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| | 104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
HB5105 Introduced 2/10/2026, by Rep. Jay Hoffman SYNOPSIS AS INTRODUCED:
| | | Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that for dates of service on and after January 1, 2027, the Department of Healthcare and Family Services must increase the base per diem rate for inpatient general acute services for children's specialty hospitals that are not eligible for payments under the hospital assessment programs under the Hospital Provider Funding Article of the Code. Provides that the increase must consider the difference between children's specialty hospitals receiving hospital assessment payments and how to make rates more comparable. Permits the Department to consider spreading the increase over 3 calendar years. Effective January 1, 2027. |
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| | A BILL FOR |
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| | HB5105 | | LRB104 20641 KTG 34138 b |
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| 1 | | AN ACT concerning public aid.
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| 2 | | Be it enacted by the People of the State of Illinois, |
| 3 | | represented in the General Assembly:
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| 4 | | Section 5. The Illinois Public Aid Code is amended by |
| 5 | | adding Section 5-5e.3 as follows:
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| 6 | | (305 ILCS 5/5-5e.3 new) |
| 7 | | Sec. 5-5e.3. Rates for Children's Specialty Hospitals. |
| 8 | | (a) As used in this Section: |
| 9 | | "Base rate" means the per diem rate in effect before |
| 10 | | adding any additional rate add-ons for disproportionate share |
| 11 | | hospital adjustment payments, Medicaid percentage adjustments, |
| 12 | | or Medicaid High Volume Adjustments. |
| 13 | | "Children's specialty hospitals" means hospitals |
| 14 | | designated under the Department's administrative rules as of |
| 15 | | January 1, 2024. |
| 16 | | (b) For dates of service on and after January 1, 2027, the |
| 17 | | Department must increase the base per diem rate for inpatient |
| 18 | | general acute services for children's specialty hospitals that |
| 19 | | are not eligible for payments under the hospital assessment |
| 20 | | programs under Article V-A. The increase must consider the |
| 21 | | difference between children's specialty hospitals receiving |
| 22 | | hospital assessment payments and how to make rates more |
| 23 | | comparable. The Department may consider spreading the increase |