Healthcare (Hospitals)

Creates the Hospital Price Transparency Act. Provides that a hospital shall publish specified information regarding standard charges on its publicly accessible Internet website and provide hard copies upon request. Requires a hospital to maintain a list of all standard charges for all hospital items or services in accordance with the Act and ensure that the list is always available to the public, including publishing the list electronically in the specified manner. Provides that the list shall include a description of each hospital item or service provided by the hospital; specified charges for each individual hospital item or service when provided in either an inpatient setting or an outpatient department setting, as applicable; and a code used by the hospital for the purpose of accounting or billing for the hospital item or service, including the Current Procedural Terminology (CPT) code, the Healthcare Common Procedure Coding System (HCPCS) code, the Diagnosis Related Group (DRG) code, the National Drug Code (NDC), or other common identifiers. Requires a hospital to maintain and make publicly available a list of the standard charges for each of at least 300 shoppable services provided by the hospital with charges specific to that individual hospital location, except as specified in the Act. Sets forth provisions concerning duties of hospitals and the Department of Public Health relating to lists of all standard and shoppable charges; reporting requirements for hospitals; submission of complaints for violations of the Act; plans of correction for violations of the Act; sanctions and penalties; disclosure of facility fees; reporting requirements for the Department; and restrictions on hospitals initiating or pursuing a collection action if they are in violation of the Act. Effective July 1, 2026.

Amends the Accident and Health Article of the Illinois Insurance Code. Provides that no health insurer may charge a patient out-of-network rates for neonatal care at any hospital.

Appropriates $2,500,000 to the State Board of Education for the purpose of a grant to the Ann and Robert H. Lurie Children's Hospital of Chicago's Center for Childhood Resilience for the Resilience Education to Advance Community Healing Statewide Initiative and Resilience-Supportive Schools Illinois program. Effective July 1, 2025.

Creates the Hospital Staffing Plans Act. Provides that for each hospital there shall be established a hospital professional and technical staffing committee. Sets forth requirements and makeup of committee members and cochairs. Directs the professional and technical staffing committee to develop a written hospital-wide professional and technical staffing plan. Sets forth committee rules of operation. Requires the plan to be consistent with the approved nurse staffing plan for the hospital and takes into account the hospital service staffing plan for the hospital. Provides that if the committee does not adopt a staffing plan, or adopts only part of a plan, then either cochair may invoke an additional 60 day period to continue to develop the plan. Sets forth opportunities to extend the discussion, amendment, or adoption timeframe of the staffing plan. Provides that the committee must meet 3 times per year and additionally at the call of either cochair. Sets forth open meeting and recordkeeping requirements. Requires the hospital to submit the staffing plan to the Department of Public Health. Provides for a hospital service staffing plan in the same manner and methods as the professional and technical staffing committee. Provides that hospitals may combine 2 or more staffing committees into one committee in particular circumstances. Provides for a nurse staffing committee as the same manner and methods of the professional and technical staffing committee. Provides that hospitals may combine 2 or more staffing committees into one committee in particular circumstances. Sets forth the roles and responsibilities of a nurse in a hospital setting. Sets forth arbitration and complaint resolution. Sets forth required periodic reviews. Provides for penalties for violations of the Act. Provides that the Department of Labor may grant a variance to a written hospital-wide staffing plan. Provides for emergency staffing variances. Establishes the Nurse Staffing Advisory Board within the Department of Public Health. Effective immediately.

Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires hospitals and birthing centers to adopt and maintain written policies and procedures authorizing a patient enrolled in the medical assistance program to select an Illinois Medicaid certified and enrolled doula of the patient's choice to accompany the patient within the facility's premises for the purposes of providing support before, during, and after labor and childbirth, and during the patient's entire postpartum stay. Provides that the doula shall be considered part of the patient's care team and shall not be counted as a support person or against any guest quota. Requires hospitals and birthing centers to provide a written copy of their policies and procedures to maternity patients, the facilities' maternity health care providers, and any other person at the patient's request. Requires publication of the written policies on each facility's website. Contains provisions concerning hospital and birthing center liaisons and doulas certification acknowledgment requirements. Permits the Department of Healthcare and Family Services and the Department of Public Health to establish standing recommendations to meet Centers for Medicare and Medicaid Services requirements and ensure access to preventive services, including Medicaid-covered maternal and reproductive health supports and services.

Amends the Hospital Licensing Act. Defines "hospital worker" as any person who receives an hourly wage, directly or indirectly via a subcontractor, from a hospital licensed under the Act. In provisions concerning limitations on mandated overtime and requiring rest periods for nurses, replaces "nurse" with "hospital worker". Requires additional hospital staffing information to be reported to the Department of Public Health, including any and all staffing matrices, staffing metrics, and underlying materials used to determine the metrics. Provides that the Department shall produce an annual report based on staffing disclosures and make recommendations for minimum staffing standards for hospital workers in each hospital unit. Requires hospitals to conduct a competency validation for each hospital worker hired, as a condition of employment, within the first month of employment and at no cost to the new hire. Provides that each hospital worker's competency validation must be submitted to the Department within 2 weeks after the hospital worker's start date. Establishes ongoing verification requirements for each hospital worker, and requires hospitals to submit a list of all competent employees currently employed at the end of each calendar year. Requires the Department to maintain, and make available to the public, a registry of all competent employees, including the hospital worker's name, address, contact information, and current employer. Provides that hospital employers that fail to comply with the competency validations requirements shall receive a fine equal to 0.1% of annual revenue reported during the most recently completed fiscal year each day until the hospital complies. Sets forth provisions concerning a hospital's requirements regarding assignment despite objection forms, a resolution process under the Department for assignment despite objection for certain hospital workers, and a fine for hospitals that fail to honor the assignment despite objection process. Makes other changes.

Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to create an add-on payment for safety-net hospitals with a Level 1 Trauma designation, equal to at least $35,000,000 per hospital, per year.

Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires hospitals and birthing centers to adopt and maintain written policies and procedures authorizing a patient enrolled in the medical assistance program to select an Illinois Medicaid certified and enrolled doula of the patient's choice to accompany the patient within the facility's premises for the purposes of providing support before, during, and after labor and childbirth, and during the patient's entire postpartum stay. Provides that the doula shall be considered part of the patient's care team and shall not be counted as a support person or against any guest quota. Requires hospitals and birthing centers to provide a written copy of their policies and procedures to maternity patients, the facilities' maternity health care providers, and any other person at the patient's request. Requires publication of the written policies on each facility's website. Contains provisions concerning hospital and birthing center liaisons and doulas certification acknowledgment requirements. Permits the Department of Healthcare and Family Services and the Department of Public Health to establish standing recommendations to meet Centers for Medicare and Medicaid Services requirements and ensure access to preventive services, including Medicaid-covered maternal and reproductive health supports and services.

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that for an extended hospital stay beyond medical necessity due to multiple failed attempts to place an emergency room patient who presented for dementia or other long-term care needs into a nursing or other long-term care facility, the Department of Healthcare and Family Services shall reimburse the hospital at a rate calculated to cover the entire hospital stay if (i) the hospital presents documentation, as prescribed by the Department, of multiple unsuccessful attempts to place the patient in a nursing or other long-term care facility and (ii) if each nursing or long-term care facility the hospital solicited for placement gave a substantially similar reason for denying the patient admission.

Amends the Community Benefits Act. Provides that, in order to increase transparency and accessibility of charity care and financial assistance data, a hospital shall make the annual hospital community benefits plan report submitted to the Attorney General available to the public by publishing the specified information on the hospital's website in the same location where annual reports are posted or on a prominent location on the homepage of the hospital's website. Provides that a hospital is not required to post its audited financial statements. Requires the Attorney General to provide notice on the Attorney General's website informing the public that, upon request, the Attorney General shall provide the annual reports filed with the Attorney General, and requires the notice to include contact information for a request. Effective January 1, 2026.