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HB 3214

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2025 Regular Session Introduced by Farrah Chaichi and 7 co-sponsors

Illinois must study and report whether a Medicare Part A Buy-In for low-income, dually eligible residents would reduce costs and administrative burden, by 7/1/2026.

In committee upon adjournment.
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Bill Summary · HB 3214

HB 3214 (Public Act 104-0286) — Medicare Part A Buy‑In Agreement Report

Summary / Purpose

Public Act 104-0286 (HB 3214) requires the Illinois Department of Healthcare and Family Services (HFS) to study and report on the impacts of entering into a Medicare Part A Buy‑In Agreement with the federal Centers for Medicare & Medicaid Services (CMS). The study is intended to inform whether Illinois should execute an agreement under which the State would pay Medicare Part A premiums for certain low‑income, dually eligible individuals. The law emphasizes reducing administrative burden and promoting the health, well‑being, and economic security of low‑income older adults and people with disabilities.

Statutory placement: Adds Section 11‑5.6 to the Illinois Public Aid Code (305 ILCS 5/11‑5.6 new). The act references the federal buy‑in authority at 42 U.S.C. § 1395v.

Key provisions

  • Requires HFS to study the impact on the State and recipients of entering into a Medicare Part A Buy‑In Agreement for qualified Medicare beneficiaries (QMBs).
  • Directs HFS to prepare a written report that:
    • States the policy goals (reduce administrative burden; promote health, well‑being, and economic security of low‑income older adults and people with disabilities).
    • Describes the methodology used for the study.
    • Includes findings such as potential cost savings for recipients and reductions in administrative burden.
    • Provides a synopsis of stakeholder engagements and consultations.
    • Contains recommendations for further action to facilitate accountability and meet policy objectives.
  • Requires consultation with CMS and relevant State agencies (explicitly including the Department on Aging) and stakeholder engagement.
  • Report delivery: The report must be completed and posted on HFS’s website by no later than July 1, 2026, and a copy must be sent to the Secretary of Human Services and other relevant stakeholders.

Who is affected

  • Department of Healthcare and Family Services: mandated to conduct the study and produce the report.
  • Qualified Medicare beneficiaries (dually eligible Medicaid/Medicare recipients): the subject of the study; they could benefit if a buy‑in reduces their premiums or administrative hurdles.
  • State agencies (e.g., Department on Aging), CMS, advocacy groups, providers, and other stakeholders: to be consulted and included in stakeholder engagement.
  • State budget and taxpayers: the study will assess potential fiscal impacts; the Act itself does not commit funds to a buy‑in.

Timeline and procedural history

  • Introduced: February 24, 2025 (Rep. Anna Moeller).
  • Passed both chambers: May 2025.
  • Signed by Governor: June 20, 2025.
  • Effective date (Public Act 104‑0286): August 15, 2025.
  • Report due and to be posted publicly: by July 1, 2026.

Important note

This Public Act mandates a study and report only; it does not itself authorize Illinois to enter into a Medicare Part A Buy‑In Agreement or appropriate funding to do so. Any decision to execute a buy‑in would require subsequent action and possible appropriations.

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

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