State Issues

IHA has a strong presence in Springfield, where we work with elected officials and policy makers in a bipartisan fashion to ensure that laws and regulations advance healthcare in Illinois.

  • Advocacy
  • Policy
Jun 08, 2022

2022 Spring Session Overview

See an overview of the key bills and issues IHA worked on during the General Assembly’s spring 2022 legislative session to ensure the best possible outcomes for Illinois' hospital community.

Apr 11, 2022

2022 Legislative Session Results

During the spring legislative session, IHA secured an extraordinary package of proposals of over $300 million in new General Revenue Funds to be allocated to Illinois hospitals in Fiscal Year 2023.

Feb 14, 2022

Urge IL House Legislators to Support and Cosponsor Nurse Licensure Compact Legislation HB 4269

IHA asks members to urge House legislators to support and co-sponsor House Bill 4269, which would establish the Nurse Licensure Compact in Illinois.

Feb 07, 2022

Urge IL House Labor Committee to Reject Nurse 'Reporting Time' Pay Bill

IHA asks hospitals to contact members of the House Labor and Commerce Committee and urge them to oppose and vote NO on House Bill 2642.

Jan 31, 2022

Urge Revenue Committees to Pass Tax Exemption and Credit

Contact House and Senate revenue committee members and urge them to support SB 2951 and HB 4184, which will preserve the nonprofit sales tax exemption and extend the investor-owned tax credit.

Oct 25, 2021

Urge Legislators to Support Amendment to Health Care Right of Conscience Act

House Amendment 2 to Senate Bill 1169 was filed to amend the Health Care Right of Conscience Act. The General Assembly is expected to vote on the amendment later this week.

Jul 30, 2021

Letter from IHA and ICAHN on UHC's Proposed Benefit Change

IHA and the Illinois Critical Access Hospital Network (ICAHN) sent a joint letter to the Illinois Department of Insurance outlining our concerns with UnitedHealthcare’s proposed benefit change. 

Jul 06, 2021

IHA Summary: Medicaid Managed Care and Prior Authorization Reform Bills

This memo summarizes recent state legislation to reform clinical and reimbursement policies implemented by commercial health insurance issuers and Medicaid MCOs.

Jun 14, 2021

IHA Summary: Senate Bill 2153 - Nurse Staffing Improvement Act

This memo summarizes recent state legislation intended to strengthen the existing Nurse Staffing by Patient Acuity Act. 

Jun 08, 2021

Community Benefits Act, Hospital Uninsured Patient Discount Act and Fair Patient Billing Act Legisla

This memo summarizes recent state legislation intended to advance health equity by improving access to care for low-income and uninsured individuals.

Jun 07, 2021

IHA Detailed Summary of Telehealth Legislation– HB 3308

On May 30 and 31, groundbreaking telehealth legislation passed unanimously in the Senate and the House respectively, and will be sent to the Governor.

Jun 02, 2021

IHA Recap: General Assembly Takes Final Action on Key Hospital Issues

This is a brief overview of the key legislative achievements of IHA and the hospital community in the Spring legislative session.

May 26, 2021

Agreement Reached on Groundbreaking Telehealth Legislation

IHA is pleased to report that an agreement has been reached on groundbreaking telehealth legislation (HB 3308/SCA 1).

May 17, 2021

IHA Alert: Urge Your Legislators to Restore Medicaid Funding to Hospitals

Ask state legislators to urge their legislative leaders and state budgeteers to repeal the FY2013 SMART Act cuts to hospitals.

May 14, 2021

IHA Position Paper: Repeal FY2013 SMART Act Cuts, Restore Funding to Hospitals

Illinois hospitals have absorbed more than $800 million in reductions from 3.5% Medicaid rate cuts under the SMART Act passed in 2012.

May 14, 2021

IHA Alert: Urge Senate Committee to Pass Telehealth Bill (5/14/21)

The Illinois Senate Insurance Committee will hold a hearing on House Bill 3498 on Wednesday, May 19. Please urge the Senate Committee to pass the telehealth bill.

Apr 26, 2021

IHA Alert: Urge Your State Senator to Co-Sponsor Telehealth Bill (HB3498)

On April 23, the Illinois House voted 110-0 to pass and send to the Senate major telehealth legislation strongly supported by the Coalition to Protect Telehealth.

Apr 19, 2021

Urge Your State Rep to Oppose HB3657 – Onerous, Costly CON Bill

The Illinois House is poised to vote on HB3657, legislation strongly opposed by IHA that would make significant and onerous changes to the CON process.

Apr 19, 2021

IHA Fact Sheet: Oppose House Bill 3657 as Amended

HB3657 attempts to make changes to the CON process that will discourage healthcare transformation and result in more service line and hospital closures.

Mar 23, 2021

Urge Illinois House Labor Committee to Reject Nurse “Reporting Time” Pay Bill

House Bill 2642 is posted for two hearings of the House Labor and Commerce Committee, Wednesday at 12 p.m. and Friday at 8 a.m., with the Committee facing a Friday deadline to move bills.

Mar 22, 2021

Urge House Health Care Licenses Committee to Reject Mandatory Staffing Ratios

Proponents of mandatory nurse staffing ratios have again introduced legislation (House Bill 3871), strongly opposed by IHA and American Nurses Association-Illinois.

Mar 18, 2021

IHA Obtains Concessions on Pre-Judgment Interest Legislation

As a result of obtaining several important concessions from the bill sponsors and proponents, IHA has withdrawn its opposition to the legislation.

Mar 11, 2021

IHA Alert: Urge Senators to Co-Sponsor Medicaid Managed Care/Prior Authorization Reform Legislation

IHA is strongly supporting legislation to reform the unfair policies and practices of the Medicaid Managed Care Organizations and state-regulated commercial health plans (Senate Bills 2006 and 177).

Mar 10, 2021

IHA Fact Sheet: Support Medicaid Managed Care Reforms – Senate Bill 2006

IHA urges the General Assembly to enact the practical reforms in Senate Bill 2006, grounded by three key principles—transparency, standardization, and accountability.

Mar 10, 2021

IHA Position Paper: Support Medicaid Managed Care Reforms – SB2006

IHA urges the General Assembly to exercise its critical oversight authority by supporting initiatives in SB 2006 to improve transparency, standardization and accountability in the state’s MCOs. 

Mar 08, 2021

Contact Your State Senator – Support IHA/ANA-IL Nurse Staffing Initiative

In an effort to improve quality and patient safety at hospitals, ANA-IL and IHA are supporting bipartisan legislation–SB2153–to strengthen the existing Nurse Staffing by Patient Acuity Act.  

Feb 22, 2021

Support House Bill 3498 to Protect Access to Telehealth

See IHA's fact sheet on House Bill 3498 to Protect Access to Telehealth, sponsored by Rep. Deb Conroy, Leader Greg Harris, Rep. Norine Hammond, Rep. Ryan Spain and Rep. Bob Morgan.

Feb 19, 2021

IHA Summary: Governor’s FY2022 Budget Proposal

This memo provides details on the Governor’s FY2022 budget proposal, which does not include any Medicaid eligibility, service or rate reductions.

Feb 12, 2021

Position Paper on HB3360/Prejudment Interest

We ask state legislators to urge Governor Pritzker to veto House Bill 3360, which would undermine the civil justice system and harm patients, hospitals and healthcare.

Feb 08, 2021

Prior Authorization Reform Act Position Paper

Comprehensive legislation has been introduced to address concerns about bureaucratic delays caused by prior authorization processes.

Feb 08, 2021

Your Care Can’t Wait Coalition Press Release

The Your Care Can’t Wait Coalition, a group of healthcare and patient advocacy organizations including IHA, announced their support of the Prior Authorization Reform Act.

Jan 25, 2021

IHA Update: Legislative Black Caucus Health Care Proposal Reintroduced

The Illinois Legislative Black Caucus’ Health Care Pillar legislation (HB158 ad HB159) has been reintroduced in the General Assembly.
Jan 22, 2021

Summary: HB158/HB159 - Health and Human Services Reform Act

This document summarizes the Illinois Legislative Black Caucus’ Health Care Pillar legislation to be considered in the Spring session.

Jan 19, 2021

IHA Letter to the Governor re: HB3360

IHA strongly urges Governor J.B. Pritzker to veto HB 3360 on prejudgment interest. If signed into law, it would place an even greater financial burdern on hospitals on the front lines against COVID.
Jan 13, 2021

Statement from IHA Re: Hospital and Healthcare Transformation – Senate Bill 1510

IHA and the Illinois hospital community want to thank Representative Greg Harris, Senator Heather Steans, and HFS Director Theresa Eagleson for their leadership in moving this legislation forward.

Jan 13, 2021

Statement from IHA Re: Illinois House Speaker Emanuel “Chris” Welch

IHA congratulates State Representative Emanuel “Chris” Welch on his historic election as Speaker of the Illinois House of Representatives for the 102nd General Assembly.

Jan 13, 2021

IHA Summary: General Assembly's Lame Duck Session

On Jan. 13, the outgoing 101st General Assembly adjourned its "lame duck" session. See an IHA summary of several critical issues of importance to the hospital community.

Jan 12, 2021

Vote Yes on HB3840 as Amended (Sponsored by Sen. Mattie Hunter)

IHA commends the bill’s sponsors for efforts to address important healthcare issues and for including many of IHA’s recommendations in HB3840 as amended. We urge a Yes vote on HB3840 as amended.

Jan 12, 2021

Vote No or Present on SB558 - House Amendment 4

IHA commends efforts to address important healthcare issues but cannot support the bill as currently amended due to the inclusion of an unworkable moratorium on hospital and service line closures.

Jan 08, 2021

IHA Position Paper on HB5548 HAM1/HB3840 SAM1

IHA released a state position paper on House Bill 5548 House Amendment 1 / House Bill 3840 Senate Amendment 1.

Jan 07, 2021

HB5548 HA1 / HB3840 SA1 Legislative Summary

IHA has summarized key provsions of the Health and Human Services Reform Act, which covers issues including COVID-19 data reporting, implicit bias education and Medicaid Managed Care Organizations.

Jan 07, 2021

Urge Your State Legislators to Oppose HB5548 (HA1)/HB3840 (SA1)

Members of the General Assembly’s Black Caucus introduced companion bills calling for major healthcare system/Medicaid program changes: HA 1 to HB 5548 and SA 1 to HB 3840. 

Nov 04, 2020

IHA Recap of November 3 Election Results

In one of the most contentious and closely watched elections in recent memory, IHA has been closely tracking key local, state and national races from Nov. 3, 2020. 

Oct 05, 2020

IHA Alert re: Graduated Income Tax Proposal

IHA urges support of a proposed constitutional amendment for a graduated income tax, allowing the state to impose higher tax rates on those with higher incomes.

Sep 30, 2020

Coalition to Protect Our Telehealth Letter to General Assembly

The Coalition to Protect Our Telehealth sent a joint letter to all members of the General Assembly and key officials in the Administration urging them to protect coverage to innovative telehealth.

Sep 30, 2020

Suggested Talking Points on Telehealth

The Coalition to Protect Our Telehealth, which includes IHA, urges the General Assembly to protect telehealth approaches so Illinoisans can continue to safely access needed care beyond COVID-19. 

Jul 01, 2020

IHA Comprehensive Overview of General Assembly’s Spring 2020 Session

This report provides a detailed summary of the key bills that IHA worked on to ensure the best possible outcomes for the hospital community.

May 17, 2020

IHA Alert: Contact State Lawmakers Now to Pass Legislation Supporting Hospitals

The Illinois General Assembly will return to Springfield on Wednesday, May 20 for a special session.

May 11, 2020

IHA Letter to Legislative Leaders re: COVID-19 Requests

IHA urges legislative leaders to consider enacting several important COVID-19 related requests for hospitals and health systems.

Feb 17, 2020

IHA Alert: Contact Senators to Co-Sponsor SB3636

ANA-IL and IHA are supporting bipartisan legislation - The Nurse Staffing Improvement Act of 2020 - to strengthen the existing Nurse Staffing by Patient Acuity Act.

Oct 21, 2019

IHA Testimony on Regulation of Ethylene Oxide

This testimony was submitted to the Illinois House Energy & Environment Committee.

Jun 03, 2019

Technical Summary of Senate Bill 1321

On May 30, 2019, the General Assembly passed a Medicaid Omnibus Bill (SB1321) designed to stabilize Illinois’ Medicaid managed care program.

Jun 03, 2019

IHA Summary of Illinois General Assembly’s 2019 Spring Session

The General Assembly adjourned its spring session on June 2.  This summary provides an overview of the outcomes on our key issues.

May 29, 2019

Agreement on Medicaid Managed Care Reform Legislation (SB1321)

IHA is pleased to announce that an agreement has been reached on a comprehensive Medicaid managed care reform package.

Apr 17, 2019

Hospital Advocacy Day Materials

IHA has prepared talking points and background information for you to use when meeting with legislators on Tuesday.

Apr 15, 2019

Message from A.J. Wilhelmi re: Nurse Staffing Ratios

This is an update on the Nurse Staffing Ratios issue.
Apr 15, 2019

IHA Update on Mandatory Nurse Staffing Ratios

A brief overview of the legislative proposal on nurse staffing ratios (House Bill 2604).

Apr 12, 2019

Nurse Staffing Ratios - Meet Your Legislators During Legislative Spring Break

Meet with your state Representative and Senator when they are home in their districts over the next two weeks.

Apr 04, 2019

IHA Advocacy Toolkit

Urgent: Call/Meet with Your State Rep to Oppose Nurse Staffing Ratios (HB2604)

Apr 02, 2019

IHA Resources re: Opposing Mandatory Nurse Staffing Ratios

The following resource documents reference opposing mandatory nurse staffing ratios.

Apr 02, 2019

IHA Position Paper: Oppose House Bill 123, House Amendment 1

This bill increases regulatory burdens and costs for healthcare projects, makes the process less predictable, and undermines confidence in the health planning program.

Mar 28, 2019

IHA Position Paper: Investing for Healthy Communities

To achieve the vision of a healthy Illinois, $500 million in State capital funds should be invested in hospitals that need to transform their aging facilities.

Mar 28, 2019

IHA Fact Sheet: Hospital Transformation Capital Program

To improve the health and well-being of every Illinoisan, the State must invest in its healthcare infrastructure.

Mar 22, 2019

Oppose Nurse Staffing Ratios - Key Committee Vote March 27

The issue of mandatory nurse staffing ratios is headed to a key vote in the General Assembly on March 27. It is critical that the hospital community keep up the pressure and oppose House Bill 2604.

Mar 15, 2019

Step Up Opposition to Mandatory Nurse Staffing Ratios

National Nurses United, the powerful union that successfully pushed for nurse staffing ratios in California, is now backing HB3585.

Mar 11, 2019

IHA Hospital Advocacy Day

As part of our ongoing advocacy efforts, IHA will hold a special Hospital Advocacy Day in Springfield on Tuesday, April 30.

Mar 08, 2019

Governor Signs SB1469: Critical Access Hospital Funding/Hospital Sales Tax Exemption

Gov. J.B. Pritzker today signed IHA-backed legislation, Senate Bill 1469 (PA100-1181), at Ferrell Hospital in Eldorado.

Feb 26, 2019

IHA Summary of Governor’s FY2020 Budget Proposal

The Governor’s FY2020 budget proposal does not contain any Medicaid rate or eligibility reductions.

Feb 26, 2019

Oppose Mandatory Nurse Staffing Ratios Legislation

Several bills have been introduced in the Illinois General Assembly requiring mandatory nurse staffing ratios in hospitals.
Feb 22, 2019

IHA Opposes House Bill 3585: Mandatory Nurse Staffing Ratios

HB 3585 is overreaching, harmful and excessive and will be a major barrier to hospitals and health systems transforming healthcare to best serve their patients and communities.

Feb 19, 2019

Urge Legislators to Sponsor Medicaid Managed Care Reform

A comprehensive legislative package of Medicaid managed care reform bills developed and strongly backed by IHA was introduced in the Illinois General Assembly.  

Feb 15, 2019

IHA State Advocacy Agenda 2019

IHA’s 2019 State Advocacy Agenda—Healthy Communities—outlines nine principle healthcare policy issues, including Medicaid Managed Care oversight and an adequately funded State budget.

Aug 30, 2021

Nurse Staffing Improvement Act: Educational Resources and Information

On Aug. 27, Gov. Pritzker signed into law SB2153 (PA102-0641), bipartisan legislation to strengthen the existing Nurse Staffing by Patient Acuity Act as an alternative to proposed ratio legislation.

Aug 18, 2021

Medical Records Copy Legislation – House Bill 714

This new law will expand the circumstances that a healthcare facility must provide a patient one complete copy of their medical records free of charge.

Aug 10, 2021

Regulatory and Patient Care Legislation Acted Upon by General Assembly

This memo summarizes legislation passed by the General Assembly in the Spring 2021 session addressing issues of patient care and hospital regulation.   

Jul 22, 2021

IHA Responds to Healthcare Affordability Report

IHA provides written comments responding to options outlined in “Feasibility Report for Coverage Affordability Initiatives in Illinois”, released by the state.

Apr 21, 2021

IHA Summary: State Healthcare Affordability Report

This memo summarizes “Feasibility Report for Coverage Affordability Initiatives in Illinois”, a report from the Depts. of Healthcare and Family Services and Insurance.

Mar 29, 2021

IHA Summary of HB 158: Health Care and Human Service Reform Act

See IHA's summary of House Bill 158: Health Care and Human Service Reform Act.

Nov 03, 2020

IHA Position Paper: Hospital and Healthcare Transformation Program – Investing for Health Equity

Illinois should invest in systemic hospital and healthcare transformation to eliminate health disparities and achieve health equity. IHA shares its principles for legislation.

Oct 21, 2020

$50 Million State Broadband Funding Opportunity

On Oct. 19, Gov. Pritzker announced the state released $50 million in funding for the second round of matching grants of Connect Illinois, the state's $420 million statewide broadband expansion.

Aug 19, 2020

Hospital Transformation: Opportunity & Challenge

IHA made this presentation to the Medicaid Legislative Work Group on August 19.

Mar 24, 2020

State Telehealth Coverage and Reimbursement Announcements

An Executive Order issued March 19 requires commercial insurers to cover costs of all clinically appropriate, medically necessary telehealth services rendered by in-network providers.

Mar 06, 2020

IHA Summary: Governor’s FY2021 Budget Proposal

This memo provides a detailed overview of Governor J.B. Pritzker’s FY2021 state budget proposal.

Feb 12, 2020

$50 Million Broadband Investment Encourages Hospital Partnership

The state has released funding for the first round of matching grants of Connect Illinois for statewide broadband expansion.

Feb 06, 2020

Raising Awareness About 2020 Census – How Hospitals Can Help

IHA is working with Cook County and the state of Illinois to raise public awareness about the importance of residents completing the 2020 Census for a full and accurate count.

Dec 09, 2019

IHA Comment Letter re: Medicaid MCO Dispute Resolution Process

IHA requests that HFS clarify submission and documentation requirements and resolution timeframes and ensure balance between the rights of MCOs and providers.

Apr 03, 2019

Potential Impact of Banning Ethylene Oxide on Access to Healthcare Policy

Policy must strike a careful balance between the appropriate regulation of EtO and patients’ access to sterile medical supplies.

Mar 05, 2019

IDPH Adopts Rules Updating Lead Poisoning Testing and Reporting

IDPH adopted rules to implement PA 98-690.