CHICAGO — Cook County and Illinois legislative officials yesterday unveiled a proposal to replace an expiring statewide hospital assessment tax that has generated more than $2.2 billion in federal matching funds over the last five years with a new program that favors Cook County hospitals.

Under the proposal, only the 62 hospitals in Cook County would pay the assessment based on patient volume. The tax would raise about $730 million, with the expectation that it would leverage nearly $600 million in federal matching funds. Much of the overall pot would then go to hospitals across the state, although Cook County hospitals — especially those with the largest Medicaid volumes — would receive the largest share.

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