MEDICAID-LONG TERM CARE SRVCES Senate SponsorsSen. John G. Mulroe-David Koehler-Linda Holmes, William R. Haine, Antonio Muņoz-Patricia Van Pelt, Mattie Hunter, Chris Nybo, Wm. Sam McCann, David S. Luechtefeld and Chapin Rose House Sponsors(Rep. Robert Rita, Cynthia Soto, Silvana Tabares, Elizabeth Hernandez, Jay Hoffman, Emanuel Chris Welch, Linda Chapa LaVia, Thaddeus Jones and Mary E. Flowers) 8/19/2016SenatePublic Act . . . . . . . . . 99-0857 210 ILCS 85/6.09from Ch. 111 1/2, par. 147.09305 ILCS 5/5-2.1d305 ILCS 5/5-6from Ch. 23, par. 5-6305 ILCS 5/5-6a newAmends the Hospital Licensing Act. Provides that a patient discharged to a skilled nursing facility who is not assessed prior to discharge or whose pre-screening information does not accompany the patient to the skilled nursing facility shall (i) be admitted to the skilled nursing facility pending the case coordination unit completing a post-screening evaluation or the delivery of the pre-screening information to the skilled nursing facility and (ii) be eligible for Medicaid funded care from the date of admission if the patient meets all eligibility criteria for medical assistance under the Illinois Public Aid Code. Amends the Illinois Public Aid Code. Provides that a nursing home resident determined to be eligible for medical assistance for long term care services shall be entitled to have his or her care paid retroactive to the date of admission to a nursing home or the date the resident converted from Medicare or private funds as a payer source if it is determined that the resident met the financial eligibility standards for medical assistance on the date of admission or conversion and the admission or conversion date is within the retroactive window established under the Code. Provides that an outstanding application for medical assistance for long term care services shall not be closed or denied based solely on the applicant's death or the absence of certain documentation if services authorized under the Code were provided pending a determination of eligibility. Provides that a nursing home resident who is unable to comply in securing financial documents requested by the Department of Healthcare and Family Services to prove financial eligibility shall be assigned a long term care ombudsman to assist the resident in securing medical assistance.Senate Floor Amendment No. 2 Deletes reference to:305 ILCS 5/5-2.1d305 ILCS 5/5-6a newAdds reference to:20 ILCS 105/4.03from Ch. 23, par. 6104.03Replaces everything after the enacting clause. Amends the Illinois Act on the Aging. In provisions requiring case coordination units to prescreen certain individuals for home and community based services, requires the units to also: (i) inquire if the individual is in need of assistance with the cost of nursing home care and (ii) provide assistance if the individual is unable to secure financial documents to prove financial eligibility. Provides that the units shall be reimbursed for such services on a per client basis at a rate established by the Department on Aging. Amends the Hospital Licensing Act. In a provision requiring hospitals to notify a case coordination unit prior to discharging patients to a nursing home, requires the case coordination unit to notify the Department on Aging when the unit is unable to complete an assessment prior to a patient's hospital discharge; and requires the Departments of Healthcare and Family Services and Aging to adopt rules to ensure patients in similar circumstances are able to access nursing home care. Amends the Illinois Public Aid Code. Permits payment under the medical assistance program for obligations incurred by an individual whose application for benefits is pending.House Committee Amendment No. 2 Deletes reference to:20 ILCS 105/4.03305 ILCS 5/5-6Replaces everything after the enacting clause. Amends the Hospital Licensing Act. In provisions concerning the pending discharge of an aged patient or patient with a disability from a hospital to a skilled nursing facility, requires the case coordination unit to provide a copy of the required assessment documentation directly to the nursing home to which the patient is being discharged prior to discharge (rather than requiring the case coordination unit to provide the discharge planner with prescreening information and accompanying materials, which the discharge planner shall transmit when the patient is discharged to a skilled nursing facility). Requires the Department on Aging to provide notice of this requirement to case coordination units. Provides that when a case coordination unit is unable to complete an assessment in a hospital prior to the discharge of a patient, 60 years of age or older, to a nursing home, the case coordination unit shall notify the Department on Aging which shall notify the Department of Healthcare and Family Services. Requires both Departments to adopt rules to address these instances to ensure that the patient is able to access nursing home care, the nursing home is not penalized for accepting the admission, and the patient's timely discharge from the hospital is not delayed, to the extent permitted under federal law or regulation. Provides that nothing shall preclude federal requirements for a pre-admission screening/mental health (PAS/MH) as required under the Nursing Home Care Act or State or federal law or regulation. 2/18/2016SenateFiled with Secretary by Sen. John G. Mulroe 2/18/2016SenateFirst Reading 2/18/2016SenateReferred to Assignments 3/2/2016SenateAssigned to Public Health 3/9/2016SenatePostponed - Public Health 3/16/2016SenatePostponed - Public Health 3/24/2016SenateAdded as Chief Co-Sponsor Sen. David Koehler 4/6/2016SenateDo Pass Public Health; 009-000-000 4/6/2016SenatePlaced on Calendar Order of 2nd Reading April 7, 2016 4/15/2016SenateSenate Floor Amendment No. 1 Filed with Secretary by Sen. John G. Mulroe 4/15/2016SenateSenate Floor Amendment No. 1 Referred to Assignments 4/19/2016SenateSenate Floor Amendment No. 2 Filed with Secretary by Sen. John G. Mulroe 4/19/2016SenateSenate Floor Amendment No. 2 Referred to Assignments 4/19/2016SenateSenate Floor Amendment No. 1 Assignments Refers to Public Health 4/19/2016SenateSenate Floor Amendment No. 2 Assignments Refers to Public Health 4/19/2016SenateSenate Floor Amendment No. 1 Postponed - Public Health 4/19/2016SenateSenate Floor Amendment No. 2 Recommend Do Adopt Public Health; 006-001-002 4/20/2016SenateSecond Reading 4/20/2016SenateSenate Floor Amendment No. 2 Adopted; Mulroe 4/20/2016SenatePlaced on Calendar Order of 3rd Reading April 21, 2016 4/20/2016SenateAdded as Chief Co-Sponsor Sen. Linda Holmes 4/20/2016SenateAdded as Co-Sponsor Sen. William R. Haine 4/20/2016SenateAdded as Co-Sponsor Sen. Antonio Muņoz 4/21/2016SenateAdded as Co-Sponsor Sen. Patricia Van Pelt 4/21/2016SenateSponsor Removed Sen. Patricia Van Pelt 4/21/2016SenateAdded as Chief Co-Sponsor Sen. Patricia Van Pelt 4/21/2016SenateThird Reading - Passed; 036-013-007 4/21/2016SenateSenate Floor Amendment No. 1 Tabled Pursuant to Rule 5-4(a) 4/21/2016HouseArrived in House 4/21/2016HouseChief House Sponsor Rep. Robert Rita 4/21/2016HouseFirst Reading 4/21/2016HouseReferred to Rules Committee 5/2/2016HouseAssigned to Human Services Committee 5/10/2016HouseAdded Alternate Co-Sponsor Rep. Cynthia Soto 5/10/2016HouseAdded Alternate Co-Sponsor Rep. Silvana Tabares 5/10/2016HouseAdded Alternate Co-Sponsor Rep. Elizabeth Hernandez 5/10/2016HouseHouse Committee Amendment No. 1 Filed with Clerk by Rep. Robert Rita 5/10/2016HouseHouse Committee Amendment No. 1 Referred to Rules Committee 5/11/2016HouseHouse Committee Amendment No. 1 Rules Refers to Human Services Committee 5/11/2016HouseAdded Alternate Co-Sponsor Rep. Jay Hoffman 5/12/2016HouseAdded Alternate Co-Sponsor Rep. Emanuel Chris Welch 5/12/2016HouseAdded Alternate Co-Sponsor Rep. Linda Chapa LaVia 5/12/2016HouseHouse Committee Amendment No. 2 Filed with Clerk by Rep. Robert Rita 5/12/2016HouseHouse Committee Amendment No. 2 Referred to Rules Committee 5/12/2016SenateAdded as Co-Sponsor Sen. Mattie Hunter 5/13/2016HouseFinal Action Deadline Extended-9(b) May 27, 2016 5/13/2016HouseAdded Alternate Co-Sponsor Rep. Thaddeus Jones 5/16/2016HouseHouse Committee Amendment No. 2 Rules Refers to Human Services Committee 5/18/2016HouseAdded Alternate Co-Sponsor Rep. Mary E. Flowers 5/19/2016HouseHouse Committee Amendment No. 2 Adopted in Human Services Committee; by Voice Vote 5/19/2016HouseDo Pass as Amended / Short Debate Human Services Committee; 013-000-000 5/19/2016HouseHouse Committee Amendment No. 1 Tabled Pursuant to Rule 40 5/19/2016HousePlaced on Calendar 2nd Reading - Short Debate 5/24/2016HouseSecond Reading - Short Debate 5/24/2016HousePlaced on Calendar Order of 3rd Reading - Short Debate 5/26/2016SenateAdded as Co-Sponsor Sen. Chris Nybo 5/26/2016SenateAdded as Co-Sponsor Sen. Wm. Sam McCann 5/27/2016SenateAdded as Co-Sponsor Sen. David S. Luechtefeld 5/27/2016SenateAdded as Co-Sponsor Sen. Chapin Rose 5/27/2016HouseThird Reading - Short Debate - Passed 108-001-000 5/27/2016SenateSecretary's Desk - Concurrence House Amendment(s) 2 5/27/2016SenatePlaced on Calendar Order of Concurrence House Amendment(s) 2 - May 29, 2016 5/27/2016SenateHouse Committee Amendment No. 2 Motion to Concur Filed with Secretary Sen. John G. Mulroe 5/27/2016SenateHouse Committee Amendment No. 2 Motion to Concur Referred to Assignments 5/29/2016SenateHouse Committee Amendment No. 2 Motion to Concur Assignments Referred to Public Health 5/31/2016SenateHouse Committee Amendment No. 2 Motion To Concur Recommended Do Adopt Public Health; 006-000-000 5/31/2016SenateHouse Committee Amendment No. 2 Senate Concurs 058-000-000 5/31/2016SenateSenate Concurs 5/31/2016SenatePassed Both Houses 6/29/2016SenateSent to the Governor 8/19/2016SenateGovernor Approved 8/19/2016SenateEffective Date January 1, 2017 8/19/2016SenatePublic Act . . . . . . . . . 99-0857