State Legislative Update
The Illinois House has adjourned for the week after meeting Tuesday through Thursday. The Senate was off this week. The Senate will return to Springfield Tuesday, April 28 through Thursday, April 30, while House lawmakers will remain in their districts next week. Both chambers will reunite in the Statehouse on May 5 and are scheduled to be in Springfield concurrently for the final weeks leading up to the spring session adjournment on May 31.
The House considered a handful of high-profile matters this week, including a “megaprojects” economic development package (
HB 910) designed to attract and benefit large-scale developments, including efforts to move the Chicago Bears to Arlington Heights. The measure passed the House with bipartisan support, 78-32, and now heads to the Senate for consideration. The bill is expected to be further amended in the Senate and return to the House later in the session for concurrence.
This week, the House also considered passage of the so-called “millionaire’s tax,” an amendment to the Illinois Constitution (
HJRCA 21) seeking to impose an additional 3% tax on individual net income over $1 million. Revenue generated would be split evenly between property tax relief and school funding. However, while the amendment was voted out of the House Revenue Committee on Tuesday, it ultimately was not called for a floor vote.
Note that the House did not consider any Senate bills at the committee level so when it reconvenes, it will only have one week to consider Senate bills at the committee level. Both the House and Senate face a Friday, May 8 deadline to pass opposite-chamber legislation out of committees.
U.S. Senate Adopts Budget Resolution for Narrow Reconciliation Bill
The U.S. Senate yesterday adopted a
budget resolution by a 50-48
vote, setting the stage for a second reconciliation bill that would fund the U.S. Dept. of Homeland Security and Immigration and Customs Enforcement for three years. The resolution does not include any offsets or cuts to healthcare. The resolution instructs the Senate Homeland Security and Governmental Affairs Committee, Senate Judiciary Committee, and House Homeland Security and Judiciary committees to write legislation by May 15 that provides up to $70 billion in funding. However, it is unclear wither the resolution can pass the House. Note that both chambers need to pass the same language before they can move on to the next step in the reconciliation process.
CMS, FDA Seek to Accelerate Access to Medical Devices for Medicare Beneficiaries
The Centers for Medicare & Medicaid Services (CMS) and the Food and Drug Administration (FDA) yesterday
announced a new coverage pathway intended to expedite access to certain FDA-designated Class II and Class III devices for Medicare beneficiaries. The Regulatory Alignment for Predictable and Immediate Device (RAPID) coverage pathway is designed to reduce red tape and resultant delays that have historically occurred between FDA market authorization and Medicare national coverage determinations. The RAPID coverage pathway is for devices that address unmet medical needs and is available for certain Class II devices participating in the FDA Total Product Life Cycle Advisory Program (TAP), and Class III devices regardless of TAP participation. The news release said a Federal Register notice will be published outlining the RAPID coverage pathway and the public will have 60 days to provide comments.
FBI: Healthcare Top Target for Ransomware, Cyberthreats in 2025
Healthcare and public health was the top sector targeted for cyberthreats in 2025, according to the FBI’s latest
annual report on internet crimes. There were 460 ransomware attacks and 182 data breaches, totaling 642 healthcare-related cyber events. Financial services was the next most targeted sector at 447 total events. Ransomware is among the highest reported cyber threats targeting critical infrastructure organizations. Ransomware is a type of malicious software designed to block access to a computer system until money is paid. In 2025, the FBI Internet Crime Complaint Center received more than 3,600 complaints reporting ransomware, with losses exceeding $32 million.
In 2025, California topped the nation with the most cyberthreat complaints at 116,414; Illinois had the fourth most complaints (32,977) after Texas, Florida and New York. California also reported the highest reported financial loss of all the states at more than $3.6 billion, with Illinois reporting the 8th highest number of losses across the nation at approximately $535 million.
RESOURCES: Medicaid Stakeholder Toolkit – Update Your Address Campaign
The Illinois Dept. of Healthcare and Family Services (HFS) has launched a
communication toolkit to help providers reach individuals enrolled in Medicaid and encourage them to update their contact information to prevent unnecessary loss of coverage. New federal requirements under H.R. 1 may require some adults enrolled in Medicaid to report work, school or training activities. While many individuals will be exempt, it is important that all individuals receive timely and accurate information, particularly those required to report qualifying activities. The toolkit includes a slide deck and flyer available in both English and Spanish.
Click here to access the Department’s toolkit webpage.
