Illinois 104th General Assembly Status: Introduced 1 D cosponsors

HB4914      — MEDICAID-STRIVE

Last action — Rule 19(a) / Re-referred to Rules Committee

Track this bill free

No card. One bill, free forever — alerts when it moves.

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

This bill has been introduced in the House. Introduced February 03, 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.

Summary

Amends the Medical Assistance Article of the Illinois Public Aid Code. Sets per diem add-on rates, beginning January 1, 2027, for nursing facilities based on a facility's STRIVE study staffing levels. Provides that no nursing facility's variable staffing per diem add-on shall be reduced by more than 5% in 2 consecutive quarters; and that no facility below 73% of the staffing indicated by the STRIVE study shall receive a variable per diem staffing add-on after December 31, 2026. Provides that beginning January 1, 2027, the Department of Healthcare and Family Services must split the support rate into its cost report based parts, general services and general administration. Provides that the general services portion shall be referred to as "Support - non-nurse staff" and the general administration portion shall be referred to as "Support - Administrative". Makes other changes. Effective immediately.

Bill Text

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

Read HB4914 on the official Illinois source →

Action History

  1. Rule 19(a) / Re-referred to Rules Committee

  2. To Appropriations-Medicaid Subcommittee

  3. Assigned to Appropriations-Health and Human Services Committee

  4. Referred to Rules Committee

  5. First Reading

  6. Filed with the Clerk by Rep. Natalie A. Manley

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 0 co-sponsors · 182 not signed on

Sponsors (1)

Co-sponsors (0)

None.

Not signed on (182)

182 members have not signed on to this bill.

Show all 182 →

"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 HB4914      do?
Amends the Medical Assistance Article of the Illinois Public Aid Code. Sets per diem add-on rates, beginning January 1, 2027, for nursing facilities based on a facility's STRIVE study staffing levels. Provides that no nursing facility's variable staffing per diem add-on shall be reduced by more than 5% in 2 consecutive quarters; and that no facility below 73% of the staffing indicated by the STRIVE study shall receive a variable per diem staffing add-on after December 31, 2026. Provides that beginning January 1, 2027, the Department of Healthcare and Family Services must split the support rate into its cost report based parts, general services and general administration. Provides that the general services portion shall be referred to as "Support - non-nurse staff" and the general administration portion shall be referred to as "Support - Administrative". Makes other changes. Effective immediately.
Who sponsors HB4914     ?
HB4914      is sponsored by Natalie A. Manley (Democrat).
What is the current status of HB4914     ?
This bill has been introduced in the House. Introduced February 03, 2026. It must pass committee before a floor vote.
Where can I track HB4914     ?
Track HB4914      free on One Click Politics — get push/email alerts when it moves.

Make your voice heard on HB4914     

Find the representatives who decide this bill and tell them where you stand — for yourself, or mobilize your whole list in one click with One Click Politics advocacy software.

Find my representatives → Run a campaign

Stay ahead of HB4914     

Last checked for changes 4 months ago · updated continuously

One Click Politics tracks every bill in Congress and all 50 states.

Track this bill →