2025-2026 Regular SessionIllinois Legislature

HB3214: DHFS-MEDICARE PART A BUY-IN

Legislative 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.

Demographic Impact

Overall analysis of equity impact

70% Positive
Medium ConfidenceView detailed demographic breakdown ↓

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Bill History

2/6/2025
Filed with the Clerk by Rep. Anna Moeller
House of Representatives
2/18/2025
First Reading
House of Representatives
2/18/2025
Referred to Rules Committee
House of Representatives
3/7/2025
Added Co-Sponsor Rep. Margaret Croke
House of Representatives
3/11/2025
Assigned to Human Services Committee
House of Representatives
3/11/2025
House Committee Amendment No. 1 Filed with Clerk by Rep. Anna Moeller
House of Representatives
3/11/2025
House Committee Amendment No. 1 Referred to Rules Committee
House of Representatives
3/13/2025
House Committee Amendment No. 1 Rules Refers to Human Services Committee
House of Representatives
3/19/2025
House Committee Amendment No. 1 Adopted in Human Services Committee; by Voice Vote
House of Representatives
3/19/2025
Do Pass as Amended / Short Debate Human Services Committee; 012-000-000
House of Representatives
3/19/2025
Placed on Calendar 2nd Reading - Short Debate
House of Representatives
3/25/2025
Second Reading - Short Debate
House of Representatives
3/25/2025
Placed on Calendar Order of 3rd Reading - Short Debate
House of Representatives
4/7/2025
Third Reading - Short Debate - Passed 106-000-000
House of Representatives
4/7/2025
Added Co-Sponsor Rep. Nicolle Grasse
House of Representatives
4/8/2025
Arrive in Senate
Senate
4/8/2025
Placed on Calendar Order of First Reading
Senate
4/8/2025
Chief Senate Sponsor Sen. Laura Fine
Senate
4/8/2025
First Reading
Senate
4/8/2025
Referred to Assignments
Senate
4/11/2025
Added as Alternate Chief Co-Sponsor Sen. Cristina Castro
Senate
4/16/2025
Added Co-Sponsor Rep. Hoan Huynh
House of Representatives
4/23/2025
Assigned to Health and Human Services
Senate

Amendments

House Amendment 001

House Amendment 001

3/11/2025Not Adopted

Roll Call Votes

Third Reading in House
4/7/2025
106
Yea
0
Nay
1
Not Voting
0
Absent
Result: PASSED

Status Information

Current Status
Engrossed(4/7/2025)
Chamber
Senate
Committee
Health and Human Services(Senate)

Documents

Engrossed
Bill Text3/25/20257.6 KB
Introduced
Bill Text2/6/202510.4 KB