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Bill > SB1629


IL SB1629

IL SB1629
CMS-MEDICARE AUDIT


summary

Introduced
02/04/2025
In Committee
02/04/2025
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. Creates the Disability Benefits Maximization Program. 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 Disability Benefits Maximization 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 Disability Benefits Maximization 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 Disability Benefits Maximization 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 Disability Benefits Maximization 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 the Disability Benefits Maximization Program, which requires the Department of Central Management Services to potentially contract with an administrator to help identify and enroll eligible state employees, retirees, and their dependents in Medicare and Social Security Disability Insurance. The program will conduct an annual audit of state health benefit programs to find participants who are Medicare-eligible but not currently enrolled, with the goal of ensuring these individuals transition to Medicare as their primary health coverage, with state health benefits becoming secondary. The administrator will be responsible for educating potential beneficiaries about Social Security Disability Insurance, conducting outreach, analyzing eligibility, and even representing qualified individuals in their claims. Additionally, the administrator must provide an annual report to state retirement systems and the General Assembly detailing the number of people transitioned to Medicare and Social Security Disability Insurance and the associated cost savings for the state. The program is set to begin within six months of the bill's effective date, which is January 1, 2026.

Sponsors (2)

Last Action

Added as Co-Sponsor Sen. Dave Syverson (on 02/11/2025)

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