MEDICAID-HOSPITAL RATES
Summary
Amends the Illinois Public Aid Code. In a provision in the Medical Assistance Article concerning safety-net hospitals, provides that, subject to federal approval, reimbursement rates for inpatient hospital services in effect January 1, 2025 under the All Patient Refined-Diagnosis Related Groups system shall be increased by 10% for safety-net hospitals; and reimbursement rates for outpatient hospital services in effect January 1, 2025 under the Enhanced Ambulatory Procedure Grouping system shall be increased by 10% for safety-net hospitals. Requires the Department of Healthcare and Family Services to take all actions necessary to ensure the rate increases for safety-net hospitals are in effect for dates of service on and after January 1, 2026, including publishing all appropriate public notices, applying for federal approval of amendments to the Illinois Title XIX State Plan, and adopting administrative rules if necessary. In the Hospital Services Trust Fund Article, provides that, subject to federal approval, reimbursement rates for inpatient hospital services in effect January 1, 2025 under the All Patient Refined-Diagnosis Related Groups system shall be increased by 10%; and reimbursement rates for outpatient hospital services in effect January 1, 2025 under the Enhanced Ambulatory Procedure Grouping system shall be increased by 10%. Requires the Department of Healthcare and Family Services to take all actions necessary to ensure the rate increases are in effect for dates of service on and after January 1, 2026, including publishing all appropriate public notices, applying for federal approval of amendments to the Illinois Title XIX State Plan, and adopting administrative rules if necessary. Effective immediately.
Bill status
in committee
1 of 4 stages cleared
Introduction
Jan 2025
Committee Review
Floor Vote
Governor
Introduced Jan 29, 2025
Last action Jun 2, 2025
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
13
Key actions
3
Committee
8
Amendments
1
Jun 2, 2025
Committee
Senate Committee Amendment No. 1 Rule 3-9(a) / Re-referred to Assignments
upper
Jun 2, 2025
Committee
Rule 3-9(a) / Re-referred to Assignments
upper
Apr 11, 2025
Upper · Passed
Rule 2-10 Committee Deadline Established As May 9, 2025
upper
Mar 21, 2025
Upper · Passed
Rule 2-10 Committee Deadline Established As April 11, 2025
upper
Feb 18, 2025
Upper · Passed
Senate Committee Amendment No. 1 Assignments Refers to Appropriations- Health and Human Services
upper
Feb 14, 2025
Committee
Senate Committee Amendment No. 1 Referred to Assignments
upper
Feb 14, 2025
Introduced
Senate Committee Amendment No. 1 Filed with Secretary by Sen. Kimberly A. Lightford
upper
Feb 4, 2025
Committee
Assigned to Appropriations- Health and Human Services
upper
Jan 29, 2025
Committee
Referred to Assignments
upper
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Kimberly Lightford
DDemocratic
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