republic-os/legislation/us/states/il/104th/hb-3214.md

type, title, description, jurisdiction, legislature, session, identifier, citation, classification, subjects, status, primary_sponsors, version_count, action_count, vote_count, first_action, last_action, source, source_identifier, source_url, source_hash, vintage, source_snapshot, retrieved_at, confidence, tags

type	title	description	jurisdiction	legislature	session	identifier	citation	classification	subjects	status	primary_sponsors	version_count	action_count	vote_count	first_action	last_action	source	source_identifier	source_url	source_hash	vintage	source_snapshot	retrieved_at	confidence	tags
Bill	DHFS-MEDICARE PART A BUY-IN	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.	us/states/il	Illinois General Assembly	104th	HB 3214	Illinois HB 3214 (104th)	bill		enacted	Anna Moeller Laura Fine	4	34	4	2025-02-06	2025-08-15	openstates	ocd-bill/c0ebaa5d-a73c-4fe0-a740-65808b8edb12	https://ilga.gov/Legislation/BillStatus?DocNum=3214&GAID=18&DocTypeID=HB&LegId=161671&SessionID=114	44c1ccd3357ea6a7f47688f67b24ee45dea9d60518b9dfa1273ba3fe17643063	2026-07-01	https://data.openstates.org/daily/2026-07-01/public.pgdump	2026-07-06	reported	legislation bill us-il

Illinois HB 3214 (104th) — DHFS-MEDICARE PART A BUY-IN

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.

Version chain

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

1. Introduced (filed) — source
2. Engrossed (committee substitute) — source
3. House Amendment 001 (committee substitute) — source
4. Enrolled (enrolled) — source

Votes

• Third Reading — 106–0 (pass) · lower
• Third Reading — 58–0 (pass) · upper
• Health and Human Services — 8–0 (pass) · upper
• Human Services — 12–0 (pass) · lower

Sponsors

• Anna Moeller — primary (person)
• Laura Fine — primary (person)
• Cristina Castro — cosponsor (person)
• Hoan Huynh — cosponsor (person)
• Margaret Croke — cosponsor (person)
• Nicolle Grasse — cosponsor (person)

Timeline

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

• 2025-02-06 Filed with the Clerk by Rep. Anna Moeller filing
• 2025-02-18 First Reading reading-1
• 2025-02-18 Referred to Rules Committee
• 2025-03-07 Added Co-Sponsor Rep. Margaret Croke
• 2025-03-11 Assigned to Human Services Committee referral-committee
• 2025-03-11 House Committee Amendment No. 1 Filed with Clerk by Rep. Anna Moeller amendment-introduction
• 2025-03-11 House Committee Amendment No. 1 Referred to Rules Committee
• 2025-03-13 House Committee Amendment No. 1 Rules Refers to Human Services Committee
• 2025-03-19 House Committee Amendment No. 1 Adopted in Human Services Committee; by Voice Vote amendment-passage
• 2025-03-19 Do Pass as Amended / Short Debate Human Services Committee; 012-000-000
• 2025-03-19 Placed on Calendar 2nd Reading - Short Debate reading-2
• 2025-03-25 Second Reading - Short Debate reading-2
• 2025-03-25 Placed on Calendar Order of 3rd Reading - Short Debate
• 2025-04-07 Third Reading - Short Debate - Passed 106-000-000 passage, reading-3
• 2025-04-07 Added Co-Sponsor Rep. Nicolle Grasse
• 2025-04-08 Arrive in Senate introduction
• 2025-04-08 Placed on Calendar Order of First Reading reading-1
• 2025-04-08 Chief Senate Sponsor Sen. Laura Fine
• 2025-04-08 First Reading reading-1
• 2025-04-08 Referred to Assignments
• 2025-04-11 Added as Alternate Chief Co-Sponsor Sen. Cristina Castro
• 2025-04-16 Added Co-Sponsor Rep. Hoan Huynh
• 2025-04-23 Assigned to Health and Human Services referral-committee
• 2025-04-30 Do Pass Health and Human Services; 008-000-000
• 2025-04-30 Placed on Calendar Order of 2nd Reading May 1, 2025 reading-2
• 2025-05-01 Second Reading reading-2
• 2025-05-01 Placed on Calendar Order of 3rd Reading May 6, 2025
• 2025-05-20 Placed on Calendar Order of 3rd Reading **
• 2025-05-22 Third Reading - Passed; 058-000-000 passage, reading-3
• 2025-05-22 Passed Both Houses
• 2025-06-20 Sent to the Governor executive-receipt
• 2025-08-15 Governor Approved executive-signature
• 2025-08-15 Effective Date August 15, 2025
• 2025-08-15 Public Act . . . . . . . . . 104-0286 became-law

Source

OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/c0ebaa5d-a73c-4fe0-a740-65808b8edb12. Confidence: reported (aggregated from official Illinois legislature records).