SESSION WATCH
Became law HOUSE · SESSION 2026 · CHAPTER 2026-194

No. HB 4019

Compensation for Health Care Services for Inmates in Lake County
Send via email
SPONSOR
Cobb
FILED BY
Nan Cobb — District 26, Republican [search donations]
EFFECTIVE
4/14/2026

Filed under Healthcare.

PROVIDED SUMMARY

Compensation for Health Care Services for Inmates in Lake County; Limits compensation to health care provider & to hospital designated as trauma center that provide medical services for inmate housed in Lake County detention center if provider & hospital do not have contract with county to provide such services; limits compensation to entity that provides emergency medical transportation services for inmate housed in Lake County detention center if entity does not have contract with county to provide such services.

Full bill text →

Plain English Summary

AI-GENERATED
Caps compensation for treating Lake County jail inmates without a contract.

If a Lake County jail inmate needs medical care from a provider without a contract with the county, that provider's compensation is capped at 110% of the Medicare allowable rate.

A hospital that reported a negative operating margin the year before gets a higher ceiling, 125% of the Medicare rate, for the same uncontracted inmate care.

Trauma centers treating a designated trauma-alert inmate must be paid a flat 175% of the Medicare rate, the highest of the three tiers, if they lack a county contract.

Ambulance and air-ambulance providers face their own separate 110% cap for uncontracted inmate transportation. None of these caps apply to a hospital that Lake County itself operates.

KEY PROVISIONS
§ 1 110% Medicare cap for uncontracted inmate medical care major

AICompensation to a health care provider for any medical services to a Lake County jail inmate may not exceed 110 percent of the Medicare allowable rate if the provider has no county contract.

“to provide any medical services for an inmate housed in a Lake County detention center may not exceed 110 percent of the Medicare allowable rate” bill text, line 61 →
§ 2 Higher 125% cap for hospitals with a negative operating margin major

AIA health care provider that reported a negative operating margin the previous year to the state health care agency gets a higher cap, 125 percent of Medicare, instead of the base 110 percent.

“Reported a negative operating margin for the previous year to the Agency for Health Care Administration through hospital-audited financial data” bill text, line 72 →
§ 3 Flat 175% Medicare rate required for trauma-alert inmate care major

AIA trauma center hospital treating a Lake County inmate designated a trauma alert victim must be paid exactly 175 percent of the Medicare rate if it has no county contract -- not a ceiling, a set rate.

“must be at 175 percent of the Medicare allowable rate if the hospital does not have a contract with Lake County” bill text, line 78 →
§ 4 110% cap on uncontracted emergency medical transport moderate

AICompensation to an entity providing emergency medical transportation, including ambulance or air ambulance service, for a Lake County jail inmate may not exceed 110 percent of Medicare if it has no county contract.

“Compensation to an entity to provide emergency medical transportation services for an inmate housed in a Lake County detention center may not exceed 110 percent” bill text, line 81 →
§ 5 Exempts hospitals Lake County itself operates moderate

AINone of these compensation caps apply to charges for medical services provided at a hospital that Lake County operates itself.

“This act does not apply to charges for medical services provided at a hospital operated by Lake County.” bill text, line 87 →
§ 6 Abortion clinics and private medical offices excluded from the cap moderate

AIThe definition of 'health care provider' subject to these caps excludes a facility whose primary purpose is performing terminations of pregnancy, and excludes a physician's or dentist's private office.

“does not include a facility existing for the primary purpose of performing terminations of pregnancy or an office maintained by a physician or dentist” bill text, line 52 →
TIMELINE
7/1/2026
Chapter No. 2026-194
4/14/2026
Approved by Governor
3/31/2026
Signed by Officers and presented to Governor
3/11/2026
Ordered enrolled
3/11/2026
In Messages
3/11/2026
Passed; YEAS 36 NAYS 0 -SJ 787
3/11/2026
Read 3rd time -SJ 787
3/11/2026
Read 2nd time -SJ 787
3/11/2026
Placed on Calendar, on 2nd reading
3/11/2026
Withdrawn from Rules -SJ 785
3/9/2026
Placed on Local Calendar, 03/11/26
2/18/2026
Received
2/12/2026
Referred to Rules
2/12/2026
In Messages
2/11/2026
Passed; YEAS 112, NAYS 0
2/11/2026
Read 3rd time
2/11/2026
Added to Third Reading Calendar
2/11/2026
Read 2nd time
2/5/2026
Bill added to Special Order Calendar (2/11/2026)
1/27/2026
Added to Second Reading Calendar
1/27/2026
Bill released to House Calendar
1/27/2026
Reported out of State Affairs Committee
1/27/2026
Favorable by State Affairs Committee
1/23/2026
Added to State Affairs Committee agenda
1/14/2026
Now in State Affairs Committee
1/14/2026
Reported out of Criminal Justice Subcommittee
1/14/2026
Favorable by Criminal Justice Subcommittee
1/13/2026
1st Reading (Original Filed Version)
1/12/2026
Added to Criminal Justice Subcommittee agenda
12/11/2025
Now in Criminal Justice Subcommittee
12/11/2025
Reported out of Intergovernmental Affairs Subcommittee
12/11/2025
Favorable by Intergovernmental Affairs Subcommittee
12/4/2025
Added to Intergovernmental Affairs Subcommittee agenda
11/24/2025
Now in Intergovernmental Affairs Subcommittee
11/24/2025
Referred to State Affairs Committee
11/24/2025
Referred to Criminal Justice Subcommittee
11/24/2025
Referred to Intergovernmental Affairs Subcommittee
11/17/2025
Filed
32 EARLIER →
STAFF ANALYSES