Illinois HB 5105: DHFS-CHILDREN'S SPECILTY HOSP

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
HB5105

Introduced 2/10/2026, by Rep. Jay Hoffman 

SYNOPSIS AS INTRODUCED:

305 ILCS 5/5-5e.3 new

 Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that for dates of service on and after January 1, 2027, the Department of Healthcare and Family Services must increase the base per diem rate for inpatient general acute services for children's specialty hospitals that are not eligible for payments under the hospital assessment programs under the Hospital Provider Funding Article of the Code. Provides that the increase must consider the difference between children's specialty hospitals receiving hospital assessment payments and how to make rates more comparable. Permits the Department to consider spreading the increase over 3 calendar years. Effective January 1, 2027.

LRB104 20641 KTG 34138 b

A BILL FOR

HB5105LRB104 20641 KTG 34138 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 

5adding Section 5-5e.3 as follows:

6 (305 ILCS 5/5-5e.3 new)

7 Sec. 5-5e.3. Rates for Children's Specialty Hospitals. 

8 (a) As used in this Section:

9 "Base rate" means the per diem rate in effect before 

10adding any additional rate add-ons for disproportionate share 

11hospital adjustment payments, Medicaid percentage adjustments, 

12or Medicaid High Volume Adjustments.

13 "Children's specialty hospitals" means hospitals 

14designated under the Department's administrative rules as of 

15January 1, 2024. 

16 (b) For dates of service on and after January 1, 2027, the 

17Department must increase the base per diem rate f