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
Stuck
P(Advance)
14.3%
Chance it ever reaches a milestone (committee, floor, etc.). Not “next step.”
P(Law)
0.0%
Chance it becomes law given where it is now (stage, momentum).
Forecast
1.9%
Low P(law) at intro — sponsor & topic only; no progress or delay.
Confidence: 86%

Calculating prediction drivers...

Pipeline Progress

Current stage: In Committee · Last action 138 days ago · SLOW

How does a bill become law in Illinois?
  1. 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.

  2. Committee Work — Hearings

    The bill goes to the appropriate committee, which holds hearings to gather expert opinions and determine the need for the legislation.

  3. Committee Work — Markup, Amendments, Report

    The committee may make amendments to the bill. If approved, a committee report endorsing the bill is issued.

  4. Floor Debate

    The bill is debated and can be further amended. The debate transcripts are accessible online for public viewing.

  5. 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.

  6. 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.

Sponsor Context

Campaign finance

This is SBE campaign receipts to the people on this bill, not Moneyball and not earmarked to the bill.

Money is campaign receipts to matched candidate committees, not earmarked to this bill. Window 2025-01-01 – 2026-09-13.

$2,276,793.03 Across sponsors / voters
4 Members with trails
25 Overlapping donors

Sponsor and voter funding

Member Role Receipts Total received Top donors
Justin Slaughter Chief sponsor 187 $176,488.00 Ben Lazare Consulting ($6,500.00); Chicago Land Operators Joint Labor Management PAC ($6,500.00); Green Street 79 LLC ($5,000.00)
Theresa Mah Sponsor 107 $121,809.00 CTU Local 1 PAC ($12,000.00); Chicago Land Operators PAC ($7,500.00); Bridge Structural and Reinforcing Local #1 PAC ($7,500.00)
Robyn Gabel Sponsor 362 $822,830.72 Health Care Council of Illinois Political Action Committee ($82,050.00); Carpentry Advancement Political Action Committee Fund ($75,300.00); Affordable Assisted Living Coalition ($70,000.00)
Nabeela Syed Sponsor 380 $1,155,665.31 Democratic Party of Illinois ($342,866.25); Carpentry Advancement Political Action Committee Fund ($145,600.00); IBEW Illinois PAC ($122,800.00)

Overlapping donors

Donors who gave to more than one sponsor or voter on this bill. Still not earmarked to the bill.

Donor Members Total
Carpentry Advancement Political Action Committee Fund Robyn Gabel, Nabeela Syed $220,900.00
IBEW Illinois PAC Robyn Gabel, Nabeela Syed $124,300.00
Illinois Laborers' Legislative Committee Robyn Gabel, Justin Slaughter, Nabeela Syed $23,300.00
Chicago Land Operators Joint Labor-Management PAC Robyn Gabel, Nabeela Syed $20,500.00
Ben Lazare Consulting Robyn Gabel, Justin Slaughter $17,500.00
Accel Entertainment Gaming, LLC Robyn Gabel, Justin Slaughter, Nabeela Syed $15,000.00
SEIU Healthcare IL IN PAC Justin Slaughter, Theresa Mah $11,000.00
Sheri Maali Justin Slaughter, Nabeela Syed $7,500.00
Sports Betting Alliance Robyn Gabel, Theresa Mah $7,500.00
Bader Almoshelli Justin Slaughter, Nabeela Syed $6,500.00
Rashid for Illinois Justin Slaughter, Nabeela Syed $6,000.00
Associated Fire Fighters of IL PAC Fund Robyn Gabel, Nabeela Syed $6,000.00
Jack Wuest Robyn Gabel, Justin Slaughter, Theresa Mah $4,000.00
Illinois Federation of Teachers COPE Robyn Gabel, Nabeela Syed $4,000.00
Southern Glazer's Wine and Spirits, LLC Robyn Gabel, Justin Slaughter $3,000.00
Superior Ambulance Service Robyn Gabel, Theresa Mah $3,000.00
Walmart Inc. Robyn Gabel, Justin Slaughter $2,500.00
Cozen O'Connor Justin Slaughter, Theresa Mah, Nabeela Syed $2,500.00
John Lowder Robyn Gabel, Justin Slaughter $2,500.00
The Roosevelt Group Robyn Gabel, Justin Slaughter, Theresa Mah $2,500.00
Louis Lang Robyn Gabel, Nabeela Syed $2,250.00
Illinois State Medical Society Political Action Committee Justin Slaughter, Nabeela Syed $2,000.00
McGuire Woods Federal PAC Fund Robyn Gabel, Theresa Mah $2,000.00
Ameren Robyn Gabel, Theresa Mah $2,000.00
Ironworkers Local 444 IPAL Fund Robyn Gabel, Nabeela Syed $2,000.00

Top donors across these members

Donor Occupation Employer Receipts Total
Democratic Party of Illinois — — 12 $342,866.25
Carpentry Advancement Political Action Committee Fund — — 9 $220,900.00
IBEW Illinois PAC — — 3 $124,300.00
LIUNA Chicago Laborers' District Council PAC — — 3 $82,800.00
Health Care Council of Illinois Political Action Committee — — 6 $82,050.00
Affordable Assisted Living Coalition — — 2 $70,000.00
I.P.A.C.E. (Illinois PAC for Education) — — 3 $64,600.00
ISDF — — 8 $48,958.73
Clean Energy Illinois — — 2 $35,000.00
SEIU IL Council PAC — — 1 $30,000.00
Northwest Suburban Teachers Union LU 1211 — — 1 $25,000.00
Illinois Laborers' Legislative Committee — — 5 $23,300.00
Chicago Land Operators Joint Labor-Management PAC — — 7 $20,500.00
I.P.A.C.E. — — 2 $20,000.00
Ben Lazare Consulting — — 5 $17,500.00
Illinois Risk Management Services — — 3 $17,500.00
Accel Entertainment Gaming, LLC — — 4 $15,000.00
Allwyn North America Inc. — — 1 $14,600.00
CTU Local 1 PAC — — 2 $12,000.00
SEIU Healthcare IL IN PAC — — 3 $11,000.00
DaVita — — 1 $10,000.00
Health Care Council of IL PAC — — 1 $10,000.00
The Next 50 PAC — — 2 $10,000.00
Leaders We Deserve PAC — — 1 $10,000.00
Sheri Maali Program Director Illinois Coalition for Human Rights 2 $7,500.00

Hearings

This bill has not been scheduled for a committee hearing.

Action History

6 actions recorded. Last action: 2026-05-25 — Added Co-SponsorRep. Nabeela Syed. 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)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2026-05-25 Co-Sponsorship Mild +
Added Co-SponsorRep. Nabeela Syed Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.

All actions (table)

Date Chamber Action Category Signal
2026-05-13 House Filed with the Clerk byRep. Justin Slaughter House Rule 6(b) Introduction & Filing —
2026-05-14 House First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38 Introduction & Filing —
2026-05-14 House Referred toRules Committee Senate Rule 3-8(a); House Rule 18(a) Committee Assignment —
2026-05-19 House Added Co-SponsorRep. Theresa Mah Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2026-05-22 House Added Co-SponsorRep. Robyn Gabel Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2026-05-25 House Added Co-SponsorRep. Nabeela Syed Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +