IllinoisHB4914104th General Assembly (2025–2026)House

MEDICAID-STRIVE

Sponsored By: Natalie A. Manley

In Committee

Summary

Amends the Medical Assistance Article of the Illinois Public Aid Code. Sets per diem add-on rates, beginning January 1, 2027, for nursing facilities based on a facility's STRIVE study staffing levels. Provides that no nursing facility's variable staffing per diem add-on shall be reduced by more than 5% in 2 consecutive quarters; and that no facility below 73% of the staffing indicated by the STRIVE study shall receive a variable per diem staffing add-on after December 31, 2026. Provides that beginning January 1, 2027, the Department of Healthcare and Family Services must split the support rate into its cost report based parts, general services and general administration. Provides that the general services portion shall be referred to as "Support - non-nurse staff" and the general administration portion shall be referred to as "Support - Administrative". Makes other changes. Effective immediately.

appropriations-health and human services

Personalized for You

How does this bill affect your finances?

Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.

Bill Overview

No Economic Impacts Identified for this Bill

Sponsors & Cosponsors

Sponsor

  • Natalie A. Manley

    Affiliation unavailable

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

No roll call votes available for this bill.

Actions Timeline

  1. Rule 19(a) / Re-referred to Rules Committee

    3/27/2026House
  2. To Appropriations-Medicaid Subcommittee

    3/20/2026House
  3. Assigned to Appropriations-Health and Human Services Committee

    3/4/2026House
  4. Referred to Rules Committee

    2/6/2026House
  5. First Reading

    2/6/2026House
  6. Filed with the Clerk by Rep. Natalie A. Manley

    2/3/2026House

Bill Text

Related Bills

Back to State Legislation