Illinois 2025-2026 Regular Session

Illinois House Bill HB2776 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 HB2776 Introduced , by Rep. Eva-Dina Delgado SYNOPSIS AS INTRODUCED: 305 ILCS 5/5B-2 from Ch. 23, par. 5B-2 Amends the Long-Term Care Provider Funding Article of the Illinois Public Aid Code. Provides that any increase in any authorized long-term care provider assessment must: (1) comply with all federal regulations for provider assessments; (2) require that all revenues from an increase in the assessed rates are applied to nursing facility rates for staffing incentives and to improve the quality of care as described in specified provisions under Article V of the Code; (3) not increase the assessed rate of $7 per occupied bed day for non-profit nursing facilities without Medicaid-certified beds or any nursing facility owned and operated by a county government; (4) maintain the 2.1 to 1 ratio between the highest tax rate and lowest tax rate; and (5) not increase any tax rate proportionally more than any other tax rate. Effective immediately. LRB104 09538 KTG 19601 b A BILL FOR 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 HB2776 Introduced , by Rep. Eva-Dina Delgado SYNOPSIS AS INTRODUCED: 305 ILCS 5/5B-2 from Ch. 23, par. 5B-2 305 ILCS 5/5B-2 from Ch. 23, par. 5B-2 Amends the Long-Term Care Provider Funding Article of the Illinois Public Aid Code. Provides that any increase in any authorized long-term care provider assessment must: (1) comply with all federal regulations for provider assessments; (2) require that all revenues from an increase in the assessed rates are applied to nursing facility rates for staffing incentives and to improve the quality of care as described in specified provisions under Article V of the Code; (3) not increase the assessed rate of $7 per occupied bed day for non-profit nursing facilities without Medicaid-certified beds or any nursing facility owned and operated by a county government; (4) maintain the 2.1 to 1 ratio between the highest tax rate and lowest tax rate; and (5) not increase any tax rate proportionally more than any other tax rate. Effective immediately. LRB104 09538 KTG 19601 b LRB104 09538 KTG 19601 b A BILL FOR
2	2	104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 HB2776 Introduced , by Rep. Eva-Dina Delgado SYNOPSIS AS INTRODUCED:
3	3	305 ILCS 5/5B-2 from Ch. 23, par. 5B-2 305 ILCS 5/5B-2 from Ch. 23, par. 5B-2
4	4	305 ILCS 5/5B-2 from Ch. 23, par. 5B-2
5	5	Amends the Long-Term Care Provider Funding Article of the Illinois Public Aid Code. Provides that any increase in any authorized long-term care provider assessment must: (1) comply with all federal regulations for provider assessments; (2) require that all revenues from an increase in the assessed rates are applied to nursing facility rates for staffing incentives and to improve the quality of care as described in specified provisions under Article V of the Code; (3) not increase the assessed rate of $7 per occupied bed day for non-profit nursing facilities without Medicaid-certified beds or any nursing facility owned and operated by a county government; (4) maintain the 2.1 to 1 ratio between the highest tax rate and lowest tax rate; and (5) not increase any tax rate proportionally more than any other tax rate. Effective immediately.
6	6	LRB104 09538 KTG 19601 b LRB104 09538 KTG 19601 b
7	7	LRB104 09538 KTG 19601 b
8	8	A BILL FOR
9	9	HB2776LRB104 09538 KTG 19601 b HB2776 LRB104 09538 KTG 19601 b
10	10	HB2776 LRB104 09538 KTG 19601 b
11	11	1 AN ACT concerning public aid.
12	12	2 Be it enacted by the People of the State of Illinois,
13	13	3 represented in the General Assembly:
14	14	4 Section 5. The Illinois Public Aid Code is amended by
15	15	5 changing Section 5B-2 as follows:
16	16	6 (305 ILCS 5/5B-2) (from Ch. 23, par. 5B-2)
17	17	7 Sec. 5B-2. Assessment; no local authorization to tax.
18	18	8 (a) For the privilege of engaging in the occupation of
19	19	9 long-term care provider, beginning July 1, 2011 through June
20	20	10 30, 2022, or upon federal approval by the Centers for Medicare
21	21	11 and Medicaid Services of the long-term care provider
22	22	12 assessment described in subsection (a-1), whichever is later,
23	23	13 an assessment is imposed upon each long-term care provider in
24	24	14 an amount equal to $6.07 times the number of occupied bed days
25	25	15 due and payable each month. Notwithstanding any provision of
26	26	16 any other Act to the contrary, this assessment shall be
27	27	17 construed as a tax, but shall not be billed or passed on to any
28	28	18 resident of a nursing home operated by the nursing home
29	29	19 provider.
30	30	20 (a-1) For the privilege of engaging in the occupation of
31	31	21 long-term care provider for each occupied non-Medicare bed
32	32	22 day, beginning July 1, 2022, an assessment is imposed upon
33	33	23 each long-term care provider in an amount varying with the
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37	37	104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 HB2776 Introduced , by Rep. Eva-Dina Delgado SYNOPSIS AS INTRODUCED:
38	38	305 ILCS 5/5B-2 from Ch. 23, par. 5B-2 305 ILCS 5/5B-2 from Ch. 23, par. 5B-2
39	39	305 ILCS 5/5B-2 from Ch. 23, par. 5B-2
40	40	Amends the Long-Term Care Provider Funding Article of the Illinois Public Aid Code. Provides that any increase in any authorized long-term care provider assessment must: (1) comply with all federal regulations for provider assessments; (2) require that all revenues from an increase in the assessed rates are applied to nursing facility rates for staffing incentives and to improve the quality of care as described in specified provisions under Article V of the Code; (3) not increase the assessed rate of $7 per occupied bed day for non-profit nursing facilities without Medicaid-certified beds or any nursing facility owned and operated by a county government; (4) maintain the 2.1 to 1 ratio between the highest tax rate and lowest tax rate; and (5) not increase any tax rate proportionally more than any other tax rate. Effective immediately.
41	41	LRB104 09538 KTG 19601 b LRB104 09538 KTG 19601 b
42	42	LRB104 09538 KTG 19601 b
43	43	A BILL FOR
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49	49	305 ILCS 5/5B-2 from Ch. 23, par. 5B-2
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67	67	HB2776 - 2 - LRB104 09538 KTG 19601 b
68	68	1 number of paid Medicaid resident days per annum in the
69	69	2 facility with the following schedule of occupied bed tax
70	70	3 amounts. This assessment is due and payable each month. The
71	71	4 tax shall follow the schedule below and be rebased by the
72	72	5 Department on an annual basis. The Department shall publish
73	73	6 each facility's rebased tax rate according to the schedule in
74	74	7 this Section 30 days prior to the beginning of the 6-month
75	75	8 period beginning July 1, 2022 and thereafter 30 days prior to
76	76	9 the beginning of each calendar year which shall incorporate
77	77	10 the number of paid Medicaid days used to determine each
78	78	11 facility's rebased tax rate.
79	79	12 (1) 0-5,000 paid Medicaid resident days per annum,
80	80	13 $10.67.
81	81	14 (2) 5,001-15,000 paid Medicaid resident days per
82	82	15 annum, $19.20.
83	83	16 (3) 15,001-35,000 paid Medicaid resident days per
84	84	17 annum, $22.40.
85	85	18 (4) 35,001-55,000 paid Medicaid resident days per
86	86	19 annum, $19.20.
87	87	20 (5) 55,001-65,000 paid Medicaid resident days per
88	88	21 annum, $13.86.
89	89	22 (6) 65,001+ paid Medicaid resident days per annum,
90	90	23 $10.67.
91	91	24 (7) Any non-profit nursing facilities without
92	92	25 Medicaid-certified beds or any nursing facility owned and
93	93	26 operated by a county government, $7 per occupied bed day.
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104	104	1 The changes made by Public Act 102-1118 this amendatory
105	105	2 Act of the 102nd General Assembly to this paragraph (7)
106	106	3 shall be implemented only upon federal approval.
107	107	4 Notwithstanding any provision of any other Act to the
108	108	5 contrary, this assessment shall be construed as a tax but
109	109	6 shall not be billed or passed on to any resident of a nursing
110	110	7 home operated by the nursing home provider.
111	111	8 For each new calendar year and for the 6-month period
112	112	9 beginning July 1, 2022, a facility's paid Medicaid resident
113	113	10 days per annum shall be determined using the Department's
114	114	11 Medicaid Management Information System to include Medicaid
115	115	12 resident days for the year ending 9 months earlier.
116	116	13 (b) Nothing in this amendatory Act of 1992 shall be
117	117	14 construed to authorize any home rule unit or other unit of
118	118	15 local government to license for revenue or impose a tax or
119	119	16 assessment upon long-term care providers or the occupation of
120	120	17 long-term care provider, or a tax or assessment measured by
121	121	18 the income or earnings or occupied bed days of a long-term care
122	122	19 provider.
123	123	20 (c) The assessment imposed by this Section shall not be
124	124	21 due and payable, however, until after the Department notifies
125	125	22 the long-term care providers, in writing, that the payment
126	126	23 methodologies to long-term care providers required under
127	127	24 Section 5-5.2 of this Code have been approved by the Centers
128	128	25 for Medicare and Medicaid Services of the U.S. Department of
129	129	26 Health and Human Services and that the waivers under 42 CFR
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140	140	1 433.68 for the assessment imposed by this Section, if
141	141	2 necessary, have been granted by the Centers for Medicare and
142	142	3 Medicaid Services of the U.S. Department of Health and Human
143	143	4 Services.
144	144	5 (d) Any increase in any assessment authorized under this
145	145	6 Section must:
146	146	7 (1) comply with all federal regulations for provider
147	147	8 assessments;
148	148	9 (2) require that all revenues from an increase in the
149	149	10 assessed rates are applied to nursing facility rates for
150	150	11 staffing incentives as described in paragraphs (6) and
151	151	12 (6.5) of subsection (d) of Section 5-5.2 or to improve the
152	152	13 quality of care as described in paragraph (1) of
153	153	14 subsection (l) of Section 5-5.2;
154	154	15 (3) not increase the assessed rate of $7 per occupied
155	155	16 bed day for non-profit nursing facilities without
156	156	17 Medicaid-certified beds or any nursing facility owned and
157	157	18 operated by a county government;
158	158	19 (4) maintain the 2.1 to 1 ratio between the highest
159	159	20 tax rate and lowest tax rate; and
160	160	21 (5) not increase any tax rate proportionally more than
161	161	22 any other tax rate.
162	162	23 (Source: P.A. 102-1035, eff. 5-31-22; 102-1118, eff. 1-18-23.)
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