IllinoisHB2507104th General Assembly (2025–2026)House

MEDICAID-NURSING PAYMENTS

Sponsored By: Kelly M. Cassidy (Democratic)

In Committee

Summary

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that for the calendar year beginning January 1, 2026, and each calendar year thereafter, a nursing facility must spend at least 90% of its adjusted total revenue on resident care and other resident-related costs, as defined. Requires each nursing facility to provide as part of its financial reporting information necessary for the Department of Healthcare and Family Services to administer and enforce the provisions of the amendatory Act. Provides that such information shall be subject to audit provisions and comply with any applicable uniform standards under the Code. Provides that all non-allowable costs, related party adjustments, or compensation to owners reported shall be excluded from the calculation of the amount spent on resident care and other resident-related costs. Requires 25% of costs associated with contract nursing staff to be deducted from the amount spent on resident care and other resident-related costs. Provides that for the calendar year beginning January 1, 2027, and each calendar year thereafter, the Department shall use the required financial reporting submissions to determine whether each nursing facility has met the minimum resident care percent requirement. Provides that if a facility has not met the minimum resident care percent requirement, the amount defined by the facility's total adjusted revenue shall be treated as a vendor overpayment. Requires the Department to recover the full amount of any vendor overpayment by reducing future payments, requiring direct payment to the Department, or any other method permitted under the Code. Requires the Department to adopt rules.

appropriations-health and human services

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Bill Overview

No Economic Impacts Identified for this Bill

Sponsors & Cosponsors

Sponsor

  • Kelly M. Cassidy

    Democratic • House

Cosponsors

  • Abdelnasser Rashid

    Democratic • House

  • Amy Briel

    Democratic • House

  • Angelica Guerrero-Cuellar

    Democratic • House

  • Barbara Hernandez

    Democratic • House

  • Curtis J. Tarver, II

    Democratic • House

  • Dagmara Avelar

    Democratic • House

  • Diane Blair-Sherlock

    Democratic • House

  • Edgar González, Jr.

    Democratic • House

  • Gregg Johnson

    Democratic • House

  • Jaime M. Andrade, Jr.

    Democratic • House

  • Jehan Gordon-Booth

    Democratic • House

  • Joyce Mason

    Democratic • House

  • Justin Slaughter

    Democratic • House

  • Kam Buckner

    Democratic • House

  • Kevin John Olickal

    Democratic • House

  • La Shawn K. Ford

    Democratic • House

  • Laura Faver Dias

    Democratic • House

  • Lilian Jiménez

    Democratic • House

  • Lisa Davis

    Democratic • House

  • Marcus C. Evans, Jr.

    Democratic • House

  • Mary Beth Canty

    Democratic • House

  • Maura Hirschauer

    Democratic • House

  • Maurice A. West, II

    Democratic • House

  • Michael Crawford

    Democratic • House

  • Michelle Mussman

    Democratic • House

  • Nabeela Syed

    Democratic • House

  • Nicolle Grasse

    Democratic • House

  • Norma Hernandez

    Democratic • House

  • Rita Mayfield

    Democratic • House

  • Sonya M. Harper

    Democratic • House

  • Stephanie A. Kifowit

    Democratic • House

  • Theresa Mah

    Democratic • House

  • Yolonda Morris

    Democratic • House

Roll Call Votes

No roll call votes available for this bill.

Actions Timeline

  1. Added Co-Sponsor Rep. Edgar González, Jr.

    4/23/2025House
  2. Added Co-Sponsor Rep. Dagmara Avelar

    4/23/2025House
  3. Added Co-Sponsor Rep. Gregg Johnson

    4/23/2025House
  4. Added Co-Sponsor Rep. Kam Buckner

    4/10/2025House
  5. Added Co-Sponsor Rep. Michelle Mussman

    4/10/2025House
  6. Added Co-Sponsor Rep. Amy Briel

    4/10/2025House
  7. Added Co-Sponsor Rep. Barbara Hernandez

    4/9/2025House
  8. Added Co-Sponsor Rep. Rita Mayfield

    4/9/2025House
  9. Added Co-Sponsor Rep. Curtis J. Tarver, II

    3/31/2025House
  10. Added Co-Sponsor Rep. Theresa Mah

    3/27/2025House
  11. Added Co-Sponsor Rep. Michael Crawford

    3/27/2025House
  12. Added Co-Sponsor Rep. Nicolle Grasse

    3/27/2025House
  13. Added Co-Sponsor Rep. Joyce Mason

    3/27/2025House
  14. Added Co-Sponsor Rep. Jaime M. Andrade, Jr.

    3/26/2025House
  15. Rule 19(a) / Re-referred to Rules Committee

    3/21/2025House
  16. Added Co-Sponsor Rep. Lisa Davis

    3/19/2025House
  17. Added Co-Sponsor Rep. Angelica Guerrero-Cuellar

    3/13/2025House
  18. Added Co-Sponsor Rep. Sonya M. Harper

    3/13/2025House
  19. Added Co-Sponsor Rep. Lilian Jiménez

    3/13/2025House
  20. Added Co-Sponsor Rep. Norma Hernandez

    3/13/2025House
  21. Added Co-Sponsor Rep. Abdelnasser Rashid

    3/13/2025House
  22. Added Co-Sponsor Rep. Maurice A. West, II

    3/13/2025House
  23. Added Co-Sponsor Rep. Mary Beth Canty

    3/13/2025House
  24. Added Co-Sponsor Rep. Jehan Gordon-Booth

    3/6/2025House
  25. Added Co-Sponsor Rep. Laura Faver Dias

    3/6/2025House

Bill Text

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