Illinois HB 4914: MEDICAID-STRIVE

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 Full Text of HB4914

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
HB4914

Introduced , by Rep. Natalie A. Manley 

SYNOPSIS AS INTRODUCED:

305 ILCS 5/5-5.2

 Amends the Medical Assistance Article of the Illinois Public Aid Code. Sets per diem add-on rates, beginning January 1, 2027, for nursing facilities based on a facility's STRIVE study staffing levels. Provides that no nursing facility's variable staffing per diem add-on shall be reduced by more than 5% in 2 consecutive quarters; and that no facility below 73% of the staffing indicated by the STRIVE study shall receive a variable per diem staffing add-on after December 31, 2026. Provides that beginning January 1, 2027, the Department of Healthcare and Family Services must split the support rate into its cost report based parts, general services and general administration. Provides that the general services portion shall be referred to as "Support - non-nurse staff" and the general administration portion shall be referred to as "Support - Administrative". Makes other changes. Effective immediately. 

LRB104 20244 KTG 33695 b

A BILL FOR

HB4914LRB104 20244 KTG 33695 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) Not