Illinois SB 3833: $CMS-OCE

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
SB3833

Introduced 2/6/2026, by Sen. Elgie R. Sims, Jr. 

SYNOPSIS AS INTRODUCED:

305 ILCS 5/5-5.2

 Amends the Medical Assistance Article of the Illinois Public Aid Code. In provisions concerning the Medicaid Access Adjustment payments to nursing facilities, provides that for dates of service beginning January 1, 2027, the Medicaid Access Adjustment shall be increased by $5.75 to $10.50 per diem. Provides that beginning January 1, 2027, facilities located outside of Rate Areas 6, 7, and 8 shall have the Medicaid percent of occupied bed days to be at least 60% of all occupied bed days adjusted quarterly to qualify for the Medicaid Access Adjustment. Provides that the remaining facilities shall have their threshold remain at 70%. 

LRB104 19965 KTG 33415 b

A BILL FOR

SB3833LRB104 19965 KTG 33415 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 sy