To enact a complex package of changes to the Medicaid system negotiated by the State, hospitals, nursing homes and other medical provider organizations. Many of its revisions are designed to bring in money from the federal government, but the state's taxpayers will be on the hook, financially. The annual cost of the changes contained in this bill are estimated at $221 million per year..   Official Text and Analysis.

To authorize various levies in the form of a bed tax on health care providers in a manner intended to “game” the federal Medicaid system in ways that result in higher federal payments to Illinois’ medical welfare system. The annual cost of the changes contained in this bill is estimated at $221 million per year..