IllinoisHB5774104th General Assembly (2025–2026)House

MEDICAID-PAYMENT RATES-FQHCS

Sponsored By: Justin Slaughter

In Committee

Summary

Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to seek a State Plan amendment from the Centers for Medicare and Medicaid Services regarding a prospective cost-reimbursement methodology for services provided by federally qualified health centers (FQHC) and FQHC Look-Alikes (LALs). Requires the State Plan amendment to include the following: (1) Prospective Payment System (PPS) rates for FQHCs; (2) a rate adjustment process; (3) a rate setting for new FQHCs; (4) payment in the event of Medicaid managed care; (5) payment in the event of dual enrollment in Medicare and Medicaid; and (6) appeal rights.

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Bill Overview

No Economic Impacts Identified for this Bill

Sponsors & Cosponsors

Sponsor

  • Justin Slaughter

    Affiliation unavailable

Cosponsors

  • Nabeela Syed

    Affiliation unavailable

  • Robyn Gabel

    Affiliation unavailable

  • Theresa Mah

    Affiliation unavailable

Roll Call Votes

No roll call votes available for this bill.

Actions Timeline

  1. Added Co-Sponsor Rep. Nabeela Syed

    5/25/2026House
  2. Added Co-Sponsor Rep. Robyn Gabel

    5/22/2026House
  3. Added Co-Sponsor Rep. Theresa Mah

    5/19/2026House
  4. Referred to Rules Committee

    5/14/2026House
  5. First Reading

    5/14/2026House
  6. Filed with the Clerk by Rep. Justin Slaughter

    5/13/2026House

Bill Text

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