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IL HB0017

IL HB0017
CMS-RETIREE MEDICARE PROGRAM


summary

Introduced
01/09/2025
In Committee
03/21/2025
Crossed Over
Passed
Dead

Introduced Session

104th General Assembly

Bill Summary

Amends the Department of Central Management Services Law of the Civil Administrative Code of Illinois. Provides that, within 6 months after the effective date of the amendatory Act, the Department of Central Management Services, in conjunction with the 5 State-funded retirement systems, may enter into a contract with an administrator to establish and conduct a State Retiree Medicare Primacy Coordination Audit and Assistance Program to identify relevant individuals eligible for Medicare but not enrolled in Medicare, and to assist those individuals with enrolling in Social Security and Medicare. Provides that the State Retiree Medicare Primacy Coordination Audit and Assistance Program shall conduct an annual audit of the State health benefits program for everyone covered under the State Employees Group Insurance Program, the Teachers' Retirement Insurance Program, and the College Insurance Program for the purpose of identifying participants and their dependents who are eligible for Medicare under federal law and shall also ensure that those annuitants, retirees, benefit recipients, survivors, or dependents who are eligible for Medicare are enrolled in Medicare with Medicare as their primary health care benefits coverage and the State Health Benefits Program being the secondary provider of their health care benefits coverage. Provides that the State Retiree Medicare Primacy Coordination Audit and Assistance Program shall assist any annuitant, retiree, benefit recipient, survivor or their dependents who becomes disabled, and is not enrolled in Social Security Disability Insurance and Medicare, with enrolling in and obtaining Social Security Disability Insurance and Medicare benefits. Provides that the administrator of the State Retiree Medicare Primacy Coordination Audit and Assistance Program shall provide the Department, the 5 State-funded retirement systems, and the General Assembly with an annual report. Effective January 1, 2026.

AI Summary

This bill establishes a State Retiree Medicare Primacy Coordination Audit and Assistance Program to help state retirees, their survivors, and dependents properly enroll in Medicare and Social Security benefits. Within 6 months of the bill's effective date, the Department of Central Management Services can contract with an administrator to identify individuals eligible for Medicare who are not currently enrolled and assist them with enrollment. The program will conduct an annual audit of state health benefit programs, focusing on participants in the State Employees Group Insurance Program, Teachers' Retirement Insurance Program, and College Insurance Program. The primary goal is to ensure that eligible individuals are enrolled in Medicare as their primary health coverage, with state health benefits serving as secondary coverage. Additionally, the program will provide specialized assistance to disabled individuals who are not enrolled in Social Security Disability Insurance and Medicare, including developing educational materials, performing outreach, analyzing eligibility, and representing qualified individuals in their benefit claims. The administrator must provide an annual report to various state retirement systems and the General Assembly detailing the number of individuals transitioned to Medicare and Social Security and the resulting cost savings for the state. The bill is set to become effective on January 1, 2026.

Committee Categories

Budget and Finance

Sponsors (1)

Last Action

Rule 19(a) / Re-referred to Rules Committee (on 03/21/2025)

bill text


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