Fabio
107 lines
7.0 KiB
Markdown
107 lines
7.0 KiB
Markdown
---
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type: "Bill"
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title: "MEDICAL FRAGILE TECH DEPENDENT"
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description: "Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that notwithstanding any other provision of law, the Department of Healthcare and Family Services shall not require children made eligible for medical assistance through any home and community-based services waiver program for medically fragile and technology dependent children authorized under the Social Security Act to enroll in or transition to the State's managed care medical assistance program. Provides that any medically fragile and technology dependent child who is enrolled in the State's managed care medical assistance program on or before the effective date of the amendatory Act shall be given the option to disenroll from the State's managed care medical assistance program and receive medical assistance coverage under the State's traditional fee-for-service program."
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jurisdiction: "us/states/il"
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legislature: "Illinois General Assembly"
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session: "100th"
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identifier: "HB 4736"
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citation: "Illinois HB 4736 (100th)"
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classification: ["bill"]
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subjects: []
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status: "enacted"
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primary_sponsors: []
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version_count: 3
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action_count: 44
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vote_count: 2
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first_action: "2018-02-09"
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last_action: "2018-08-20"
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source: "openstates"
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source_identifier: "ocd-bill/89958242-791e-4bd7-880e-ff686bd08255"
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source_url: "http://ilga.gov/legislation/BillStatus.asp?DocNum=4736&GAID=14&DocTypeID=HB&LegId=109983&SessionID=91&GA=100"
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source_hash: "f952b73e339689578804f85d55699ab6a277098377bcea0de5cd0cc40451b447"
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vintage: "2026-07-01"
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source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
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retrieved_at: "2026-07-06"
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confidence: "reported"
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tags: ["legislation", "bill", "us-il"]
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---
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# Illinois HB 4736 (100th) — MEDICAL FRAGILE TECH DEPENDENT
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Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that notwithstanding any other provision of law, the Department of Healthcare and Family Services shall not require children made eligible for medical assistance through any home and community-based services waiver program for medically fragile and technology dependent children authorized under the Social Security Act to enroll in or transition to the State's managed care medical assistance program. Provides that any medically fragile and technology dependent child who is enrolled in the State's managed care medical assistance program on or before the effective date of the amendatory Act shall be given the option to disenroll from the State's managed care medical assistance program and receive medical assistance coverage under the State's traditional fee-for-service program.
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## Version chain
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The bill's text revisions, in order — the diff chain from filing to enrollment.
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1. **Introduced** (filed) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=10000HB4736&GA=100&SessionId=91&DocTypeId=HB&LegID=109983&DocNum=4736&GAID=14&Session=&print=true)
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2. **Engrossed** (committee substitute) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=10000HB4736eng&GA=100&SessionId=91&DocTypeId=HB&LegID=109983&DocNum=4736&GAID=14&Session=&print=true)
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3. **Enrolled** (enrolled) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=10000HB4736enr&GA=100&SessionId=91&DocTypeId=HB&LegID=109983&DocNum=4736&GAID=14&Session=&print=true)
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## Votes
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- Third Reading — **56–3** (pass) · upper
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- Third Reading — **90–1** (pass) · lower
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## Sponsors
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- Cristina Castro — cosponsor (person)
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- Fred Crespo — primary (person)
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- Julie A. Morrison — cosponsor (person)
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- Laura M. Murphy — cosponsor (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2018-02-09** Filed with the Clerk by Rep. Fred Crespo `filing`
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- **2018-02-13** First Reading `reading-1`
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- **2018-02-13** Referred to Rules Committee `referral-committee`
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- **2018-03-05** Assigned to Appropriations-Human Services Committee `referral-committee`
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- **2018-04-11** Do Pass / Short Debate Appropriations-Human Services Committee; 015-000-000 `committee-passage`
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- **2018-04-13** Placed on Calendar 2nd Reading - Short Debate
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- **2018-04-19** Added Chief Co-Sponsor Rep. Carol Ammons
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- **2018-04-23** House Floor Amendment No. 1 Filed with Clerk by Rep. Fred Crespo `amendment-introduction`
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- **2018-04-23** House Floor Amendment No. 1 Referred to Rules Committee `referral-committee`
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- **2018-04-23** Added Chief Co-Sponsor Rep. Patricia R. Bellock
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- **2018-04-23** Added Chief Co-Sponsor Rep. Tom Demmer
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- **2018-04-23** Added Chief Co-Sponsor Rep. Gregory Harris
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- **2018-04-24** House Floor Amendment No. 1 Rules Refers to Appropriations-Human Services Committee
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- **2018-04-25** Second Reading - Short Debate `reading-2`
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- **2018-04-25** Held on Calendar Order of Second Reading - Short Debate `reading-2`
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- **2018-04-26** House Floor Amendment No. 1 Recommends Be Adopted Appropriations-Human Services Committee; 014-000-000 `committee-passage-favorable`
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- **2018-04-27** House Floor Amendment No. 1 Adopted `amendment-passage`
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- **2018-04-27** Placed on Calendar Order of 3rd Reading - Short Debate
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- **2018-04-27** Third Reading - Short Debate - Passed 090-001-000 `reading-3, passage`
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- **2018-04-27** Added Co-Sponsor Rep. Stephanie A. Kifowit
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- **2018-04-27** Added Co-Sponsor Rep. Natalie Phelps Finnie
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- **2018-04-27** Added Co-Sponsor Rep. Frances Ann Hurley
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- **2018-05-01** Arrive in Senate `introduction`
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- **2018-05-01** Placed on Calendar Order of First Reading `reading-1`
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- **2018-05-01** Chief Senate Sponsor Sen. David Koehler
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- **2018-05-01** First Reading `reading-1`
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- **2018-05-01** Referred to Assignments `referral-committee`
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- **2018-05-01** Added as Alternate Chief Co-Sponsor Sen. Pamela J. Althoff
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- **2018-05-02** Assigned to Special Committee on Oversight of Medicaid Managed Care `referral-committee`
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- **2018-05-09** Added as Alternate Chief Co-Sponsor Sen. Patricia Van Pelt
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- **2018-05-10** Do Pass Special Committee on Oversight of Medicaid Managed Care; 008-001-000 `committee-passage`
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- **2018-05-10** Placed on Calendar Order of 2nd Reading May 15, 2018
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- **2018-05-10** Added as Alternate Chief Co-Sponsor Sen. John F. Curran
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- **2018-05-17** Second Reading `reading-2`
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- **2018-05-17** Placed on Calendar Order of 3rd Reading May 18, 2018
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- **2018-05-23** Third Reading - Passed; 056-003-000 `reading-3, passage`
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- **2018-05-23** Passed Both Houses
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- **2018-05-23** Added as Alternate Co-Sponsor Sen. Julie A. Morrison
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- **2018-05-23** Added as Alternate Co-Sponsor Sen. Cristina Castro
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- **2018-05-23** Added as Alternate Co-Sponsor Sen. Laura M. Murphy
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- **2018-06-21** Sent to the Governor `executive-receipt`
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- **2018-08-20** Governor Approved `executive-signature`
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- **2018-08-20** Effective Date January 1, 2019
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- **2018-08-20** Public Act . . . . . . . . . 100-0990 `became-law`
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## Source
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OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/89958242-791e-4bd7-880e-ff686bd08255`. Confidence: reported (aggregated from official Illinois legislature records).
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