# Illinois HB2665: DHFS-PACE-RATE REFORM

Illinois HB2665, DHFS-PACE-RATE REFORM, is a 104th General Assembly (2025–2026) House bill sponsored by Thaddeus Jones (Democratic); status in committee, last action 2026-03-27 (Rule 19(a) / Re-referred to Rules Committee) (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/IL-HB2665-2025-2026
- As of: 2026-11-01
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Illinois HB2665
- State: Illinois
- Session: 104th General Assembly (2025–2026)
- Title: DHFS-PACE-RATE REFORM
- Status: in committee
- Chamber: House
- Introduced: 2025-02-04
- Last action: 2026-03-27, Rule 19(a) / Re-referred to Rules Committee
- Sponsor: Thaddeus Jones (Democratic)
- Cosponsors: 1
- Subjects: appropriations-health and human services
- Touches household money: no
- Economic provisions PRIA read: 0

## Summary

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.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Thaddeus Jones (Democratic), House
- Cosponsor: Camille Y. Lilly (Democratic), House

## Actions (9)

- 2026-03-27: Rule 19(a) / Re-referred to Rules Committee (House)
- 2026-03-20: To Appropriations-Medicaid Subcommittee (House)
- 2026-03-12: Assigned to Appropriations-Health and Human Services Committee (House)
- 2025-04-10: Added Co-Sponsor Rep. Camille Y. Lilly (House)
- 2025-03-21: Rule 19(a) / Re-referred to Rules Committee (House)
- 2025-03-04: Assigned to Appropriations-Health and Human Services Committee (House)
- 2025-02-06: Referred to Rules Committee (House)
- 2025-02-06: First Reading (House)
- 2025-02-04: Filed with the Clerk by Rep. Thaddeus Jones (House)

## Bill text

- Introduced: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB2665.pdf)

## Related bills

- HB5198: AFFORDABLE HOUSING-CILAS (passed house)
- SB1937: PENSION CODE-VARIOUS (passed senate)
- HB2563: CONDO-RESERVE STUDY (in committee)
- HB4701: LIMITATIONS FACILITY FEES ACT (in committee)
- SB3008: DHS-ABLE PROGRAM INFO MATERIAL (passed senate)
- SB3484: VEH CD-PLATES-REGISTRATION (signed)

## Sources
- [Introduced (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB2665.pdf)

## Related
- [HB5198: AFFORDABLE HOUSING-CILAS](https://policyrisk.com/state-bill/IL-HB5198-2025-2026)
- [SB1937: PENSION CODE-VARIOUS](https://policyrisk.com/state-bill/IL-SB1937-2025-2026)
- [HB2563: CONDO-RESERVE STUDY](https://policyrisk.com/state-bill/IL-HB2563-2025-2026)
- [HB4701: LIMITATIONS FACILITY FEES ACT](https://policyrisk.com/state-bill/IL-HB4701-2025-2026)
- [SB3008: DHS-ABLE PROGRAM INFO MATERIAL](https://policyrisk.com/state-bill/IL-SB3008-2025-2026)
- [SB3484: VEH CD-PLATES-REGISTRATION](https://policyrisk.com/state-bill/IL-SB3484-2025-2026)
- [Illinois bills](https://policyrisk.com/states/illinois/bills)
- [Illinois state hub](https://policyrisk.com/states/illinois)
- [All state legislation](https://policyrisk.com/state-bills)

Source: PRIA, https://policyrisk.com/state-bill/IL-HB2665-2025-2026 (as of 2026-11-01).