HB3214 - 104th General Assembly (2025-2026)

DHFS-MEDICARE PART A BUY-IN
Last Action
8/15/2025 - House: Public Act . . . . . . . . . 104-0286
Statutes Amended In Order of Appearance
305 ILCS 5/11-5.6 new  
Synopsis As Introduced
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.

House Committee Amendment No. 1
Requires the Department of Healthcare and Family Services to prepare (rather than submit) its report about executing a Medicare Part A Buy-In Agreement. Provides that the report shall be completed and posted on the Department's website by no later than July 1, 2026 (rather than January 1, 2026) and a copy of the report shall be sent to the Secretary of Human Services and other relevant stakeholders.
Actions
DateChamberAction
2/06/2025HouseFiled with the Clerk by Rep. Anna Moeller
2/18/2025HouseFirst Reading
2/18/2025HouseReferred to Rules Committee
3/07/2025HouseAdded Co-Sponsor Rep. Margaret Croke
3/11/2025HouseAssigned to Human Services Committee
3/11/2025HouseHouse Committee Amendment No. 1 Filed with Clerk by Rep. Anna Moeller
3/11/2025HouseHouse Committee Amendment No. 1 Referred to Rules Committee
3/13/2025HouseHouse Committee Amendment No. 1 Rules Refers to Human Services Committee
3/19/2025HouseHouse Committee Amendment No. 1 Adopted in Human Services Committee; by Voice Vote
3/19/2025HouseDo Pass as Amended / Short Debate Human Services Committee; 012-000-000
3/19/2025HousePlaced on Calendar 2nd Reading - Short Debate
3/25/2025HouseSecond Reading - Short Debate
3/25/2025HousePlaced on Calendar Order of 3rd Reading - Short Debate
4/07/2025HouseThird Reading - Short Debate - Passed 106-000-000
4/07/2025HouseAdded Co-Sponsor Rep. Nicolle Grasse
4/08/2025SenateArrive in Senate
4/08/2025SenatePlaced on Calendar Order of First Reading
4/08/2025SenateChief Senate Sponsor Sen. Laura Fine
4/08/2025SenateFirst Reading
4/08/2025SenateReferred to Assignments
4/11/2025SenateAdded as Alternate Chief Co-Sponsor Sen. Cristina Castro
4/16/2025HouseAdded Co-Sponsor Rep. Hoan Huynh
4/23/2025SenateAssigned to Health and Human Services
4/30/2025SenateDo Pass Health and Human Services; 008-000-000
4/30/2025SenatePlaced on Calendar Order of 2nd Reading May 1, 2025
5/01/2025SenateSecond Reading
5/01/2025SenatePlaced on Calendar Order of 3rd Reading May 6, 2025
5/20/2025SenatePlaced on Calendar Order of 3rd Reading **
5/22/2025SenateThird Reading - Passed; 058-000-000
5/22/2025HousePassed Both Houses
6/20/2025HouseSent to the Governor
8/15/2025HouseGovernor Approved
8/15/2025HouseEffective Date August 15, 2025
8/15/2025HousePublic Act . . . . . . . . . 104-0286