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---
type: "Bill"
title: "MEDICAID-DENTAL HYGIENIST"
description: "Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that a licensed dental hygienist working under the supervision of a dentist and employed by a federally qualified health center shall be reimbursed for dental services provided to medical assistance recipients at the federally qualified health center's encounter rate. Effective immediately."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "100th"
identifier: "SB 2491"
citation: "Illinois SB 2491 (100th)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: []
version_count: 3
action_count: 33
vote_count: 2
first_action: "2018-01-31"
last_action: "2018-08-19"
source: "openstates"
source_identifier: "ocd-bill/cfd5ef80-1259-4b62-b9a3-080b204cb08c"
source_url: "http://ilga.gov/legislation/BillStatus.asp?DocNum=2491&GAID=14&DocTypeID=SB&LegId=109229&SessionID=91&GA=100"
source_hash: "3ed0066670edac25c301c8045333c7bc6b82debbed1d4719c97af5133ddae2a5"
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 2491 (100th) — MEDICAID-DENTAL HYGIENIST
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that a licensed dental hygienist working under the supervision of a dentist and employed by a federally qualified health center shall be reimbursed for dental services provided to medical assistance recipients at the federally qualified health center's encounter rate. Effective immediately.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Introduced** (filed) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=10000SB2491&GA=100&SessionId=91&DocTypeId=SB&LegID=109229&DocNum=2491&GAID=14&Session=&print=true)
2. **Engrossed** (committee substitute) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=10000SB2491eng&GA=100&SessionId=91&DocTypeId=SB&LegID=109229&DocNum=2491&GAID=14&Session=&print=true)
3. **Enrolled** (enrolled) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=10000SB2491enr&GA=100&SessionId=91&DocTypeId=SB&LegID=109229&DocNum=2491&GAID=14&Session=&print=true)
## Votes
- Third Reading — **1080** (pass) · lower
- Third Reading — **550** (pass) · upper
## Sponsors
- Dave Syverson — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2018-01-31** Filed with Secretary by Sen. Dave Syverson `filing`
- **2018-01-31** First Reading `reading-1`
- **2018-01-31** Referred to Assignments `referral-committee`
- **2018-02-07** Assigned to Human Services `referral-committee`
- **2018-02-21** Postponed - Human Services
- **2018-02-27** Postponed - Human Services
- **2018-03-01** Senate Committee Amendment No. 1 Filed with Secretary by Sen. Dave Syverson `amendment-introduction`
- **2018-03-01** Senate Committee Amendment No. 1 Referred to Assignments `referral-committee`
- **2018-03-13** Senate Committee Amendment No. 1 Assignments Refers to Human Services
- **2018-03-13** Senate Committee Amendment No. 1 Adopted `amendment-passage`
- **2018-03-14** Do Pass as Amended Human Services; 007-000-000 `committee-passage`
- **2018-03-14** Placed on Calendar Order of 2nd Reading April 10, 2018
- **2018-04-10** Second Reading `reading-2`
- **2018-04-10** Placed on Calendar Order of 3rd Reading April 11, 2018
- **2018-04-12** Third Reading - Passed; 055-000-000 `reading-3, passage`
- **2018-04-12** Arrived in House `introduction`
- **2018-04-12** Chief House Sponsor Rep. Rita Mayfield
- **2018-04-13** First Reading `reading-1`
- **2018-04-13** Referred to Rules Committee `referral-committee`
- **2018-04-26** Assigned to Appropriations-Human Services Committee `referral-committee`
- **2018-05-17** Do Pass / Short Debate Appropriations-Human Services Committee; 016-000-000 `committee-passage`
- **2018-05-18** Placed on Calendar 2nd Reading - Short Debate
- **2018-05-21** Added Alternate Chief Co-Sponsor Rep. Patricia R. Bellock
- **2018-05-21** Second Reading - Short Debate `reading-2`
- **2018-05-21** Placed on Calendar Order of 3rd Reading - Short Debate
- **2018-05-23** Third Reading - Short Debate - Passed 108-000-000 `reading-3, passage`
- **2018-05-23** Added Alternate Chief Co-Sponsor Rep. Mary E. Flowers
- **2018-05-23** Alternate Chief Co-Sponsor Changed to Rep. Thaddeus Jones
- **2018-05-23** Passed Both Houses
- **2018-06-21** Sent to the Governor `executive-receipt`
- **2018-08-19** Governor Approved `executive-signature`
- **2018-08-19** Effective Date August 19, 2018
- **2018-08-19** Public Act . . . . . . . . . 100-0974 `became-law`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/cfd5ef80-1259-4b62-b9a3-080b204cb08c`. Confidence: reported (aggregated from official Illinois legislature records).