HB 4784 Illinois House · 104th Regular Session

MEDICAID-CONTINUED COVERAGE

Summary
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.
Bill status in committee 1 of 4 stages cleared
Introduction
Feb 2026
Committee Review
Floor Vote
Governor
Introduced Feb 2, 2026 Last action May 15, 2026
Floor votes

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Full legislative history

Actions timeline

Total actions
16
Key actions
1
Committee
4
Mar 27, 2026
Committee
Rule 19(a) / Re-referred to Rules Committee
lower
Mar 20, 2026
Lower · Passed
To Appropriations-Medicaid Subcommittee
lower
Mar 4, 2026
Committee
Assigned to Appropriations-Health and Human Services Committee
lower
Feb 6, 2026
Committee
Referred to Rules Committee
lower
1 primary · 10 co-sponsors

Sponsors