5941153bb7
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
120 lines
7.8 KiB
Markdown
120 lines
7.8 KiB
Markdown
---
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type: "Bill"
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title: "MEDICARE/MEDICAID DUAL ELIGIBL"
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description: "Amends the Medicare-Medicaid Alignment Initiative (MMAI) Nursing Home Residents' Managed Care Rights Law of the Illinois Public Aid Code. Provides that the Article applies to a fully integrated dual eligible special needs plan and any managed care plan for persons who are dually eligible for Medicare and Medicaid. Adds to the definition of \"Demonstration Project\", a fully integrated dual eligible special needs plan and any managed care plan for persons who are dually eligible for Medicare and Medicaid. Provides that the Department of Healthcare and Family Services shall provide each managed care organization with the quarterly facility-specific nursing component (instead of RUG-IV nursing component) per diem along with any add-ons for enhanced care services, support component per diem, and capital component per diem effective for each nursing home under contract with the managed care organization. Effective immediately."
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jurisdiction: "us/states/il"
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legislature: "Illinois General Assembly"
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session: "104th"
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identifier: "SB 3365"
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citation: "Illinois SB 3365 (104th)"
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classification: ["bill"]
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subjects: []
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status: "enacted"
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primary_sponsors: ["Anna Moeller", "Omar Aquino"]
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version_count: 5
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action_count: 52
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vote_count: 5
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first_action: "2026-02-04"
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last_action: "2026-06-16"
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source: "openstates"
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source_identifier: "ocd-bill/3cab9404-19bb-40c4-9c42-4c6be7ab4dd1"
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source_url: "https://ilga.gov/Legislation/BillStatus?DocNum=3365&GAID=18&DocTypeID=SB&LegId=166244&SessionID=114"
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source_hash: "54d9d3dd7cb7d78bc1ef17e76b4479eab0487ef4c5cf3f7d18c8faa85bbd290d"
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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 SB 3365 (104th) — MEDICARE/MEDICAID DUAL ELIGIBL
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Amends the Medicare-Medicaid Alignment Initiative (MMAI) Nursing Home Residents' Managed Care Rights Law of the Illinois Public Aid Code. Provides that the Article applies to a fully integrated dual eligible special needs plan and any managed care plan for persons who are dually eligible for Medicare and Medicaid. Adds to the definition of "Demonstration Project", a fully integrated dual eligible special needs plan and any managed care plan for persons who are dually eligible for Medicare and Medicaid. Provides that the Department of Healthcare and Family Services shall provide each managed care organization with the quarterly facility-specific nursing component (instead of RUG-IV nursing component) per diem along with any add-ons for enhanced care services, support component per diem, and capital component per diem effective for each nursing home under contract with the managed care organization. Effective immediately.
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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](https://ilga.gov/documents/legislation/104/SB/PDF/10400SB3365.pdf)
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2. **Engrossed** (committee substitute) — [source](https://ilga.gov/documents/legislation/104/SB/PDF/10400SB3365eng.pdf)
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3. **House Amendment 001** (committee substitute) — [source](https://ilga.gov/documents/legislation/104/SB/PDF/10400SB3365ham001.pdf)
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4. **House Amendment 002** (committee substitute) — [source](https://ilga.gov/documents/legislation/104/SB/PDF/10400SB3365ham002.pdf)
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5. **Enrolled** (enrolled) — [source](https://ilga.gov/documents/legislation/104/SB/PDF/10400SB3365enr.pdf)
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## Votes
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- Third Reading — **112–0** (pass) · lower
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- Human Services — **12–0** (pass) · lower
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- Health and Human Services — **9–0** (pass) · upper
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- Concurrence, Amendment 2 — **59–0** (pass) · upper
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- Third Reading — **57–0** (pass) · upper
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## Sponsors
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- Anna Moeller — primary (person)
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- Omar Aquino — primary (person)
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- Elgie R. Sims, Jr. — cosponsor (person)
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- Rachel Ventura — cosponsor (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2026-02-04** Filed with Secretary by Sen. Julie A. Morrison `filing`
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- **2026-02-04** First Reading `reading-1`
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- **2026-02-04** Referred to Assignments
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- **2026-02-17** Assigned to Health and Human Services `referral-committee`
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- **2026-02-19** Chief Sponsor Changed to Sen. Mattie Hunter
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- **2026-03-04** Do Pass Health and Human Services; 009-000-000
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- **2026-03-04** Placed on Calendar Order of 2nd Reading March 5, 2026 `reading-2`
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- **2026-03-11** Second Reading `reading-2`
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- **2026-03-11** Placed on Calendar Order of 3rd Reading March 12, 2026
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- **2026-03-31** Added as Co-Sponsor Sen. Rachel Ventura
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- **2026-04-14** Placed on Calendar Order of 3rd Reading ** April 15, 2026
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- **2026-04-16** Third Reading - Passed; 057-000-000 `passage, reading-3`
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- **2026-04-17** Arrived in House `introduction`
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- **2026-04-23** Chief House Sponsor Rep. Dagmara Avelar
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- **2026-04-27** First Reading `reading-1`
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- **2026-04-27** Referred to Rules Committee
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- **2026-04-27** Assigned to Human Services Committee `referral-committee`
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- **2026-04-30** Alternate Chief Sponsor Changed to Rep. Kimberly Du Buclet
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- **2026-04-30** Added Alternate Chief Co-Sponsor Rep. Dagmara Avelar
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- **2026-05-06** Do Pass / Short Debate Human Services Committee; 012-000-000
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- **2026-05-06** Placed on Calendar 2nd Reading - Short Debate `reading-2`
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- **2026-05-19** Second Reading - Short Debate `reading-2`
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- **2026-05-19** Held on Calendar Order of Second Reading - Short Debate `reading-2`
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- **2026-05-22** Third Reading/Final Action Deadline Extended-9(b) May 31, 2026
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- **2026-05-31** Alternate Chief Co-Sponsor Removed Rep. Dagmara Avelar
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- **2026-05-31** Alternate Chief Sponsor Changed to Rep. Anna Moeller
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- **2026-05-31** House Floor Amendment No. 1 Filed with Clerk by Rep. Anna Moeller `amendment-introduction`
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- **2026-05-31** House Floor Amendment No. 1 Referred to Rules Committee
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- **2026-05-31** House Floor Amendment No. 2 Filed with Clerk by Rep. Anna Moeller `amendment-introduction`
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- **2026-05-31** House Floor Amendment No. 2 Referred to Rules Committee
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- **2026-05-31** House Floor Amendment No. 2 Recommends Be Adopted Rules Committee; 005-000-000 `committee-passage-favorable`
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- **2026-05-31** House Floor Amendment No. 2 Adopted `amendment-passage`
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- **2026-05-31** Placed on Calendar Order of 3rd Reading - Short Debate
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- **2026-05-31** Third Reading - Short Debate - Passed 112-000-000 `passage, reading-3`
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- **2026-05-31** House Floor Amendment No. 1 Tabled `amendment-failure`
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- **2026-05-31** Chief Sponsor Changed to Sen. Omar Aquino
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- **2026-05-31** Secretary's Desk - Concurrence House Amendment(s) 2
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- **2026-05-31** Placed on Calendar Order of Concurrence House Amendment(s) 2 - May 31, 2026
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- **2026-05-31** House Floor Amendment No. 2 Motion to Concur Filed with Secretary Sen. Omar Aquino `filing`
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- **2026-05-31** House Floor Amendment No. 2 Motion to Concur Referred to Assignments
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- **2026-05-31** House Floor Amendment No. 2 Motion to Concur Be Approved for Consideration Assignments
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- **2026-05-31** House Floor Amendment No. 2 Senate Concurs 059-000-000
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- **2026-05-31** Senate Concurs
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- **2026-05-31** Passed Both Houses
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- **2026-05-31** Added as Chief Co-Sponsor Sen. Elgie R. Sims, Jr.
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- **2026-06-10** Sent to the Governor `executive-receipt`
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- **2026-06-16** Governor Approved `executive-signature`
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- **2026-06-16** Effective Date June 16, 2026; Some Provisions
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- **2026-06-16** Effective Date July 1, 2026; Some Provisions
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- **2026-06-16** Effective Date January 1, 2027; Some Provisions
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- **2026-06-16** Effective Date July 1, 2027; Some Provisions
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- **2026-06-16** Public Act . . . . . . . . . 104-0470 `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/3cab9404-19bb-40c4-9c42-4c6be7ab4dd1`. Confidence: reported (aggregated from official Illinois legislature records).
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