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---
type: "Bill"
title: "MEDICAID-RUGS REIMBURSEMNT-MDS"
description: "Amends the Medical Assistance Article of the Illinois Public Aid Code. In provisions concerning the new nursing services reimbursement methodology utilizing the RUGs reimbursement system, provides that the nursing services methodology will be assigned to the Medicaid enrolled residents on record as of 30 days prior to the beginning of the rate period in the Department's Medicaid Management Information System (MMIS) as present on the last day of the second quarter preceding the rate period \"based upon the Assessment Reference Date of the Minimum Data Set (MDS)\". Effective immediately."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "98th"
identifier: "HB 4600"
citation: "Illinois HB 4600 (98th)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: []
version_count: 3
action_count: 34
vote_count: 2
first_action: "2014-02-04"
last_action: "2014-07-16"
source: "openstates"
source_identifier: "ocd-bill/3c1a9bd0-d58f-4800-82fb-07365c2d298f"
source_url: "http://ilga.gov/legislation/BillStatus.asp?DocNum=4600&GAID=12&DocTypeID=HB&LegId=79155&SessionID=85&GA=98"
source_hash: "13753f090e8f86234eb958d76fed1cc3fdd2654166cc89a0bcd5057ca0d6b725"
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 HB 4600 (98th) — MEDICAID-RUGS REIMBURSEMNT-MDS
Amends the Medical Assistance Article of the Illinois Public Aid Code. In provisions concerning the new nursing services reimbursement methodology utilizing the RUGs reimbursement system, provides that the nursing services methodology will be assigned to the Medicaid enrolled residents on record as of 30 days prior to the beginning of the rate period in the Department's Medicaid Management Information System (MMIS) as present on the last day of the second quarter preceding the rate period "based upon the Assessment Reference Date of the Minimum Data Set (MDS)". 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=09800HB4600&GA=98&SessionId=85&DocTypeId=HB&LegID=79155&DocNum=4600&GAID=12&Session=&print=true)
2. **Engrossed** (committee substitute) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09800HB4600eng&GA=98&SessionId=85&DocTypeId=HB&LegID=79155&DocNum=4600&GAID=12&Session=&print=true)
3. **Enrolled** (enrolled) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09800HB4600enr&GA=98&SessionId=85&DocTypeId=HB&LegID=79155&DocNum=4600&GAID=12&Session=&print=true)
## Votes
- Third Reading — **1110** (pass) · lower
- Third Reading — **570** (pass) · upper
## Sponsors
- Jaime M. Andrade, Jr. — primary (person)
- John G. Mulroe — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2014-02-04** Filed with the Clerk by Rep. Robyn Gabel `filing`
- **2014-02-04** First Reading `reading-1`
- **2014-02-04** Referred to Rules Committee `referral-committee`
- **2014-02-19** Added Co-Sponsor Rep. John M. Cabello
- **2014-03-19** Assigned to Human Services Committee `referral-committee`
- **2014-03-26** Do Pass / Short Debate Human Services Committee; 015-000-000 `committee-passage`
- **2014-03-26** Placed on Calendar 2nd Reading - Short Debate
- **2014-04-04** Chief Sponsor Changed to Rep. Jaime M. Andrade, Jr.
- **2014-04-04** Removed Co-Sponsor Rep. John M. Cabello
- **2014-04-04** Added Chief Co-Sponsor Rep. Robyn Gabel
- **2014-04-04** Added Chief Co-Sponsor Rep. John M. Cabello
- **2014-04-09** Second Reading - Short Debate `reading-2`
- **2014-04-09** Placed on Calendar Order of 3rd Reading - Short Debate
- **2014-04-10** Added Chief Co-Sponsor Rep. Ron Sandack
- **2014-04-10** Third Reading - Short Debate - Passed 111-000-000 `reading-3, passage`
- **2014-04-10** Arrive in Senate `introduction`
- **2014-04-10** Placed on Calendar Order of First Reading April 29, 2014 `reading-1`
- **2014-04-10** Chief Senate Sponsor Sen. Donne E. Trotter
- **2014-04-11** First Reading `reading-1`
- **2014-04-11** Referred to Assignments `referral-committee`
- **2014-04-30** Added as Alternate Chief Co-Sponsor Sen. Patricia Van Pelt
- **2014-05-01** Assigned to Public Health `referral-committee`
- **2014-05-12** Added as Alternate Co-Sponsor Sen. John G. Mulroe
- **2014-05-13** Do Pass Public Health; 005-000-000 `committee-passage`
- **2014-05-13** Placed on Calendar Order of 2nd Reading May 14, 2014
- **2014-05-19** Second Reading `reading-2`
- **2014-05-19** Placed on Calendar Order of 3rd Reading May 20, 2014
- **2014-05-21** Added as Alternate Chief Co-Sponsor Sen. Jacqueline Y. Collins
- **2014-05-21** Third Reading - Passed; 057-000-000 `reading-3, passage`
- **2014-05-21** Passed Both Houses
- **2014-06-19** Sent to the Governor `executive-receipt`
- **2014-07-16** Governor Approved `executive-signature`
- **2014-07-16** Effective Date July 16, 2014
- **2014-07-16** Public Act . . . . . . . . . 98-0727 `became-law`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/3c1a9bd0-d58f-4800-82fb-07365c2d298f`. Confidence: reported (aggregated from official Illinois legislature records).