---
type: "Bill"
title: "MEDICAID SPEND DOWN"
description: "Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that a person who uses Medicaid spend-down to qualify for medical assistance shall not be eligible for medical assistance if the person does not meet his or her monthly spend-down for 6 consecutive months. Effective immediately."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "102nd"
identifier: "SB 100"
citation: "Illinois SB 100 (102nd)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Bob Morgan", "Ram Villivalam"]
version_count: 4
action_count: 34
vote_count: 2
first_action: "2021-02-03"
last_action: "2021-07-09"
source: "openstates"
source_identifier: "ocd-bill/abb60dcd-37b2-4299-81c5-f8261978189d"
source_url: "https://ilga.gov/legislation/BillStatus.asp?DocNum=100&GAID=16&DocTypeID=SB&LegId=128430&SessionID=110&GA=102"
source_hash: "9e8494f24d8317cf253ff7d603432c6f93512af14615c3763e35dc4c099dd5d9"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-il"]
---

# Illinois SB 100 (102nd) — MEDICAID SPEND DOWN

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that a person who uses Medicaid spend-down to qualify for medical assistance shall not be eligible for medical assistance if the person does not meet his or her monthly spend-down for 6 consecutive months. Effective immediately.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Introduced** (filed) — [source](https://ilga.gov/legislation/102/SB/PDF/10200SB0100.pdf)
2. **Engrossed** (committee substitute) — [source](https://ilga.gov/legislation/102/SB/PDF/10200SB0100eng.pdf)
3. **Senate Amendment 001** (committee substitute) — [source](https://ilga.gov/legislation/102/SB/PDF/10200SB0100sam001.pdf)
4. **Enrolled** (enrolled) — [source](https://ilga.gov/legislation/102/SB/PDF/10200SB0100enr.pdf)

## Votes

- Third Reading — **59–0** (pass) · upper
- Third Reading — **112–0** (pass) · lower

## Sponsors

- Bob Morgan — primary (person)
- Ram Villivalam — primary (person)
- Suzanne Ness — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2021-02-03** Filed with Secretary by Sen. Ram Villivalam `filing`
- **2021-02-03** First Reading `reading-1`
- **2021-02-03** Referred to Assignments `referral-committee`
- **2021-03-16** Assigned to Health `referral-committee`
- **2021-03-22** Senate Committee Amendment No. 1 Filed with Secretary by Sen. Ram Villivalam `amendment-introduction`
- **2021-03-22** Senate Committee Amendment No. 1 Referred to Assignments `referral-committee`
- **2021-03-23** Senate Committee Amendment No. 1 Assignments Refers to Health
- **2021-03-24** Senate Committee Amendment No. 1 Postponed - Health
- **2021-03-24** To Subcommittee on Medicaid
- **2021-04-07** Reported Back To Health; 005-000-000
- **2021-04-13** Senate Committee Amendment No. 1 Adopted `amendment-passage`
- **2021-04-14** Do Pass as Amended Health; 013-000-000 `committee-passage`
- **2021-04-14** Placed on Calendar Order of 2nd Reading April 15, 2021
- **2021-04-20** Second Reading `reading-2`
- **2021-04-20** Placed on Calendar Order of 3rd Reading April 21, 2021
- **2021-04-21** Third Reading - Passed; 059-000-000 `passage, reading-3`
- **2021-04-22** Arrived in House `introduction`
- **2021-04-22** Chief House Sponsor Rep. Bob Morgan
- **2021-04-23** First Reading `reading-1`
- **2021-04-23** Referred to Rules Committee `referral-committee`
- **2021-04-28** Assigned to Human Services Committee `referral-committee`
- **2021-05-12** Added Alternate Co-Sponsor Rep. Suzanne Ness
- **2021-05-12** Do Pass / Consent Calendar Human Services Committee; 015-000-000 `committee-passage`
- **2021-05-12** Placed on Calendar 2nd Reading - Consent Calendar
- **2021-05-13** Second Reading - Consent Calendar `reading-2`
- **2021-05-13** Held on Calendar Order of Second Reading - Consent Calendar `reading-2`
- **2021-05-14** Placed on Calendar Order of 3rd Reading - Consent Calendar
- **2021-05-21** Third Reading - Consent Calendar - First Day `reading-3`
- **2021-05-26** Third Reading - Consent Calendar - Passed 112-000-000 `passage, reading-3`
- **2021-05-26** Passed Both Houses
- **2021-06-24** Sent to the Governor `executive-receipt`
- **2021-07-09** Governor Approved `executive-signature`
- **2021-07-09** Effective Date July 9, 2021
- **2021-07-09** Public Act . . . . . . . . . 102-0074 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/abb60dcd-37b2-4299-81c5-f8261978189d`. Confidence: reported (aggregated from official Illinois legislature records).