104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026 HB3912 Introduced , by Rep. Robyn Gabel 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, 2025, as follows: General Funds $9,358,579,800 Other State Funds $35,543,402,100 Federal Funds $400,000,000 Total $45,301,981,900 OMB104 00039 JCB 10039 b 104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026 HB3912 Introduced , by Rep. Robyn Gabel 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, 2025, as follows: General Funds $9,358,579,800 Other State Funds $35,543,402,100 Federal Funds $400,000,000 Total $45,301,981,900 OMB104 00039 JCB 10039 b OMB104 00039 JCB 10039 b
104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026 HB3912 Introduced , by Rep. Robyn Gabel 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, 2025, as follows: General Funds $9,358,579,800 Other State Funds $35,543,402,100 Federal Funds $400,000,000 Total $45,301,981,900
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1 AN ACT concerning appropriations.
2 Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
4 ARTICLE 1
5 Section 5. The following named sums, or so much thereof as
6 may be necessary, respectively, are appropriated to the
7 Department of Healthcare and Family Services for the purposes
8 hereinafter named:
9 PROGRAM ADMINISTRATION
10 Payable from General Revenue Fund:
11 For Personal Services............................20,320,500
12 For State Contributions to
13 Social Security..................................1,554,500
14 For Contractual Services..........................1,760,100
15 For Travel..........................................101,200
16 For Commodities...........................................0
17 For Printing..............................................0
18 For Equipment.............................................0
19 For Electronic Data Processing...................13,165,000
20 For Telecommunications Services...........................0
21 For Operation of Auto Equipment......................34,000
22 For Deposit into the Public Aid
23 Recoveries Trust Fund...........................52,495,000
104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026 HB3912 Introduced , by Rep. Robyn Gabel 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, 2025, as follows: General Funds $9,358,579,800 Other State Funds $35,543,402,100 Federal Funds $400,000,000 Total $45,301,981,900
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1 Total $89,430,300
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.............................4,473,800
9 For State Contributions to State
10 Employees' Retirement System.....................2,079,600
11 For State Contributions to
12 Social Security....................................342,300
13 For Group Insurance...............................1,365,900
14 For Contractual Services..........................5,343,000
15 For Commodities.....................................232,600
16 For Printing........................................360,700
17 For Equipment.....................................1,166,300
18 For Electronic Data Processing....................2,620,800
19 For Telecommunications Services...................1,185,000
20 For Costs Associated with Information
21 Technology Infrastructure.......................54,754,000
22 For State Prompt Payment Act Interest Costs..........25,000
23 Total $73,949,000
24 OFFICE OF INSPECTOR GENERAL
25 Payable from General Revenue Fund:
26 For Personal Services.............................6,690,800
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1 For State Contributions to
2 Social Security....................................511,800
3 For Contractual Services..................................0
4 For Travel...........................................40,000
5 For Equipment............................................ 0
6 Total $7,242,600
7 Payable from Long-Term Care Provider Fund:
8 For Administrative Expenses.........................282,000
9 Payable from Public Aid Recoveries Trust Fund:
10 For Personal Services............................11,241,400
11 For State Contributions to State
12 Employees' Retirement System.....................5,225,700
13 For State Contributions to
14 Social Security....................................860,000
15 For Group Insurance...............................3,652,000
16 For Contractual Services..........................7,918,500
17 For Travel..........................................108,800
18 For Commodities...........................................0
19 For Printing..............................................0
20 For Equipment.............................................0
21 For Telecommunications Services...........................0
22 Total $29,006,400
23 CHILD SUPPORT SERVICES
24 Payable from General Revenue Fund:
25 For Deposit into the Child Support
26 Administrative Fund.............................71,800,000
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1 Payable from Child Support Administrative Fund:
2 For Personal Services............................61,743,100
3 For State Contributions to State
4 Employees' Retirement System....................28,701,900
5 For State Contributions to
6 Social Security..................................4,723,300
7 For Group Insurance..............................25,696,800
8 For Contractual Services.........................89,350,700
9 For Travel..........................................140,700
10 For Commodities.....................................292,000
11 For Printing........................................360,000
12 For Equipment.....................................1,553,100
13 For Electronic Data Processing...................15,447,200
14 For Telecommunications Services...................1,900,000
15 For Child Support Enforcement
16 Demonstration Projects.............................500,000
17 For Administrative Costs Related to
18 Enhanced Collection Efforts including
19 Paternity Adjudication Demonstration.............7,500,000
20 For Costs Related to the State
21 Disbursement Unit................................9,000,000
22 For State Prompt Payment Act Interest Costs..........50,000
23 Total $246,958,800
24 PUBLIC AID RECOVERIES
25 Payable from Public Aid Recoveries Trust Fund:
26 For Personal Services............................10,502,600
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1 For State Contributions to State
2 Employees' Retirement System.....................4,882,200
3 For State Contributions to
4 Social Security....................................803,400
5 For Group Insurance...............................3,735,500
6 For Contractual Services.........................12,898,600
7 For Travel..........................................107,200
8 For Commodities...........................................0
9 For Printing..............................................0
10 For Equipment.............................................0
11 For Telecommunications Services...........................0
12 Total $32,929,500
13 MEDICAL
14 Payable from General Revenue Fund:
15 For Deposit into the Medicaid Technical
16 Assistance Center Fund.............................500,000
17 For Costs Associated with the Critical
18 Access Care Pharmacy Program....................10,000,000
19 Total $10,500,000
20 Payable from Public Aid Recoveries Trust Fund:
21 For Personal Services............................15,152,000
22 For State Contributions to State
23 Employees' Retirement System.....................7,043,600
24 For State Contributions to
25 Social Security..................................1,159,300
26 For Group Insurance...............................5,628,800
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1 For Contractual Services.........................45,746,800
2 For Commodities...........................................0
3 For Printing..............................................0
4 For Equipment.............................................0
5 For Telecommunications Services...........................0
6 For Costs Associated with the
7 Development, Implementation and
8 Operation of a Data Warehouse...................21,368,200
9 Total $96,098,700
10 Payable from Healthcare Provider Relief Fund:
11 For Operational Expenses.........................68,790,600
12 For Payments in Support of the
13 Operation of the Illinois
14 Poison Center....................................4,500,000
15 Section 10. The amount of $2,957,000,000, or so much
16 thereof as may be necessary, is appropriated to the Department
17 of Healthcare and Family Services from the General Revenue
18 Fund for deposit into the Healthcare Provider Relief Fund.
19 Section 15. In addition to any amounts heretofore
20 appropriated, the following named amounts, or so much thereof
21 as may be necessary, respectively, are appropriated to the
22 Department of Healthcare and Family Services for Medical
23 Assistance and Administrative Expenditures:
24 Payable from General Revenue Fund:
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1 For Medical Assistance Providers and
2 Related Operating and Administrative
3 Costs.......................................$6,077,606,900
4 The amount of $0, or so much thereof as may be necessary, is
5 appropriated to the Department of Healthcare and Family
6 Services from the General Revenue Fund for Medical Assistance
7 pursuant to subsections (a-6) and (a-7) of Section 12-4.35 of
8 the Illinois Public Aid Code.
9 The amount of $110,000,000, or so much thereof as may be
10 necessary, is appropriated to the Department of Healthcare and
11 Family Services from the General Revenue Fund for Medical
12 Assistance pursuant to subsection (a-5) of Section 12-4.35 of
13 the Illinois Public Aid Code.
14 In addition to any amounts heretofore appropriated, the
15 following named amounts, or so much thereof as may be
16 necessary, are appropriated to the Department of Healthcare
17 and Family Services for Medical Assistance for reimbursement
18 or coverage of prescribed drugs, other pharmacy products, and
19 payments to managed care organizations including related
20 administrative and operation costs:
21 Payable from Drug Rebate Fund...................2,000,000,000
22 In addition to any amounts heretofore appropriated, the
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1 following named amounts, or so much thereof as may be
2 necessary, are appropriated to the Department of Healthcare
3 and Family Services for costs related to the operation of the
4 Health Benefits for Workers with Disabilities Program:
5 Payable from Medicaid Buy-In Program
6 Revolving Fund.......................................837,000
7 Section 20. In addition to any amount heretofore
8 appropriated, the amount of $25,000,000, 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,
15 medical services and other costs associated with programs
16 administered by another agency of state government, including
17 operating and administrative costs.
18 Section 25. In addition 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 Assistance and Administrative Expenditures:
23 Payable from Care Provider Fund for Persons
24 with a Developmental Disability:
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1 For Administrative Expenditures.....................300,000
2 Payable from Long-Term Care Provider Fund:
3 For Skilled, Intermediate, and Other Related
4 Long-Term Care Services and Payments
5 to Managed Care Organizations..................875,000,000
6 For Administrative Expenditures...................6,109,600
7 Total $881,109,600
8 Payable from Hospital Provider Fund:
9 For Hospitals, Capitated Managed Care
10 Organizations as necessary to comply
11 with Article V-A of the
12 Illinois Public Aid Code, and Related
13 Operating and Administrative Costs...........7,300,000,000
14 Payable from Tobacco Settlement Recovery Fund:
15 For Medical Assistance Providers................800,000,000
16 Payable from Healthcare Provider Relief Fund:
17 For Medical Assistance Providers
18 and Related Operating and
19 Administrative Costs........................19,818,000,000
20 For Medical Assistance Pursuant to
21 subsections (a-6) and (a-7) of Section 12-4.35
22 of the Illinois Public Aid Code..........................0
23 For Medical Assistance Pursuant to
24 subsection (a-5) of Section 12-4.35
25 of the Illinois Public Aid Code................132,000,000
26 Total $19,950,000,000
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1 Section 30. 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 Provider Trust Fund:
7 For Medical Services..........................3,500,000,000
8 For Administrative Expenditures Including
9 Pass-through of Federal Matching Funds..........25,000,000
10 Total $3,525,000,000
11 Section 35. The following named amounts, or so much
12 thereof as may be necessary, respectively, are appropriated to
13 the Department of Healthcare and Family Services for refunds
14 of overpayments of assessments or inter-governmental transfers
15 made by providers during the period from July 1, 1991 through
16 June 30, 2025:
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 Total $9,750,000
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1 Section 40. The amount of $4,000,000, 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 45. The amount of $375,000,000, or so much thereof
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 50. The amount of $5,000,000, or so much thereof
12 as may be necessary, is appropriated to the Department of
13 Healthcare and Family Services from the Medical Special
14 Purposes Trust Fund for medical demonstration projects and
15 costs associated with the implementation of federal Health
16 Insurance Portability and Accountability Act mandates.
17 Section 55. The amount of $1,000,000, or so much thereof
18 as may be necessary, is appropriated to the Department of
19 Healthcare and Family Services from the Medicaid Technical
20 Assistance Center Fund for all costs, including grants and
21 related operating and administrative costs, associated with
22 the establishment, administration, and operations of the
23 Medicaid Technical Assistance Center.
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1 Section 60. The amount of $400,000,000, or so much thereof
2 as may be necessary, is appropriated to the Department of
3 Healthcare and Family Services from the Special Education
4 Medicaid Matching Fund for payments to local education
5 agencies for medical services and other costs eligible for
6 federal reimbursement under Title XIX or Title XXI of the
7 federal Social Security Act.
8 Section 65. In addition to any amounts heretofore
9 appropriated, the amount of $10,200,000, or so much thereof as
10 may be necessary, is appropriated to the Department of
11 Healthcare and Family Services from the Money Follows the
12 Person Budget Transfer Fund for costs associated with
13 long-term care, including related operating and administrative
14 costs. Such costs shall include, but not necessarily be
15 limited to, those related to long-term care rebalancing
16 efforts, institutional long-term care services, and pursuant
17 to an interagency agreement, community-based services
18 administered by another agency of state government.
19 Section 70. The amount of $8,000,000, or so much thereof
20 as may be necessary, is appropriated to the Department of
21 Healthcare and Family Services from the Illinois Health
22 Benefits Exchange Fund for all costs, including but not
23 limited to grants, outreach, operations, and administrative
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1 expenses associated with the establishment and operation of
2 the Illinois Health Benefits Exchange and coordinating
3 operations of the Exchange with State medical assistance
4 programs.
5 Section 75. In addition to any amounts heretofore
6 appropriated, the following named amounts, or so much thereof
7 as may be necessary, respectively, are appropriated to the
8 Department of Healthcare and Family Services for State Prompt
9 Payment Act interest costs:
10 Payable from the General Revenue Fund...............5,000,000
11 Payable from Long-Term Care Provider Fund:.............10,000
12 Payable from the Hospital Provider Fund:..............200,000
13 Payable from the Trauma Center Fund:...................10,000
14 Payable from the Money Follows the Person
15 Budget Transfer Fund:.................................10,000
16 Payable from the Medical Interagency
17 Program Fund:........................................200,000
18 Payable from the Drug Rebate Fund:....................200,000
19 Payable from the Tobacco Settlement
20 Recovery Fund:........................................10,000
21 Payable from the Medicaid Buy-In Program
22 Revolving Fund:..........................................500
23 Payable from the Healthcare
24 Provider Relief Fund:..............................5,000,000
25 Payable from the Medical Special
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1 Purposes Trust Fund:..................................50,000
2 Section 80. The amount of $25,000,000, or so much thereof
3 as may be necessary, is appropriated from the General Revenue
4 Fund to the Department of Healthcare and Family Services for
5 the purpose of updating prospective payment system rates for
6 Federally Qualified Health Centers (FQHCs).
7 Section 85. The amount of $60,000,000, or so much thereof
8 as may be necessary and remains unexpended at the close of
9 business on June 30, 2025, from an appropriation heretofore
10 made for such purpose in Article 69, Section 90 of Public Act
11 103-0589, as amended, is reappropriated to the Department of
12 Healthcare and Family Services from the Medical Special
13 Purposes Trust Fund for a demonstration project for preventive
14 health.
15 Section 90. The amount of $3,000,000, or so much thereof
16 as may be necessary, is appropriated from the General Revenue
17 Fund to the Department of Healthcare and Family Services for
18 the purpose of administering the Breakthrough Therapies for
19 Veteran Suicide Prevention Program including but not limited
20 to, academic and medical institutions for purposes of studying
21 emerging therapies.
22 Section 95. The amount of $15,000,000, or so much thereof
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1 as may be necessary, is appropriated to the Department of
2 Healthcare and Family Services from the Medical Debt Relief
3 Pilot Program Fund for grants and administrative costs
4 associated with a pilot program for the purchase of medical
5 debt incurred by patients.
6 Section 100. The amount of $2,000,000, or so much thereof
7 as may be necessary, is appropriated to the Department of
8 Healthcare and Family Services from the General Revenue Fund
9 for grants and administrative costs to Thorek Memorial
10 Hospital for ordinary and contingent expenses associated with
11 Project On-Ramp.
12 Section 999. Effective date. This Act takes effect July 1,
13 2025.
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