Bill > SB4107

This bill appropriates funds for the ordinary and contingent expenses of the Department of Healthcare and Family Services for the fiscal year beginning July 1, 2026, totaling $47,448,549,200, with $8,781,379,200 from the General Fund, $37,892,170,000 from Other State Funds, and $775,000,000 from Federal Funds. * **Program Administration:** $85,930,300 from the General Revenue Fund for various operational expenses, including personal services, state contributions to social security, contractual services, and electronic data processing. An additional $15,000,000 is appropriated from the HFS Technology Initiative Fund for the Illinois Health and Human Services Innovation Incubator Program. * **Office of Inspector General:** $7,242,600 from the General Revenue Fund for personal services, state contributions to social security, and travel. $282,000 is appropriated from the Long-Term Care Provider Fund for administrative expenses, and $30,314,300 from the Public Aid Recoveries Trust Fund for operational costs. * **Child Support Services:** $61,800,000 is appropriated from the General Revenue Fund for deposit into the Child Support Administrative Fund. A total of $254,888,300 is appropriated from the Child Support Administrative Fund for personal services, retirement contributions, group insurance, contractual services, and various program costs. * **Public Aid Recoveries:** $33,443,600 is appropriated from the Public Aid Recoveries Trust Fund for personal services, retirement contributions, group insurance, and contractual services. * **Medical Assistance and Related Costs:** * $6,077,606,900 from the General Revenue Fund for medical assistance providers and related operating and administrative costs. * $110,000,000 from the General Revenue Fund for deposit into the Healthcare Provider Relief Fund for medical assistance. * $2,000,000,000 from the Drug Rebate Fund for reimbursement of prescribed drugs, pharmacy products, and payments to managed care organizations. * $950,000,000 from the Long-Term Care Provider Fund for skilled, intermediate, and other related long-term care services and payments to managed care organizations. * $7,900,000,000 from the Hospital Provider Fund for hospitals, capitated managed care organizations, and related operating and administrative costs. * $550,000,000 from the Tobacco Settlement Recovery Fund for medical assistance providers. * $21,143,600,000 from the Healthcare Provider Relief Fund for medical assistance providers and related operating and administrative costs. * $4,125,000,000 from the County Provider Trust Fund for medical services and administrative expenditures. * **Other Specific Appropriations:** * $2,383,299,400 from the General Revenue Fund for deposit into the Healthcare Provider Relief Fund. * $25,000,000 from the Medical Interagency Program Fund for medical assistance payments and services through interagency agreements. * $4,000,000 from the Trauma Center Fund for adjustment payments to trauma centers. * $375,000,000 from the University of Illinois Hospital Services Fund to reimburse the University of Illinois Hospital for medical services. * $5,000,000 from the Medical Special Purposes Trust Fund for demonstration projects and HIPAA mandate costs. * $1,000,000 from the Medicaid Technical Assistance Center Fund for the establishment and operation of the Medicaid Technical Assistance Center. * $475,000,000 from the Special Education Medicaid Matching Fund for payments to local education agencies. * $10,200,000 from the Money Follows the Person Budget Transfer Fund for long-term care costs. * $8,000,000 from the Illinois Health Benefits Exchange Fund for the establishment and operation of the Illinois Health Benefits Exchange. * $40,000,000 from the General Revenue Fund for updating prospective payment system rates for Federally Qualified Health Centers. * $46,696,000 from the Medical Special Purposes Trust Fund for a demonstration project for preventive health. * $15,000,000 from the Medical Debt Relief Pilot Program Fund for grants and administrative costs for a medical debt purchase pilot program. * $85,000,000 from the Healthcare Provider Relief Fund for loans under the Distressed Hospital Loan Program. * $300,000,000 from the Rural Healthcare Transformation Fund for the Rural Health Transformation Program. * **Refunds:** $9,750,000 is appropriated from various funds (Care Provider Fund for Persons with a Developmental Disability, Long-Term Care Provider Fund, Hospital Provider Fund, County Provider Trust Fund) for refunds of overpayments of assessments or inter-governmental transfers. * **State Prompt Payment Act Interest Costs:** Various amounts are appropriated from multiple funds, including the General Revenue Fund ($5,000,000) and the Healthcare Provider Relief Fund ($5,000,000), for interest costs related to prompt payment.