HB3214 - 104th General Assembly

DHFS-MEDICARE PART A BUY-IN
Last Action
8/15/2025 - House: Public Act . . . . . . . . . 104-0286
House Sponsors
Rep. Anna Moeller, Margaret Croke, Nicolle Grasse and Hoan Huynh

Senate Sponsors
(Sen. Laura Fine - Cristina Castro)
Statutes Amended In Order of Appearance
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
Date Chamber Action
2/06/2025 House Filed with the Clerk by Rep. Anna Moeller
2/18/2025 House First Reading
2/18/2025 House Referred to Rules Committee
3/07/2025 House Added Co-Sponsor Rep. Margaret Croke
3/11/2025 House Assigned to Human Services Committee
3/11/2025 House House Committee Amendment No. 1 Filed with Clerk by Rep. Anna Moeller
3/11/2025 House House Committee Amendment No. 1 Referred to Rules Committee
3/13/2025 House House Committee Amendment No. 1 Rules Refers to Human Services Committee
3/19/2025 House House Committee Amendment No. 1 Adopted in Human Services Committee; by Voice Vote
3/19/2025 House Do Pass as Amended / Short Debate Human Services Committee; 012-000-000
3/19/2025 House Placed on Calendar 2nd Reading - Short Debate
3/25/2025 House Second Reading - Short Debate
3/25/2025 House Placed on Calendar Order of 3rd Reading - Short Debate
4/07/2025 House Third Reading - Short Debate - Passed 106-000-000
4/07/2025 House Added Co-Sponsor Rep. Nicolle Grasse
4/08/2025 Senate Arrive in Senate
4/08/2025 Senate Placed on Calendar Order of First Reading
4/08/2025 Senate Chief Senate Sponsor Sen. Laura Fine
4/08/2025 Senate First Reading
4/08/2025 Senate Referred to Assignments
4/11/2025 Senate Added as Alternate Chief Co-Sponsor Sen. Cristina Castro
4/16/2025 House Added Co-Sponsor Rep. Hoan Huynh
4/23/2025 Senate Assigned to Health and Human Services
4/30/2025 Senate Do Pass Health and Human Services; 008-000-000
4/30/2025 Senate Placed on Calendar Order of 2nd Reading May 1, 2025
5/01/2025 Senate Second Reading
5/01/2025 Senate Placed on Calendar Order of 3rd Reading May 6, 2025
5/20/2025 Senate Placed on Calendar Order of 3rd Reading **
5/22/2025 Senate Third Reading - Passed; 058-000-000
5/22/2025 House Passed Both Houses
6/20/2025 House Sent to the Governor
8/15/2025 House Governor Approved
8/15/2025 House Effective Date August 15, 2025
8/15/2025 House Public Act . . . . . . . . . 104-0286