Illinois HB 5370: SCH CD-MANDATE WAIVER REPORTS

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
HB5370

Introduced 2/10/2026, by Rep. Joyce Mason 

SYNOPSIS AS INTRODUCED:

305 ILCS 5/5-5.02 from Ch. 23, par. 5-5.02

 Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that beginning October 1, 2026, for rate year 2027 and thereafter, the Medicaid inpatient utilization rate, as defined and used in the determination of eligibility for specified inpatient adjustment payments to hospitals, shall be modified to exclude, from both the numerator and denominator, all days reimbursed by the Department of Human Services for mental health services provided under a specified provision of the Code of Criminal Procedure of 1963 as contracted by the Department of Healthcare and Family Services. Effective immediately.

LRB104 18661 KTG 32104 b

A BILL FOR

HB5370LRB104 18661 KTG 32104 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 5-5.02 as follows:

6 (305 ILCS 5/5-5.02) (from Ch. 23, par. 5-5.02)

7 Sec. 5-5.02. Hospital reimbursements. 

8 (a) Reimbursement to hospitals; July 1, 1992 through 

9September 30, 1992. Notwithstanding any other provisions of 

10this Code or the Illinois Department's Rules promulgated under 

11the Illinois Administrative Procedure Act, reimbursement to 

12hospitals for services provided during the period July 1, 1992 

13through September 30, 1992, shall be as follows:

14 (1) For inpatient hospital services rendered, or if 

15 applicable, for inpatient hospital discharges occurring, 

16 on or after July 1, 1992 and on or before September 30, 

17 1992, the Illino