# Illinois SB3833: MEDICAID ACCESS ADJUSTMENT Illinois SB3833, MEDICAID ACCESS ADJUSTMENT, is a 104th General Assembly (2025–2026) Senate bill sponsored by Elgie R. Sims, Jr. (Democratic); status in committee, last action 2026-05-22 (Rule 3-9(a) / Re-referred to Assignments) (as of 2026-10-25). - Canonical: https://policyrisk.com/state-bill/IL-SB3833-2025-2026 - As of: 2026-10-25 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Illinois SB3833 - State: Illinois - Session: 104th General Assembly (2025–2026) - Title: MEDICAID ACCESS ADJUSTMENT - Status: in committee - Chamber: Senate - Introduced: 2026-02-06 - Last action: 2026-05-22, Rule 3-9(a) / Re-referred to Assignments - Sponsor: Elgie R. Sims, Jr. (Democratic) - Cosponsors: 40 - Subjects: assignments, appropriations- health and human services - Touches household money: no - Economic provisions PRIA read: 0 ## Summary Amends the Medical Assistance Article of the Illinois Public Aid Code. In provisions concerning the Medicaid Access Adjustment payments to nursing facilities, provides that for dates of service beginning January 1, 2027, the Medicaid Access Adjustment shall be increased by $5.75 to $10.50 per diem. Provides that beginning January 1, 2027, facilities located outside of Rate Areas 6, 7, and 8 shall have the Medicaid percent of occupied bed days to be at least 60% of all occupied bed days adjusted quarterly to qualify for the Medicaid Access Adjustment. Provides that the remaining facilities shall have their threshold remain at 70%. ## Bill overview No economic impacts identified for this bill. ## Sponsors and cosponsors - Sponsor: Elgie R. Sims, Jr. (Democratic), Senate - Cosponsor: Andrew S. Chesney (Republican), Senate - Cosponsor: Christopher Belt (Democratic), Senate - Cosponsor: Craig Wilcox (Republican), Senate - Cosponsor: Cristina Castro (Democratic), Senate - Cosponsor: Dale Fowler (Republican), Senate - Cosponsor: Darby A. Hills (Republican), Senate - Cosponsor: Dave Syverson (Republican), Senate - Cosponsor: David Koehler (Democratic), Senate - Cosponsor: Donald P. DeWitte (Republican), Senate - Cosponsor: Doris Turner (Democratic), Senate - Cosponsor: Emil Jones, III (Democratic), Senate - Cosponsor: Erica Harriss (Republican), Senate - Cosponsor: Javier L. Cervantes (Democratic), Senate - Cosponsor: Jil Tracy (Republican), Senate - Cosponsor: John F. Curran (Republican), Senate - Cosponsor: Julie A. Morrison (Democratic), Senate - Cosponsor: Karina Villa (Democratic), Senate - Cosponsor: Kimberly A. Lightford (Democratic), Senate - Cosponsor: Lakesia Collins (Democratic), Senate - Cosponsor: Laura Fine (Democratic), Senate - Cosponsor: Li Arellano, Jr. (Republican), Senate - Cosponsor: Linda Holmes (Democratic), Senate - Cosponsor: Mattie Hunter (Democratic), Senate - Cosponsor: Meg Loughran Cappel (Democratic), Senate - Cosponsor: Mike Porfirio (Democratic), Senate - Cosponsor: Mike Simmons (Democratic), Senate - Cosponsor: Napoleon Harris III (Democratic), Senate - Cosponsor: Patrick J. Joyce (Democratic), Senate - Cosponsor: Paul Faraci (Democratic), Senate - Cosponsor: Rachel Ventura (Democratic), Senate - Cosponsor: Ram Villivalam (Democratic), Senate - Cosponsor: Robert F. Martwick (Democratic), Senate - Cosponsor: Sally J. Turner (Republican), Senate - Cosponsor: Sara Feigenholtz (Democratic), Senate - Cosponsor: Seth Lewis (Republican), Senate - Cosponsor: Steve McClure (Republican), Senate - Cosponsor: Steve Stadelman (Democratic), Senate - Cosponsor: Suzy Glowiak Hilton (Democratic), Senate - Cosponsor: Terri Bryant (Republican), Senate - Cosponsor: Willie Preston (Democratic), Senate ## Actions (48) - 2026-05-22: Rule 3-9(a) / Re-referred to Assignments (Senate) - 2026-05-21: Added as Co-Sponsor Sen. Kimberly A. Lightford (Senate) - 2026-05-21: Added as Co-Sponsor Sen. Willie Preston (Senate) - 2026-05-21: Added as Co-Sponsor Sen. Mike Simmons (Senate) - 2026-05-20: Added as Co-Sponsor Sen. Ram Villivalam (Senate) - 2026-05-19: Added as Co-Sponsor Sen. Robert F. Martwick (Senate) - 2026-05-15: Rule 2-10 Committee/3rd Reading Deadline Established As May 22, 2026 (Senate) - 2026-05-14: Added as Co-Sponsor Sen. Rachel Ventura (Senate) - 2026-05-13: Added as Co-Sponsor Sen. Craig Wilcox (Senate) - 2026-05-13: Added as Co-Sponsor Sen. Javier L. Cervantes (Senate) - 2026-05-12: Added as Co-Sponsor Sen. Steve McClure (Senate) - 2026-05-08: Added as Co-Sponsor Sen. Sara Feigenholtz (Senate) - 2026-05-07: Added as Co-Sponsor Sen. Lakesia Collins (Senate) - 2026-05-07: Added as Co-Sponsor Sen. Patrick J. Joyce (Senate) - 2026-05-05: Added as Co-Sponsor Sen. Suzy Glowiak Hilton (Senate) - 2026-04-30: Added as Co-Sponsor Sen. Karina Villa (Senate) - 2026-04-30: Added as Co-Sponsor Sen. Terri Bryant (Senate) - 2026-04-29: Added as Co-Sponsor Sen. Darby A. Hills (Senate) - 2026-04-29: Added as Co-Sponsor Sen. Li Arellano, Jr. (Senate) - 2026-04-29: Added as Co-Sponsor Sen. Erica Harriss (Senate) - 2026-04-29: Added as Co-Sponsor Sen. Dale Fowler (Senate) - 2026-04-29: Added as Co-Sponsor Sen. Donald P. DeWitte (Senate) - 2026-04-29: Added as Co-Sponsor Sen. Jil Tracy (Senate) - 2026-04-29: Added as Co-Sponsor Sen. Seth Lewis (Senate) - 2026-04-29: Added as Co-Sponsor Sen. Andrew S. Chesney (Senate) - 2026-04-29: Added as Co-Sponsor Sen. Steve Stadelman (Senate) - 2026-04-29: Added as Co-Sponsor Sen. Emil Jones, III (Senate) - 2026-04-28: Added as Co-Sponsor Sen. Napoleon Harris III (Senate) - 2026-04-28: Added as Co-Sponsor Sen. Sally J. Turner (Senate) - 2026-04-28: Added as Co-Sponsor Sen. John F. Curran (Senate) - 2026-04-28: Added as Co-Sponsor Sen. Doris Turner (Senate) - 2026-04-24: Added as Co-Sponsor Sen. Laura Fine (Senate) - 2026-04-24: Rule 2-10 Committee/3rd Reading Deadline Established As May 15, 2026 (Senate) - 2026-04-23: Added as Chief Co-Sponsor Sen. Dave Syverson (Senate) - 2026-04-22: Added as Co-Sponsor Sen. Mike Porfirio (Senate) - 2026-04-22: Added as Co-Sponsor Sen. Julie A. Morrison (Senate) - 2026-04-21: Added as Co-Sponsor Sen. Meg Loughran Cappel (Senate) - 2026-04-16: Added as Co-Sponsor Sen. Paul Faraci (Senate) - 2026-04-15: Added as Co-Sponsor Sen. Cristina Castro (Senate) - 2026-04-10: Added as Chief Co-Sponsor Sen. Christopher Belt (Senate) - 2026-04-10: Added as Chief Co-Sponsor Sen. Linda Holmes (Senate) - 2026-04-09: Added as Co-Sponsor Sen. David Koehler (Senate) - 2026-04-07: Added as Chief Co-Sponsor Sen. Mattie Hunter (Senate) - 2026-03-13: Rule 2-10 Committee Deadline Established As April 24, 2026 (Senate) - 2026-02-24: Assigned to Appropriations- Health and Human Services (Senate) - 2026-02-06: Referred to Assignments (Senate) - 2026-02-06: First Reading (Senate) - 2026-02-06: Filed with Secretary by Sen. Elgie R. Sims, Jr. (Senate) ## Bill text - Introduced: [PDF](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB3833.pdf) ## Related bills - SB1937: PENSION CODE-VARIOUS (passed senate) - HB5198: AFFORDABLE HOUSING-CILAS (passed house) - 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/10400SB3833.pdf) ## Related - [SB1937: PENSION CODE-VARIOUS](https://policyrisk.com/state-bill/IL-SB1937-2025-2026) - [HB5198: AFFORDABLE HOUSING-CILAS](https://policyrisk.com/state-bill/IL-HB5198-2025-2026) - [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-SB3833-2025-2026 (as of 2026-10-25).