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HB 3271

MEDICAID-ICF/DD PAYMENTS

104th Regular Session Introduced by Anna Moeller

HB 3271 adjusts Illinois Medicaid reimbursement rates for intermediate care facilities serving people with developmental disabilities, affecting care quality and provider sustainability.

Rule 19(a) / Re-referred to Rules Committee
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Bill Summary · HB 3271

Legislative bill overview

HB 3271 adjusts Medicaid payment rates for Intermediate Care Facilities for people with Developmental Disabilities (ICF/DD) in Illinois. The bill passed the Human Services Committee unanimously on March 19, 2025, and is currently in the Rules Committee after being re-referred on April 11, 2025.

Why is this important

ICF/DD facilities provide residential care and support services for individuals with intellectual and developmental disabilities. Payment rate adjustments directly affect facility operations, staff compensation, service quality, and the ability of providers to maintain operations—ultimately impacting care for some of Illinois's most vulnerable residents.

Potential points of contention

  • Cost implications: Any payment increase raises state Medicaid expenditure questions; decreases could threaten facility viability and staff retention
  • Provider sustainability: Whether proposed rates adequately address inflation, wage pressures, and operational costs that facilities face
  • Service quality impact: Connection between reimbursement levels and quality of care, staffing ratios, and resident outcomes

Compiled from official sources — confirm details with the bill’s official record.

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