Illinois HB 2910: MEDICAID-STRIVE CALCULATIONS

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
HB2910

Introduced 2/6/2025, by Rep. Anna Moeller 

SYNOPSIS AS INTRODUCED:

305 ILCS 5/5-5.2

 Provides that, if and only if House Bill 4907 of the 103rd General Assembly becomes law, then the Medical Assistance Article of the Illinois Public Aid Code is amended by adding new provisions concerning PDPM Strive staffing ratio calculations for nursing facilities. Provides that, beginning January 1, 2026, the staffing percentage used in the calculation of the per diem staffing add-on shall be its PDPM STRIVE Staffing Ratio. Sets forth how to calculate a nursing facility's PDPM STRIVE Staffing Ratio, PDPM STRIVE Staffing Target, Illinois Adjusted Facility Case-Mix Hours Per Resident Per Day, and STRIVE staffing fee schedule. Effective immediately or on the date House Bill 4907 of the 103rd General Assembly takes effect, whichever is later.

LRB104 09542 KTG 19605 b

A BILL FOR

HB2910LRB104 09542 KTG 19605 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. If and only if House Bill 4907 of the 103rd 

5General Assembly becomes law, then the Illinois Public Aid 

6Code is amended by changing Section 5-5.2 as follows:

7 (305 ILCS 5/5-5.2)

8 Sec. 5-5.2. Payment. 

9 (a) All nursing facilities that are grouped pursuant to 

10Section 5-5.1 of this Act shall receive the same rate of 

11payment for similar services.

12 (b) It shall be a matter of State policy that the Illinois 

13Department shall utilize a uniform billing cycle throughout 

14the State for the long-term care providers.

15 (c) (Blank). 

16 (c-1) Notwithstanding any other provisions of this Code, 

17the methodologies for