Illinois 104th General Assembly Status: Introduced 4 D cosponsors

HB5774      — MEDICAID-PAYMENT RATES-FQHCS

Last action — Added Co-Sponsor Rep. Nabeela Syed

  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 May 13, 2026. It must pass committee before a floor vote.

Next likely step: a committee referral and hearing.

Odds of enactment

Low chance

Based on the sponsor, cosponsors, and committee posture, this bill has a low chance of becoming law.

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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Not enough signal yet

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.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

In plain language

The bill seeks to adjust Medicaid payment rates for federally qualified health centers in Illinois.

This legislation requires the Illinois Department of Healthcare and Family Services to request a federal update for Medicaid payment rates specific to federally qualified health centers (FQHCs). It outlines a framework for payment methods, adjustments for new centers, and payment processes for various enrollment situations.

What this means for you
  • Workers: This bill may affect healthcare workers by altering the payment structure for services they provide in FQHCs.
  • Families: Families utilizing FQHC services could experience changes in service availability or pricing due to updated payment rates.

Summary

Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to seek a State Plan amendment from the Centers for Medicare and Medicaid Services regarding a prospective cost-reimbursement methodology for services provided by federally qualified health centers (FQHC) and FQHC Look-Alikes (LALs). Requires the State Plan amendment to include the following: (1) Prospective Payment System (PPS) rates for FQHCs; (2) a rate adjustment process; (3) a rate setting for new FQHCs; (4) payment in the event of Medicaid managed care; (5) payment in the event of dual enrollment in Medicare and Medicaid; and (6) appeal rights.

Bill Text

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

Read HB5774 on the official Illinois source →

Action History

  1. Added Co-Sponsor Rep. Nabeela Syed

  2. Added Co-Sponsor Rep. Robyn Gabel

  3. Added Co-Sponsor Rep. Theresa Mah

  4. Referred to Rules Committee

  5. First Reading

  6. Filed with the Clerk by Rep. Justin Slaughter

Sponsors

Sponsorship breakdown

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1 sponsors · 3 co-sponsors · 179 not signed on

Sponsors (1)

Co-sponsors (3)

Not signed on (179)

179 members have not signed on to this bill.

Show all 179 →

"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 HB5774      do?
Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to seek a State Plan amendment from the Centers for Medicare and Medicaid Services regarding a prospective cost-reimbursement methodology for services provided by federally qualified health centers (FQHC) and FQHC Look-Alikes (LALs). Requires the State Plan amendment to include the following: (1) Prospective Payment System (PPS) rates for FQHCs; (2) a rate adjustment process; (3) a rate setting for new FQHCs; (4) payment in the event of Medicaid managed care; (5) payment in the event of dual enrollment in Medicare and Medicaid; and (6) appeal rights.
Who sponsors HB5774     ?
HB5774      is sponsored by Justin Slaughter (Democrat), Theresa Mah (Democrat), Robyn Gabel (Democrat), and Nabeela Syed (Democrat).
What is the current status of HB5774     ?
This bill has been introduced in the House. Introduced May 13, 2026. It must pass committee before a floor vote.
Where can I track HB5774     ?
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Last checked for changes 3 months ago · updated continuously

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