Illinois SB 2204: MEDICAID-ICF/DD PAYMENTS

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
SB2204

Introduced 2/7/2025, by Sen. Laura Fine 

SYNOPSIS AS INTRODUCED:

305 ILCS 5/5-5.4 from Ch. 23, par. 5-5.4

 Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that for dates of service starting July 1, 2025, reimbursement calculations and direct payment for services provided by facilities licensed under the ID/DD Community Care Act are the responsibility of the Department of Healthcare and Family Services instead of the Department of Human Services. Requires appropriations for the facilities licensed under the ID/DD Community Care Act to be shifted from the Department of Human Services to the Department of Healthcare and Family Services. Provides that nothing shall prohibit the Department of Healthcare and Family Services from paying more than the rates specified in the Code. Requires the Department of Healthcare and Family Services to work with the Department of Human Services to study and review the reimbursement calculations and direct payments for facilities licensed under the ID/DD Community Care Act and for facilities licensed under the MC/DD Act. Effective July 1, 2025.

LRB104 10622 KTG 20698 b

A BILL FOR

SB2204LRB104 10622 KTG 20698 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 5-5.4 as follows:

6 (305 ILCS 5/5-5.4) (from Ch. 23, par. 5-5.4)

7 Sec. 5-5.4. Standards of payment; Department of Healthcare 

8and Family Services. The Department of Healthcare and Family 

9Services shall develop standards of payment of nursing 

10facility and ICF/DD services in facilitie