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104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
SB3013

Introduced 1/28/2026, by Sen. Sue Rezin

SYNOPSIS AS INTRODUCED:

5 ILCS 375/6.17 new
215 ILCS 5/356z.88 new
305 ILCS 5/5-62 new

Amends the State Employees Group Insurance Act of 1971. Prohibits the
State from applying for any federal waiver that would reduce or eliminate
any protection or coverage required under the Patient Protection and
Affordable Care Act (Affordable Care Act) that was in effect on January 1,
2017, including, but not limited to, any protection for persons with
preexisting conditions and coverage for services identified as essential
health benefits under the Affordable Care Act. Provides that the State or
an agency of the executive branch may apply for such a waiver only if
granted authorization by the General Assembly through joint resolution.
Amends the Illinois Insurance Code. Prohibits the State from applying for
any federal waiver that would permit an individual or group health
insurance plan to reduce or eliminate any protection or coverage required
under the Affordable Care Act that was in effect on January 1, 2017,
including, but not limited to, any protection for persons with preexisting
conditions and coverage for services identified as essential health
benefits under the Affordable Care Act. Provides that the State or an
agency of the executive branch may apply for such a waiver only if granted
authorization by the General Assembly through joint resolution. Amends the
Illinois Public Aid Code. Prohibits the State or an agency of the executive
branch from applying for any federal Medicaid waiver that would result in
more restrictive standards, methodologies, procedures, or other
requirements than those that were in effect in Illinois as of January 1,
2017 for the Medical Assistance Program, the Children's Health Insurance
Program, or any other medical assistance program in Illinois operating
under any existing federal waiver authorized by specified provisions of
the Social Security Act. Provides that the State or an agency of the
executive branch may apply for such a waiver only if granted authorization
by the General Assembly through joint resolution. Effective immediately.
LRB104 19316 BAB 32762 b

A BILL FOR

SB3013
LRB104 19316 BAB 32762 b
1

AN ACT concerning government.

2

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

4

Section 5.
The State Employees Group Insurance Act of 1971
5
is amended by adding Section 6.17 as follows:

6

(5 ILCS 375/6.17 new)
7

Sec. 6.17.
Waiver application prohibitions.
8

(a) Notwithstanding any other law to the contrary, except
9
as specified in subsection (b), the State shall not apply for
10
any federal waiver that would reduce or eliminate any
11
protection or coverage required under the Patient Protection
12
and Affordable Care Act (Public Law 111-148) that was in
13
effect on January 1, 2017, including, but not limited to, any
14
protection for persons with preexisting conditions and
15
coverage for services identified as essential health benefits
16
under the Patient Protection and Affordable Care Act.
17

(b) The State or an agency of the executive branch may
18
apply for such a waiver only if the General Assembly, by joint
19
resolution approved by a majority of each house prior to the
20
submission of such a waiver application to the U.S. Department
21
of Health and Human Services, authorizes the State or an
22
agency of the executive branch to apply for such a federal
23
waiver.

SB3013
- 2 -
LRB104 19316 BAB 32762 b
1

Section 10.
The Illinois Insurance Code is amended by
2
adding Section 356z.88 as follows:

3

(215 ILCS 5/356z.88 new)
4

Sec. 356z.88.
Waiver application prohibitions.

5

(a) Notwithstanding any other law to the contrary, except
6
as specified in subsection (b), the State shall not apply for
7
any federal waiver that would permit an individual or group
8
health insurance plan to reduce or eliminate any protection or
9
coverage required under the Patient Protection and Affordable
10
Care Act (Public Law 111-148) that was in effect on January 1,
11
2017, including, but not limited to, any protection for
12
persons with preexisting conditions and coverage for services
13
identified as essential health benefits under the Patient
14
Protection and Affordable Care Act.
15

(b) The State or an agency of the executive branch may
16
apply for such a waiver only if the General Assembly, by joint
17
resolution approved by a majority of each house prior to the
18
submission of such a waiver application to the U.S. Department
19
of Health and Human Services, authorizes the State or an
20
agency of the executive branch to apply for such a federal
21
waiver.

22

Section 15.
The Illinois Public Aid Code is amended by
23
adding Section 5-62 as follows:

SB3013
- 3 -
LRB104 19316 BAB 32762 b
1

(305 ILCS 5/5-62 new)
2

Sec. 5-62.
Waiver application prohibitions.
3

(a) Notwithstanding any other law, except as specified in
4
subsection (b), the State or an agency of the executive branch
5
shall not apply for any federal Medicaid waiver that would
6
result in more restrictive standards, methodologies,
7
procedures, or other requirements than those that were in
8
effect in Illinois as of January 1, 2017 for: (i) the Medical
9
Assistance Program, as authorized under this Code and Title
10
XIX of the Social Security Act; (ii) the Children's Health
11
Insurance Program, as authorized under the Children's Health
12
Insurance Program Act and Title XXI of the Social Security
13
Act; or (iii) any other medical assistance program in Illinois
14
that is operating under any existing federal waiver authorized
15
under Section 1115 or Section 1915 of the Social Security Act.
16

(b) The State or an agency of the executive branch may
17
apply for such a waiver only if the General Assembly, by joint
18
resolution approved by a majority of each house prior to the
19
submission of such a waiver application to the U.S. Department
20
of Health and Human Services, authorizes the State or an
21
agency of the executive branch to apply for such a federal
22
waiver.

23

Section 99.
Effective date.
This Act takes effect upon
24
becoming law.

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