# Illinois HB3271: MEDICAID-ICF/DD PAYMENTS

Illinois HB3271, MEDICAID-ICF/DD PAYMENTS, is a 104th General Assembly (2025–2026) House bill sponsored by Anna Moeller (Democratic); status in committee, last action 2026-05-31 (Added Co-Sponsor Rep. Lilian Jiménez); PRIA reads it as touching household money (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/IL-HB3271-2025-2026
- As of: 2026-11-01
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Illinois HB3271
- State: Illinois
- Session: 104th General Assembly (2025–2026)
- Title: MEDICAID-ICF/DD PAYMENTS
- Status: in committee
- Chamber: House
- Introduced: 2025-02-06
- Last action: 2026-05-31, Added Co-Sponsor Rep. Lilian Jiménez
- Sponsor: Anna Moeller (Democratic)
- Cosponsors: 1
- Subjects: human services
- Touches household money: yes
- Roll calls: 1 (12 yes, 0 no in all)
- Economic provisions PRIA read: 0

## Summary

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that for dates of service starting July 1, 2025, reimbursement calculations and direct payment for services provided by facilities licensed under the ID/DD Community Care Act are the responsibility of the Department of Healthcare and Family Services instead of the Department of Human Services. Requires appropriations for the facilities licensed under the ID/DD Community Care Act to be shifted from the Department of Human Services to the Department of Healthcare and Family Services. Provides that nothing shall prohibit the Department of Healthcare and Family Services from paying more than the rates specified in the Code. Requires the Department of Healthcare and Family Services to work with the Department of Human Services to study and review the reimbursement calculations and direct payments for facilities licensed under the ID/DD Community Care Act and for facilities licensed under the MC/DD Act. Effective July 1, 2025.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Anna Moeller (Democratic), House
- Cosponsor: Lilian Jiménez (Democratic), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-03-19 | House | Do Pass / Short Debate Human Services Committee; | pass | 12 | 0 |   |

## Actions (10)

- 2026-05-31: Added Co-Sponsor Rep. Lilian Jiménez (House)
- 2025-04-11: Rule 19(a) / Re-referred to Rules Committee (House)
- 2025-03-26: Held on Calendar Order of Second Reading - Short Debate (House)
- 2025-03-26: Second Reading - Short Debate (House)
- 2025-03-19: Placed on Calendar 2nd Reading - Short Debate (House)
- 2025-03-19: Do Pass / Short Debate Human Services Committee; 012-000-000 (House)
- 2025-03-11: Assigned to Human Services Committee (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

- Introduced: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB3271.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
- [Introduced (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB3271.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-HB3271-2025-2026 (as of 2026-11-01).