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Illinois General Assembly - Full Text of HB5518

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HB5518 - 104th General Assembly

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104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
HB5518

Introduced 2/13/2026, by Rep. Joyce Mason

SYNOPSIS AS INTRODUCED:

305 ILCS 5/5-70 new

Amends the Medical Assistance Article of the Illinois Public Aid
Code. Provides that no later than 180 days after the effective date of the
amendatory Act, the Department shall file a proposed rule, or a proposed
amendment to an existing rule, that requires the Department of Healthcare
and Family Services to notify, in writing, all medical assistance
applicants that if, at the time of application, the applicant is enrolled
in an active health insurance plan bought through the Illinois health
insurance marketplace, then the applicant is subject to the repayment of
any and all subsidies received for the active health insurance plan if the
applicant is determined eligible for and receives medical assistance while
still maintaining coverage under the active health insurance plan.
Effective immediately.
LRB104 17617 KTG 31048 b

A BILL FOR

HB5518
LRB104 17617 KTG 31048 b
1

AN ACT concerning public aid.

2

Be it enacted by the People of the State of Illinois,
3
represented in the General Assembly:

4

Section 5.
The Illinois Public Aid Code is amended by
5
adding Section 5-70 as follows:

6

(305 ILCS 5/5-70 new)
7

Sec. 5-70.
Marketplace health insurance subsidy repayment.
8
No later than 180 days after the effective date of this
9
amendatory Act of the 104th General Assembly, the Department
10
shall file a proposed rule, or a proposed amendment to an
11
existing rule, that requires the Department to notify, in
12
writing, all medical assistance applicants that if, at the
13
time of application, the applicant is enrolled in an active
14
health insurance plan bought through the Illinois health
15
insurance marketplace, then the applicant is subject to the
16
repayment of any and all subsidies received for the active
17
health insurance plan if the applicant is determined eligible
18
for and receives medical assistance while still maintaining
19
coverage under the active health insurance plan.

20

Section 99.
Effective date.
This Act takes effect upon
21
becoming law.

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