SB 3365 Illinois Senate · 104th Regular Session

MEDICARE/MEDICAID DUAL ELIGIBL

Summary
Amends the Medicare-Medicaid Alignment Initiative (MMAI) Nursing Home Residents' Managed Care Rights Law of the Illinois Public Aid Code. Provides that the Article applies to a fully integrated dual eligible special needs plan and any managed care plan for persons who are dually eligible for Medicare and Medicaid. Adds to the definition of "Demonstration Project", a fully integrated dual eligible special needs plan and any managed care plan for persons who are dually eligible for Medicare and Medicaid. Provides that the Department of Healthcare and Family Services shall provide each managed care organization with the quarterly facility-specific nursing component (instead of RUG-IV nursing component) per diem along with any add-ons for enhanced care services, support component per diem, and capital component per diem effective for each nursing home under contract with the managed care organization. Effective immediately.
Bill status signed all 5 stages cleared
Introduction
Apr 2026
Committee Review
May 2026
Senate Passage
May 2026
House Passage
May 2026
Signed into Law
Jun 2026
Introduced Apr 17, 2026 Signed Jun 16, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed Enrolled · 6 edits · Jun 16, 2026
MODERATE
The bill was finalized by removing the specific amendments to the Nursing Home component of the Medicare-Medicaid Alignment Initiative and replacing them with a comprehensive update to the general Medical Services section. This change broadens the scope of covered services to include reproductive health care, sickle cell anemia treatment, chiropractic care, and expanded tobacco cessation support, while also clarifying that spiritual care is recognized as a valid treatment option.
Scope change
The bill shifted from amending a specific nursing home demonstration project to amending the general medical services section of the Public Aid Code, thereby applying these new service definitions and coverage rules to the broader public aid system.
SCOPE

Removed specific amendments to Sections 5F-10, 5F-15, and 5F-35, which previously governed only the Nursing Home component of the Medicare-Medicaid Alignment Initiative.

Added a new Article 2 defining the scope of medical services, expanding the list of covered items to include reproductive health care, sickle cell disease anemia treatment, and chiropractic manipulative treatment.

REQUIREMENT

Added specific requirements for the Department to cover all FDA-approved tobacco cessation medications and counseling services, including those provided through the Illinois Tobacco Quitline, contingent on federal approval.

Added a provision prohibiting the Department from requiring a physician's handwritten signature on laboratory test order forms, allowing for electronic or other appropriate documentation methods.

DEFINITION

Included a provision recognizing that nursing care and nursing home services for individuals who rely on spiritual means alone for healing are considered 'any other type of remedial care'.

Removed the detailed definitions for terms like 'Appeal', 'Demonstration Project', 'Enrollee', 'Resident', and 'SNFist' that were specific to the previous nursing home-focused sections.

Floor votes · Senate Apr 16, 2026 · House May 31, 2026

How they voted

560
Passed · 2 other
Total votes 58
Apr 16, 2026
D Democratic39
37 Yea 2
94% Yea
R Republican19
19 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
52
Key actions
8
Committee
10
Amendments
8
Jun 16, 2026
Signed into law
Governor Approved
upper
May 31, 2026
Upper · Passed
Passed Both Houses
upper
May 31, 2026
Introduced
House Floor Amendment No. 2 Senate Concurs 059-000-000
upper
May 31, 2026
Introduced
House Floor Amendment No. 2 Motion to Concur Be Approved for Consideration Assignments
upper
May 31, 2026
Committee
House Floor Amendment No. 2 Motion to Concur Referred to Assignments
upper
May 31, 2026
Introduced
Placed on Calendar Order of Concurrence House Amendment(s) 2 - May 31, 2026
upper
May 31, 2026
Introduced
Secretary's Desk - Concurrence House Amendment(s) 2
upper
May 31, 2026
Amended
House Floor Amendment No. 1 Tabled
lower
May 31, 2026
Lower · Passed
Third Reading - Short Debate - Passed 112-000-000
lower
May 31, 2026
Lower · Passed
House Floor Amendment No. 2 Adopted
lower
May 31, 2026
Lower · Passed
House Floor Amendment No. 2 Recommends Be Adopted Rules Committee; 005-000-000
lower
May 31, 2026
Committee
House Floor Amendment No. 2 Referred to Rules Committee
lower
May 31, 2026
Introduced
House Floor Amendment No. 2 Filed with Clerk by Rep. Anna Moeller
lower
May 31, 2026
Committee
House Floor Amendment No. 1 Referred to Rules Committee
lower
May 31, 2026
Introduced
House Floor Amendment No. 1 Filed with Clerk by Rep. Anna Moeller
lower
May 6, 2026
Lower · Passed
Do Pass / Short Debate Human Services Committee; 012-000-000
lower
Apr 27, 2026
Committee
Assigned to Human Services Committee
lower
Apr 27, 2026
Committee
Referred to Rules Committee
lower
Apr 17, 2026
Introduced
Arrived in House
lower
Apr 16, 2026
Upper · Passed
Third Reading - Passed; 057-000-000
upper
Mar 4, 2026
Upper · Passed
Do Pass Health and Human Services; 009-000-000
upper
Feb 17, 2026
Committee
Assigned to Health and Human Services
upper
Feb 4, 2026
Committee
Referred to Assignments
upper
2 primary · 2 co-sponsors

Sponsors