Illinois HB 4846: SOLID WASTE SITE OPERATOR

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
HB4846

Introduced , by Rep. Lindsey LaPointe 

SYNOPSIS AS INTRODUCED:

305 ILCS 5/5-5e.1

 Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that a safety-net hospital includes a behavioral health safety-net provider that: (i) is licensed or certified by the Department of Human Services, or otherwise authorized under State law, to provide behavioral health or substance use disorder treatment services; (ii) meets specified federal requirements for being designated a disproportionate share hospital, as defined by the Department of Healthcare and Family Services; (iii) accepts admissions 24 hours a day, 7 days a week, with no blackout periods; (iv) accepts patients who only need mental health or substance use disorder treatment; and (v) has a MIUR of at least 40% and a charity percent of at least 4%, or a MIUR of at least 50%.

LRB104 19791 KTG 33241 b

A BILL FOR

HB4846LRB104 19791 KTG 33241 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%.