Illinois HB 3156: MEDICAID ACCESS ADJUSTMENT

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
HB3156

Introduced 2/18/2025, by Rep. Marcus C. Evans, Jr. 

SYNOPSIS AS INTRODUCED:

305 ILCS 5/5-5.2

 Amends the Medical Assistance Article of the Illinois Public Aid Code. In provisions concerning Medicaid Access Adjustment payments to nursing facilities, provides that, for dates of service beginning July 1, 2025, the Medicaid Access Adjustment shall be increased to $5.75. Effective immediately.

LRB104 08521 KTG 18573 b

A BILL FOR

HB3156LRB104 08521 KTG 18573 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 5-5.2 as follows:

6 (305 ILCS 5/5-5.2)

7 Sec. 5-5.2. Payment. 

8 (a) All nursing facilities that are grouped pursuant to 

9Section 5-5.1 of this Act shall receive the same rate of 

10payment for similar services.

11 (b) It shall be a matter of State policy that the Illinois 

12Department shall utilize a uniform billing cycle throughout 

13the State for the long-term care providers.

14 (c) (Blank). 

15 (c-1) Notwithstanding any other provisions of this Code, 

16the methodologies for reimbursement of nursing services as 

17provided under this Article shall no longer be applicable for 

18bills payable for nursing services rendered on or after a new 

19reimbursement system based on the Patient Driven Payment Model 

20(PDPM) has been fully operationalized, which shall take effect 

21for services provided on or after the implementation of the 

22PDPM reimbursement system begins. For the purposes of Public 

23Act 102-1035, the implementation date of the PDPM 

HB3156- 2 -LRB104 08521 KTG 18573 b

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