# Illinois HB3214: DHFS-MEDICARE PART A BUY-IN Illinois HB3214, DHFS-MEDICARE PART A BUY-IN, is a 104th General Assembly (2025–2026) House bill sponsored by no sponsor on record; status signed, last action 2025-08-15 (Public Act . . . . . . . . . 104-0286) (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/IL-HB3214-2025-2026 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Illinois HB3214 - State: Illinois - Session: 104th General Assembly (2025–2026) - Title: DHFS-MEDICARE PART A BUY-IN - Status: signed - Chamber: House - Introduced: 2025-02-06 - Last action: 2025-08-15, Public Act . . . . . . . . . 104-0286 - Sponsors: no sponsor on record - Cosponsors: 6 - Subjects: human services, assignments, health and human services - Touches household money: no - Roll calls: 4 (184 yes, 0 no in all) - Economic provisions PRIA read: 0 ## 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. ## Bill overview No economic impacts identified for this bill. ## Sponsors and cosponsors - Cosponsor: Anna Moeller (Democratic), House - Cosponsor: Cristina Castro (Democratic), Senate - Cosponsor: Hoan Huynh (Democratic), House - Cosponsor: Laura Fine (Democratic), Senate - Cosponsor: Margaret Croke (Democratic), House - Cosponsor: Nicolle Grasse (Democratic), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-05-22 | Senate | Third Reading - Passed; | pass | 58 | 0 | | | 2025-04-30 | Senate | Do Pass Health and Human Services; | pass | 8 | 0 | | | 2025-04-07 | House | Third Reading - Short Debate - Passed | pass | 106 | 0 | | | 2025-03-19 | House | Do Pass as Amended / Short Debate Human Services Committee; | pass | 12 | 0 | | ## Actions (34) - 2025-08-15: Public Act . . . . . . . . . 104-0286 (House) - 2025-08-15: Effective Date August 15, 2025 (House) - 2025-08-15: Governor Approved (House) - 2025-06-20: Sent to the Governor (House) - 2025-05-22: Passed Both Houses (House) - 2025-05-22: Third Reading - Passed; 058-000-000 (Senate) - 2025-05-20: Placed on Calendar Order of 3rd Reading ** (Senate) - 2025-05-01: Placed on Calendar Order of 3rd Reading May 6, 2025 (Senate) - 2025-05-01: Second Reading (Senate) - 2025-04-30: Placed on Calendar Order of 2nd Reading May 1, 2025 (Senate) - 2025-04-30: Do Pass Health and Human Services; 008-000-000 (Senate) - 2025-04-23: Assigned to Health and Human Services (Senate) - 2025-04-16: Added Co-Sponsor Rep. Hoan Huynh (House) - 2025-04-11: Added as Alternate Chief Co-Sponsor Sen. Cristina Castro (Senate) - 2025-04-08: Referred to Assignments (Senate) - 2025-04-08: First Reading (Senate) - 2025-04-08: Chief Senate Sponsor Sen. Laura Fine (Senate) - 2025-04-08: Placed on Calendar Order of First Reading (Senate) - 2025-04-08: Arrive in Senate (Senate) - 2025-04-07: Added Co-Sponsor Rep. Nicolle Grasse (House) - 2025-04-07: Third Reading - Short Debate - Passed 106-000-000 (House) - 2025-03-25: Placed on Calendar Order of 3rd Reading - Short Debate (House) - 2025-03-25: Second Reading - Short Debate (House) - 2025-03-19: Placed on Calendar 2nd Reading - Short Debate (House) - 2025-03-19: Do Pass as Amended / Short Debate Human Services Committee; 012-000-000 (House) - 2025-03-19: House Committee Amendment No. 1 Adopted in Human Services Committee; by Voice Vote (House) - 2025-03-13: House Committee Amendment No. 1 Rules Refers to Human Services Committee (House) - 2025-03-11: House Committee Amendment No. 1 Referred to Rules Committee (House) - 2025-03-11: House Committee Amendment No. 1 Filed with Clerk by Rep. Anna Moeller (House) - 2025-03-11: Assigned to Human Services Committee (House) - 2025-03-07: Added Co-Sponsor Rep. Margaret Croke (House) - 2025-02-18: Referred to Rules Committee (House) - 2025-02-18: First Reading (House) - 2025-02-06: Filed with the Clerk by Rep. Anna Moeller (House) ## Bill text - Engrossed: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB3214eng.pdf) - Enrolled: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB3214enr.pdf) - House Amendment 1: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB3214ham001.pdf) - Introduced: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB3214.pdf) ## Related bills - HB5198: AFFORDABLE HOUSING-CILAS (passed house) - SB1937: PENSION CODE-VARIOUS (passed senate) - HB2563: CONDO-RESERVE STUDY (in committee) - HB4701: LIMITATIONS FACILITY FEES ACT (in committee) - SB3008: DHS-ABLE PROGRAM INFO MATERIAL (passed senate) - SB3484: VEH CD-PLATES-REGISTRATION (signed) ## Sources - [Engrossed (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB3214eng.pdf) - [Enrolled (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB3214enr.pdf) - [House Amendment 1 (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB3214ham001.pdf) - [Introduced (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB3214.pdf) ## Related - [HB5198: AFFORDABLE HOUSING-CILAS](https://policyrisk.com/state-bill/IL-HB5198-2025-2026) - [SB1937: PENSION CODE-VARIOUS](https://policyrisk.com/state-bill/IL-SB1937-2025-2026) - [HB2563: CONDO-RESERVE STUDY](https://policyrisk.com/state-bill/IL-HB2563-2025-2026) - [HB4701: LIMITATIONS FACILITY FEES ACT](https://policyrisk.com/state-bill/IL-HB4701-2025-2026) - [SB3008: DHS-ABLE PROGRAM INFO MATERIAL](https://policyrisk.com/state-bill/IL-SB3008-2025-2026) - [SB3484: VEH CD-PLATES-REGISTRATION](https://policyrisk.com/state-bill/IL-SB3484-2025-2026) - [Illinois bills](https://policyrisk.com/states/illinois/bills) - [Illinois state hub](https://policyrisk.com/states/illinois) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/IL-HB3214-2025-2026 (as of 2026-11-01).