Trust Fund Article. Provides that beginning on and after July 1, 2024, subject to federal approval, in addition to the statewide standardized amount and any other payments authorized under the Code, a safety-net hospital health care equity add-on payment shall be paid for each inpatient General Acute and Psychiatric day of care, excluding Medicare-Medicaid dual eligible crossover days, for safety-net hospitals. Provides that beginning on and after July 1, 2024, subject to federal approval, in addition to the statewide standardized amount and any other payments authorized under this Code, a safety-net hospital low volume add-on payment of $200 shall be paid for each inpatient General Acute and Psychiatric day of care, excluding Medicare-Medicaid dual eligible crossover days, for any safety-net hospital that provided less than 11,000 Medicaid inpatient days of care, excluding Medicare-Medicaid dual eligible crossover days, in the base period. Grants the Department emergency rulemaking authority to implement these add-on payments. Makes changes to the Hospital Provider Funding Article. For purposes of allocating funds included in capitation payments to MCOs, excludes hospitals with over 9,000 Medicaid acute care inpatient admissions per calendar year from the category of safety-net hospitals. Amends the Birth Center Licensing Act. In a provision concerning reimbursement rates set by the Department of Healthcare and Family Services, requires the facility fees for the birthing person and the baby to be no less than 80% (rather than 75%) of the statewide average facility payment rate made to a hospital. Amends the Specialized Mental Health Rehabilitation Act of 2013. In provisions requiring facilities licensed under the Act to be awarded an additional payment for their single occupancy rooms, provides that beginning on January 1, 2025, a payment of no less than $10 per day, per single room occupancy shall be added to the existing $25.50 additional per day, per single room occupancy rate for a total of at least $35.50 per day, per single room occupancy. Makes other changes. Effective immediately.
STATUS
Passed
SB3910 - MEDICAID-PROSTHETIC DEVICES
Don Harmon, Ann Gillespie
Last updated 9 months ago
2 Co-Sponsors
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that coverage for custom prosthetic and orthotic devices under the fee-for-service medical assistance program and under any Medicaid managed care plan shall be no less favorable than the terms and conditions that apply to substantially all medical and surgical benefits provided under the fee-for-service medical assistance program or the Medicaid managed care plan. Requires the Department of Healthcare and Family Services to increase the current 2024 Medicaid rate by 21% with staggered 7% increases on January 1, 2025, January 1, 2026, and January 1, 2027 under the fee-for-service medical assistance program for custom prosthetic and orthotic devices. Requires the Department to ensure that all Medicaid managed care plans comply with the network adequacy requirements for custom prosthetic, custom orthotic devices, and custom cranial remolding orthotic device services. Provides that the Department and contracted managed care organizations must comply with the Orthotics, Prosthetics, and Pedorthics Practice Act when making payments for custom orthotic and custom prosthetic devices.
STATUS
Introduced
SB3420 - UNFAIR SERVICE AGREEMENTS
Don Harmon, Ann Gillespie, Mattie Hunter
Last updated 3 months ago
8 Co-Sponsors
Creates the Prohibition of Unfair Service Agreements Act. Provides for the characteristics of unfair service agreements and sets forth exceptions to the Act. Provides that if a service agreement is unfair under the Act, it is unenforceable and shall not create a contractual obligation. Provides that entering into an unfair service agreement with a consumer constitutes an unlawful practice under the Consumer Fraud and Deceptive Business Practices Act. Provides that all remedies, penalties, and authority granted to the Attorney General by the Consumer Fraud and Deceptive Business Practices Act shall be available to the Attorney General for the enforcement of the Act. Provides that no person shall record or cause to be recorded an unfair service agreement or a notice or memorandum of the unfair service agreement. Provides that a person who records or causes to be recorded an unfair service agreement or a notice or memorandum of the unfair service agreement shall be guilty of a Class A misdemeanor. Provides that, if an unfair service agreement or a notice or memorandum of the unfair service agreement is recorded, any person with an interest in the real property that is the subject of that agreement may apply to a court in the county where the recording exists to record a court order declaring the agreement unenforceable and that person may recover actual damages, costs, and attorney's fees as may be proven against the service provider who recorded the agreement. Effective immediately.
STATUS
Passed
SB3443 - ELEC CD-FIREARMS POLLING PLACE
Don Harmon, Ann Gillespie
Last updated 10 months ago
2 Co-Sponsors
Amends the Election Code. Provides that any person who carries or possess a firearm while present in a polling place, except a peace officer in the performance of his or her official duties, shall be guilty of a Class C misdemeanor.
STATUS
Introduced
BIOGRAPHY
INCUMBENT
Senator from Illinois district SD-039
COMMITTEES
Illinois Senate
BIRTH
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ABOUT
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OFFICES HELD
Illinois Senate from Illinois
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