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Bill > HB4917


IL HB4917

IL HB4917
PACE PROGRAM FLEXIBILITY


summary

Introduced
02/03/2026
In Committee
02/17/2026
Crossed Over
Passed
Dead

Introduced Session

104th General Assembly

Bill Summary

Amends the Program of All-Inclusive Care for the Elderly Act. Provides that the Department of Healthcare and Family Services shall coordinate with the Department on Aging and the Department of Human Services to ensure the maximization of all available federal financial participation and existing State revenue sources, which shall include, but not be limited to, identifying and integrating funding streams currently used for the Home and Community-Based Services (HCBS) waivers to support PACE enrollment and developing a unified budgeting approach under which appropriations for long-term services and supports are treated as a fungible pool, allowing funding to transition seamlessly when a participant chooses PACE over traditional waiver services. Provides that, to ensure participant choice and program flexibility, the Department shall establish a service-neutral enrollment mechanism. Provides that if an individual is on a waiting list for a HCBS waiver and chooses to enroll in PACE, the individual's status and slot value shall be preserved and applied to the PACE capitation rate to ensure the State's budget neutrality. Sets forth provisions concerning funding portability, transitioning between PACE and traditional HCBS models, and the use of a Unified Assessment Tool.

AI Summary

This bill amends the Program of All-Inclusive Care for the Elderly (PACE) Act to improve flexibility and funding for participants. It requires state departments to work together to maximize federal and state funding, including integrating money currently used for Home and Community-Based Services (HCBS) waivers to support PACE enrollment. A "unified budgeting approach" will treat funding for long-term care as a single pool, allowing money to move easily when someone chooses PACE over traditional waiver services. To ensure participants can choose their care, the bill establishes a "service-neutral enrollment mechanism," meaning individuals eligible for a HCBS waiver will be considered eligible for PACE without a new medical assessment. If someone is on a waiting list for a HCBS waiver and decides to join PACE, their place on the waiting list and its value will be protected and applied to PACE costs to keep state budgets balanced. The bill also allows participants to switch between PACE and traditional HCBS models during open enrollment or if their medical needs change, as long as they don't lose care or Medicaid eligibility, and mandates the use of a "Unified Assessment Tool" to ensure a participant's health information can be easily transferred between different care systems.

Committee Categories

Budget and Finance

Sponsors (1)

Last Action

House Appropriations-Health and Human Services Committee Hearing (08:00:00 2/26/2026 Room 114) (on 02/26/2026)

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