SB4107 104TH GENERAL ASSEMBLY

OMB104 00201 JCB 10201 b

104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
SB4107

Introduced 2/25/2026, by Sen. Elgie R. Sims, Jr.

SYNOPSIS AS INTRODUCED:

Makes appropriations for the ordinary and contingent expenses of the Department of Healthcare and Family Services for the fiscal year beginning July 1, 2026, as follows:

General Funds $8,781,379,200
Other State Funds $37,892,170,000
Federal Funds $775,000,000
Total $47,448,549,200

AN ACT concerning appropriations.

Be it enacted by the People of the State of Illinois, represented in the General Assembly:

ARTICLE 1

Section 5. The following named sums, or so much thereof as may be necessary, respectively, are appropriated to the Department of Healthcare and Family Services for the purposes hereinafter named:

PROGRAM ADMINISTRATION Payable from General Revenue Fund: For Personal Services............................20,320,500 For State Contributions to

Social Security..................................1,554,500 For Contractual Services..........................1,760,100 For Travel..........................................101,200 For Commodities...........................................0 For Printing..............................................0 For Equipment.............................................0 For Electronic Data Processing...................13,165,000 For Telecommunications Services...........................0 For Operation of Auto Equipment......................34,000 For Deposit into the Public Aid

Recoveries Trust Fund...........................48,995,000

Total $85,930,300 Payable from the HFS Technology Initiative Fund: For Costs Associated with the Illinois

Health and Human Services Innovation

Incubator Program, including Operational

and Administrative Costs........................15,000,000 Payable from Public Aid Recoveries Trust Fund: For Personal Services.............................5,169,200 For State Contributions to State

Employees' Retirement System.....................2,246,300 For State Contributions to

Social Security....................................395,400 For Group Insurance...............................1,566,400 For Contractual Services..........................5,367,200 For Commodities.....................................232,600 For Printing........................................360,700 For Equipment.....................................1,248,800 For Electronic Data Processing....................2,620,800 For Telecommunications Services...................1,185,000 For Costs Associated with Information

Technology Infrastructure.......................54,754,000 For State Prompt Payment Act Interest Costs..........25,000

Total $75,171,400

OFFICE OF INSPECTOR GENERAL Payable from General Revenue Fund: For Personal Services.............................6,690,800 For State Contributions to

Social Security....................................511,800 For Contractual Services..................................0 For Travel...........................................40,000 For Equipment............................................ 0

Total $7,242,600 Payable from Long-Term Care Provider Fund: For Administrative Expenses.........................282,000 Payable from Public Aid Recoveries Trust Fund: For Personal Services............................11,723,600 For State Contributions to State

Employees' Retirement System.....................5,094,500 For State Contributions to

Social Security....................................896,900 For Group Insurance...............................3,872,000 For Contractual Services..........................8,618,500 For Travel..........................................108,800 For Commodities...........................................0 For Printing..............................................0 For Equipment.............................................0 For Telecommunications Services...........................0

Total $30,314,300

CHILD SUPPORT SERVICES Payable from General Revenue Fund: For Deposit into the Child Support

Administrative Fund.............................61,800,000 Payable from Child Support Administrative Fund: For Personal Services............................66,708,200 For State Contributions to State

Employees' Retirement System....................28,988,000 For State Contributions to

Social Security..................................5,103,200 For Group Insurance..............................27,244,800 For Contractual Services.........................86,850,700 For Travel..........................................140,700 For Commodities.....................................292,000 For Printing........................................360,000 For Equipment.....................................1,553,100 For Electronic Data Processing...................16,197,600 For Telecommunications Services...................1,900,000 For Child Support Enforcement

Demonstration Projects.............................500,000 For Administrative Costs Related to

Enhanced Collection Efforts including

Paternity Adjudication Demonstration.............7,500,000 For Costs Related to the State

Disbursement Unit...............................11,500,000 For State Prompt Payment Act Interest Costs..........50,000

Total $254,888,300

PUBLIC AID RECOVERIES Payable from Public Aid Recoveries Trust Fund: For Personal Services............................10,657,700 For State Contributions to State

Employees' Retirement System.....................4,631,300 For State Contributions to

Social Security....................................815,300 For Group Insurance...............................4,333,500 For Contractual Services.........................12,898,600 For Travel..........................................107,200 For Commodities...........................................0 For Printing..............................................0 For Equipment.............................................0 For Telecommunications Services...........................0

Total $33,443,600

MEDICAL Payable from General Revenue Fund: For Deposit into the Medicaid Technical

Assistance Center Fund.............................500,000 For Costs Associated with the Critical

Access Care Pharmacy Program....................10,000,000

Total $10,500,000 Payable from Public Aid Recoveries Trust Fund: For Personal Services............................18,389,600 For State Contributions to State

Employees' Retirement System.....................7,991,200 For State Contributions to

Social Security..................................1,406,800 For Group Insurance...............................7,172,800 For Contractual Services.........................82,597,500 For Commodities...........................................0 For Printing..............................................0 For Equipment.............................................0 For Telecommunications Services...........................0 For Costs Associated with the

Development, Implementation and

Operation of a Data Warehouse...................21,368,200

Total $138,926,100 Payable from Healthcare Provider Relief Fund: For Operational Expenses.........................73,155,600 For Payments in Support of the

Operation of the Illinois

Poison Center....................................4,750,000

Section 10. The amount of $2,383,299,400, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the General Revenue Fund for deposit into the Healthcare Provider Relief Fund.

Section 15. In addition to any amounts heretofore appropriated, the following named amounts, or so much thereof as may be necessary, respectively, are appropriated to the Department of Healthcare and Family Services for Medical Assistance and Administrative Expenditures: Payable from General Revenue Fund: For Medical Assistance Providers and

Related Operating and Administrative

Costs.......................................$6,077,606,900

The amount of $0, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the General Revenue Fund for Medical Assistance pursuant to subsections (a-6) and (a-7) of Section 12-4.35 of the Illinois Public Aid Code.

The amount of $110,000,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the General Revenue Fund for deposit into the Healthcare Provider Relief Fund for Medical Assistance pursuant to subsection (a-5) of Section 12-4.35 of the Illinois Public Aid Code.

In addition to any amounts heretofore appropriated, the following named amounts, or so much thereof as may be necessary, are appropriated to the Department of Healthcare and Family Services for Medical Assistance for reimbursement or coverage of prescribed drugs, other pharmacy products, and payments to managed care organizations including related administrative and operation costs: Payable from Drug Rebate Fund...................2,000,000,000

In addition to any amounts heretofore appropriated, the following named amounts, or so much thereof as may be necessary, are appropriated to the Department of Healthcare and Family Services for costs related to the operation of the Health Benefits for Workers with Disabilities Program: Payable from Medicaid Buy-In Program

Revolving Fund.......................................892,600

Section 20. In addition to any amount heretofore appropriated, the amount of $25,000,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the Medical Interagency Program Fund for i) Medical Assistance payments on behalf of individuals eligible for Medical Assistance programs administered by the Department of Healthcare and Family Services, and ii) pursuant to an interagency agreement, medical services and other costs associated with programs administered by another agency of state government, including operating and administrative costs.

Section 25. In addition to any amounts heretofore appropriated, the following named amounts, or so much thereof as may be necessary, respectively, are appropriated to the Department of Healthcare and Family Services for Medical Assistance and Administrative Expenditures: Payable from Care Provider Fund for Persons

with a Developmental Disability: For Administrative Expenditures.....................300,000 Payable from Long-Term Care Provider Fund: For Skilled, Intermediate, and Other Related

Long-Term Care Services and Payments

to Managed Care Organizations..................950,000,000 For Administrative Expenditures...................6,109,600

Total $956,109,600 Payable from Hospital Provider Fund: For Hospitals, Capitated Managed Care

Organizations as necessary to comply

with Article V-A of the

Illinois Public Aid Code, and Related

Operating and Administrative Costs...........7,900,000,000 Payable from Tobacco Settlement Recovery Fund: For Medical Assistance Providers................550,000,000 Payable from Healthcare Provider Relief Fund: For Medical Assistance Providers

and Related Operating and

Administrative Costs........................21,000,000,000 For Medical Assistance Pursuant to

subsections (a-6) and (a-7) of Section 12-4.35

of the Illinois Public Aid Code..........................0 For Medical Assistance Pursuant to

subsection (a-5) of Section 12-4.35

of the Illinois Public Aid Code................143,600,000

Total $21,143,600,000

Section 30. In addition to any amounts heretofore appropriated, the following named amounts, or so much thereof as may be necessary, respectively, are appropriated to the Department of Healthcare and Family Services for Medical Assistance and Administrative Expenditures: Payable from County Provider Trust Fund: For Medical Services..........................4,100,000,000 For Administrative Expenditures Including

Pass-through of Federal Matching Funds..........25,000,000

Total $4,125,000,000

Section 35. The following named amounts, or so much thereof as may be necessary, respectively, are appropriated to the Department of Healthcare and Family Services for refunds of overpayments of assessments or inter-governmental transfers made by providers during the period from July 1, 1991 through June 30, 2026: Payable from: Care Provider Fund for Persons

with a Developmental Disability..................1,000,000 Long-Term Care Provider Fund......................2,750,000 Hospital Provider Fund............................5,000,000 County Provider Trust Fund........................1,000,000

Total $9,750,000

Section 40. The amount of $4,000,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the Trauma Center Fund for adjustment payments to certain Level I and Level II trauma centers.

Section 45. The amount of $375,000,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the University of Illinois Hospital Services Fund to reimburse the University of Illinois Hospital for medical services.

Section 50. The amount of $5,000,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the Medical Special Purposes Trust Fund for medical demonstration projects and costs associated with the implementation of federal Health Insurance Portability and Accountability Act mandates.

Section 55. The amount of $1,000,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the Medicaid Technical Assistance Center Fund for all costs, including grants and related operating and administrative costs, associated with the establishment, administration, and operations of the Medicaid Technical Assistance Center.

Section 60. The amount of $475,000,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the Special Education Medicaid Matching Fund for payments to local education agencies for medical services and other costs eligible for federal reimbursement under Title XIX or Title XXI of the federal Social Security Act.

Section 65. In addition to any amounts heretofore appropriated, the amount of $10,200,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the Money Follows the Person Budget Transfer Fund for costs associated with long-term care, including related operating and administrative costs. Such costs shall include, but not necessarily be limited to, those related to long-term care rebalancing efforts, institutional long-term care services, and pursuant to an interagency agreement, community-based services administered by another agency of state government.

Section 70. The amount of $8,000,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the Illinois Health Benefits Exchange Fund for all costs, including but not limited to grants, outreach, operations, and administrative expenses associated with the establishment and operation of the Illinois Health Benefits Exchange and coordinating operations of the Exchange with State medical assistance programs.

Section 75. In addition to any amounts heretofore appropriated, the following named amounts, or so much thereof as may be necessary, respectively, are appropriated to the Department of Healthcare and Family Services for State Prompt Payment Act interest costs: Payable from the General Revenue Fund...............5,000,000 Payable from Long-Term Care Provider Fund:.............10,000 Payable from the Hospital Provider Fund:..............200,000 Payable from the Trauma Center Fund:...................10,000 Payable from the Money Follows the Person

Budget Transfer Fund:.................................10,000 Payable from the Medical Interagency

Program Fund:........................................200,000 Payable from the Drug Rebate Fund:....................200,000 Payable from the Tobacco Settlement

Recovery Fund:........................................10,000 Payable from the Medicaid Buy-In Program

Revolving Fund:..........................................500 Payable from the Healthcare

Provider Relief Fund:..............................5,000,000 Payable from the Medical Special

Purposes Trust Fund:..................................50,000

Section 80. The amount of $40,000,000, or so much thereof as may be necessary, is appropriated from the General Revenue Fund to the Department of Healthcare and Family Services for the purpose of updating prospective payment system rates for Federally Qualified Health Centers (FQHCs).

Section 85. The amount of $46,696,000, or so much thereof as may be necessary and remains unexpended at the close of business on June 30, 2026, from a reappropriation heretofore made for such purpose in Article 61, Section 85 of Public Act 104-0003, as amended, is reappropriated to the Department of Healthcare and Family Services from the Medical Special Purposes Trust Fund for a demonstration project for preventive health.

Section 90. The amount of $15,000,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the Medical Debt Relief Pilot Program Fund for grants and administrative costs associated with a pilot program for the purchase of medical debt incurred by patients.

Section 95. The amount of $85,000,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the Healthcare Provider Relief Fund for making loans under the Distressed Hospital Loan Program.

Section 100. The amount of $300,000,000, or so much thereof as may be necessary, is appropriated to the Department of Healthcare and Family Services from the Rural Healthcare Transformation Fund for all costs, including grants and related operating and administrative costs, associated with the Rural Health Transformation Program created under Public Law 119-21, Section 71401, including prior years' costs.

Section 999. Effective date. This Act takes effect July 1, 2026.