Illinois SB 3900: ALL-PAYER HEALTH CARE PAYMENT

Status: Rule 3-9(a) / Re-referred to Assignments (as of 2026-05-22)

State: Illinois · Session: 104th · Bill: SB 3900

Sponsors: Lakesia Collins, David Koehler, Graciela Guzmán, Javier L. Cervantes, Karina Villa, Mary Edly-Allen, Rachel Ventura

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 Full Text of SB3900

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
SB3900

Introduced 2/6/2026, by Sen. Lakesia Collins 

SYNOPSIS AS INTRODUCED:

New Act

5 ILCS 100/5-5 from Ch. 127, par. 1005-5

210 ILCS 85/6.25

215 ILCS 5/370c from Ch. 73, par. 982c

215 ILCS 125/4-2 from Ch. 111 1/2, par. 1408.2

305 ILCS 5/5-5

 Creates the Illinois All-Payer Health Care Payment and Global Budget Act. Creates the Illinois Health Care Cost and Payment Board as an independent body within the Department of Healthcare and Family Services and sets forth its membership and powers. Defines "commercial payer" as any health insurance issuer, health maintenance organization, or third-party administrator subject to regulation by the Illinois Department of Insurance, excluding self-funded plans governed solely by ERISA. Provides that all commercial payers shall reimburse hospitals for covered services at standardized rates established by the Board. Defines "global hospital budget" as a prospective, fixed annual operating revenue amount established for a hospital to cover all inpatient and outpatient hospital services. Provides that the Board shall establish prospective annual global hospital budgets for Illinois hospitals. Provides that the Board shall establish a unified health care data system in coordination with State agencies. Creates the Health Care Payment Reform Advisory Council to advise the Board. Provides that the Governor, in consultation with the Board, shall seek all necessary federal approvals, including Medicare demonstrations and Medicaid waivers, to implement the Act. Amends the Illinois Administrative Procedure Act, Hospital Licensing Act, Illinois Insurance Code, Health Maintenance Organization Act, and Illinois Public Aid Code with regard to t

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