Illinois · Senate Bill 3900 · 104th General Assembly

ALL-PAYER HEALTH CARE PAYMENT

SB 3900 Sponsored by Lakesia Collins In committee

  1. Introduced Feb 6, 2026
  2. In committee Feb 6, 2026
  3. Passed the Senate Next
  4. Passed the House  
  5. To the governor  
  6. Became law  

What it does

The legislature's own summary of the bill, or its official long title.

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…

Read the full title (212 words)

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.

Every action

14 steps, oldest first, as the legislature records them.

Show the 6 earlier steps
  1. SenateFiled with Secretary by Sen. Lakesia Collins
  2. SenateFirst Reading
  3. CommitteeReferred to Assignments · Senate Assignments
  4. SenateAdded as Co-Sponsor Sen. Rachel Ventura
  5. CommitteeAssigned to Appropriations- Health and Human Services · Senate Health and Human Services
  6. SenateAdded as Co-Sponsor Sen. Javier L. Cervantes
  1. SenateAdded as Chief Co-Sponsor Sen. Graciela Guzmán
  2. SenateRule 2-10 Committee Deadline Established As April 24, 2026
  3. SenateAdded as Co-Sponsor Sen. Mary Edly-Allen
  4. SenateRule 2-10 Committee/3rd Reading Deadline Established As May 15, 2026
  5. SenateAdded as Co-Sponsor Sen. David Koehler
  6. SenateAdded as Co-Sponsor Sen. Karina Villa
  7. SenateRule 2-10 Committee/3rd Reading Deadline Established As May 22, 2026
  8. CommitteeRule 3-9(a) / Re-referred to Assignments · Senate Assignments

Roll calls

No recorded votes on this bill yet.

Sponsors

The member who introduced it, joined by 6 cosponsors: 6 Democrats.

All 6 cosponsors

From Illinois's official records (www.ilga.gov), checked Nov 13, 2026. Text links go to the official versions; LegiList does not copy bill text.