Illinois SB 3464: COUNTIES/MUNI-CATV FEE AUDITS

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
SB3464

Introduced 2/5/2026, by Sen. Graciela Guzmán 

SYNOPSIS AS INTRODUCED:

305 ILCS 5/5-5.4 from Ch. 23, par. 5-5.4

 Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that for dates of service starting January 1, 2027, reimbursement calculations and direct payments for services provided by facilities licensed under the ID/DD Community Care Act are the responsibility of the Department of Healthcare and Family Services. Provides that appropriations for facilities licensed under the ID/DD Community Care Act must be shifted from the Department of Human Services to the Department of Healthcare and Family Services. Provides that nothing in the amendatory Act shall prohibit the Department of Healthcare and Family Services from paying more than the rates specified in the amendatory Act. Provides that nothing in the amendatory Act shall affect certain reporting requirements under the ID/DD Community Care Act.

LRB104 19667 KTG 33116 b

A BILL FOR

SB3464LRB104 19667 KTG 33116 b

1 AN ACT concerning public aid.

2 Be it enacted by the People of the State of Illinois, 

3represented in the General Assembly:

4 Section 5. The Illinois Public Aid Code is amended by 

5changing Section 5-5.4 as follows:

6 (305 ILCS 5/5-5.4) (from Ch. 23, par. 5-5.4)

7 Sec. 5-5.4. Standards of payment; Department of Healthcare 

8and Family Services. The Department of Healthcare and Family 

9Services shall develop standards of payment of nursing 

10facility and ICF/DD services in facilities providing such 

11services under this Article which: 

12 (1) Provide for the determination of a facility's payment 

13for nursing facility or ICF/DD services on a prospective 

1