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Illinois General Assembly· HB 3214Governor Approved

DHFS-MEDICARE PART A BUY-IN, the official text

Shown verbatim: the complete text as captured from the official PDF posted by the Illinois General Assembly, fetched 2026-09-25. Page and line markers are part of the official record; nothing is edited or removed. This is the current version. The official bill page.
HB3214 Enrolled                     LRB104 10744 KTG 20823 b

1   AN ACT concerning public aid.

2   Be it enacted by the People of the State of Illinois,

3 represented in the General Assembly:

4   Section 5. The Illinois Public Aid Code is amended by

5 adding Section 11-5.6 as follows:

6   (305 ILCS 5/11-5.6 new)

7   Sec. 11-5.6. Medicare Part A Buy-In Agreement Report. The

8 Department of Healthcare and Family Services shall study the

9 impact to the State and recipients of entering into a Medicare

10 Part A Buy-In Agreement for qualified Medicare beneficiaries

11 with the federal Centers for Medicare and Medicaid Services.

12  The Department shall prepare a report about executing a

13 Medicare Part A Buy-In Agreement. The report shall reflect

14 that it is the policy of the State of Illinois to reduce

15 administrative burden to applicants and recipients in programs

16 under this Code, and to promote the health, well-being, and

17 economic security of low-income older adults and people with

18 disabilities in its medical programs. As part of studying the

19 impact, the Department of Healthcare and Family Services shall

20 consult with the federal Centers for Medicare and Medicaid

21 Services and relevant State agencies, including the Department

22 on Aging, and conduct stakeholder engagement.

23  The report shall outline the methodology used by the
    HB3214 Enrolled  -2-  LRB104 10744 KTG 20823 b

1 Department of Healthcare and Family Services and shall include

2 relevant findings, including potential cost savings to

3 recipients and reductions in administrative burden, and a

4 synopsis of discussions with interested stakeholders. The

5 report shall contain recommendations for further action to

6 facilitate accountability and to achieve the policy objectives

7 outlined in this Section. The report shall be completed and

8 posted on the Department's website by no later July 1, 2026 and

9 a copy of the report shall be sent to the Secretary of Human

10 Services and other relevant stakeholders.

11  For the purposes of this Section, "Medicare Part A Buy-In

12 Agreement" means an agreement authorized by Section 1395v of

13 Title 42 of the United States Code under which the State shall

14 pay Medicare Part A premiums for qualified individuals who are

15 enrolled in both the Medicare Program and the State Medicaid

16 program.

17  Section 99. Effective date. This Act takes effect upon

18 becoming law.
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