HB 5313 Illinois House · 104th Regular Session

MEDICAID-READMISSION DATA

Summary

Amends the Medical Assistance Article of the Illinois Public Aid Code. Removes provisions requiring the Department of Healthcare and Family Services to: (i) establish benchmarks for hospitals to measure and align payments to reduce potentially preventable hospital readmissions, inpatient complications, and unnecessary emergency room visits; (ii) publish provider-specific historical readmission data and anticipated potentially preventable targets 60 days prior to the start of the program; and (iii) adopt policies and rates of reimbursement for readmission services and other payments.

Issues: ✗ Healthcare

Bill status passed 3 of 5 stages cleared

Introduction

Apr 2026

Committee Review

Apr 2026

House Passage

Apr 2026

Senate Passage

Governor

Introduced Apr 10, 2026 Last action Apr 17, 2026

Maddy AI version diff · 1 comparison

What changed between versions

Introduced → Engrossed · 3 edits · Apr 9, 2026

MINOR

The bill was amended to remove a section requiring the Department of Healthcare and Family Services to establish benchmarks for reducing preventable hospital readmissions. This deletion eliminates the mandate for the state to publish provider-specific readmission data and set reimbursement rates to achieve specific cost savings targets. The change effectively removes a requirement for the state to actively manage and financially penalize hospitals for patient readmissions.

Scope change

The bill's scope was narrowed by removing a specific subsection (Section 5-5f(d)) that mandated the Department of Healthcare and Family Services to implement a readmission reduction program.

REQUIREMENT

Deleted the requirement for the state to establish benchmarks and payment alignment strategies to reduce preventable hospital readmissions.

Removed the mandate for the Department to publish provider-specific historical readmission data and anticipated targets 60 days before the program starts.

Eliminated the requirement for the Department to adopt specific policies and reimbursement rates for readmission services to ensure a $40 million reduction in hospital expenditures.

Floor votes · House Apr 9, 2026

How they voted

104–0

Passed · 12 other

Total votes 116

Apr 9, 2026

D Democratic76

68 Yea 8

89% Yea

R Republican40

36 Yea 4

90% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Apr 17, 2026

Committee

Referred to Assignments

upper

Apr 10, 2026

Introduced

Arrive in Senate

upper

Apr 9, 2026

Lower · Passed

Third Reading - Short Debate - Passed 107-000-000

lower

Mar 19, 2026

Lower · Passed

Do Pass / Short Debate Human Services Committee; 011-000-000

lower

Feb 24, 2026

Committee

Assigned to Human Services Committee

lower

Feb 10, 2026

Committee

Referred to Rules Committee

lower

2 primary · 0 co-sponsors