SB 3900 Illinois Senate · 104th Regular Session

ALL-PAYER HEALTH CARE PAYMENT

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.
Bill status in committee 1 of 4 stages cleared
Introduction
Feb 2026
Committee Review
Floor Vote
Governor
Introduced Feb 6, 2026 Last action May 22, 2026
Floor votes

How they voted

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Full legislative history

Actions timeline

Total actions
14
Key actions
1
Committee
4
May 22, 2026
Committee
Rule 3-9(a) / Re-referred to Assignments
upper
Mar 13, 2026
Upper · Passed
Rule 2-10 Committee Deadline Established As April 24, 2026
upper
Feb 24, 2026
Committee
Assigned to Appropriations- Health and Human Services
upper
Feb 6, 2026
Committee
Referred to Assignments
upper
1 primary · 6 co-sponsors

Sponsors