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IL HB4914

IL HB4914
MEDICAID-STRIVE


summary

Introduced
02/03/2026
In Committee
03/04/2026
Crossed Over
Passed
Dead

Introduced Session

104th General Assembly

Bill Summary

Amends the Medical Assistance Article of the Illinois Public Aid Code. Sets per diem add-on rates, beginning January 1, 2027, for nursing facilities based on a facility's STRIVE study staffing levels. Provides that no nursing facility's variable staffing per diem add-on shall be reduced by more than 5% in 2 consecutive quarters; and that no facility below 73% of the staffing indicated by the STRIVE study shall receive a variable per diem staffing add-on after December 31, 2026. Provides that beginning January 1, 2027, the Department of Healthcare and Family Services must split the support rate into its cost report based parts, general services and general administration. Provides that the general services portion shall be referred to as "Support - non-nurse staff" and the general administration portion shall be referred to as "Support - Administrative". Makes other changes. Effective immediately.

AI Summary

This bill, MEDICAID-STRIVE, amends the Illinois Public Aid Code to adjust reimbursement rates for nursing facilities. Starting January 1, 2027, per diem add-on rates for nursing facilities will be determined by their staffing levels as indicated by the STRIVE study, with specific provisions to prevent significant reductions in these add-ons and to establish a minimum staffing threshold for receiving them. Additionally, beginning January 1, 2027, the Department of Healthcare and Family Services will separate the "support rate" into two distinct components: "Support - non-nurse staff," which will cover general services, and "Support - Administrative," for general administration costs, with specific rules for how these components are calculated and updated.

Committee Categories

Budget and Finance

Sponsors (1)

Last Action

Assigned to Appropriations-Health and Human Services Committee (on 03/04/2026)

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