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---
type: "Bill"
title: "MEDICAID-ALTERNATE PAYEE"
description: "Amends the Illinois Public Aid Code. Authorizes the Department of Public Aid to permit an individual practitioner to designate that Medicaid payments due to the practitioner be paid to an alternate payee, and requires that alternate payees register with the Department. Imposes certain requirements on alternate payees. Provides that the Department may seek revocation of an alternate payee under certain conditions and may permanently prohibit owners, officers, or persons with management responsibility for an alternate payee from participating in the Medicaid program."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "94th"
identifier: "HB 2490"
citation: "Illinois HB 2490 (94th)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: []
version_count: 3
action_count: 26
vote_count: 2
first_action: "2005-02-17"
last_action: "2005-07-19"
source: "openstates"
source_identifier: "ocd-bill/a7c6dd03-05b9-4900-9dec-abde731e76a5"
source_url: "http://ilga.gov/legislation/BillStatus.asp?DocNum=2490&GAID=8&DocTypeID=HB&LegId=17555&SessionID=50&GA=94"
source_hash: "de88963f569622a57c34074ed400cbe767860885812438b06b06a3a9f7e96314"
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 HB 2490 (94th) — MEDICAID-ALTERNATE PAYEE
Amends the Illinois Public Aid Code. Authorizes the Department of Public Aid to permit an individual practitioner to designate that Medicaid payments due to the practitioner be paid to an alternate payee, and requires that alternate payees register with the Department. Imposes certain requirements on alternate payees. Provides that the Department may seek revocation of an alternate payee under certain conditions and may permanently prohibit owners, officers, or persons with management responsibility for an alternate payee from participating in the Medicaid program.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Introduced** (filed) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09400HB2490&GA=94&SessionId=50&DocTypeId=HB&LegID=17555&DocNum=2490&GAID=8&Session=&print=true)
2. **Engrossed** (committee substitute) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09400HB2490eng&GA=94&SessionId=50&DocTypeId=HB&LegID=17555&DocNum=2490&GAID=8&Session=&print=true)
3. **Enrolled** (enrolled) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09400HB2490enr&GA=94&SessionId=50&DocTypeId=HB&LegID=17555&DocNum=2490&GAID=8&Session=&print=true)
## Votes
- Third Reading — **540** (pass) · upper
- Third Reading — **1110** (pass) · lower
## Sponsors
- David E. Miller — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2005-02-17** Filed with the Clerk by Rep. David E. Miller `filing`
- **2005-02-17** First Reading `reading-1`
- **2005-02-17** Referred to Rules Committee `referral-committee`
- **2005-02-18** Assigned to Human Services Committee `referral-committee`
- **2005-02-24** Do Pass / Short Debate Human Services Committee; 012-000-000 `committee-passage`
- **2005-02-25** Placed on Calendar 2nd Reading - Short Debate
- **2005-03-03** Second Reading - Short Debate `reading-2`
- **2005-03-03** Placed on Calendar Order of 3rd Reading - Short Debate
- **2005-03-10** Third Reading - Short Debate - Passed 111-000-000 `reading-3, passage`
- **2005-03-15** Arrive in Senate `introduction`
- **2005-03-15** Placed on Calendar Order of First Reading March 16, 2005 `reading-1`
- **2005-04-07** Chief Senate Sponsor Sen. Mattie Hunter
- **2005-04-11** First Reading `reading-1`
- **2005-04-11** Referred to Rules `referral-committee`
- **2005-04-13** Assigned to Health & Human Services `referral-committee`
- **2005-04-20** Added as Alternate Chief Co-Sponsor Sen. Iris Y. Martinez
- **2005-04-20** Do Pass Health & Human Services; 010-000-000 `committee-passage`
- **2005-04-20** Placed on Calendar Order of 2nd Reading April 21, 2005
- **2005-05-10** Second Reading `reading-2`
- **2005-05-10** Placed on Calendar Order of 3rd Reading May 11, 2005
- **2005-05-16** Third Reading - Passed; 054-000-000 `reading-3, passage`
- **2005-05-16** Passed Both Houses
- **2005-06-14** Sent to the Governor `executive-receipt`
- **2005-07-19** Governor Approved `executive-signature`
- **2005-07-19** Effective Date January 1, 2006
- **2005-07-19** Public Act . . . . . . . . . 94-0265 `became-law`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/a7c6dd03-05b9-4900-9dec-abde731e76a5`. Confidence: reported (aggregated from official Illinois legislature records).