Bill Status of SB 1804   104th General Assembly

Short Description:  DHFS-PACE-RATE REFORM

Senate Sponsors
Sen. Ram Villivalam

Last Action  View All Actions

DateChamber Action
  6/2/2025SenateRule 3-9(a) / Re-referred to Assignments

Statutes Amended In Order of Appearance
320 ILCS 40/16

Synopsis As Introduced
Amends the Program of All-Inclusive Care for the Elderly Act. Provides that to ensure that organizations contracted to implement the Program of All-Inclusive Care for the Elderly (PACE) program meet the needs of PACE participants, the Department of Healthcare and Family Services shall reform the rate-setting methodology for the PACE program by establishing a blended rate structure based on a 30% Home and Community-Based Services and 70% Skilled Nursing Facility case-mix which is a more accurate proportion of the comparable population expected to reside in an institution or the community if not enrolled in PACE. Requires the blended rate structure to more accurately reflect the comprehensive nature of care provided by PACE organizations and address the unique needs of PACE participants as a higher risk/acuity population with expected higher costs and frailty than comparable populations. Provides that when developing rates under the blended rate structure, the Department must consider not only the standard cost experiences of PACE participants but also the unique characteristics and specific care needs of the PACE population as well as any additional State plan services or populations that are not included in the State's Medicaid managed care contracts but are required under the PACE program.

Actions 
DateChamber Action
  2/6/2025SenateFiled with Secretary by Sen. Ram Villivalam
  2/6/2025SenateFirst Reading
  2/6/2025SenateReferred to Assignments
  2/18/2025SenateAssigned to Appropriations- Health and Human Services
  3/21/2025SenateRule 2-10 Committee Deadline Established As April 11, 2025
  4/11/2025SenateRule 2-10 Committee Deadline Established As May 9, 2025
  5/9/2025SenateRule 2-10 Committee/3rd Reading Deadline Established As May 23, 2025
  5/23/2025SenateRule 2-10 Committee/3rd Reading Deadline Established As June 1, 2025
  6/2/2025SenateRule 3-9(a) / Re-referred to Assignments

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