Illinois HB 2944: MEDICAID-EXTENDED HOSP STAYS

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
HB2944

Introduced 2/6/2025, by Rep. Ryan Spain 

SYNOPSIS AS INTRODUCED:

305 ILCS 5/5-65 new

 Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that for an extended hospital stay beyond medical necessity due to multiple failed attempts to place an emergency room patient who presented for dementia or other long-term care needs into a nursing or other long-term care facility, the Department of Healthcare and Family Services shall reimburse the hospital at a rate calculated to cover the entire hospital stay if (i) the hospital presents documentation, as prescribed by the Department, of multiple unsuccessful attempts to place the patient in a nursing or other long-term care facility and (ii) if each nursing or long-term care facility the hospital solicited for placement gave a substantially similar reason for denying the patient admission.

LRB104 10454 KTG 20529 b

A BILL FOR

HB2944LRB104 10454 KTG 20529 b

1 AN ACT concerning public aid.

2 Be it enacted by the People of the State of Illinois, 

3represented in the General Assembly:

4 Section 5. The Illinois Public Aid Code is amended by 

5adding Section 5-65 as follows:

6 (305 ILCS 5/5-65 new)

7 Sec. 5-65. Reimbursement for extended hospital stays for 

8dementia patient. For an extended hospital stay beyond medical 

9necessity due to multiple failed attempts to place an 

10emergency room patient who presented for dementia or other 

11long-term care needs into a nursing or other long-term care 

12facility, the Department of Healthcare and Family Services 

13shall reimburse the hospital at a rate calculated to cover the 

14entire hospital stay if (i) the hospital presents 

15documenta