HB 3214 Illinois House · 104th Regular Session

DHFS-MEDICARE PART A BUY-IN

Summary
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.
Bill status signed all 5 stages cleared
Introduction
Apr 2025
Committee Review
Apr 2025
House Passage
May 2025
Senate Passage
May 2025
Signed into Law
Aug 2025
Introduced Apr 8, 2025 Signed Aug 15, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed Enrolled · 1 edit · Aug 15, 2025
MINOR
The primary change is a technical update to the bill's title page, changing the status from 'Engrossed' to 'Enrolled'. This signifies that the bill has passed all legislative stages and is now ready for the Governor's signature. No substantive policy changes were made to the bill's content, scope, or requirements.
TECHNICAL

The document header was updated to reflect the bill's final 'Enrolled' status, indicating it has completed the legislative process.

Floor votes · Senate May 22, 2025 · House Apr 7, 2025

How they voted

570
Passed · 1 other
Total votes 58
May 22, 2025
D Democratic39
38 Yea 1
97% Yea
R Republican19
19 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
34
Key actions
8
Committee
8
Amendments
2
Aug 15, 2025
Signed into law
Governor Approved
lower
May 22, 2025
Lower · Passed
Passed Both Houses
lower
May 22, 2025
Upper · Passed
Third Reading - Passed; 058-000-000
upper
Apr 30, 2025
Upper · Passed
Do Pass Health and Human Services; 008-000-000
upper
Apr 23, 2025
Committee
Assigned to Health and Human Services
upper
Apr 8, 2025
Committee
Referred to Assignments
upper
Apr 8, 2025
Introduced
Arrive in Senate
upper
Apr 7, 2025
Lower · Passed
Third Reading - Short Debate - Passed 106-000-000
lower
Mar 19, 2025
Lower · Passed
Do Pass as Amended / Short Debate Human Services Committee; 012-000-000
lower
Mar 19, 2025
Lower · Passed
House Committee Amendment No. 1 Adopted in Human Services Committee; by Voice Vote
lower
Mar 13, 2025
Lower · Passed
House Committee Amendment No. 1 Rules Refers to Human Services Committee
lower
Mar 11, 2025
Committee
House Committee Amendment No. 1 Referred to Rules Committee
lower
Mar 11, 2025
Introduced
House Committee Amendment No. 1 Filed with Clerk by Rep. Anna Moeller
lower
Mar 11, 2025
Committee
Assigned to Human Services Committee
lower
Feb 18, 2025
Committee
Referred to Rules Committee
lower
2 primary · 4 co-sponsors

Sponsors