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HB5774

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MEDICAID-PAYMENT RATES-FQHCS

What this bill does

Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to seek a State Plan amendment from the Centers for Medicare and Medicaid Services regarding a prospective cost-reimbursement methodology for services provided by federally qualified health centers (FQHC) and FQHC Look-Alikes (LALs). Requires the State Plan amendment to include the following: (1) Prospective Payment System (PPS) rates for FQHCs; (2) a rate adjustment process; (3) a rate setting for new FQHCs; (4) payment in the event of Medicaid managed care; (5) payment in the event of dual enrollment in Medicare and Medicaid; and (6) appeal rights.

Sponsor: Justin Slaughter Chamber: House Introduced: 2026-05-13

→ Floor

P(Advance)

53.2%

Chance it ever reaches a milestone (committee, floor, etc.). Not “next step.”

P(Law)

7.4%

Chance it becomes law given where it is now (stage, momentum).

Forecast

2.1%

Low P(law) at intro — sponsor & topic only; no progress or delay.

Confidence: 53% FORECAST

Calculating prediction drivers...

Pipeline Progress

Current stage: In Committee · Last action 3 days ago · NEW

How does a bill become law in Illinois?

Introduction of Bill
A member of the Senate or the House introduces a bill, which is assigned a unique identifying number (e.g., "H.B. ___" for House bills and "S.B. ___" for Senate bills). If not enacted, it must be reintroduced in the next General Assembly with a new number.
Committee Work — Hearings
The bill goes to the appropriate committee, which holds hearings to gather expert opinions and determine the need for the legislation.
Committee Work — Markup, Amendments, Report
The committee may make amendments to the bill. If approved, a committee report endorsing the bill is issued.
Floor Debate
The bill is debated and can be further amended. The debate transcripts are accessible online for public viewing.
Passage and Consideration in Second Chamber
If the bill passes in the first chamber, it moves to the second chamber for a similar review process. If both chambers approve, it goes to the governor.
Gubernatorial Action
The governor can sign the bill into law, veto it, or take no action (resulting in an automatic law after 60 days). The type of veto can be total or amendatory. Once signed, the bill becomes a Public Act and is assigned a Public Act number.

Hearings

This bill has not been scheduled for a committee hearing.

Action History

5 actions recorded. Last action: 2026-05-22 — Added Co-SponsorRep. Robyn Gabel. Each action's meaning and outcome signal are classified automatically.

2026-05-13 Introduction & Filing

Filed with the Clerk byRep. Justin Slaughter House Rule 6(b)

Bill officially submitted to the House Clerk during the session.

2026-05-14 Introduction & Filing

First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38

Formal introduction — title read into the official record. Required procedural step; bill now exists in the system.

2026-05-14 Committee Assignment

Referred toRules Committee Senate Rule 3-8(a); House Rule 18(a)

Sent to a committee (usually Rules in the House, Assignments in the Senate). The gatekeeping step — Rules/Assignments decides which substantive committee hears the bill.

2026-05-19 Co-Sponsorship Mild +

Added Co-SponsorRep. Theresa Mah Senate Rule 5-1(a); House Rule 37(a)

A legislator adds their name as co-sponsor, signaling public support for the bill.

2026-05-22 Co-Sponsorship Mild +

Added Co-SponsorRep. Robyn Gabel Senate Rule 5-1(a); House Rule 37(a)