WeVote
Log In

Bill

NS

Bill

SB 1391

SB 1391 - This act modifies provisions relating to the appointment of counsel for postconviction relief of sentences of death. Current law provides that when a motion to set aside a sentence of death is filed, the court shall find on the record whether the movant is indigent and if so, the court shall appoint two counsel. This act instead provides that when a circuit court imposes a judgment and sentence of death, the circuit court shall find on the record whether the defendant is indigent. If finding so, the court shall appoint two counsel for the preparation and litigation of a defendant's motion under Rules of the Supreme Court of Missouri. Furthermore, if the court finds that the defendant is not indigent, the court may enter an order denying the appointment of counsel. Additionally, this act adds three years of litigation experience in the field of postconviction law and five years as a member of the Missouri Bar to the qualifications of one of the counsel. The court may also appoint other counsel whose background, knowledge, or experience would otherwise be proper representation of the defendant for postconviction relief. Finally, the state shall comply with any additional requirements of federal law and regulation relating to appointment of counsel for capital sentences and certification by the United States Attorney General. This act is identical to SB 741 (2025), and to a provision contained in HCS/HB 2254 and is similar to HB 1169 (2025). TRISTAN BENSON, JR.

2026 Regular Session Introduced by Nick Schroer

Summary — SB 1391 (Illinois, 104th General Assembly, 2025) Topic: Medicaid / Hospital Reimbursement Rates OverviewSB 1391 increases Medicaid reimbursement rates for hospital inpat

Voted Do Pass S Judiciary and Civil and Criminal Jurisprudence Committee
0
WeVote Research Nonpartisan
Bill Summary · SB 1391

Summary — SB 1391 (Illinois, 104th General Assembly, 2025)

Topic: Medicaid / Hospital Reimbursement Rates

Overview

SB 1391 increases Medicaid reimbursement rates for hospital inpatient and outpatient services by 10%, effective for dates of service on or after January 1, 2026, subject to federal approval. The bill directs the Illinois Department of Healthcare and Family Services (HFS) to take all necessary steps — including publishing notices, seeking Title XIX (Medicaid) State Plan amendments, and adopting administrative rules where required — to implement the rate increases.

Key provisions

  • Hospital rate increases (effective for dates of service on and after January 1, 2026, subject to federal approval):
    • Inpatient services: increase by 10% over rates in effect January 1, 2025 under the All Patient Refined–Diagnosis Related Groups (APR-DRG) system.
    • Outpatient services: increase by 10% over rates in effect January 1, 2025 under the Enhanced Ambulatory Procedure Grouping (EAPG) system.
  • Two placements of the 10% increases:
    • As an amendment to the Medical Assistance Article specifically for "Safety‑Net Hospitals."
    • As a separate new section in the Hospital Services Trust Fund Article that applies generally (subject to the same federal approvals).
  • Administrative requirements: HFS must publish all appropriate public notices, apply for federal approval of State Plan amendments, and promulgate rules if necessary to ensure the increases take effect January 1, 2026.
  • Effective date provision: the Act takes effect upon becoming law.

Definitions / Eligibility (Safety‑Net Hospital)

  • A Safety‑Net Hospital must:
    1. Be licensed by the Illinois Department of Public Health as a general acute care or pediatric hospital; and
    2. Be a disproportionate share hospital as described in federal Social Security Act §1923; and
    3. Meet either:
      • Medicaid Inpatient Utilization Rate (MIUR) ≥ 40% and charity percent ≥ 4%, or
      • MIUR ≥ 50%.
  • MIUR is calculated using inpatient days from the hospital fiscal year ending three years before the rate year; the "rate year" begins October 1.

Who is affected

  • Primary: Illinois hospitals that qualify as Safety‑Net Hospitals and hospitals receiving payments from the Hospital Services Trust Fund.
  • Secondary: Department of Healthcare and Family Services (administration and rulemaking), Medicaid managed care plans (administration of payments), and indirectly Medicaid beneficiaries and hospital operations statewide.
  • Federal involvement: Centers for Medicare & Medicaid Services (CMS) must approve State Plan amendments for the changes to take effect.

Implementation & timeline

  • Target effective date for rate increases: dates of service on/after January 1, 2026.
  • HFS must complete federal State Plan amendment requests, public notices, and any necessary rulemaking in time to implement the increases by that date.
  • The Act becomes effective upon becoming law; however, increases are contingent on federal approval.

Procedural status (as of documents provided)

  • Introduced by Sen. Kimberly A. Lightford (and others listed as sponsors).
  • Bill text includes an amendment (Senate Amendment 001). The Act states it takes effect upon becoming law.
  • Companion: HB 1072.

Fiscal note / considerations

  • The bill does not specify the total state or trust-fund dollar amounts. The fiscal impact will depend on:
    • The number of hospitals qualifying (safety‑net status and those under the Trust Fund),
    • The volume of Medicaid inpatient and outpatient services,
    • Whether increases apply cumulatively across both provisions or replace existing supplemental payments,
    • Federal approval of State Plan amendments (which can affect matching federal funds).
  • HFS and budget analysts would be responsible for estimating net state and federal costs prior to implementation.

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

Sign in to ask a question.