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SB3294 • 2026
MEDICAID-CONTINUED COVERAGE
This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.
Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.
MEDICAID-CONTINUED COVERAGE
Rule 3-9(a) / Re-referred to Assignments
Rule 2-10 Committee/3rd Reading Deadline Established As May 22, 2026
Rule 2-10 Committee/3rd Reading Deadline Established As May 15, 2026
Added as Co-Sponsor Sen. Cristina Castro
Added as Co-Sponsor Sen. Erica Harriss
Added as Co-Sponsor Sen. Li Arellano, Jr.
Rule 2-10 Committee Deadline Established As April 24, 2026
Added as Co-Sponsor Sen. Laura Fine
Added as Co-Sponsor Sen. Suzy Glowiak Hilton
Added as Co-Sponsor Sen. Dave Syverson
Added as Co-Sponsor Sen. Graciela Guzmán
Added as Co-Sponsor Sen. Darby A. Hills
Added as Co-Sponsor Sen. Meg Loughran Cappel
Added as Co-Sponsor Sen. Mary Edly-Allen
Added as Co-Sponsor Sen. Javier L. Cervantes
Added as Co-Sponsor Sen. Laura M. Murphy
Assigned to Appropriations- Health and Human Services
Filed with Secretary by Sen. Julie A. Morrison
First Reading
Referred to Assignments
MEDICAID-CONTINUED COVERAGE
Illinois General Assembly - Full Text of SB3294 Select Language × The Illinois General Assembly offers the Google Translate™ service for visitor convenience. In no way should it be considered accurate as to the translation of any content herein. Visitors of the Illinois General Assembly website are encouraged to use other translation services available on the internet. The English language version is always the official and authoritative version of this website. NOTE: To return to the original English language version, select the "Show Original" button on the Google Translate™ menu bar at the top of the window. 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Full Text of SB3294 Home Legislation Full Text SB3294 - 104th General Assembly Bill Status Full Text Votes Witness Slips Select Menu Bill Status Full Text Votes Witness Slips Printer Friendly Version Introduced Printer Friendly Version Introduced Open PDF 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB3294 Introduced 2/3/2026, by Sen. Julie A. Morrison SYNOPSIS AS INTRODUCED: 305 ILCS 5/5-2.03 305 ILCS 5/5-2.03a new Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that any person who was initially determined to be eligible for medical assistance and is receiving institutional services or home and community-based services as authorized under the Article shall be presumed eligible for a continuation of coverage for such services during any redetermination process. Requires the Department of Healthcare and Family Services to continue to make payments for such services unless the person experiences a material change in financial circumstances that results in the loss of eligibility. Provides that if the person experiences a material change in financial circumstances that results in the loss of eligibility, the person, or the person's designated caregiver or responsible party, shall notify the Department. Provides that if the Department subsequently conducts a redetermination of eligibility, the Department must provide written notice to the person (i) before the commencement of the redetermination; and (ii) upon conclusion of the redetermination. Requires the Department to develop a process to facilitate the written notifications. Provides that no later than October 1, 2026, the Department shall seek federal authorization to exempt persons with disabilities who are eligible for medical assistance from annual redeterminations of eligibility, except that a full redetermination shall be conducted at least once every 5 years, regardless of whether a material change in financial circumstances has occurred. Effective immediately. LRB104 18099 KTG 31538 b A BILL FOR SB3294 LRB104 18099 KTG 31538 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 changing Section 5-2.03 and by adding Section 5-2.03a as 6 follows: 7 (305 ILCS 5/5-2.03) 8 Sec. 5-2.03. Presumptive eligibility. Except as provided 9 in Section 5-2.03a Beginning on the effective date of this 10 amendatory Act of the 96th General Assembly and except where 11 federal law requires presumptive eligibility, no adult may be 12 presumed eligible for medical assistance under this Code and 13 the Department may not cover any service rendered to an adult 14 unless the adult has completed an application for benefits, 15 all required verifications have been received, and the 16 Department or its designee has found the adult eligible for 17 the date on which that service was provided. Nothing in this 18 Section shall apply to pregnant women or to persons enrolled 19 under the medical assistance program due to expansions 20 approved by the federal government that are financed entirely 21 by units of local government and federal matching funds. 22 (Source: P.A. 96-1501, eff. 1-25-11; 97-687, eff. 6-14-12.) SB3294 - 2 - LRB104 18099 KTG 31538 b 1 (305 ILCS 5/5-2.03a new) 2 Sec. 5-2.03a. Redeterminations of eligibility for certain 3 persons. 4 (a) Any person who was initially determined to be eligible 5 for medical assistance and is receiving institutional services 6 or home and community-based services as authorized under this 7 Article shall be presumed eligible for a continuation of 8 coverage for such services during any redetermination process. 9 The Department shall continue to make payments for such 10 services unless the person experiences a material change in 11 financial circumstances that results in the loss of 12 eligibility. 13 (b) If the person experiences a material change in 14 financial circumstances that results in the loss of 15 eligibility, the person, or the person's designated caregiver 16 or responsible party, shall notify the Department. The 17 Department may conduct a redetermination of eligibility. If a 18 redetermination is conducted, the Department must provide 19 written notice to the person or to the person's designated 20 caregiver or responsible party: 21 (1) before the commencement of the redetermination; 22 and 23 (2) upon conclusion of the redetermination, including 24 the results and the effective date of any eligibility 25 change. 26 (c) No later than October 1, 2026, the Department shall SB3294 - 3 - LRB104 18099 KTG 31538 b 1 seek federal authorization to exempt persons with disabilities 2 who are eligible for medical assistance from annual 3 redeterminations of eligibility, except that a full 4 redetermination shall be conducted at least once every 5 5 years, regardless of whether a material change in financial 6 circumstances has occurred. 7 (d) The Department shall develop a process to facilitate 8 the notifications required under subsection (b). 9 Section 99. Effective date. This Act takes effect upon 10 becoming law. 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