IllinoisSB1391104th General Assembly (2025–2026)Senate

MEDICAID-HOSPITAL RATES

Sponsored By: Kimberly A. Lightford (Democratic)

In Committee

Summary

Amends the Illinois Public Aid Code. In a provision in the Medical Assistance Article concerning safety-net hospitals, provides that, subject to federal approval, reimbursement rates for inpatient hospital services in effect January 1, 2025 under the All Patient Refined-Diagnosis Related Groups system shall be increased by 10% for safety-net hospitals; and reimbursement rates for outpatient hospital services in effect January 1, 2025 under the Enhanced Ambulatory Procedure Grouping system shall be increased by 10% for safety-net hospitals. Requires the Department of Healthcare and Family Services to take all actions necessary to ensure the rate increases for safety-net hospitals are in effect for dates of service on and after January 1, 2026, including publishing all appropriate public notices, applying for federal approval of amendments to the Illinois Title XIX State Plan, and adopting administrative rules if necessary. In the Hospital Services Trust Fund Article, provides that, subject to federal approval, reimbursement rates for inpatient hospital services in effect January 1, 2025 under the All Patient Refined-Diagnosis Related Groups system shall be increased by 10%; and reimbursement rates for outpatient hospital services in effect January 1, 2025 under the Enhanced Ambulatory Procedure Grouping system shall be increased by 10%. Requires the Department of Healthcare and Family Services to take all actions necessary to ensure the rate increases are in effect for dates of service on and after January 1, 2026, including publishing all appropriate public notices, applying for federal approval of amendments to the Illinois Title XIX State Plan, and adopting administrative rules if necessary. Effective immediately.

assignmentsappropriations- health and human services

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Bill Overview

No Economic Impacts Identified for this Bill

Sponsors & Cosponsors

Sponsor

  • Kimberly A. Lightford

    Democratic • Senate

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

No roll call votes available for this bill.

Actions Timeline

  1. Senate Committee Amendment No. 1 Rule 3-9(a) / Re-referred to Assignments

    6/2/2025Senate
  2. Rule 3-9(a) / Re-referred to Assignments

    6/2/2025Senate
  3. Rule 2-10 Committee/3rd Reading Deadline Established As June 1, 2025

    5/23/2025Senate
  4. Rule 2-10 Committee/3rd Reading Deadline Established As May 23, 2025

    5/9/2025Senate
  5. Rule 2-10 Committee Deadline Established As May 9, 2025

    4/11/2025Senate
  6. Rule 2-10 Committee Deadline Established As April 11, 2025

    3/21/2025Senate
  7. Senate Committee Amendment No. 1 Assignments Refers to Appropriations- Health and Human Services

    2/18/2025Senate
  8. Senate Committee Amendment No. 1 Referred to Assignments

    2/14/2025Senate
  9. Senate Committee Amendment No. 1 Filed with Secretary by Sen. Kimberly A. Lightford

    2/14/2025Senate
  10. Assigned to Appropriations- Health and Human Services

    2/4/2025Senate
  11. Referred to Assignments

    1/29/2025Senate
  12. First Reading

    1/29/2025Senate
  13. Filed with Secretary by Sen. Kimberly A. Lightford

    1/29/2025Senate

Bill Text

  • Introduced

  • Senate Amendment 1

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