# Illinois SB1490: MEDICAID-STRIVE CALCULATIONS

Illinois SB1490, MEDICAID-STRIVE CALCULATIONS, is a 104th General Assembly (2025–2026) Senate bill sponsored by Mary Edly-Allen (Democratic); status in committee, last action 2025-05-19 (Added as Co-Sponsor Sen. Doris Turner) (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/IL-SB1490-2025-2026
- As of: 2026-11-01
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Illinois SB1490
- State: Illinois
- Session: 104th General Assembly (2025–2026)
- Title: MEDICAID-STRIVE CALCULATIONS
- Status: in committee
- Chamber: Senate
- Introduced: 2025-01-31
- Last action: 2025-05-19, Added as Co-Sponsor Sen. Doris Turner
- Sponsor: Mary Edly-Allen (Democratic)
- Cosponsors: 3
- Subjects: assignments
- Touches household money: no
- Economic provisions PRIA read: 0

## Summary

Amends the Medical Assistance Article of the Illinois Public Aid Code. In provisions concerning PDPM STRIVE staffing ratio calculations for nursing facilities, provides that beginning January 1, 2025, the staffing percentage used in the calculation of the per diem staffing add-on shall be its PDPM STRIVE Staffing Ratio which equals: its Reported Total Nurse Staffing Hours Per Resident Per Day as published in the most recent federal staffing report (the Provider Information file), divided by the facility's PDPM STRIVE Staffing Target. Provides that each facility's PDPM STRIVE Staffing Target is equal to .76 times the facility's Illinois Adjusted Facility Case-Mix Hours Per Resident Per Day. Provides that a facility's Illinois Adjusted Facility Case-Mix Hours Per Resident Per Day is equal to its Nursing Case-Mix (as published in the most recent federal Provider Information file) divided by 1.4627 times 3.79 (which is the Reported Total Nurse Staffing Hours Per Resident Per Day for the Nation as reported in the January 2024 State US Averages file). Effective July 1, 2025.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Mary Edly-Allen (Democratic), Senate
- Cosponsor: Adriane L. Johnson (Democratic), Senate
- Cosponsor: Doris Turner (Democratic), Senate
- Cosponsor: Willie Preston (Democratic), Senate

## Actions (6)

- 2025-05-19: Added as Co-Sponsor Sen. Doris Turner (Senate)
- 2025-04-02: Added as Co-Sponsor Sen. Adriane L. Johnson (Senate)
- 2025-04-02: Added as Co-Sponsor Sen. Willie Preston (Senate)
- 2025-01-31: Referred to Assignments (Senate)
- 2025-01-31: First Reading (Senate)
- 2025-01-31: Filed with Secretary by Sen. Mary Edly-Allen (Senate)

## Bill text

- Introduced: [PDF](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB1490.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/SB/PDF/10400SB1490.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-SB1490-2025-2026 (as of 2026-11-01).