Illinois 104th General Assembly Status: Introduced 7 D cosponsors

SB3900      — ALL-PAYER HEALTH CARE PAYMENT

Last action — Rule 3-9(a) / Re-referred to Assignments

  1. 1
    Introduced
  2. 2
    In Committee
  3. 3
    Passed Senate
  4. 4
    Passed House
  5. 5
    To Executive
  6. 6
    Enacted

This bill has been introduced in the Senate. Introduced February 06, 2026. It must pass committee before a floor vote.

Next likely step: a committee referral and hearing.

Prognosis

Not enough signal yet

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

Not enough signal yet to read this bill's trajectory — we surface a likelihood only once there's real movement (stage, sponsorship, committee, or votes) to point to.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

In plain language

Establishes standardized health care payment rates and global budgets for Illinois hospitals.

The bill creates the Illinois All-Payer Health Care Payment and Global Budget Act, which sets up a board to standardize hospital payment rates and establish fixed annual budgets. This aims to streamline health care payments and create a unified data system.

What this means for you
  • Families: Family medical expenses related to hospital care might be impacted by the new standards and budgets.
  • Consumers: Patients may experience changes in hospital billing practices as standardized rates are implemented.
  • Healthcare: Hospitals will receive standardized reimbursement rates and fixed budgets, potentially affecting their financial planning and service delivery.

Summary

Creates the Illinois All-Payer Health Care Payment and Global Budget Act. Creates the Illinois Health Care Cost and Payment Board as an independent body within the Department of Healthcare and Family Services and sets forth its membership and powers. Defines "commercial payer" as any health insurance issuer, health maintenance organization, or third-party administrator subject to regulation by the Illinois Department of Insurance, excluding self-funded plans governed solely by ERISA. Provides that all commercial payers shall reimburse hospitals for covered services at standardized rates established by the Board. Defines "global hospital budget" as a prospective, fixed annual operating revenue amount established for a hospital to cover all inpatient and outpatient hospital services. Provides that the Board shall establish prospective annual global hospital budgets for Illinois hospitals. Provides that the Board shall establish a unified health care data system in coordination with State agencies. Creates the Health Care Payment Reform Advisory Council to advise the Board. Provides that the Governor, in consultation with the Board, shall seek all necessary federal approvals, including Medicare demonstrations and Medicaid waivers, to implement the Act. Amends the Illinois Administrative Procedure Act, Hospital Licensing Act, Illinois Insurance Code, Health Maintenance Organization Act, and Illinois Public Aid Code with regard to the new Act. Contains a severability clause. Effective immediately.

Bill Text

We don't have the full text on file for this bill yet.

Read SB3900 on the official Illinois source →

Action History

  1. Rule 3-9(a) / Re-referred to Assignments

  2. Rule 2-10 Committee/3rd Reading Deadline Established As May 22, 2026

  3. Added as Co-Sponsor Sen. Karina Villa

  4. Added as Co-Sponsor Sen. David Koehler

  5. Rule 2-10 Committee/3rd Reading Deadline Established As May 15, 2026

  6. Added as Co-Sponsor Sen. Mary Edly-Allen

  7. Rule 2-10 Committee Deadline Established As April 24, 2026

  8. Added as Chief Co-Sponsor Sen. Graciela Guzmán

  9. Added as Co-Sponsor Sen. Javier L. Cervantes

  10. Assigned to Appropriations- Health and Human Services

  11. Added as Co-Sponsor Sen. Rachel Ventura

  12. Referred to Assignments

  13. First Reading

  14. Filed with Secretary by Sen. Lakesia Collins

Sponsors

Sponsorship breakdown

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1 sponsors · 6 co-sponsors · 176 not signed on

Sponsors (1)

Co-sponsors (6)

Not signed on (176)

176 members have not signed on to this bill.

Show all 176 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does SB3900      do?
Creates the Illinois All-Payer Health Care Payment and Global Budget Act. Creates the Illinois Health Care Cost and Payment Board as an independent body within the Department of Healthcare and Family Services and sets forth its membership and powers. Defines "commercial payer" as any health insurance issuer, health maintenance organization, or third-party administrator subject to regulation by the Illinois Department of Insurance, excluding self-funded plans governed solely by ERISA. Provides that all commercial payers shall reimburse hospitals for covered services at standardized rates established by the Board. Defines "global hospital budget" as a prospective, fixed annual operating revenue amount established for a hospital to cover all inpatient and outpatient hospital services. Provides that the Board shall establish prospective annual global hospital budgets for Illinois hospitals. Provides that the Board shall establish a unified health care data system in coordination with State agencies. Creates the Health Care Payment Reform Advisory Council to advise the Board. Provides that the Governor, in consultation with the Board, shall seek all necessary federal approvals, including Medicare demonstrations and Medicaid waivers, to implement the Act. Amends the Illinois Administrative Procedure Act, Hospital Licensing Act, Illinois Insurance Code, Health Maintenance Organization Act, and Illinois Public Aid Code with regard to the new Act. Contains a severability clause. Effective immediately.
Who sponsors SB3900     ?
SB3900      is sponsored by Lakesia Collins (Democrat), Graciela Guzmán (Democrat), Rachel Ventura (Democrat), Javier L. Cervantes (Democrat), Mary Edly-Allen (Democrat), David Koehler (Democrat), and Karina Villa (Democrat).
What is the current status of SB3900     ?
This bill has been introduced in the Senate. Introduced February 06, 2026. It must pass committee before a floor vote.
Where can I track SB3900     ?
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Last checked for changes 3 months ago · updated continuously

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