Illinois 2025-2026 Regular Session

Illinois Senate Bill SB2544 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 SB2544 Introduced 2/25/2025, 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, 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 00040 JCB 10040 b 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB2544 Introduced 2/25/2025, 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, 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 00040 JCB 10040 b OMB104 00040 JCB 10040 b
2	2	104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB2544 Introduced 2/25/2025, by Sen. Elgie R. Sims, Jr. SYNOPSIS AS INTRODUCED:
3	3	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
4	4	OMB104 00040 JCB 10040 b OMB104 00040 JCB 10040 b
5	5	OMB104 00040 JCB 10040 b
6	6	SB2544OMB104 00040 JCB 10040 b SB2544 OMB104 00040 JCB 10040 b
7	7	SB2544 OMB104 00040 JCB 10040 b
8	8	1 AN ACT concerning appropriations.
9	9	2 Be it enacted by the People of the State of Illinois,
10	10	3 represented in the General Assembly:
11	11	4 ARTICLE 1
12	12	5 Section 5. The following named sums, or so much thereof as
13	13	6 may be necessary, respectively, are appropriated to the
14	14	7 Department of Healthcare and Family Services for the purposes
15	15	8 hereinafter named:
16	16	9 PROGRAM ADMINISTRATION
17	17	10 Payable from General Revenue Fund:
18	18	11 For Personal Services............................20,320,500
19	19	12 For State Contributions to
20	20	13 Social Security..................................1,554,500
21	21	14 For Contractual Services..........................1,760,100
22	22	15 For Travel..........................................101,200
23	23	16 For Commodities...........................................0
24	24	17 For Printing..............................................0
25	25	18 For Equipment.............................................0
26	26	19 For Electronic Data Processing...................13,165,000
27	27	20 For Telecommunications Services...........................0
28	28	21 For Operation of Auto Equipment......................34,000
29	29	22 For Deposit into the Public Aid
30	30	23 Recoveries Trust Fund...........................52,495,000
31	31
32	32
33	33
34	34	104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB2544 Introduced 2/25/2025, by Sen. Elgie R. Sims, Jr. SYNOPSIS AS INTRODUCED:
35	35	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
36	36	OMB104 00040 JCB 10040 b OMB104 00040 JCB 10040 b
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51	51	SB2544 - 2 - OMB104 00040 JCB 10040 b
52	52	1 Total $89,430,300
53	53	2 Payable from the HFS Technology Initiative Fund:
54	54	3 For Costs Associated with the Illinois
55	55	4 Health and Human Services Innovation
56	56	5 Incubator Program, including Operational
57	57	6 and Administrative Costs........................15,000,000
58	58	7 Payable from Public Aid Recoveries Trust Fund:
59	59	8 For Personal Services.............................4,473,800
60	60	9 For State Contributions to State
61	61	10 Employees' Retirement System.....................2,079,600
62	62	11 For State Contributions to
63	63	12 Social Security....................................342,300
64	64	13 For Group Insurance...............................1,365,900
65	65	14 For Contractual Services..........................5,343,000
66	66	15 For Commodities.....................................232,600
67	67	16 For Printing........................................360,700
68	68	17 For Equipment.....................................1,166,300
69	69	18 For Electronic Data Processing....................2,620,800
70	70	19 For Telecommunications Services...................1,185,000
71	71	20 For Costs Associated with Information
72	72	21 Technology Infrastructure.......................54,754,000
73	73	22 For State Prompt Payment Act Interest Costs..........25,000
74	74	23 Total $73,949,000
75	75	24 OFFICE OF INSPECTOR GENERAL
76	76	25 Payable from General Revenue Fund:
77	77	26 For Personal Services.............................6,690,800
78	78
79	79
80	80
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88	88	1 For State Contributions to
89	89	2 Social Security....................................511,800
90	90	3 For Contractual Services..................................0
91	91	4 For Travel...........................................40,000
92	92	5 For Equipment............................................ 0
93	93	6 Total $7,242,600
94	94	7 Payable from Long-Term Care Provider Fund:
95	95	8 For Administrative Expenses.........................282,000
96	96	9 Payable from Public Aid Recoveries Trust Fund:
97	97	10 For Personal Services............................11,241,400
98	98	11 For State Contributions to State
99	99	12 Employees' Retirement System.....................5,225,700
100	100	13 For State Contributions to
101	101	14 Social Security....................................860,000
102	102	15 For Group Insurance...............................3,652,000
103	103	16 For Contractual Services..........................7,918,500
104	104	17 For Travel..........................................108,800
105	105	18 For Commodities...........................................0
106	106	19 For Printing..............................................0
107	107	20 For Equipment.............................................0
108	108	21 For Telecommunications Services...........................0
109	109	22 Total $29,006,400
110	110	23 CHILD SUPPORT SERVICES
111	111	24 Payable from General Revenue Fund:
112	112	25 For Deposit into the Child Support
113	113	26 Administrative Fund.............................71,800,000
114	114
115	115
116	116
117	117
118	118
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124	124	1 Payable from Child Support Administrative Fund:
125	125	2 For Personal Services............................61,743,100
126	126	3 For State Contributions to State
127	127	4 Employees' Retirement System....................28,701,900
128	128	5 For State Contributions to
129	129	6 Social Security..................................4,723,300
130	130	7 For Group Insurance..............................25,696,800
131	131	8 For Contractual Services.........................89,350,700
132	132	9 For Travel..........................................140,700
133	133	10 For Commodities.....................................292,000
134	134	11 For Printing........................................360,000
135	135	12 For Equipment.....................................1,553,100
136	136	13 For Electronic Data Processing...................15,447,200
137	137	14 For Telecommunications Services...................1,900,000
138	138	15 For Child Support Enforcement
139	139	16 Demonstration Projects.............................500,000
140	140	17 For Administrative Costs Related to
141	141	18 Enhanced Collection Efforts including
142	142	19 Paternity Adjudication Demonstration.............7,500,000
143	143	20 For Costs Related to the State
144	144	21 Disbursement Unit................................9,000,000
145	145	22 For State Prompt Payment Act Interest Costs..........50,000
146	146	23 Total $246,958,800
147	147	24 PUBLIC AID RECOVERIES
148	148	25 Payable from Public Aid Recoveries Trust Fund:
149	149	26 For Personal Services............................10,502,600
150	150
151	151
152	152
153	153
154	154
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160	160	1 For State Contributions to State
161	161	2 Employees' Retirement System.....................4,882,200
162	162	3 For State Contributions to
163	163	4 Social Security....................................803,400
164	164	5 For Group Insurance...............................3,735,500
165	165	6 For Contractual Services.........................12,898,600
166	166	7 For Travel..........................................107,200
167	167	8 For Commodities...........................................0
168	168	9 For Printing..............................................0
169	169	10 For Equipment.............................................0
170	170	11 For Telecommunications Services...........................0
171	171	12 Total $32,929,500
172	172	13 MEDICAL
173	173	14 Payable from General Revenue Fund:
174	174	15 For Deposit into the Medicaid Technical
175	175	16 Assistance Center Fund.............................500,000
176	176	17 For Costs Associated with the Critical
177	177	18 Access Care Pharmacy Program....................10,000,000
178	178	19 Total $10,500,000
179	179	20 Payable from Public Aid Recoveries Trust Fund:
180	180	21 For Personal Services............................15,152,000
181	181	22 For State Contributions to State
182	182	23 Employees' Retirement System.....................7,043,600
183	183	24 For State Contributions to
184	184	25 Social Security..................................1,159,300
185	185	26 For Group Insurance...............................5,628,800
186	186
187	187
188	188
189	189
190	190
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196	196	1 For Contractual Services.........................45,746,800
197	197	2 For Commodities...........................................0
198	198	3 For Printing..............................................0
199	199	4 For Equipment.............................................0
200	200	5 For Telecommunications Services...........................0
201	201	6 For Costs Associated with the
202	202	7 Development, Implementation and
203	203	8 Operation of a Data Warehouse...................21,368,200
204	204	9 Total $96,098,700
205	205	10 Payable from Healthcare Provider Relief Fund:
206	206	11 For Operational Expenses.........................68,790,600
207	207	12 For Payments in Support of the
208	208	13 Operation of the Illinois
209	209	14 Poison Center....................................4,500,000
210	210	15 Section 10. The amount of $2,957,000,000, or so much
211	211	16 thereof as may be necessary, is appropriated to the Department
212	212	17 of Healthcare and Family Services from the General Revenue
213	213	18 Fund for deposit into the Healthcare Provider Relief Fund.
214	214	19 Section 15. In addition to any amounts heretofore
215	215	20 appropriated, the following named amounts, or so much thereof
216	216	21 as may be necessary, respectively, are appropriated to the
217	217	22 Department of Healthcare and Family Services for Medical
218	218	23 Assistance and Administrative Expenditures:
219	219	24 Payable from General Revenue Fund:
220	220
221	221
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230	230	1 For Medical Assistance Providers and
231	231	2 Related Operating and Administrative
232	232	3 Costs.......................................$6,077,606,900
233	233	4 The amount of $0, or so much thereof as may be necessary, is
234	234	5 appropriated to the Department of Healthcare and Family
235	235	6 Services from the General Revenue Fund for Medical Assistance
236	236	7 pursuant to subsections (a-6) and (a-7) of Section 12-4.35 of
237	237	8 the Illinois Public Aid Code.
238	238	9 The amount of $110,000,000, or so much thereof as may be
239	239	10 necessary, is appropriated to the Department of Healthcare and
240	240	11 Family Services from the General Revenue Fund for Medical
241	241	12 Assistance pursuant to subsection (a-5) of Section 12-4.35 of
242	242	13 the Illinois Public Aid Code.
243	243	14 In addition to any amounts heretofore appropriated, the
244	244	15 following named amounts, or so much thereof as may be
245	245	16 necessary, are appropriated to the Department of Healthcare
246	246	17 and Family Services for Medical Assistance for reimbursement
247	247	18 or coverage of prescribed drugs, other pharmacy products, and
248	248	19 payments to managed care organizations including related
249	249	20 administrative and operation costs:
250	250	21 Payable from Drug Rebate Fund...................2,000,000,000
251	251	22 In addition to any amounts heretofore appropriated, the
252	252
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262	262	1 following named amounts, or so much thereof as may be
263	263	2 necessary, are appropriated to the Department of Healthcare
264	264	3 and Family Services for costs related to the operation of the
265	265	4 Health Benefits for Workers with Disabilities Program:
266	266	5 Payable from Medicaid Buy-In Program
267	267	6 Revolving Fund.......................................837,000
268	268	7 Section 20. In addition to any amount heretofore
269	269	8 appropriated, the amount of $25,000,000, or so much thereof as
270	270	9 may be necessary, is appropriated to the Department of
271	271	10 Healthcare and Family Services from the Medical Interagency
272	272	11 Program Fund for i) Medical Assistance payments on behalf of
273	273	12 individuals eligible for Medical Assistance programs
274	274	13 administered by the Department of Healthcare and Family
275	275	14 Services, and ii) pursuant to an interagency agreement,
276	276	15 medical services and other costs associated with programs
277	277	16 administered by another agency of state government, including
278	278	17 operating and administrative costs.
279	279	18 Section 25. In addition to any amounts heretofore
280	280	19 appropriated, the following named amounts, or so much thereof
281	281	20 as may be necessary, respectively, are appropriated to the
282	282	21 Department of Healthcare and Family Services for Medical
283	283	22 Assistance and Administrative Expenditures:
284	284	23 Payable from Care Provider Fund for Persons
285	285	24 with a Developmental Disability:
286	286
287	287
288	288
289	289
290	290
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296	296	1 For Administrative Expenditures.....................300,000
297	297	2 Payable from Long-Term Care Provider Fund:
298	298	3 For Skilled, Intermediate, and Other Related
299	299	4 Long-Term Care Services and Payments
300	300	5 to Managed Care Organizations..................875,000,000
301	301	6 For Administrative Expenditures...................6,109,600
302	302	7 Total $881,109,600
303	303	8 Payable from Hospital Provider Fund:
304	304	9 For Hospitals, Capitated Managed Care
305	305	10 Organizations as necessary to comply
306	306	11 with Article V-A of the
307	307	12 Illinois Public Aid Code, and Related
308	308	13 Operating and Administrative Costs...........7,300,000,000
309	309	14 Payable from Tobacco Settlement Recovery Fund:
310	310	15 For Medical Assistance Providers................800,000,000
311	311	16 Payable from Healthcare Provider Relief Fund:
312	312	17 For Medical Assistance Providers
313	313	18 and Related Operating and
314	314	19 Administrative Costs........................19,818,000,000
315	315	20 For Medical Assistance Pursuant to
316	316	21 subsections (a-6) and (a-7) of Section 12-4.35
317	317	22 of the Illinois Public Aid Code..........................0
318	318	23 For Medical Assistance Pursuant to
319	319	24 subsection (a-5) of Section 12-4.35
320	320	25 of the Illinois Public Aid Code................132,000,000
321	321	26 Total $19,950,000,000
322	322
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332	332	1 Section 30. In addition to any amounts heretofore
333	333	2 appropriated, the following named amounts, or so much thereof
334	334	3 as may be necessary, respectively, are appropriated to the
335	335	4 Department of Healthcare and Family Services for Medical
336	336	5 Assistance and Administrative Expenditures:
337	337	6 Payable from County Provider Trust Fund:
338	338	7 For Medical Services..........................3,500,000,000
339	339	8 For Administrative Expenditures Including
340	340	9 Pass-through of Federal Matching Funds..........25,000,000
341	341	10 Total $3,525,000,000
342	342	11 Section 35. The following named amounts, or so much
343	343	12 thereof as may be necessary, respectively, are appropriated to
344	344	13 the Department of Healthcare and Family Services for refunds
345	345	14 of overpayments of assessments or inter-governmental transfers
346	346	15 made by providers during the period from July 1, 1991 through
347	347	16 June 30, 2025:
348	348	17 Payable from:
349	349	18 Care Provider Fund for Persons
350	350	19 with a Developmental Disability..................1,000,000
351	351	20 Long-Term Care Provider Fund......................2,750,000
352	352	21 Hospital Provider Fund............................5,000,000
353	353	22 County Provider Trust Fund........................1,000,000
354	354	23 Total $9,750,000
355	355
356	356
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365	365	1 Section 40. The amount of $4,000,000, or so much thereof
366	366	2 as may be necessary, is appropriated to the Department of
367	367	3 Healthcare and Family Services from the Trauma Center Fund for
368	368	4 adjustment payments to certain Level I and Level II trauma
369	369	5 centers.
370	370	6 Section 45. The amount of $375,000,000, or so much thereof
371	371	7 as may be necessary, is appropriated to the Department of
372	372	8 Healthcare and Family Services from the University of Illinois
373	373	9 Hospital Services Fund to reimburse the University of Illinois
374	374	10 Hospital for medical services.
375	375	11 Section 50. The amount of $5,000,000, or so much thereof
376	376	12 as may be necessary, is appropriated to the Department of
377	377	13 Healthcare and Family Services from the Medical Special
378	378	14 Purposes Trust Fund for medical demonstration projects and
379	379	15 costs associated with the implementation of federal Health
380	380	16 Insurance Portability and Accountability Act mandates.
381	381	17 Section 55. The amount of $1,000,000, or so much thereof
382	382	18 as may be necessary, is appropriated to the Department of
383	383	19 Healthcare and Family Services from the Medicaid Technical
384	384	20 Assistance Center Fund for all costs, including grants and
385	385	21 related operating and administrative costs, associated with
386	386	22 the establishment, administration, and operations of the
387	387	23 Medicaid Technical Assistance Center.
388	388
389	389
390	390
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398	398	1 Section 60. The amount of $400,000,000, or so much thereof
399	399	2 as may be necessary, is appropriated to the Department of
400	400	3 Healthcare and Family Services from the Special Education
401	401	4 Medicaid Matching Fund for payments to local education
402	402	5 agencies for medical services and other costs eligible for
403	403	6 federal reimbursement under Title XIX or Title XXI of the
404	404	7 federal Social Security Act.
405	405	8 Section 65. In addition to any amounts heretofore
406	406	9 appropriated, the amount of $10,200,000, or so much thereof as
407	407	10 may be necessary, is appropriated to the Department of
408	408	11 Healthcare and Family Services from the Money Follows the
409	409	12 Person Budget Transfer Fund for costs associated with
410	410	13 long-term care, including related operating and administrative
411	411	14 costs. Such costs shall include, but not necessarily be
412	412	15 limited to, those related to long-term care rebalancing
413	413	16 efforts, institutional long-term care services, and pursuant
414	414	17 to an interagency agreement, community-based services
415	415	18 administered by another agency of state government.
416	416	19 Section 70. The amount of $8,000,000, or so much thereof
417	417	20 as may be necessary, is appropriated to the Department of
418	418	21 Healthcare and Family Services from the Illinois Health
419	419	22 Benefits Exchange Fund for all costs, including but not
420	420	23 limited to grants, outreach, operations, and administrative
421	421
422	422
423	423
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431	431	1 expenses associated with the establishment and operation of
432	432	2 the Illinois Health Benefits Exchange and coordinating
433	433	3 operations of the Exchange with State medical assistance
434	434	4 programs.
435	435	5 Section 75. In addition to any amounts heretofore
436	436	6 appropriated, the following named amounts, or so much thereof
437	437	7 as may be necessary, respectively, are appropriated to the
438	438	8 Department of Healthcare and Family Services for State Prompt
439	439	9 Payment Act interest costs:
440	440	10 Payable from the General Revenue Fund...............5,000,000
441	441	11 Payable from Long-Term Care Provider Fund:.............10,000
442	442	12 Payable from the Hospital Provider Fund:..............200,000
443	443	13 Payable from the Trauma Center Fund:...................10,000
444	444	14 Payable from the Money Follows the Person
445	445	15 Budget Transfer Fund:.................................10,000
446	446	16 Payable from the Medical Interagency
447	447	17 Program Fund:........................................200,000
448	448	18 Payable from the Drug Rebate Fund:....................200,000
449	449	19 Payable from the Tobacco Settlement
450	450	20 Recovery Fund:........................................10,000
451	451	21 Payable from the Medicaid Buy-In Program
452	452	22 Revolving Fund:..........................................500
453	453	23 Payable from the Healthcare
454	454	24 Provider Relief Fund:..............................5,000,000
455	455	25 Payable from the Medical Special
456	456
457	457
458	458
459	459
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466	466	1 Purposes Trust Fund:..................................50,000
467	467	2 Section 80. The amount of $25,000,000, or so much thereof
468	468	3 as may be necessary, is appropriated from the General Revenue
469	469	4 Fund to the Department of Healthcare and Family Services for
470	470	5 the purpose of updating prospective payment system rates for
471	471	6 Federally Qualified Health Centers (FQHCs).
472	472	7 Section 85. The amount of $60,000,000, or so much thereof
473	473	8 as may be necessary and remains unexpended at the close of
474	474	9 business on June 30, 2025, from an appropriation heretofore
475	475	10 made for such purpose in Article 69, Section 90 of Public Act
476	476	11 103-0589, as amended, is reappropriated to the Department of
477	477	12 Healthcare and Family Services from the Medical Special
478	478	13 Purposes Trust Fund for a demonstration project for preventive
479	479	14 health.
480	480	15 Section 90. The amount of $3,000,000, or so much thereof
481	481	16 as may be necessary, is appropriated from the General Revenue
482	482	17 Fund to the Department of Healthcare and Family Services for
483	483	18 the purpose of administering the Breakthrough Therapies for
484	484	19 Veteran Suicide Prevention Program including but not limited
485	485	20 to, academic and medical institutions for purposes of studying
486	486	21 emerging therapies.
487	487	22 Section 95. The amount of $15,000,000, or so much thereof
488	488
489	489
490	490
491	491
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498	498	1 as may be necessary, is appropriated to the Department of
499	499	2 Healthcare and Family Services from the Medical Debt Relief
500	500	3 Pilot Program Fund for grants and administrative costs
501	501	4 associated with a pilot program for the purchase of medical
502	502	5 debt incurred by patients.
503	503	6 Section 100. The amount of $2,000,000, or so much thereof
504	504	7 as may be necessary, is appropriated to the Department of
505	505	8 Healthcare and Family Services from the General Revenue Fund
506	506	9 for grants and administrative costs to Thorek Memorial
507	507	10 Hospital for ordinary and contingent expenses associated with
508	508	11 Project On-Ramp.
509	509	12 Section 999. Effective date. This Act takes effect July 1,
510	510	13 2025.
511	511
512	512
513	513
514	514
515	515
516	516	SB2544 - 15 - OMB104 00040 JCB 10040 b