HB3214 104TH GENERAL ASSEMBLY

LRB104 10744 KTG 20823 b

104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
HB3214

Introduced 2/18/2025, by Rep. Anna Moeller

SYNOPSIS AS INTRODUCED:

305 ILCS 5/11-5.6 new

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.

A BILL FOR

AN ACT concerning public aid.

Be it enacted by the People of the State of Illinois, represented in the General Assembly:

Section 5. The Illinois Public Aid Code is amended by adding Section 11-5.6 as follows:

(305 ILCS 5/11-5.6 new)

Sec. 11-5.6. Medicare Part A Buy-In Agreement Report. The Department of Healthcare and Family Services shall 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.

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. The report shall reflect that it is the policy of the State of Illinois to reduce administrative burden to applicants and recipients in programs under this Code, and to promote the health, well-being, and economic security of low-income older adults and people with disabilities in its medical programs. As part of studying the impact, the Department of Healthcare and Family Services shall consult with the federal Centers for Medicare and Medicaid Services and relevant State agencies, including the Department on Aging, and conduct stakeholder engagement.

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. The report shall contain recommendations for further action to facilitate accountability and to achieve the policy objectives outlined in this Section.

For the purposes of this Section, "Medicare Part A Buy-In Agreement" means an agreement authorized by Section 1395v of Title 42 of the United States Code under which the State shall pay Medicare Part A premiums for qualified individuals who are enrolled in both the Medicare Program and the State Medicaid program.

Section 99. Effective date. This Act takes effect upon becoming law.