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Bill > HB3855


IL HB3855

IL HB3855
MEDICARE FOR ALL HEALTH CARE


summary

Introduced
02/17/2023
In Committee
02/17/2023
Crossed Over
Passed
Dead
01/08/2025

Introduced Session

103rd General Assembly

Bill Summary

Creates the Illinois Medicare for All Health Care Act. Provides that all individuals residing in the State are covered under the Illinois Health Services Program for health insurance. Sets forth the health coverage benefits that participants are entitled to under the Program. Sets forth the qualification requirements for participating health providers. Sets forth standards for provider reimbursement. Provides that it is unlawful for private health insurers to sell health insurance coverage that duplicates the coverage of the Program. Provides that investor-ownership of health delivery facilities is unlawful. Provides that the State shall establish the Illinois Health Services Trust to provide financing for the Program. Sets forth the requirements for claims billing under the Program. Provides that the Program shall include funding for long-term care services and mental health services. Provides that the Program shall establish a single prescription drug formulary and list of approved durable medical goods and supplies. Creates the Pharmaceutical and Durable Medical Goods Committee to negotiate the prices of pharmaceuticals and durable medical goods with suppliers or manufacturers on an open bid competitive basis. Sets forth provisions concerning patients' rights. Provides that the employees of the Program shall be compensated in accordance with the current pay scale for State employees and as deemed professionally appropriate by the General Assembly. Effective January 1, 2024.

AI Summary

This bill creates the Illinois Medicare for All Health Care Act, which provides universal health insurance coverage for all individuals residing in the state. The key provisions include: 1. Establishing the Illinois Health Services Program to provide comprehensive health coverage benefits, including primary care, specialty care, inpatient and outpatient care, emergency care, prescription drugs, long-term care, mental health services, and more, with no deductibles, copayments, or other cost-sharing. 2. Requiring all health care providers to meet quality and licensing guidelines to participate in the program, and allowing patients to freely choose any eligible provider. 3. Implementing a provider reimbursement system, including negotiated fee schedules, global budgets for hospitals and other facilities, and bulk purchasing of prescription drugs and medical supplies. 4. Prohibiting private insurers from selling duplicative coverage and investor-ownership of health delivery facilities. 5. Establishing the Illinois Health Services Trust to finance the program through a combination of government, individual, and business contributions, as well as federal healthcare funding. 6. Creating an Illinois Health Services Governing Board to administer the program, including setting eligibility, benefits, budgets, and quality standards, with consumer representation. 7. Protecting patient rights and privacy, and compensating program employees in accordance with state employee pay scales. The bill is intended to provide universal access to affordable, high-quality healthcare for all Illinois residents, with the goal of becoming part of a nationwide system if similar federal legislation is enacted.

Sponsors (1)

Last Action

Session Sine Die (on 01/07/2025)

Bill Topics

Health
  • ‐ Comprehensive Health Care Reform
  • ‐ Health Insurance Reform
  • ‐ Regulation of Drug Industry and Pharmacies

bill text


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