NURSING HOME SURVEYOR REPORT
Summary
Amends the Nursing Home Care Act. Replaces reporting requirement provisions for the Department of Public Health concerning nurse surveyors. Provides that, in addition to the listed information, the Department's annual report on all survey activity from the preceding fiscal year shall include: (i) the total number of authorized nursing home surveyor positions within the Department, (ii) the total number of filled and vacant nursing home surveyor positions, (iii) the average length of tenure for nursing home surveyors employed by the Department at the time the report is created, and (iv) any additional information the Department deems relevant regarding nursing home surveyor recruitment, retention, or workload.
Bill status
signed
all 5 stages cleared
Introduction
Apr 2026
Committee Review
May 2026
Senate Passage
May 2026
House Passage
May 2026
Signed into Law
Jul 2026
Introduced Apr 17, 2026
Signed Jul 10, 2026
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What changed between versions
Engrossed
→
Enrolled
·
5 edits
·
Jul 10, 2026
MODERATE
The bill was amended to shift its focus from the Nursing Home Care Act to the Illinois Public Aid Code, specifically updating the rules for Medicaid reimbursement in nursing facilities. The primary change replaces the old reimbursement methodology with a new Patient Driven Payment Model (PDPM) system, which adjusts payments based on resident acuity and facility-specific staffing data rather than a standard rate. This update includes specific implementation dates tied to federal approval and sets new formulas for calculating staffing add-ons to ensure facilities are paid appropriately based on their actual care needs.
Scope change
The bill's scope changed from regulating general nursing home complaints and investigations to specifically governing the payment and reimbursement rates for nursing facilities under the Medicaid program.
SCOPE
The act amended was changed from the Nursing Home Care Act to the Illinois Public Aid Code, shifting the focus from complaint procedures to financial reimbursement.
REQUIREMENT
A new Patient Driven Payment Model (PDPM) was established, requiring reimbursement to be based on resident-centered, cost-based factors including acuity and facility-specific staffing.
The methodology for calculating staffing add-ons was updated to use specific ratios and targets that change over time, with different formulas applying before and after January 1, 2025.
TIMELINE
The implementation date for the new reimbursement system was set for July 1, 2022, with a potential delay to October 1, 2022, if federal approval or rule filing deadlines were not met.
DEFINITION
New definitions and formulas were added to calculate a 'PDPM STRIVE Staffing Ratio' to determine the per diem staffing add-on, using data from federal Provider Information Files.
Floor votes · Senate Apr 16, 2026 · House May 22, 2026
How they voted
56–0
Passed · 2 other
Total votes 58
Apr 16, 2026
D
Democratic39
94% Yea
R
Republican19
100% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
56
Key actions
14
Committee
18
Amendments
8
Jul 10, 2026
Signed into law
Governor Approved
upper
May 31, 2026
Upper · Passed
Passed Both Houses
upper
May 31, 2026
Introduced
House Floor Amendment No. 2 Senate Concurs 058-000-000
upper
May 31, 2026
Upper · Passed
House Committee Amendment No. 1 Senate Concurs 058-000-000
upper
May 28, 2026
Introduced
House Floor Amendment No. 2 Motion To Concur Recommended Do Adopt Health and Human Services; 009-000-000
upper
May 28, 2026
Upper · Passed
House Committee Amendment No. 1 Motion To Concur Recommended Do Adopt Health and Human Services; 009-000-000
upper
May 28, 2026
Committee
House Floor Amendment No. 2 Motion to Concur Assignments Referred to Health and Human Services
upper
May 28, 2026
Committee
House Committee Amendment No. 1 Motion to Concur Assignments Referred to Health and Human Services
upper
May 28, 2026
Committee
House Floor Amendment No. 2 Motion to Concur Referred to Assignments
upper
May 28, 2026
Committee
House Committee Amendment No. 1 Motion to Concur Referred to Assignments
upper
May 22, 2026
Introduced
Placed on Calendar Order of Concurrence House Amendment(s) 1, 2 - May 25, 2026
upper
May 22, 2026
Introduced
Secretary's Desk - Concurrence House Amendment(s) 1, 2
upper
May 22, 2026
Lower · Passed
Third Reading - Short Debate - Passed 098-000-000
lower
May 21, 2026
Lower · Passed
House Floor Amendment No. 2 Adopted by Voice Vote
lower
May 20, 2026
Lower · Passed
House Floor Amendment No. 2 Recommends Be Adopted Human Services Committee; 011-000-000
lower
May 15, 2026
Lower · Passed
House Floor Amendment No. 2 Rules Refers to Human Services Committee
lower
May 14, 2026
Committee
House Floor Amendment No. 2 Referred to Rules Committee
lower
May 14, 2026
Introduced
House Floor Amendment No. 2 Filed with Clerk by Rep. Justin Slaughter
lower
May 13, 2026
Lower · Passed
Do Pass as Amended / Short Debate Human Services Committee; 012-000-000
lower
May 13, 2026
Lower · Passed
House Committee Amendment No. 1 Adopted in Human Services Committee; by Voice Vote
lower
May 12, 2026
Lower · Passed
House Committee Amendment No. 1 Rules Refers to Human Services Committee
lower
May 7, 2026
Lower · Passed
Committee Deadline Extended-Rule 9(b) May 15, 2026
lower
May 5, 2026
Committee
House Committee Amendment No. 1 Referred to Rules Committee
lower
May 5, 2026
Introduced
House Committee Amendment No. 1 Filed with Clerk by Rep. Justin Slaughter
lower
Apr 27, 2026
Committee
Assigned to Human Services Committee
lower
Apr 17, 2026
Committee
Referred to Rules Committee
lower
Apr 17, 2026
Introduced
Arrived in House
lower
Apr 16, 2026
Upper · Passed
Third Reading - Passed; 057-000-000
upper
Mar 4, 2026
Upper · Passed
Do Pass Health and Human Services; 009-000-000
upper
Feb 24, 2026
Committee
Assigned to Health and Human Services
upper
Feb 6, 2026
Committee
Referred to Assignments
upper
2 primary · 7 co-sponsors
Sponsors
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