Bill > SB3832

This bill, effective July 1, 2026, amends the Illinois Public Aid Code concerning assessments on managed care organizations, which are entities that provide health services, now including preferred provider organizations. Beginning on that date, the Department of Healthcare and Family Services (DHFS), the state agency responsible for Medicaid, may implement a new tax on these organizations. This tax will be based on uniform rates, not exceeding limits set by the federal Centers for Medicare and Medicaid Services (CMS), and can be calculated either as a percentage of the organization's premium revenue or on a per-member-per-month basis. The bill also removes a previous requirement that any increase to the assessment rate for certain organizations (Tier 3) must be the minimum necessary to meet federal statistical tests, and it expands the definition of "member months," which is used to calculate the assessment, to no longer exclude enrollment in specific health plans like Limited Health Services Organizations, Medicare Supplement Plans, or Federal Employee Health Benefits Plans.

https://www.ilga.gov/Legislation/BillStatus?DocNum=3832&GAID=18&DocTypeID=SB&SessionID=114&GA=104