IllinoisSB3900104th General Assembly (2025–2026)Senate

ALL-PAYER HEALTH CARE PAYMENT

Sponsored By: Lakesia Collins (Democratic)

In Committee

Summary

Creates the Illinois All-Payer Health Care Payment and Global Budget Act. Creates the Illinois Health Care Cost and Payment Board as an independent body within the Department of Healthcare and Family Services and sets forth its membership and powers. Defines "commercial payer" as any health insurance issuer, health maintenance organization, or third-party administrator subject to regulation by the Illinois Department of Insurance, excluding self-funded plans governed solely by ERISA. Provides that all commercial payers shall reimburse hospitals for covered services at standardized rates established by the Board. Defines "global hospital budget" as a prospective, fixed annual operating revenue amount established for a hospital to cover all inpatient and outpatient hospital services. Provides that the Board shall establish prospective annual global hospital budgets for Illinois hospitals. Provides that the Board shall establish a unified health care data system in coordination with State agencies. Creates the Health Care Payment Reform Advisory Council to advise the Board. Provides that the Governor, in consultation with the Board, shall seek all necessary federal approvals, including Medicare demonstrations and Medicaid waivers, to implement the Act. Amends the Illinois Administrative Procedure Act, Hospital Licensing Act, Illinois Insurance Code, Health Maintenance Organization Act, and Illinois Public Aid Code with regard to the new Act. Contains a severability clause. Effective immediately.

assignmentsappropriations- health and human services

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Bill Overview

No Economic Impacts Identified for this Bill

Sponsors & Cosponsors

Sponsor

  • Lakesia Collins

    Democratic • Senate

Cosponsors

  • David Koehler

    Democratic • Senate

  • Graciela Guzmán

    Democratic • Senate

  • Javier L. Cervantes

    Democratic • Senate

  • Karina Villa

    Democratic • Senate

  • Mary Edly-Allen

    Democratic • Senate

  • Rachel Ventura

    Democratic • Senate

Roll Call Votes

No roll call votes available for this bill.

Actions Timeline

  1. Rule 3-9(a) / Re-referred to Assignments

    5/22/2026Senate
  2. Rule 2-10 Committee/3rd Reading Deadline Established As May 22, 2026

    5/15/2026Senate
  3. Added as Co-Sponsor Sen. Karina Villa

    4/30/2026Senate
  4. Added as Co-Sponsor Sen. David Koehler

    4/30/2026Senate
  5. Rule 2-10 Committee/3rd Reading Deadline Established As May 15, 2026

    4/24/2026Senate
  6. Added as Co-Sponsor Sen. Mary Edly-Allen

    3/31/2026Senate
  7. Rule 2-10 Committee Deadline Established As April 24, 2026

    3/13/2026Senate
  8. Added as Chief Co-Sponsor Sen. Graciela Guzmán

    2/26/2026Senate
  9. Added as Co-Sponsor Sen. Javier L. Cervantes

    2/25/2026Senate
  10. Assigned to Appropriations- Health and Human Services

    2/24/2026Senate
  11. Added as Co-Sponsor Sen. Rachel Ventura

    2/9/2026Senate
  12. Referred to Assignments

    2/6/2026Senate
  13. First Reading

    2/6/2026Senate
  14. Filed with Secretary by Sen. Lakesia Collins

    2/6/2026Senate

Bill Text

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