HB4914 - 104th General Assembly (2025-2026)

MEDICAID-STRIVE
Last Action
2/06/2026 - House: Referred to Rules Committee
Statutes Amended In Order of Appearance
305 ILCS 5/5-5.2  
Synopsis As Introduced
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.
Actions
DateChamberAction
2/03/2026HouseFiled with the Clerk by Rep. Natalie A. Manley
2/06/2026HouseFirst Reading
2/06/2026HouseReferred to Rules Committee