2025-2026 Regular SessionIllinois Legislature

HB3534: MEDICAID TRANSPARENCY ACT

Legislative 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.

Demographic Impact

Overall analysis of equity impact

80% Positive
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Bill History

2/7/2025
Filed with the Clerk by Rep. Tony M. McCombie
House of Representatives
2/18/2025
First Reading
House of Representatives
2/18/2025
Referred to Rules Committee
House of Representatives
3/18/2025
Added Co-Sponsor Rep. Jennifer Sanalitro
House of Representatives
3/18/2025
Added Co-Sponsor Rep. Kevin Schmidt
House of Representatives
3/19/2025
Added Co-Sponsor Rep. Dan Ugaste
House of Representatives

Status Information

Current Status
Introduced(2/7/2025)
Chamber
House of Representatives
Committee
Rules(House of Representatives)

Documents

Introduced
Bill Text2/7/20258.3 KB