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SB 1846

FAMILY PLANNING SERVICES

104th Regular Session Introduced by Graciela Guzmán and 1 co-sponsor

Expands Illinois Family Planning to noncitizens (LPRs) of all statuses, giving them the same coverage as citizens and removing waiting periods under CMS-approved rules.

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Bill Summary · SB 1846

Summary: SB 1846 – Family Planning Services (Illinois)

Overview

SB 1846 would amend the Illinois Public Aid Code to expand access to family planning services by providing noncitizens—including lawful permanent residents and individuals with other immigration statuses—the same medical coverage for family planning and related services that is currently available to United States citizens who qualify under the HFS Family Planning Program, subject to CMS-approved program standards. The bill would remove a mandatory waiting period for those individuals to receive this coverage, provided they meet all other eligibility requirements.

What the bill does

  • Adds new 305 ILC 5/12-4.35a to the Illinois Public Aid Code.
  • Requires the Department of Healthcare and Family Services (HFS) to provide noncitizens of all immigration statuses the same family planning coverage as provided under Article V to eligible U.S. citizens.
  • Requires lawful permanent residents and others to meet all other eligibility qualifications under the HFS Family Planning Program (as approved by CMS) to receive these services.
  • Prohibits any mandatory waiting period for eligible lawful permanent residents or other immigration-status individuals to receive family planning services under this section.

Eligibility and coverage

  • Eligible individuals: Lawful permanent residents and people of all immigration statuses who meet the applicable HFS Family Planning Program qualifications.
  • Coverage scope: Family planning and family planning-related services and supplies, with coverage parity to that provided to eligible U.S. citizens under Article V.
  • Administration: The program must align with Illinois’ Family Planning State Plan Amendment as approved by the federal Centers for Medicare and Medicaid Services (CMS).

Who would be affected

  • Noncitizens living in Illinois, including lawful permanent residents and individuals with various immigration statuses, who otherwise qualify under HFS Family Planning Program rules.
  • Potentially broader access to contraception, counseling, screenings, and related family planning services, subject to program eligibility and CMS approval.

Implementation timeline and procedural notes

  • Introduced: February 6, 2025 (Senator Graciela Guzmán)
  • First Reading: February 6, 2025; Referred to Assignments
  • Secretary of the Senate actions: Received February 7, 2025
  • Hearing/Action: Read first time and referred to Health & Human Services on March 13, 2025 (per status notes)
  • Status: Bill designates Sen. Karina Villa as Chief Co-Sponsor; primary sponsor Sen. Graciela Guzmán
  • Companion bill: HB 3767

Legislative context

  • Related legislation: HB 3767 (companion bill)
  • Policy intent: Expand access to family planning services to noncitizens while preserving existing eligibility criteria and CMS oversight.

Practical considerations

  • Financial impact: Not specified in the summary; expansion may affect HFS spending and require federal CMS approval.
  • Administrative considerations: Implementation would require alignment with CMS-approved State Plan Amendment and potential adjustments to eligibility determinations and enrollment processes.
  • Monitoring: Continued CMS oversight and potential updates to state plan amendments as the program expands.

Compiled from official sources — confirm details with the bill’s official record.

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