IllinoisHB3214104th General Assembly (2025–2026)House

DHFS-MEDICARE PART A BUY-IN

Sponsored By: Sponsor information unavailable

Signed by Governor

Summary

Amends the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to study the impact to the State and recipients of entering into a Medicare Part A Buy-In Agreement for qualified Medicare beneficiaries with the federal Centers for Medicare and Medicaid Services. Provides that no later than January 1, 2026, the Department shall submit a report to the Governor and the General Assembly about executing a Medicare Part A Buy-In Agreement. Requires the report to reflect that it is the policy of the State of Illinois to reduce administrative burden to applicants and recipients in programs under the Code, and to promote the health, well-being, and economic security of low-income older adults and people with disabilities in its medical programs. Requires the Department to consult with the federal Centers for Medicare and Medicaid Services and relevant State agencies, including the Department on Aging, and conduct stakeholder engagement. Provides that the report shall outline the methodology used by the Department of Healthcare and Family Services and shall include relevant findings, including potential cost savings to recipients and reductions in administrative burden, and a synopsis of discussions with interested stakeholders. Provides that the report shall contain recommendations for further action to facilitate accountability and to achieve the policy objectives outlined in the amendatory Act. Effective immediately.

human servicesassignmentshealth and human services

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Bill Overview

No Economic Impacts Identified for this Bill

Sponsors & Cosponsors

Sponsors

There is no primary sponsor on record.

Cosponsors

  • Anna Moeller

    Democratic • House

  • Cristina Castro

    Democratic • Senate

  • Hoan Huynh

    Democratic • House

  • Laura Fine

    Democratic • Senate

  • Margaret Croke

    Democratic • House

  • Nicolle Grasse

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 184 • No: 0

Senate vote • 5/22/2025

Third Reading - Passed;

Yes: 58 • No: 0

Senate vote • 4/30/2025

Do Pass Health and Human Services;

Yes: 8 • No: 0

House vote • 4/7/2025

Third Reading - Short Debate - Passed

Yes: 106 • No: 0

House vote • 3/19/2025

Do Pass as Amended / Short Debate Human Services Committee;

Yes: 12 • No: 0

Actions Timeline

  1. Public Act . . . . . . . . . 104-0286

    8/15/2025House
  2. Effective Date August 15, 2025

    8/15/2025House
  3. Governor Approved

    8/15/2025House
  4. Sent to the Governor

    6/20/2025House
  5. Passed Both Houses

    5/22/2025House
  6. Third Reading - Passed; 058-000-000

    5/22/2025Senate
  7. Placed on Calendar Order of 3rd Reading **

    5/20/2025Senate
  8. Placed on Calendar Order of 3rd Reading May 6, 2025

    5/1/2025Senate
  9. Second Reading

    5/1/2025Senate
  10. Placed on Calendar Order of 2nd Reading May 1, 2025

    4/30/2025Senate
  11. Do Pass Health and Human Services; 008-000-000

    4/30/2025Senate
  12. Assigned to Health and Human Services

    4/23/2025Senate
  13. Added Co-Sponsor Rep. Hoan Huynh

    4/16/2025House
  14. Added as Alternate Chief Co-Sponsor Sen. Cristina Castro

    4/11/2025Senate
  15. Referred to Assignments

    4/8/2025Senate
  16. First Reading

    4/8/2025Senate
  17. Chief Senate Sponsor Sen. Laura Fine

    4/8/2025Senate
  18. Placed on Calendar Order of First Reading

    4/8/2025Senate
  19. Arrive in Senate

    4/8/2025Senate
  20. Added Co-Sponsor Rep. Nicolle Grasse

    4/7/2025House
  21. Third Reading - Short Debate - Passed 106-000-000

    4/7/2025House
  22. Placed on Calendar Order of 3rd Reading - Short Debate

    3/25/2025House
  23. Second Reading - Short Debate

    3/25/2025House
  24. Placed on Calendar 2nd Reading - Short Debate

    3/19/2025House
  25. Do Pass as Amended / Short Debate Human Services Committee; 012-000-000

    3/19/2025House

Bill Text

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