IL SB3466

Removes requirement for Department to establish rules mandating tenure wage increments for CNAs and instead directs Department to pay facilities quarterly for estimated CNA hours, overtime, and benefits/taxes based on a specified schedule.

Establishes CNA tenure compensation schedule: $1.50/hour additional pay for CNAs with 1-2 years experience, plus $1/hour for each additional year up to maximum $6.50/hour for 6+ years of experience.

Requires calculation of overtime at time-and-a-half and benefits/taxes at 25%, with quarterly reconciliation of estimated payments versus actual amounts paid to workers and agencies.

Adds requirement for Department to establish promotion-based wage increments for CNAs with minimum $1.50 hourly increase, estimated and reconciled quarterly, for expected 10-15% subset of CNAs.

Defines Medicaid's share of payments as the ratio of paid Medicaid bed days to total bed days for the applicable time period.