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| | 104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
HB4784 Introduced , by Rep. Lindsey LaPointe SYNOPSIS AS INTRODUCED:
| | 305 ILCS 5/5-2.03 | | 305 ILCS 5/5-2.03a new | |
| Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that any person who was initially determined to be eligible for medical assistance and is receiving institutional services or home and community-based services as authorized under the Article shall be presumed eligible for a continuation of coverage for such services during any redetermination process, unless the person experiences a material change in financial circumstances that results in the loss of eligibility. Requires any person who experiences a material change in financial circumstances that results in the loss of eligibility to notify the Department of Healthcare and Family Services. Permits the Department to conduct a redetermination of eligibility. Requires the Department to notify the person before the commencement of any redetermination and after the redetermination is concluded along with the results of the redetermination and the effective date of any eligibility change. Requires the Department to seek federal authorization, no later than January 1, 2028, to exempt persons with disabilities who are otherwise eligible for medical assistance from annual eligibility redeterminations, except that a full redetermination shall be conducted at least once every 5 years, regardless of whether a material change in financial circumstances has occurred. |
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| | A BILL FOR |
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| | HB4784 | | LRB104 18736 KTG 32179 b |
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| 1 | | AN ACT concerning public aid.
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| 2 | | Be it enacted by the People of the State of Illinois, |
| 3 | | represented in the General Assembly:
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| 4 | | Section 5. The Illinois Public Aid Code is amended by |
| 5 | | changing Section 5-2.03 and by adding Section 5-2.03a as |
| 6 | | follows:
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| 7 | | (305 ILCS 5/5-2.03) |
| 8 | | Sec. 5-2.03. Presumptive eligibility. Except as provided |
| 9 | | in Section 5-2.03a Beginning on the effective date of this |
| 10 | | amendatory Act of the 96th General Assembly and except where |
| 11 | | federal law requires presumptive eligibility, no adult may be |
| 12 | | presumed eligible for medical assistance under this Code and |
| 13 | | the Department may not cover any service rendered to an adult |
| 14 | | unless the adult has completed an application for benefits, |
| 15 | | all required verifications have been received, and the |
| 16 | | Department or its designee has found the adult eligible for |
| 17 | | the date on which that service was provided. Nothing in this |
| 18 | | Section shall apply to pregnant women or to persons enrolled |
| 19 | | under the medical assistance program due to expansions |
| 20 | | approved by the federal government that are financed entirely |
| 21 | | by units of local government and federal matching funds. |
| 22 | | (Source: P.A. 96-1501, eff. 1-25-11; 97-687, eff. 6-14-12.)
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