HB 4851 Illinois House · 104th Regular Session

MEDICAID-MUIR RATE-VA CARE

Summary
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that, beginning on and after October 1, 2026, for rate year 2027 and thereafter, the Medicaid inpatient utilization rate used in the determination of eligibility for inpatient adjustment payments provided under the Code shall be modified to exclude from both the numerator and denominator all days of care funded by the U.S. Department of Veterans Affairs at a hospital approved to conduct its operations from more than one location within contiguous counties under a single license, if at the time of its licensing application the hospital was located in a county with fewer than 125,000 inhabitants and the hospital's second facility is located in a contiguous county with fewer than 235,000 inhabitants. Provides that, for purposes of the amendatory Act, days of care funded by the U.S. Department of Veterans Affairs include authorized VA community care provided at non-VA hospitals. Effective immediately.
Bill status in committee 1 of 4 stages cleared
Introduction
Feb 2026
Committee Review
Floor Vote
Governor
Introduced Feb 3, 2026 Last action May 14, 2026
Floor votes

How they voted

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Full legislative history

Actions timeline

Total actions
7
Key actions
1
Committee
4
Mar 27, 2026
Committee
Rule 19(a) / Re-referred to Rules Committee
lower
Mar 20, 2026
Lower · Passed
To Appropriations-Medicaid Subcommittee
lower
Mar 12, 2026
Committee
Assigned to Appropriations-Health and Human Services Committee
lower
Feb 6, 2026
Committee
Referred to Rules Committee
lower
1 primary · 1 co-sponsor

Sponsors