Will County Gazette

Natalie A. Manley introduced HB2550 in the Illinois House on Feb. 4, 2025, during the general assembly session 104, according to the Illinois General Assembly.

According to the Illinois General Assembly site, the legislature summarized the bill's official text as follows: "Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that beginning January 1, 2026, the rate must be multiplied by 5 for nursing facilities which have disclosed their status as Alzheimer's special care units under the requirements of the Alzheimer's Disease and Related Dementias Special Care Disclosure Act. Requires the Department of Healthcare and Family Services to update the status for nursing facilities for rates in effect each January 1."

The following is our breakdown, based on the actual bill text, and may include interpretation to clarify its provisions.

In essence, this bill amends the Medical Assistance Article of the Illinois Public Aid Code, stipulating that, from Jan. 1, 2026, nursing facilities that have disclosed their status as Alzheimer's special care units under applicable state legislation will have their rate multiplied by five. It mandates the Illinois Department of Healthcare and Family Services to update these nursing facilities' statuses annually on Jan. 1 for rate setting purposes. The bill outlines a new reimbursement system for nursing services called the Patient Driven Payment Model (PDPM), initiated on July 1, 2022, following federal approval. This model will be resident-centered and facility-specific, with costs rebased annually and case mix indexes updated quarterly. It also establishes a framework for determining staffing-related reimbursements, including specified add-ons linked to staffing levels and quality measures. The bill includes provisions for addressing Medicaid access adjustments, base rate calculations, and quality pool payment methodologies, with some aspects being implemented from prior dates and projections for future enforcement dates.

Natalie A. Manley has proposed another eight bills since the beginning of the 104th session.

Manley graduated from Joliet Junior College with an AA and again in 1999 from the University of St. Francis with a BA.

Natalie A. Manley is currently serving in the Illinois State House, representing the state's 98th House District. She assumed office in 2013.

Bills in Illinois follow a multi-step legislative process, beginning with introduction in either the House or Senate, followed by committee review, floor debates, and votes in both chambers before reaching the governor for approval or veto. The General Assembly operates on a biennial schedule, and while typically thousands of bills are introduced each session, only a fraction successfully pass through the process to become law.

You can read more about bills and other measures here.

Bill Number	Date Introduced	Short Description
HB2550	02/04/2025	Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that beginning January 1, 2026, the rate must be multiplied by 5 for nursing facilities which have disclosed their status as Alzheimer's special care units under the requirements of the Alzheimer's Disease and Related Dementias Special Care Disclosure Act. Requires the Department of Healthcare and Family Services to update the status for nursing facilities for rates in effect each January 1.
HB2459	02/03/2025	Amends the Illinois Public Accounting Act. Changes the definition of "CPA firm" to remove a reference to limited liability companies and to include professional limited liability companies. Changes references from "substantial equivalency" to "enhanced mobility". Changes provisions regarding substantial equivalency for an individual whose principal place of business is not in the State but who has a valid CPA license issued by another state to require that the licensure requirements of the issuing state must be equivalent to the criteria in the Act or, if the licensure requirements of the issuing state are not equivalent, to require that the individual must petition the Public Accountant Registration and Licensure Committee for, and obtain from the Public Accountant Registration and Licensure Committee, an equivalency determination (instead of requiring a verification of the criteria by the National Qualification Appraisal Service of the National Association of State Boards of Accountancy). Provides that, on and after January 1, 2027, the Department may license as licensed CPAs, individuals who have received a bachelor's degree in accounting from an accredited college or university and an exam certificate or certification from the Board and have had at least 2 years of experience as defined by Department of Financial and Professional Regulation rule. Provides that, on and after January 1, 2027, the Department may license as licensed CPAs individuals who have received a master's degree, a bachelor's degree with 30 hours of accounting from an accredited college or university and an exam certificate or certification from the Board, and at least one year of experience as defined by Department rule. Changes the organization that the Department may rely on for enhanced mobility determinations from the National Qualification Appraisal Service of the National Association of State Board of Accountancy to the Public Accountant Registration and Licensure Committee. Makes conforming and other changes.
HB2382	01/31/2025	Amends the Property Tax Code. In provisions concerning platted and subdivided but undeveloped property, provides that (i) beginning with the 2025 taxable year, no property's assessed value shall be reduced to less than $150 under those provisions and (ii) beginning with the 2035 taxable year, no property shall be eligible for calculation of its assessed value under those provisions for more than a 10-year period.
HB2412	01/31/2025	Amends the Uniform Emergency Volunteer Health Practitioners Act. Makes a technical change in a Section concerning the short title.
HB2421	01/31/2025	Amends the Freedom of Information Act. Exempts from inspection and copying a law enforcement record created for law enforcement purposes and contained in a shared electronic record management system if the law enforcement agency or criminal justice agency (rather than only the law enforcement agency) that is the recipient of the request did not create the record, did not participate in or have a role in any of the events which are the subject of the record, and only has access to the record through the shared electronic record management system.
HB2352	01/30/2025	Amends the Governmental Account Audit Act. Provides that any governmental unit receiving revenue of less than $1,500,000 (rather than $850,000) for any fiscal year shall, in lieu of causing an annual audit of the accounts of the unit to be made, either (i) cause an audit of the accounts of the unit to be made once every 4 years and file with the Comptroller an annual financial report containing information required by the Comptroller or (ii) file with the Comptroller an annual financial report containing information required by the Comptroller, a copy of which has been provided to each member of that governmental unit's board of elected officials, presented either in person or by a live phone or web connection during a public meeting, and approved by a 3/5 majority vote. Makes conforming changes. Effective immediately.
HB1811	01/28/2025	Amends the Illinois Controlled Substances Act concerning the Prescription Monitoring Program. Provides that interstate data sharing agreements shall be mutual. Provides that the Department of Human Services shall only share data if the reciprocal state provides equal access to data of the reciprocating state to all authorized users, licensed health care entities, and application vendors regardless of their method of connection to the Prescription Monitoring Program for interstate data sharing. Effective immediately.
HB1851	01/28/2025	Amends the Illinois Emergency Management Agency Act. In provisions regarding the Access and Functional Needs Advisory Committee, provides that the Advisory Committee shall comply with all provisions of the Open Meetings Act except that the Advisory Committee is exempt from the provisions that specifically require a quorum of members of a public body to be physically present at the location of an open meeting. Allows Advisory Committee members to attend meetings of the Access and Functional Needs Advisory Committee remotely by video or audio conference with all attending members counting toward a quorum, provided there is at least one member in physical attendance at the publicly posted physical location of the meeting.
HB1287	01/13/2025	Amends the Assisted Living and Shared Housing Act, the Nursing Home Care Act, the MC/DD Act, the ID/DD Community Care Act, and the Illinois Public Aid Code. Provides that the administrator of a facility or establishment under any of those Acts shall ensure that the facility or establishment has an automated external defibrillator and policies and procedures for the rendering of automated external defibrillation in the facility or establishment. Provides course requirements for persons certified to provide automated external defibrillation. Provides that a facility or establishment shall contract with or employ a physician who shall be the automated external defibrillation medical director for the facility or establishment and who shall oversee and coordinate specified requirements.