# Illinois HB3534: MEDICAID TRANSPARENCY ACT

Illinois HB3534, MEDICAID TRANSPARENCY ACT, is a 104th General Assembly (2025–2026) House bill sponsored by Tony M. McCombie (Republican); status in committee, last action 2025-03-19 (Added Co-Sponsor Rep. Daniel J. Ugaste) (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/IL-HB3534-2025-2026
- As of: 2026-11-01
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Illinois HB3534
- State: Illinois
- Session: 104th General Assembly (2025–2026)
- Title: MEDICAID TRANSPARENCY ACT
- Status: in committee
- Chamber: House
- Introduced: 2025-02-07
- Last action: 2025-03-19, Added Co-Sponsor Rep. Daniel J. Ugaste
- Sponsor: Tony M. McCombie (Republican)
- Cosponsors: 3
- Touches household money: no
- Economic provisions PRIA read: 0

## Summary

Amends the Administration Article of the Illinois Public Aid Code. Provides that by January 1, 2026, and every January 1 thereafter, the Department of Healthcare and Family Services shall publish on its official website a complete and comprehensive report of its receipts and expenditures under the Medical Assistance program during the prior fiscal year. Requires the report to be organized by type of service and to detail all State and federal funds received, allocated, and expended during the reporting year, including the amount of any federal matching funds or reimbursements received by the Department for federally mandated services, State optional services, waiver services, and services provided to noncitizens. Requires the report to also include a detailed accounting of any State or federal funds appropriated to the Department for the Medical Assistance program in a prior fiscal year that were subsequently allocated and expended for covered services during the reporting year. Provides that the first report due January 1, 2026 shall include a compilation of individual reports on funding receipts and expenditures under the Medical Assistance program for State fiscal years 2018 through 2025. Effective immediately.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Tony M. McCombie (Republican), House
- Cosponsor: Daniel J. Ugaste (Republican), House
- Cosponsor: Jennifer Sanalitro (Republican), House
- Cosponsor: Kevin Schmidt (Republican), House

## Actions (6)

- 2025-03-19: Added Co-Sponsor Rep. Daniel J. Ugaste (House)
- 2025-03-18: Added Co-Sponsor Rep. Kevin Schmidt (House)
- 2025-03-18: Added Co-Sponsor Rep. Jennifer Sanalitro (House)
- 2025-02-18: Referred to Rules Committee (House)
- 2025-02-18: First Reading (House)
- 2025-02-07: Filed with the Clerk by Rep. Tony M. McCombie (House)

## Bill text

- Introduced: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB3534.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/10400HB3534.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-HB3534-2025-2026 (as of 2026-11-01).