Replaces everything after the enacting clause with the following. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall establish the Long-Term Care Disproportionate Share Adjustment Program to aid long-term care facilities licensed by the Department of Public Health, under the Nursing Home Care Act, as skilled care or intermediate care facilities that serve a preponderance of Medicaid residents. Further provides that long-term care facilities determined by the Department to qualify for the program shall receive an add-on adjustment to their nursing component rate, which shall be established by rule no later than December 31, 2010 and adjusted annually thereafter. Effective immediately.