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IL HB5442

IL HB5442
MEDICAID-HOSP ACCESS PAYMENTS


summary

Introduced
02/06/2026
In Committee
02/13/2026
Crossed Over
Passed
Dead

Introduced Session

104th General Assembly

Bill Summary

Amends the Hospital Provider Funding Article of the Illinois Public Aid Code. In provisions requiring the Department to establish the fixed pool directed payment amounts for specific classes of hospitals listed in the Code, provides that, beginning January 1, 2027, the Department of Healthcare and Family Services shall remove from the list the following hospital classes: (i) hospital inpatient services for public hospitals and (ii) hospital outpatient services for public hospitals. Requires the Department to instead, subject to any necessary federal approval, enter into intergovernmental agreements with the respective governing bodies to ensure continued access for those services in rural areas of the State. Provides that the Department shall reinstate the described hospital classes if federal approval is not received. Effective January 1, 2027.

AI Summary

This bill, effective January 1, 2027, will change how the Illinois Department of Healthcare and Family Services (HFS) makes payments to certain hospitals under the Medicaid program. Specifically, it will remove "public hospitals" from the list of hospital classes that receive fixed pool directed payments for inpatient and outpatient services. Instead, beginning on that date, HFS will work to establish intergovernmental agreements with the governing bodies of these public hospitals, particularly those in rural areas, to ensure continued access to their services, provided federal approval is obtained. If federal approval for these agreements is not received, the bill mandates that public hospitals will be reinstated into the payment system as they were before.

Sponsors (1)

Last Action

Referred to Rules Committee (on 02/13/2026)

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