Synopsis As Introduced Amends the Illinois Public Aid Code. Directs the Department of Healthcare and Family Services to establish a Medicaid pilot program under which prospective capitated payments are made to counties for medical assistance. Provides that the pilot program shall operate for at least 3 years, and provides that the Department shall select at least 3 counties to initially participate in the program. Provides that each of those 3 counties must be served by a single hospital. Requires the State and each participating county to agree to key performance goals. Provides for prospective payments to each participating county for health care services provided to medical assistance enrollees, and provides for payment of a percentage of the "pool of medical assistance funds" to a county that meets its key performance goals. Provides that payments to each county must be made to and disbursed by a "county payer" designated by the county. Provides for oversight. Effective immediately.