← All Illinois bills

HB4914Introduced in the House

MEDICAID-STRIVE

IntroducedHouse Rules

Introduced by Natalie Manley, District 98

What does this bill do?

Plain-English breakdown

Writing a plain-English summary of this bill… this can take a few seconds the first time.

Official description

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.

Where it stands

Rule 19(a) / Re-referred to Rules Committee

March 27, 2026

How did lawmakers vote?

No recorded vote is available for this bill yet.

What do people think?

Citizen Voice

How would you vote on this bill?

An unofficial public opinion poll. It does not affect the bill or the official vote.

One response per device. Location is self-reported and not verified. Results are informal and not a scientific survey.

Bill history

  1. Filed with the Clerk by Rep. Natalie A. Manley

  2. First Reading

  3. Referred to Rules Committee

  4. Assigned to Appropriations-Health and Human Services Committee

  5. To Appropriations-Medicaid Subcommittee

  6. Rule 19(a) / Re-referred to Rules Committee

Verify the information

Our commitment to neutrality

We provide factual information only. We never tell you which politicians or bills to support, and we do not rank, score, or endorse anyone.