summary
Introduced
02/03/2026
02/03/2026
In Committee
02/17/2026
02/17/2026
Crossed Over
Passed
Dead
Introduced Session
104th General Assembly
Bill Summary
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that any person who was initially determined to be eligible for medical assistance and is receiving institutional services or home and community-based services as authorized under the Article shall be presumed eligible for a continuation of coverage for such services during any redetermination process. Requires the Department of Healthcare and Family Services to continue to make payments for such services unless the person experiences a material change in financial circumstances that results in the loss of eligibility. Provides that if the person experiences a material change in financial circumstances that results in the loss of eligibility, the person, or the person's designated caregiver or responsible party, shall notify the Department. Provides that if the Department subsequently conducts a redetermination of eligibility, the Department must provide written notice to the person (i) before the commencement of the redetermination; and (ii) upon conclusion of the redetermination. Requires the Department to develop a process to facilitate the written notifications. Provides that no later than October 1, 2026, the Department shall seek federal authorization to exempt persons with disabilities who are eligible for medical assistance from annual redeterminations of eligibility, except that a full redetermination shall be conducted at least once every 5 years, regardless of whether a material change in financial circumstances has occurred. Effective immediately.
AI Summary
This bill aims to ensure continued Medicaid coverage for individuals receiving institutional or home and community-based services, which are types of support for people who need assistance with daily living. It establishes a presumption of eligibility for these services during the process of re-evaluating a person's eligibility, meaning their coverage will continue unless there's a significant change in their financial situation that makes them ineligible. If such a financial change occurs, the individual or their caregiver must inform the Department of Healthcare and Family Services (DHFS), which is the state agency responsible for administering Medicaid. The DHFS must then provide written notice to the individual before and after any redetermination of their eligibility. Furthermore, by October 1, 2026, the DHFS is required to seek federal approval to exempt individuals with disabilities from yearly eligibility reviews, with a full review only needed every five years, regardless of financial changes.
Committee Categories
Budget and Finance
Sponsors (7)
Julie Morrison (D)*,
Javier Cervantes (D),
Mary Edly-Allen (D),
Graciela Guzmán (D),
Darby Hills (R),
Meg Loughran Cappel (D),
Laura Murphy (D),
Last Action
Added as Co-Sponsor Sen. Graciela Guzmán (on 02/26/2026)
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