Public Act 104-0286
 
HB3214 EnrolledLRB104 10744 KTG 20823 b

    AN ACT concerning public aid.
 
    Be it enacted by the People of the State of Illinois, 
represented in the General Assembly:
 
    Section 5. The Illinois Public Aid Code is amended by 
adding Section 11-5.6 as follows:
 
    (305 ILCS 5/11-5.6 new)
    Sec. 11-5.6. Medicare Part A Buy-In Agreement Report. The 
Department of Healthcare and Family Services shall 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.
    The Department shall prepare a report about executing a 
Medicare Part A Buy-In Agreement. The report shall reflect 
that it is the policy of the State of Illinois to reduce 
administrative burden to applicants and recipients in programs 
under this Code, and to promote the health, well-being, and 
economic security of low-income older adults and people with 
disabilities in its medical programs. As part of studying the 
impact, the Department of Healthcare and Family Services shall 
consult with the federal Centers for Medicare and Medicaid 
Services and relevant State agencies, including the Department 
on Aging, and conduct stakeholder engagement.
    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. The 
report shall contain recommendations for further action to 
facilitate accountability and to achieve the policy objectives 
outlined in this Section. The report shall be completed and 
posted on the Department's website by no later July 1, 2026 and 
a copy of the report shall be sent to the Secretary of Human 
Services and other relevant stakeholders.
    For the purposes of this Section, "Medicare Part A Buy-In 
Agreement" means an agreement authorized by Section 1395v of 
Title 42 of the United States Code under which the State shall 
pay Medicare Part A premiums for qualified individuals who are 
enrolled in both the Medicare Program and the State Medicaid 
program.
 
    Section 99. Effective date. This Act takes effect upon 
becoming law.