SB3848
A BILL FOR
103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024
SB3848
Introduced 2/28/2024, by Sen. Elgie R. Sims, Jr.
SYNOPSIS AS INTRODUCED:
Makes appropriations for the ordinary and contingent
expenses of the Department of Healthcare and Family Services
for the fiscal year beginning July 1, 2024, as follows:
General Funds $ 9,383,302,800
Other State Funds $29,694,280,200
Federal Funds $ 400,000,000
Total $39,477,583,000
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AN ACT concerning appropriations. 1
Be it enacted by the People of the State of Illinois, represented 2
in the General Assembly: 3
ARTICLE 1 4
Section 5. The following named sums, or so much thereof 5
as may be necessary, respectively, are appropriated to the 6
Department of Healthcare and Family Services for the purposes 7
hereinafter named: 8
PROGRAM ADMINISTRATION 9
Payable from General Revenue Fund: 10
For Personal Services ............................ 19,368,300 11
For State Contributions to 12
Social Security ................................ ..1,481,700 13
For Contractual Services .......................... 1,760,100 14
For Travel ................................ ..........101,200 15
For Commodities ................................ ...........0 16
For Printing ................................ ..............0 17
For Equipment ................................ .............0 18
For Electronic Data Processing ...................13,165,000 19
For Telecommunications Services ........................... 0 20
For Operation of Auto Equipment ...................... 34,000 21
For Deposit into the Public Aid 22 SB3848 -2- OMB103 00200 JCB 45200 b
Recoveries Trust Fund ........................... 14,899,100 1
Total $50,809,400 2
Payable from the HFS Technology Initiative Fund: 3
For Costs Associated with the Illinois 4
Health and Human Services Innovation 5
Incubator Program, including Operational 6
and Administrative Costs ........................ 15,000,000 7
Payable from Public Aid Recoveries Trust Fund: 8
For Personal Services ............................. 2,810,600 9
For State Contributions to State 10
Employees' Retiremen t System ..................... 1,438,500 11
For State Contributions to 12
Social Security ................................ ....215,000 13
For Group Insurance ................................ .845,100 14
For Contractual Services .......................... 5,029,700 15
For Commodities ................................ .....229,700 16
For Printing ................................ ........354,800 17
For Equipment ................................ .....1,044,200 18
For Electronic Data Processing .................... 2,620,800 19
For Telecommunications Services ...................1,165,100 20
For Costs Associated with Information 21
Technology Infrastructure ....................... 54,754,000 22
For State Prompt Payment Act Interest Costs ..........25,000 23
Total $70,532,500 24
OFFICE OF INSPECTOR GENERAL 25 SB3848 -3- OMB103 00200 JCB 45200 b
Payable from General Revenue Fund: 1
For Personal Services ............................. 6,452,900 2
For State Contributions to 3
Social Security ................................ ....493,600 4
For Contractual Services ................................ ..0 5
For Travel ................................ ...........40,000 6
For Equipment ................................ ............ 0 7
Total $6,986,500 8
Payable from Long-Term Care Provider Fund: 9
For Administrative Expenses ......................... 282,000 10
Payable from Public Aid Recoveries Trust Fund: 11
For Personal Services ............................ 11,174,400 12
For State Contributions to State 13
Employees' Retirement System ..................... 5,719,100 14
For State Contributions to 15
Social Security ................................ ....854,800 16
For Group Insurance ............................... 3,539,700 17
For Contractual Services .......................... 6,418,500 18
For Travel ................................ ..........108,800 19
For Commodities ................................ ...........0 20
For Printing ................................ ..............0 21
For Equipment ................................ .............0 22
For Telecommunications Services .......................... 0 23
Total $27,815,300 24
CHILD SUPPORT SERVICES 25 SB3848 -4- OMB103 00200 JCB 45200 b
Payable from General Revenue Fund: 1
For Deposit into the Child Support 2
Administrative Fund ............................. 83,800,000 3
Payable from Child Support Administrative Fund: 4
For Personal Services ............................ 60,877,400 5
For State Contributions to State 6
Employees' Retirement System .................... 31,157,100 7
For State Contributions to 8
Social Security ................................ ..4,657,100 9
For Group Insurance .............................. 25,094,000 10
For Contractual Services ......................... 87,442,700 11
For Travel ................................ ..........140,700 12
For Commodities ................................ .....292,000 13
For Printing ................................ ........360,000 14
For Equipment ................................ .....1,553,100 15
For Electronic Data Processing ...................15,447,200 16
For Telecommunications Services ...................1,900,000 17
For Child Support Enforcement 18
Demonstration Projects ............................. 500,000 19
For Administrative Costs Related to 20
Enhanced Collection Efforts including 21
Paternity Adjudication Demonstration .............7,500,000 22
For Costs Related to the State 23
Disbursement Unit ................................ 9,000,000 24
For State Prompt Payment Act Interest Costs ..........50,000 25 SB3848 -5- OMB103 00200 JCB 45200 b
Total $245,971,300 1
PUBLIC AID RECOVERIES 2
Payable from Public Aid Recoveries Trust Fund: 3
For Personal Services ............................ 10,399,400 4
For State Contributions to State 5
Employees' Retirement System ..................... 5,322,400 6
For State Contributions to 7
Social Security ................................ ....795,600 8
For Group Insurance ............................... 3,536,300 9
For Contractual Services ......................... 12,898,600 10
For Travel ................................ ..........107,200 11
For Commodities ................................ ...........0 12
For Printing ................................ ..............0 13
For Equipment ................................ .............0 14
For Telecommunications Services .......................... 0 15
Total $33,059,500 16
MEDICAL 17
Payable from General Revenue Fund: 18
For Deposit into the Medicaid Technical 19
Assistance Center Fund ............................. 500,000 20
For Costs Associated with the Critical 21
Access Care Pharmacy Program .................... 10,000,000 22
Total $10,500,000 23
Payable from Public Aid Recoveries Trust Fund: 24
For Personal Services ............................ 13,394,200 25 SB3848 -6- OMB103 00200 JCB 45200 b
For State Contributions to State 1
Employees’ Retirement System ..................... 6,855,200 2
For State Contributions to 3
Social Security ................................ ..1,024,800 4
For Group Insurance ............................... 4,691,900 5
For Contractual Services ......................... 45,746,800 6
For Commodities ................................ ...........0 7
For Printing ................................ ..............0 8
For Equipment ................................ .............0 9
For Telecommunications Services ........................... 0 10
For Costs Associated with the 11
Development, Implementation and 12
Operation of a Data Warehouse ...................21,368,200 13
Total $93,081,100 14
Payable from Healthcare Provider Relief Fund: 15
For Operational Expenses ......................... 57,967,700 16
For Payments in Support of the 17
Operation of the Illinois 18
Poison Center ................................ ....4,000,000 19
Section 10. The amount of $2,220,000,000, or so much 20
thereof as may be necessary, is appropriated to the Department 21
of Healthcare and Family Services from the General Revenue Fund 22
for deposit into the Healthcare Provider Relief Fund. 23
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Section 15. The amount of $440,000,000, or so much thereof 1
as may be necessary, is appropriated to the Department of 2
Healthcare and Family Services from the General Revenue Fund 3
for deposit into the Healthcare Provider Relief Fund for 4
Medical Assistance pursuant to subsections (a-5), (a-6), and 5
(a-7) of Section 12-4.35 of the Illinois Public Aid Code. 6
Section 20. In addition to any amounts heretofore 7
appropriated, the following named amounts, or so much thereof 8
as may be necessary, respectively, are appropriated to the 9
Department of Healthcare and Family Services for Medical 10
Assistance and Administrative Expenditures: 11
Payable from General Revenue Fund: 12
For Medical Assistance Providers and 13
Related Operating and Administrative 14
Costs ................................ .......$6,516,206,900 15
In addition to any amounts heretofore appropriated, the 16
following named amounts, or so much thereof as may be necessary, 17
are appropriated to the Depart ment of Healthcare and Family 18
Services for Medical Assistance for reimbursement or coverage 19
of prescribed drugs, other pharmacy products, and payments to 20
managed care organizations including related administrative and 21
operation costs: 22
Payable from Drug Reb ate Fund ...................2,700,000,000 23 SB3848 -8- OMB103 00200 JCB 45200 b
In addition to any amounts heretofore appropriated, the 1
following named amounts, or so much thereof as may be necessary, 2
are appropriated to the Department of Healthcare and Family 3
Services for costs related to the operation of th e Health 4
Benefits for Workers with Disabilities Program: 5
Payable from Medicaid Buy -In Program 6
Revolving Fund ................................ .......820,700 7
Section 25. In addition to any amount heretofore 8
appropriated, the amount of $50,000,000, or so much thereof as 9
may be necessary, is appropriated to the Department of 10
Healthcare and Family Services from the Medical Interagency 11
Program Fund for i) Medical Assistance payments on behalf of 12
individuals eligible for Medical Assistance programs 13
administered by the Department of Healthcare and Family 14
Services, and ii) pursuant to an interagency agreement, medical 15
services and other costs associated with programs administered 16
by another agency of state government, including operating and 17
administrative costs. 18
Section 30. In add ition to any amounts heretofore 19
appropriated, the following named amounts, or so much thereof 20
as may be necessary, respectively, are appropriated to the 21
Department of Healthcare and Family Services for Medical 22 SB3848 -9- OMB103 00200 JCB 45200 b
Assistance and Administrative Expenditures: 1
Payable from Care Provider Fund for Persons 2
with a Developmental Disability: 3
For Administrative Expenditures ..................... 300,000 4
Payable from Long-Term Care Provider Fund: 5
For Skilled, Intermediate, and Other Related 6
Long-Term Care Services and Payments 7
to Managed Care Organizations ..................875,000,000 8
For Administrative Expenditures ...................6,109,600 9
Total $881,109,600 10
Payable from Hospital Provider Fund: 11
For Hospitals, Capitated Managed Care 12
Organizations as necessary to comply 13
with Article V-A of the 14
Illinois Public Aid Code, and Related 15
Operating and Administrative Costs ...........4,500,000,000 16
Payable from Tobacco Settlement Recovery Fund: 17
For Medical Assistance Providers ................800,000,000 18
Payable from Healthcare Provider Relief Fund: 19
For Medical Assistance Providers 20
and Related Operating and 21
Administrative Costs ........................ 15,676,800,000 22
For Medical Assistance Pursuant to 23
subsections (a-5), (a-6), and (a-7) of 24
Section 12-4.35 of the 25 SB3848 -10- OMB103 00200 JCB 45200 b
Illinois Public Aid Code ....................... 628,700,000 1
Section 35. In addition to any amounts heretofore 2
appropriated, the following named amounts, or so much thereof 3
as may be necessary, respectively, are appropriated to the 4
Department of Healthcare and Family Services for Medical 5
Assistance and Administrative Expenditures: 6
Payable from County Pro vider Trust Fund: 7
For Medical Services .......................... 3,400,000,000 8
For Administrative Expenditures Including 9
Pass-through of Federal Matching Funds ..........25,000,000 10
Total $3,425,000,000 11
Section 40. The following named amounts, or so much thereof 12
as may be necessary , respectively, are appropriated to the 13
Department of Healthcare and Family Services for refunds of 14
overpayments of assessments or inter -governmental transfers 15
made by providers during the period from July 1, 1991 through 16
June 30, 2024: 17
Payable from: 18
Care Provider Fund for Persons 19
with a Developmental Disability ..................1,000,000 20
Long-Term Care Provider Fund ...................... 2,750,000 21
Hospital Provider Fund ............................ 5,000,000 22
County Provider Trust Fund ........................ 1,000,000 23 SB3848 -11- OMB103 00200 JCB 45200 b
Total $9,750,000 1
Section 45. The amount of $10,200,000, or so much thereof 2
as may be necessary, is appropriated to the Department of 3
Healthcare and Family Services from the Trauma Center Fund for 4
adjustment payments to certain Level I and Level II trauma 5
centers. 6
Section 50. The amount of $375,000,000, or so much the reof 7
as may be necessary, is appropriated to the Department of 8
Healthcare and Family Services from the University of Illinois 9
Hospital Services Fund to reimburse the University of Illinois 10
Hospital for medical services. 11
Section 55. The amount of $1,000 ,000, or so much thereof 12
as may be necessary, is appropriated to the Department of 13
Healthcare and Family Services from the Juvenile Rehabilitation 14
Services Medicaid Matching Fund for payments to the Department 15
of Juvenile Justice and counties for court -ordered juvenile 16
behavioral health services. 17
Section 60. The amount of $5,000,000, or so much thereof 18
as may be necessary, is appropriated to the Department of 19
Healthcare and Family Services from the Medical Special 20
Purposes Trust Fund for medical demons tration projects and 21 SB3848 -12- OMB103 00200 JCB 45200 b
costs associated with the implementation of federal Health 1
Insurance Portability and Accountability Act mandates. 2
Section 65. The amount of $1,000,000, or so much thereof 3
as may be necessary, is appropriated to the Department of 4
Healthcare and Family Services from the Medicaid Technical 5
Assistance Center Fund for all costs, including grants and 6
related operating and administrative costs, associated with the 7
establishment, administration, and operations of the Medicai d 8
Technical Assistance Center. 9
Section 70. The amount of $400,000,000, or so much thereof 10
as may be necessary, is appropriated to the Department of 11
Healthcare and Family Services from the Special Education 12
Medicaid Matching Fund for payments to local e ducation agencies 13
for medical services and other costs eligible for federal 14
reimbursement under Title XIX or Title XXI of the federal Social 15
Security Act. 16
Section 75. In addition to any amounts heretofore 17
appropriated, the amount of $10,200,000, or so m uch thereof as 18
may be necessary, is appropriated to the Department of 19
Healthcare and Family Services from the Money Follows the 20
Person Budget Transfer Fund for costs associated with long -21
term care, including related operating and administrative 22 SB3848 -13- OMB103 00200 JCB 45200 b
costs. Such costs shall include, but not necessarily be limited 1
to, those related to long -term care rebalancing efforts, 2
institutional long -term care services, and pursuant to an 3
interagency agreement, community -based services administered 4
by another agency of state government. 5
Section 80. The sum of $6,000,000, or so much thereof as 6
may be necessary, is appropriated to the Department of 7
Healthcare and Family Services from the Illinois Health 8
Benefits Exchange Fund for all costs, including but not limited 9
to grants, outreach, operations, and administrative expenses 10
associated with the establishment and operation of the Illinois 11
Health Benefits Exchange and coordinating operations of the 12
Exchange with State medical assistance programs. 13
Section 85. In addition to any amounts heretofore 14
appropriated, the following named amounts, or so much thereof 15
as may be necessary, respectively, are appropriated to the 16
Department of Healthcare and Family Services for State Prompt 17
Payment Act interest costs: 18
Payable from the Gene ral Revenue Fund ..............10,000,000 19
Payable from Long-Term Care Provider Fund: .............10,000 20
Payable from the Hospital Provider Fund: ..............200,000 21
Payable from the Trauma Center Fund: ...................10,000 22
Payable from the Money Follows the Person 23 SB3848 -14- OMB103 00200 JCB 45200 b
Budget Transfer Fund: ............................... 10,000 1
Payable from the Medical Interagency 2
Program Fund: ................................ ......200,000 3
Payable from the Drug Rebate Fund: .................... 200,000 4
Payable from the Tobacco Settlement 5
Recovery Fund: ................................ ......10,000 6
Payable from the Medicaid Buy -In Program 7
Revolving Fund: ................................ ........500 8
Payable from the Healthcare 9
Provider Relief Fund: ............................ 5,000,000 10
Payable from the Medical Special 11
Purposes Trust Fund: ................................ 50,000 12
Section 90. The amount of $25,000,000, or so much thereof 13
as may be necessary, is appropriated from the General Revenue 14
Fund to the Department of Healthcare and Family Services for 15
the purpose of updating prospective payment system rates for 16
Federally Qualified Health Centers (FQHCs). 17
Section 95. The amount of $60,000,000, or so much thereof 18
as may be necessary and remains unexpended at the close of 19
business on June 30, 2024, from an appropriation heretofore 20
made for such purpose in Article 62, Section 100 of Public Act 21
103-0006, as amended, is reappropriated to the Department of 22
Healthcare and Family Services from the Medical Special 23 SB3848 -15- OMB103 00200 JCB 45200 b
Purposes Trust Fund for a demonstration project for preventive 1
health. 2
Section 100. The sum of $5,000,000, or so much thereof as 3
may be necessary, is appropriated from the General Revenue Fund 4
to the Department of Healthcare and Family Services for the 5
purpose of administering the Breakthrough Therapies for Veteran 6
Suicide Prevention Program. 7
Section 105. The sum of $5,000,000, or so much thereof as 8
may be necessary, is appropriated to the Department of 9
Healthcare and Family Services from the General Revenue Fund 10
for grants and administrative costs associated with health care 11
telementoring. 12
Section 110. The sum of $10,000,000, or so much thereof as 13
may be necessary, is appropriated to the Department of 14
Healthcare and Family Services from the General Revenue Fund 15
for grants and administrative costs associated with a pilot 16
program for the purchase of medical debt incurred by patients. 17
Section 999. Effective date. This Act takes effect July 1, 18
2024. 19