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HB2507 - 104th General Assembly
MEDICAID-NURSING PAYMENTS
House Sponsors
Rep. Kelly M. Cassidy - Yolonda Morris, Nabeela Syed, Justin Slaughter, Kevin John Olickal, Diane Blair-Sherlock, Stephanie A. Kifowit, La Shawn K. Ford, Marcus C. Evans, Jr., Maura Hirschauer, Laura Faver Dias, Jehan Gordon-Booth, Mary Beth Canty, Maurice A. West, II, Abdelnasser Rashid, Norma Hernandez, Lilian Jiménez, Sonya M. Harper, Angelica Guerrero-Cuellar, Lisa Davis, Jaime M. Andrade, Jr., Joyce Mason, Nicolle Grasse, Michael Crawford, Theresa Mah, Curtis J. Tarver, II, Rita Mayfield, Barbara Hernandez, Amy Briel, Michelle Mussman, Kam Buckner, Gregg Johnson, Dagmara Avelar and Edgar González, Jr.
Statutes Amended In Order of Appearance
305 ILCS 5/5-5.2a new
Synopsis As Introduced
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that for the calendar year beginning January 1, 2026, and each calendar year thereafter, a nursing facility must spend at least 90% of its adjusted total revenue on resident care and other resident-related costs, as defined. Requires each nursing facility to provide as part of its financial reporting information necessary for the Department of Healthcare and Family Services to administer and enforce the provisions of the amendatory Act. Provides that such information shall be subject to audit provisions and comply with any applicable uniform standards under the Code. Provides that all non-allowable costs, related party adjustments, or compensation to owners reported shall be excluded from the calculation of the amount spent on resident care and other resident-related costs. Requires 25% of costs associated with contract nursing staff to be deducted from the amount spent on resident care and other resident-related costs. Provides that for the calendar year beginning January 1, 2027, and each calendar year thereafter, the Department shall use the required financial reporting submissions to determine whether each nursing facility has met the minimum resident care percent requirement. Provides that if a facility has not met the minimum resident care percent requirement, the amount defined by the facility's total adjusted revenue shall be treated as a vendor overpayment. Requires the Department to recover the full amount of any vendor overpayment by reducing future payments, requiring direct payment to the Department, or any other method permitted under the Code. Requires the Department to adopt rules.
Actions
| Date | Chamber | Action |
|---|---|---|
| 2/03/2025 | House | Filed with the Clerk by Rep. Kelly M. Cassidy |
| 2/04/2025 | House | First Reading |
| 2/04/2025 | House | Referred to Rules Committee |
| 3/04/2025 | House | Added Co-Sponsor Rep. Nabeela Syed |
| 3/04/2025 | House | Assigned to Appropriations-Health and Human Services Committee |
| 3/05/2025 | House | Added Chief Co-Sponsor Rep. Yolonda Morris |
| 3/06/2025 | House | Added Co-Sponsor Rep. Justin Slaughter |
| 3/06/2025 | House | Added Co-Sponsor Rep. Kevin John Olickal |
| 3/06/2025 | House | Added Co-Sponsor Rep. Diane Blair-Sherlock |
| 3/06/2025 | House | Added Co-Sponsor Rep. Stephanie A. Kifowit |
| 3/06/2025 | House | Added Co-Sponsor Rep. La Shawn K. Ford |
| 3/06/2025 | House | Added Co-Sponsor Rep. Marcus C. Evans, Jr. |
| 3/06/2025 | House | Added Co-Sponsor Rep. Maura Hirschauer |
| 3/06/2025 | House | Added Co-Sponsor Rep. Laura Faver Dias |
| 3/06/2025 | House | Added Co-Sponsor Rep. Jehan Gordon-Booth |
| 3/13/2025 | House | Added Co-Sponsor Rep. Mary Beth Canty |
| 3/13/2025 | House | Added Co-Sponsor Rep. Maurice A. West, II |
| 3/13/2025 | House | Added Co-Sponsor Rep. Abdelnasser Rashid |
| 3/13/2025 | House | Added Co-Sponsor Rep. Norma Hernandez |
| 3/13/2025 | House | Added Co-Sponsor Rep. Lilian Jiménez |
| 3/13/2025 | House | Added Co-Sponsor Rep. Sonya M. Harper |
| 3/13/2025 | House | Added Co-Sponsor Rep. Angelica Guerrero-Cuellar |
| 3/19/2025 | House | Added Co-Sponsor Rep. Lisa Davis |
| 3/21/2025 | House | Rule 19(a) / Re-referred to Rules Committee |
| 3/26/2025 | House | Added Co-Sponsor Rep. Jaime M. Andrade, Jr. |
| 3/27/2025 | House | Added Co-Sponsor Rep. Joyce Mason |
| 3/27/2025 | House | Added Co-Sponsor Rep. Nicolle Grasse |
| 3/27/2025 | House | Added Co-Sponsor Rep. Michael Crawford |
| 3/27/2025 | House | Added Co-Sponsor Rep. Theresa Mah |
| 3/31/2025 | House | Added Co-Sponsor Rep. Curtis J. Tarver, II |
| 4/09/2025 | House | Added Co-Sponsor Rep. Rita Mayfield |
| 4/09/2025 | House | Added Co-Sponsor Rep. Barbara Hernandez |
| 4/10/2025 | House | Added Co-Sponsor Rep. Amy Briel |
| 4/10/2025 | House | Added Co-Sponsor Rep. Michelle Mussman |
| 4/10/2025 | House | Added Co-Sponsor Rep. Kam Buckner |
| 4/23/2025 | House | Added Co-Sponsor Rep. Gregg Johnson |
| 4/23/2025 | House | Added Co-Sponsor Rep. Dagmara Avelar |
| 4/23/2025 | House | Added Co-Sponsor Rep. Edgar González, Jr. |