Illinois SB 3473: MEDICAID-SAFETY-NET HOSPITALS

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
SB3473

Introduced 2/5/2026, by Sen. Mike Simmons 

SYNOPSIS AS INTRODUCED:

305 ILCS 5/5-5e.1

 Amends the Medical Assistance Article of the Illinois Public Aid Code. Extends the period of eligibility within which a hospital, that would have qualified for the rate year beginning October 1, 2011 or October 1, 2012, shall be a Safety-Net Hospital. Effective immediately. 

LRB104 18584 KTG 32027 b

A BILL FOR

SB3473LRB104 18584 KTG 32027 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 5-5e.1 as follows:

6 (305 ILCS 5/5-5e.1)

7 Sec. 5-5e.1. Safety-Net Hospitals.

8 (a) A Safety-Net Hospital is an Illinois hospital that:

9 (1) is licensed by the Department of Public Health as 

10 a general acute care or pediatric hospital; and

11 (2) is a disproportionate share hospital, as described 

12 in Section 1923 of the federal Social Security Act, as 

13 determined by the Department; and

14 (3) meets one of the following:

15 (A) has a MIUR of at least 40% and a charity 

16 percent of at least 4%; or

17 (B) has a MIUR of at least 50%.

18 (b) Definitions. As used in this Section:

19 (1) "Charity percent" means the ratio of (i) the 

20 hospital's charity charges for services provided to 

21 individuals without health insurance or another source of 

22 third party coverage to (ii) the Illinois total hospital 

23 charges, each as reported on the hospital's OBRA form.

SB3473- 2 -LRB104 18584 KTG 32027 b

1 (2) "MIUR" means Medicaid Inpatient Utilization Rate 

2 and is defined as a fraction, the numerator of which is t