---
type: "Bill"
title: "MEDICAID-WAGE ADJUSTERS"
description: "Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that, in applying the regional wage adjuster component of the RUG-IV 48 reimbursement methodology, no adjuster shall be lower than 0.95. Effective immediately."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "102nd"
identifier: "SB 110"
citation: "Illinois SB 110 (102nd)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Robyn Gabel", "Sara Feigenholtz"]
version_count: 4
action_count: 50
vote_count: 1
first_action: "2021-02-03"
last_action: "2021-07-09"
source: "openstates"
source_identifier: "ocd-bill/072a8cd3-4721-442c-814f-919e2fd4fb19"
source_url: "https://ilga.gov/legislation/BillStatus.asp?DocNum=110&GAID=16&DocTypeID=SB&LegId=128445&SessionID=110&GA=102"
source_hash: "aab324bee2fafc0fe4a2306e0dee34473517b135b13d77e7f50d67c1b986643f"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-il"]
---

# Illinois SB 110 (102nd) — MEDICAID-WAGE ADJUSTERS

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that, in applying the regional wage adjuster component of the RUG-IV 48 reimbursement methodology, no adjuster shall be lower than 0.95. Effective immediately.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Introduced** (filed) — [source](https://ilga.gov/legislation/102/SB/PDF/10200SB0110.pdf)
2. **Engrossed** (committee substitute) — [source](https://ilga.gov/legislation/102/SB/PDF/10200SB0110eng.pdf)
3. **Senate Amendment 001** (committee substitute) — [source](https://ilga.gov/legislation/102/SB/PDF/10200SB0110sam001.pdf)
4. **Enrolled** (enrolled) — [source](https://ilga.gov/legislation/102/SB/PDF/10200SB0110enr.pdf)

## Votes

- Third Reading — **111–0** (pass) · lower

## Sponsors

- Robyn Gabel — primary (person)
- Sara Feigenholtz — primary (person)
- Adriane Johnson — cosponsor (person)
- Amy Elik — cosponsor (person)
- Antonio Muñoz — cosponsor (person)
- Dale Fowler — cosponsor (person)
- Dave Severin — cosponsor (person)
- Dave Syverson — cosponsor (person)
- David Koehler — cosponsor (person)
- Elizabeth Hernandez — cosponsor (person)
- Jay Hoffman — cosponsor (person)
- Kathleen Willis — cosponsor (person)
- Laura M. Murphy — cosponsor (person)
- Linda Holmes — cosponsor (person)
- Melinda Bush — cosponsor (person)
- Michael E. Hastings — cosponsor (person)
- Ram Villivalam — cosponsor (person)
- Robert F. Martwick — cosponsor (person)
- Thomas Cullerton — cosponsor (person)
- William Davis — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2021-02-03** Filed with Secretary by Sen. Sara Feigenholtz `filing`
- **2021-02-03** First Reading `reading-1`
- **2021-02-03** Referred to Assignments `referral-committee`
- **2021-02-09** Assigned to Health `referral-committee`
- **2021-02-16** To Subcommittee on Long-Term Care & Aging
- **2021-02-19** Senate Committee Amendment No. 1 Filed with Secretary by Sen. Sara Feigenholtz `amendment-introduction`
- **2021-02-19** Senate Committee Amendment No. 1 Referred to Assignments `referral-committee`
- **2021-03-09** Senate Committee Amendment No. 1 Assignments Refers to Health
- **2021-03-16** Reported Back To Health; 005-000-000
- **2021-03-16** Senate Committee Amendment No. 1 Adopted `amendment-passage`
- **2021-03-16** Do Pass as Amended Health; 013-000-000 `committee-passage`
- **2021-03-16** Placed on Calendar Order of 2nd Reading March 17, 2021
- **2021-03-17** Second Reading `reading-2`
- **2021-03-17** Placed on Calendar Order of 3rd Reading ** March 23, 2021
- **2021-03-23** Added as Chief Co-Sponsor Sen. Dave Syverson
- **2021-03-30** Added as Co-Sponsor Sen. Thomas Cullerton
- **2021-04-05** Added as Chief Co-Sponsor Sen. Melinda Bush
- **2021-04-05** Added as Co-Sponsor Sen. David Koehler
- **2021-04-06** Added as Chief Co-Sponsor Sen. Linda Holmes
- **2021-04-06** Added as Co-Sponsor Sen. Ram Villivalam
- **2021-04-13** Added as Co-Sponsor Sen. Antonio Muñoz
- **2021-04-14** Added as Chief Co-Sponsor Sen. Michael E. Hastings
- **2021-04-16** Added as Co-Sponsor Sen. Laura M. Murphy
- **2021-04-20** Added as Co-Sponsor Sen. Dale Fowler
- **2021-04-20** Added as Co-Sponsor Sen. Robert F. Martwick
- **2021-04-23** Third Reading - Passed; 058-000-000 `passage, reading-3`
- **2021-04-26** Arrived in House `introduction`
- **2021-04-26** Chief House Sponsor Rep. Robyn Gabel
- **2021-04-27** First Reading `reading-1`
- **2021-04-27** Referred to Rules Committee `referral-committee`
- **2021-04-27** Added as Co-Sponsor Sen. Adriane Johnson
- **2021-05-03** Added Alternate Co-Sponsor Rep. Jay Hoffman
- **2021-05-04** Assigned to Executive Committee `referral-committee`
- **2021-05-04** Added Alternate Co-Sponsor Rep. Amy Elik
- **2021-05-06** Added Alternate Chief Co-Sponsor Rep. Dave Severin
- **2021-05-06** Added Alternate Chief Co-Sponsor Rep. Kathleen Willis
- **2021-05-07** Added Alternate Co-Sponsor Rep. William Davis
- **2021-05-12** Do Pass / Consent Calendar Executive Committee; 014-000-000 `committee-passage`
- **2021-05-12** Placed on Calendar 2nd Reading - Consent Calendar
- **2021-05-13** Second Reading - Consent Calendar `reading-2`
- **2021-05-13** Held on Calendar Order of Second Reading - Consent Calendar `reading-2`
- **2021-05-14** Placed on Calendar Order of 3rd Reading - Consent Calendar
- **2021-05-18** Added Alternate Co-Sponsor Rep. Elizabeth Hernandez
- **2021-05-21** Third Reading - Consent Calendar - First Day `reading-3`
- **2021-05-26** Third Reading - Consent Calendar - Passed 111-000-001 `passage, reading-3`
- **2021-05-26** Passed Both Houses
- **2021-06-24** Sent to the Governor `executive-receipt`
- **2021-07-09** Governor Approved `executive-signature`
- **2021-07-09** Effective Date July 9, 2021
- **2021-07-09** Public Act . . . . . . . . . 102-0077 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/072a8cd3-4721-442c-814f-919e2fd4fb19`. Confidence: reported (aggregated from official Illinois legislature records).