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HB5185 • 2026
MEDICAID-SAFETY-NET HOSPITALS
This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.
Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.
MEDICAID-SAFETY-NET HOSPITALS
Rule 19(a) / Re-referred to Rules Committee
To Appropriations-Medicaid Subcommittee
Assigned to Appropriations-Health and Human Services Committee
First Reading
Referred to Rules Committee
Filed with the Clerk by Rep. Kam Buckner
MEDICAID-SAFETY-NET HOSPITALS
Illinois General Assembly - Full Text of HB5185 Select Language × The Illinois General Assembly offers the Google Translate™ service for visitor convenience. In no way should it be considered accurate as to the translation of any content herein. Visitors of the Illinois General Assembly website are encouraged to use other translation services available on the internet. The English language version is always the official and authoritative version of this website. NOTE: To return to the original English language version, select the "Show Original" button on the Google Translate™ menu bar at the top of the window. 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Full Text of HB5185 Home Legislation Full Text HB5185 - 104th General Assembly Bill Status Full Text Votes Witness Slips Select Menu Bill Status Full Text Votes Witness Slips Printer Friendly Version Introduced Printer Friendly Version Introduced Open PDF 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 HB5185 Introduced 2/10/2026, by Rep. Kam Buckner SYNOPSIS AS INTRODUCED: 305 ILCS 5/5-5e.1 Amends the Medical Assistance Article of the Illinois Public Aid Code. Extends the period of eligibility within which a hospital, that would have qualified for the rate year beginning October 1, 2011 or October 1, 2012, shall be a Safety-Net Hospital. Effective immediately. LRB104 18585 KTG 32028 b A BILL FOR HB5185 LRB104 18585 KTG 32028 b 1 AN ACT concerning public aid. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Illinois Public Aid Code is amended by 5 changing Section 5-5e.1 as follows: 6 (305 ILCS 5/5-5e.1) 7 Sec. 5-5e.1. Safety-Net Hospitals. 8 (a) A Safety-Net Hospital is an Illinois hospital that: 9 (1) is licensed by the Department of Public Health as 10 a general acute care or pediatric hospital; and 11 (2) is a disproportionate share hospital, as described 12 in Section 1923 of the federal Social Security Act, as 13 determined by the Department; and 14 (3) meets one of the following: 15 (A) has a MIUR of at least 40% and a charity 16 percent of at least 4%; or 17 (B) has a MIUR of at least 50%. 18 (b) Definitions. As used in this Section: 19 (1) "Charity percent" means the ratio of (i) the 20 hospital's charity charges for services provided to 21 individuals without health insurance or another source of 22 third party coverage to (ii) the Illinois total hospital 23 charges, each as reported on the hospital's OBRA form. HB5185 - 2 - LRB104 18585 KTG 32028 b 1 (2) "MIUR" means Medicaid Inpatient Utilization Rate 2 and is defined as a fraction, the numerator of which is the 3 number of a hospital's inpatient days provided in the 4 hospital's fiscal year ending 3 years prior to the rate 5 year, to patients who, for such days, were eligible for 6 Medicaid under Title XIX of the federal Social Security 7 Act, 42 USC 1396a et seq., excluding those persons 8 eligible for medical assistance pursuant to 42 U.S.C. 9 1396a(a)(10)(A)(i)(VIII) as set forth in paragraph 18 of 10 Section 5-2 of this Article, and the denominator of which 11 is the total number of the hospital's inpatient days in 12 that same period, excluding those persons eligible for 13 medical assistance pursuant to 42 U.S.C. 14 1396a(a)(10)(A)(i)(VIII) as set forth in paragraph 18 of 15 Section 5-2 of this Article. 16 (3) "OBRA form" means form HFS-3834, OBRA '93 data 17 collection form, for the rate year. 18 (4) "Rate year" means the 12-month period beginning on 19 October 1. 20 (c) Beginning July 1, 2012 and ending on December 31, 2028 21 2026 , a hospital that would have qualified for the rate year 22 beginning October 1, 2011 or October 1, 2012 shall be a 23 Safety-Net Hospital. 24 (c-5) Beginning July 1, 2020 and ending on December 31, 25 2026, a hospital that would have qualified for the rate year 26 beginning October 1, 2020 and was designated a federal rural HB5185 - 3 - LRB104 18585 KTG 32028 b 1 referral center under 42 CFR 412.96 as of October 1, 2020 shall 2 be a Safety-Net Hospital. 3 (d) No later than August 15 preceding the rate year, each 4 hospital shall submit the OBRA form to the Department. Prior 5 to October 1, the Department shall notify each hospital 6 whether it has qualified as a Safety-Net Hospital. 7 (e) The Department may promulgate rules in order to 8 implement this Section. 9 (f) Nothing in this Section shall be construed as limiting 10 the ability of the Department to include the Safety-Net 11 Hospitals in the hospital rate reform mandated by Section 12 14-11 of this Code and implemented under Section 14-12 of this 13 Code and by administrative rulemaking. 14 (Source: P.A. 101-650, eff. 7-7-20; 101-669, eff. 4-2-21; 15 102-886, eff. 5-17-22.) 16 Section 99. Effective date. This Act takes effect upon 17 becoming law. Footer Disclaimer This site is maintained for the Illinois General Assembly by the Legislative Information System, 705 Stratton Building, Springfield, Illinois 62706. Contact ILGA Webmaster ILGA.gov uses cookies to ensure you get the best experience on our website. By continuing to browse ILGA.gov you consent to our use of cookies. Read About Cookies ILGA.GOV 2026 ILGA.gov | All Rights Reserved | ADA | Disclaimers | Learn This site is maintained for the Illinois General Assembly by the Legislative Information System, 705 Stratton Building, Springfield, Illinois 62706. Contact ILGA Webmaster ILGA.gov uses cookies to ensure you get the best experience on our website. By continuing to browse ILGA.gov you consent to our use of cookies. Read About Cookies ILGA.GOV 2026 ILGA.gov | All Rights Reserved | ADA | Disclaimers | Learn