IllinoisHB5364104th General Assembly (2025–2026)HouseWALLET

DHFS-INSPECTOR GENERAL

Sponsored By: Sponsor information unavailable

Became Law

Summary

Amends the Administration Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services' Inspector General to, at the request of the Secretary of Early Childhood, exercise one or more specified statutory powers as if those powers related to the Department of Early Childhood. Requires the Inspector General to report his or her findings to the Secretary of Early Childhood.

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Bill Overview

Analyzed Economic Effects

6 provisions identified: 4 benefits, 1 costs, 1 mixed.

Stronger enforcement on Medicaid providers

The Inspector General can stop or recover payments and can deny or suspend a vendor’s payments or eligibility if the vendor does not provide full records for the last six years after reasonable written notice. The IG can subpoena witnesses and records for matters directly tied to HFS or DHS public assistance programs. Providers cannot be forced to share medical records of patients who are not in the Medical Assistance Program. The IG preserves evidence, must promptly notify the Medicaid Fraud Control Unit when it suspects a crime, and can refer cases to prosecutors. The IG must report provider convictions and program sanctions to HFS and licensing boards.

ID badges for Inspector General staff

The Inspector General can issue shields or ID badges to staff who are not peace officers when needed to do their work. This improves field operations and identification for HFS oversight staff.

More audits in Medicaid and aging

The Inspector General runs program integrity for HFS and the Department on Aging. The office audits providers before and after payment. It investigates staff, providers, contractors, and clients for fraud or rule violations. It monitors quality control and can start sanctions when rules are broken.

New watchdog for state health programs

The law creates an Inspector General inside the Department of Healthcare and Family Services. The Governor appoints the IG with Senate confirmation, and the IG reports to the Governor. The IG’s term ends the third Monday of January 1997 and every four years after. If asked by the Human Services or Early Childhood Secretary, the IG can use these powers for those departments and must report findings back.

Yearly public report on savings and fraud

Each year, the Inspector General reports to the Governor and lawmakers. The report shows provider billing and payments, audit counts and dollar savings, and prescriptions rejected under the Refill Too Soon program with savings. It lists provider sanctions and gives a summary of investigations. The report protects confidential public aid information.

Broader data checks for program integrity

The Inspector General can access needed information, staff, and facilities at HFS and DHS to run oversight. The office can share data with state and federal agencies to check recipient eligibility and vendor risk. All use of data must follow privacy, security, and disclosure laws, and is limited to what is needed for program integrity.

Sponsors & Cosponsors

Sponsors

There is no primary sponsor on record.

Cosponsors

  • Jason Plummer

    Affiliation unavailable

  • Lakesia Collins

    Affiliation unavailable

  • Maura Hirschauer

    Affiliation unavailable

Roll Call Votes

All Roll Calls

Yes: 309 • No: 0

House vote 5/30/2026

Senate Floor Amendment No. 1 House Concurs

Yes: 116 • No: 0

House vote 5/25/2026

Senate Floor Amendment No. 1 Motion to Concur Recommends Be Adopted Rules Committee;

Yes: 5 • No: 0

Senate vote 5/21/2026

Third Reading - Passed;

Yes: 57 • No: 0

Senate vote 5/6/2026

Senate Floor Amendment No. 1 Recommend Do Adopt Education;

Yes: 14 • No: 0

House vote 4/9/2026

Third Reading - Short Debate - Passed

Yes: 106 • No: 0

House vote 3/19/2026

Do Pass / Short Debate Human Services Committee;

Yes: 11 • No: 0

Actions Timeline

  1. Public Act . . . . . . . . . 104-0518

    6/26/2026House
  2. Effective Date June 26, 2026

    6/26/2026House
  3. Governor Approved

    6/26/2026House
  4. Sent to the Governor

    6/23/2026House
  5. Passed Both Houses

    5/30/2026House
  6. House Concurs

    5/30/2026House
  7. Senate Floor Amendment No. 1 House Concurs 116-000-000

    5/30/2026House
  8. Senate Floor Amendment No. 1 Motion to Concur Recommends Be Adopted Rules Committee; 005-000-000

    5/25/2026House
  9. Senate Floor Amendment No. 1 Motion to Concur Referred to Rules Committee

    5/22/2026House
  10. Senate Floor Amendment No. 1 Motion Filed Concur Rep. Maura Hirschauer

    5/22/2026House
  11. Placed on Calendar Order of Concurrence Senate Amendment(s) 1

    5/21/2026House
  12. Arrived in House

    5/21/2026House
  13. Added as Alternate Co-Sponsor Sen. Jason Plummer

    5/21/2026Senate
  14. Third Reading - Passed; 057-000-000

    5/21/2026Senate
  15. Placed on Calendar Order of 3rd Reading May 20, 2026

    5/19/2026Senate
  16. Senate Floor Amendment No. 1 Adopted; Collins

    5/19/2026Senate
  17. Second Reading

    5/19/2026Senate
  18. Senate Floor Amendment No. 1 Recommend Do Adopt Education; 014-000-000

    5/6/2026Senate
  19. Senate Floor Amendment No. 1 Assignments Refers to Education

    4/28/2026Senate
  20. Senate Floor Amendment No. 1 Referred to Assignments

    4/27/2026Senate
  21. Senate Floor Amendment No. 1 Filed with Secretary by Sen. Lakesia Collins

    4/27/2026Senate
  22. Placed on Calendar Order of 2nd Reading April 28, 2026

    4/22/2026Senate
  23. Approved for Consideration Assignments

    4/22/2026Senate
  24. Referred to Assignments

    4/10/2026Senate
  25. First Reading

    4/10/2026Senate

Bill Text

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