HB5111

DHFS-MCO PROVIDER ASSESSMENT

Introduced·2/5/26
Introduced Text

Illinois HB5111 amends the Managed Care Organization Provider Assessment to adjust rates and tiers for managed care organizations.

HB5111 amends the Illinois Public Aid Code to modify the managed care assessment rates for Medicaid managed care organizations. Beginning July 1, 2026, the Department of Healthcare and Family Services may implement a tax based on uniform rates, determined at a level not exceeding limitations imposed by the federal Centers for Medicare and Medicaid Services. The bill removes a provision requiring any upward adjustment to the Tier 3 rate to be the minimum necessary to meet federal statistical tests.

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  • Overview
  • Core Provisions
  • Implementation
  • Impact
  • Legal Framework
  • Critical Issues

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Where it stands

Current
Rules Committee
Next
Committee decision

Sponsors

D
1
0
Democratic CaucusRepublican Caucus

Calendar

Mar 25

8:00 AM

House Human Services Committee Hearing

Mar 19

8:00 AM

House Human Services Committee Hearing

History

Mar 27

House

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

Mar 4

House

Assigned to Human Services Committee

Feb 10

House

First Reading