Illinois HB 5061: MEDICAID-STAR RECOMPUTATION

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
HB5061

Introduced 2/10/2026, by Rep. Robyn Gabel 

SYNOPSIS AS INTRODUCED:

305 ILCS 5/5-5.2

 Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services, beginning January 1, 2027, to recompute the STAR rating of nursing facilities who had their antipsychotic medication quality measure score suppressed and their STAR rating set to one due to audit action by the federal Centers for Medicare and Medicaid Services. Requires quality payments to such nursing facilities to be made based on the recomputed score. Provides that in order to facilitate the recomputation, nursing facilities may provide the Department with documentation regarding the status of the suppression of the score and STAR rating as well as the quarterly report issued by the federal Centers for Medicare and Medicaid Services that lists the long-stay rating points for the quarter.

LRB104 18808 KTG 32251 b

A BILL FOR

HB5061LRB104 18808 KTG 32251 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 reim