HB3214
View on ILGADHFS-MEDICARE PART A BUY-IN
What this bill does
Amends the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to study the impact to the State and recipients of entering into a Medicare Part A Buy-In Agreement for qualified Medicare beneficiaries with the federal Centers for Medicare and Medicaid Services. Provides that no later than January 1, 2026, the Department shall submit a report to the Governor and the General Assembly about executing a Medicare Part A Buy-In Agreement. Requires the report to reflect that it is the policy of the State of Illinois to reduce administrative burden to applicants and recipients in programs under the Code, and to promote the health, well-being, and economic security of low-income older adults and people with disabilities in its medical programs. Requires the Department to consult with the federal Centers for Medicare and Medicaid Services and relevant State agencies, including the Department on Aging, and conduct stakeholder engagement. Provides that the report shall outline the methodology used by the Department of Healthcare and Family Services and shall include relevant findings, including potential cost savings to recipients and reductions in administrative burden, and a synopsis of discussions with interested stakeholders. Provides that the report shall contain recommendations for further action to facilitate accountability and to achieve the policy objectives outlined in the amendatory Act. Effective immediately.
PASSED INTO LAW
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Pipeline Progress
Current stage: Signed into Law · Last action 237 days ago
How does a bill become law in Illinois?
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Introduction of Bill
A member of the Senate or the House introduces a bill, which is assigned a unique identifying number (e.g., "H.B. ___" for House bills and "S.B. ___" for Senate bills). If not enacted, it must be reintroduced in the next General Assembly with a new number.
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Committee Work — Hearings
The bill goes to the appropriate committee, which holds hearings to gather expert opinions and determine the need for the legislation.
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Committee Work — Markup, Amendments, Report
The committee may make amendments to the bill. If approved, a committee report endorsing the bill is issued.
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Floor Debate
The bill is debated and can be further amended. The debate transcripts are accessible online for public viewing.
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Passage and Consideration in Second Chamber
If the bill passes in the first chamber, it moves to the second chamber for a similar review process. If both chambers approve, it goes to the governor.
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Gubernatorial Action
The governor can sign the bill into law, veto it, or take no action (resulting in an automatic law after 60 days). The type of veto can be total or amendatory. Once signed, the bill becomes a Public Act and is assigned a Public Act number.
Sponsor Context
Anna Moeller
Moderate Influence (#59)
Bridges legislative blocs (high betweenness)
Bills sponsored by Anna Moeller advance 5% more often than the chamber average.
Public Engagement
38 witness slips filed
37 proponents / 0 opponents
15 organizations
Witness slips
38 slips filed. Proponent / opponent / no position as filed with the committee.
| Name | Organization | Representing | Position | Hearing committee | Hearing date |
|---|---|---|---|---|---|
| Aces Lira | AIDS Foundation Chicago | AIDS Foundation Chicago | Proponent | Health and Human Services | 2025-04-29 |
| Amy Zimmerman | Jewish United Fund | Jewish United Fund | Proponent | Health and Human Services | 2025-04-29 |
| Christi | Leyden Family Service and Mental Health Center | Self | Proponent | Health and Human Services | 2025-04-29 |
| Diane Slezak | AgeOptions | AgeOptions | Proponent | Health and Human Services | 2025-04-29 |
| Elaine Nekritz | Nekritz Amdor Andersson Group | Shriver Center on Poverty Law | Proponent | Health and Human Services | 2025-04-29 |
| Elizabeth Durkin | self | self | Proponent | Health and Human Services | 2025-04-29 |
| Jared Hoffman | Jewish United Fund | Jewish United Fund | Proponent | Health and Human Services | 2025-04-29 |
| Jennifer DiNicola | Self | self | Proponent | Health and Human Services | 2025-04-29 |
| Kelsey Gordon | AgeOptions | Age Options | Proponent | Health and Human Services | 2025-04-29 |
| Meghan P Carter | Legal Council for Health Justice | Legal Council for Health Justice | Proponent | Health and Human Services | 2025-04-29 |
| Rachel Gershon | Justice in Aging | Justice in Aging | Proponent | Health and Human Services | 2025-04-29 |
| Sharon Dornberg-Lee | CJE SeniorLife | CJE SeniorLife | Proponent | Health and Human Services | 2025-04-29 |
| Wioletta Chodnicka | Leyden Family Service | Leyden Family Service | Proponent | Health and Human Services | 2025-04-29 |
| Amy Zimmerman | Jewish United Fund | Jewish United Fund | Proponent | Human Services | 2025-03-19 |
| Diane Slezak | AgeOptions | AgeOptions | Proponent | Human Services | 2025-03-19 |
| Elizabeth Durkin | self | self | Proponent | Human Services | 2025-03-19 |
| Heather ODonnell | Thresholds | Thresholds | Proponent | Human Services | 2025-03-19 |
| Jared Hoffman | Jewish United Fund | Jewish United Fund | Proponent | Human Services | 2025-03-19 |
| Kate Miller | SELF | SELF | Proponent | Human Services | 2025-03-19 |
| Lee Hasselbacher | Individual | Proponent | Human Services | 2025-03-19 | |
| Meghan Carter | Legal Council for Health Justice | Legal Council for Health Justice | Proponent | Human Services | 2025-03-19 |
| Rachel Gershon | Justice in Aging | Justice in Aging | Proponent | Human Services | 2025-03-19 |
| Sharon Dornberg-Lee | CJE SeniorLife | CJE SeniorLife | Proponent | Human Services | 2025-03-19 |
| Steve Andersson | Nekritz, Amdor, Andersson Group | Shriver Center on Poverty Law | Proponent | Human Services | 2025-03-19 |
| Steven Andersson | Nekritz Amdor Andersson Group | Shriver Center on Poverty Law | Proponent | Human Services | 2025-03-19 |
| Patrick Hostert | Illinois Department of Healthcare and Family Services | Illinois Department of Healthcare and Family Services | No Position On Merits | Health and Human Services | 2025-04-29 |
| Amy Zimmerman | Jewish United Fund | Jewish United Fund | Proponent | Human Services | 2025-03-19 |
| David Zoltan | na | Self | Proponent | Human Services | 2025-03-19 |
| Diane Slezak | AgeOptions | AgeOptions | Proponent | Human Services | 2025-03-19 |
| Elizabeth Durkin | self | self | Proponent | Human Services | 2025-03-19 |
| Heather ODonnell | Thresholds | Thresholds | Proponent | Human Services | 2025-03-19 |
| Jared Hoffman | Jewish United Fund | Jewish United Fund | Proponent | Human Services | 2025-03-19 |
| Lee Hasselbacher | Individual | Proponent | Human Services | 2025-03-19 | |
| Meghan Carter | Legal Council for Health Justice | Legal Council for Health Justice | Proponent | Human Services | 2025-03-19 |
| Rachel Gershon | Justice in Aging | Justice in Aging | Proponent | Human Services | 2025-03-19 |
| Sharon Dornberg-Lee | CJE SeniorLife | CJE SeniorLife | Proponent | Human Services | 2025-03-19 |
| Steve Andersson | Nekritz, Amdor, Andersson Group | Shriver Center on Poverty Law | Proponent | Human Services | 2025-03-19 |
| Steven Andersson | Nekritz Amdor Andersson Group | Shriver Center on Poverty Law | Proponent | Human Services | 2025-03-19 |
Roll-call votes
Total votes and outcome per event. Deciding vote = margin of 1; those voters on the winning side could have changed the outcome by flipping.
| Date | Chamber | Type | Description | Yea | Nay | Present | NV | Outcome | Margin | Deciding voters |
|---|---|---|---|---|---|---|---|---|---|---|
| H | Committee | Human Services | 12 | 0 | 0 | 1 | Passed | 12 | — | |
| H | Floor | Third Reading | 106 | 0 | 0 | 13 | Passed | 106 | — | |
| S | Committee | Health and Human Services | 8 | 0 | 0 | 4 | Passed | 8 | — | |
| 2025-05-22 | S | Floor | May 22, 2025 | 58 | 0 | 0 | 1 | Passed | 58 | — |
Action History
34 actions recorded. Last action: 2025-08-15 — Public Act . . . . . . . . .104-0286. Each action's meaning and outcome signal are classified automatically.
2025-02-06
Introduction & Filing
Filed with the Clerk byRep. Anna Moeller House Rule 6(b)
Bill officially submitted to the House Clerk during the session.
2025-02-18
Introduction & Filing
First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38
Formal introduction — title read into the official record. Required procedural step; bill now exists in the system.
2025-02-18
Committee Assignment
Referred toRules Committee Senate Rule 3-8(a); House Rule 18(a)
Sent to a committee (usually Rules in the House, Assignments in the Senate). The gatekeeping step — Rules/Assignments decides which substantive committee hears the bill.
2025-03-07
Co-Sponsorship
Mild +
Added Co-SponsorRep. Margaret Croke Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-03-11
Committee Assignment
Assigned toHuman Services Committee Senate Rule 3-8(a); House Rule 18(b)
Sent to a substantive committee (e.g., Transportation, Revenue). This is where the bill gets a real hearing and evaluation.
2025-03-11
Amendment Actions
House Committee Amendment No. 1 Filed with Clerk byRep. Anna Moeller
[Amendment] Amendment sub-action.
2025-03-11
Amendment Actions
House Committee Amendment No. 1 Referred toRules Committee
[Amendment] Sent to a committee (usually Rules in the House, Assignments in the Senate). The gatekeeping step — Rules/Assignments decides which substantive committee hears the bill.
2025-03-13
Amendment Actions
House Committee Amendment No. 1 Rules Refers toHuman Services Committee
[Amendment] Amendment sub-action.
2025-03-19
Amendment Actions
House Committee Amendment No. 1 Adopted inHuman Services Committee; by Voice Vote
[Amendment] Amendment sub-action.
2025-03-19
Committee Action
Positive
Do Pass as Amended / Short DebateHuman Services Committee; 012-000-000 Rule 3-11(a)(1), Rule 3-12(a)
Committee recommends passage. The most important positive gate — majority of bills never get here.
2025-03-19
Floor Process
Positive
Placed on Calendar 2nd Reading - Short Debate Senate Rule 4-4(7-8)/5-2; House Rule 31(8-9)/38/52
Bill placed on the Second Reading calendar. Positive — bill is queued for floor action.
2025-03-25
Floor Process
Positive
Second Reading - Short Debate Senate Rule 3-12(a)/5-4(a); House Rule 24(a)/40(b)/52(a)(1)
Bill reaches the floor amendment stage on Short Debate calendar. Major milestone — bill has passed committee and is on the floor.
2025-03-25
Floor Process
Positive
Placed on Calendar Order of 3rd Reading - Short Debate Rule 4-4(8)
Bill placed on the Third Reading calendar — queued for final vote.
2025-04-07
Floor Vote
Positive
Third Reading - Short Debate - Passed106-000-000 Senate Rule 5-1(f)/7-1/7-2; House Rule 37(f)/49/50
Bill PASSED on Short Debate Third Reading. Bill cleared the chamber.
2025-04-07
Co-Sponsorship
Mild +
Added Co-SponsorRep. Nicolle Grasse Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-04-08
Cross-Chamber
Positive
Arrive in Senate Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12)
House bill arrives in the Senate after passing the House.
2025-04-08
Procedural
Placed on Calendar Order of First Reading Senate Rule 4-4/7-4; House Rule 31/54
Bill queued for First Reading in the second chamber.
2025-04-08
Cross-Chamber
Positive
Chief Senate SponsorSen. Laura Fine Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12)
Senate sponsor assigned for a House bill.
2025-04-08
Introduction & Filing
First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38
Formal introduction — title read into the official record. Required procedural step; bill now exists in the system.
2025-04-08
Committee Assignment
Referred toAssignments Senate Rule 3-8(a); House Rule 18(a)
Sent to a committee (usually Rules in the House, Assignments in the Senate). The gatekeeping step — Rules/Assignments decides which substantive committee hears the bill.
2025-04-11
Co-Sponsorship
Mild +
Added as Alternate Chief Co-SponsorSen. Cristina Castro Senate Rule 5-1(a); House Rule 37(a)
Alternate chief co-sponsor added.
2025-04-16
Co-Sponsorship
Mild +
Added Co-SponsorRep. Hoan Huynh Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-04-23
Committee Assignment
Assigned toHealth and Human Services Senate Rule 3-8(a); House Rule 18(b)
Sent to a substantive committee (e.g., Transportation, Revenue). This is where the bill gets a real hearing and evaluation.
2025-04-30
Committee Action
Positive
Do PassHealth and Human Services; 008-000-000 Rule 3-11(a)(1), Rule 3-12(a)
Committee recommends passage. The most important positive gate — majority of bills never get here.
2025-04-30
Floor Process
Positive
Placed on Calendar Order of 2nd Reading May 1, 2025 Rule 3-12(a), Rule 4-4(7)
Bill placed on the order of Second Reading.
2025-05-01
Floor Process
Positive
Second Reading Senate Rule 3-12(a)/5-4(a); House Rule 24(a)/40(b)
Bill reaches the floor amendment stage. Floor amendments can be offered here.
2025-05-01
Floor Process
Positive
Placed on Calendar Order of 3rd Reading May 6, 2025 Rule 4-4(8)
Bill placed on the Third Reading calendar — queued for final vote.
2025-05-20
Floor Process
Positive
Placed on Calendar Order of 3rd Reading ** Rule 4-4(8)
Bill placed on the Third Reading calendar — queued for final vote.
2025-05-22
Floor Vote
Positive
Third Reading - Passed;058-000-000 Rule 5-1(f)
Bill PASSED a floor vote on Third Reading. Major milestone — bill has cleared one chamber.
2025-05-22
Concurrence
Positive
Passed Both Houses Rule 8-1, Rule 8-4
Bill PASSED BOTH CHAMBERS. Major milestone — bill goes to the Governor next.
2025-06-20
Governor Action
Positive
Sent to the Governor Senate Article IX/Rules 9-1 to 9-6; House Article IX/Rules 77-82
Bill transmitted to the Governor for signature. Strong positive — bill has passed both chambers.
2025-08-15
Governor Action
Positive
Governor Approved Senate Article IX/Rules 9-1 to 9-6; House Article IX/Rules 77-82
GOVERNOR SIGNED THE BILL. Bill is now law (pending effective date).
2025-08-15
Enacted Into Law
Law
Effective Date August 15, 2025 Article IX
Law's effective date announced. Most IL laws take effect January 1 of the next year unless otherwise specified.
2025-08-15
Enacted Into Law
Law
Public Act . . . . . . . . .104-0286 Article IX
Bill signed into law — assigned a Public Act number (e.g., PA 104-0032).
All actions (table)
| Date | Chamber | Action | Category | Signal |
|---|---|---|---|---|
| 2025-02-06 | House | Filed with the Clerk byRep. Anna Moeller House Rule 6(b) | Introduction & Filing | — |
| 2025-02-18 | House | First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38 | Introduction & Filing | — |
| 2025-02-18 | House | Referred toRules Committee Senate Rule 3-8(a); House Rule 18(a) | Committee Assignment | — |
| 2025-03-07 | House | Added Co-SponsorRep. Margaret Croke Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-03-11 | House | Assigned toHuman Services Committee Senate Rule 3-8(a); House Rule 18(b) | Committee Assignment | — |
| 2025-03-11 | House | House Committee Amendment No. 1 Filed with Clerk byRep. Anna Moeller | Amendment Actions | — |
| 2025-03-11 | House | House Committee Amendment No. 1 Referred toRules Committee | Amendment Actions | — |
| 2025-03-13 | House | House Committee Amendment No. 1 Rules Refers toHuman Services Committee | Amendment Actions | — |
| 2025-03-19 | House | House Committee Amendment No. 1 Adopted inHuman Services Committee; by Voice Vote | Amendment Actions | — |
| 2025-03-19 | House | Do Pass as Amended / Short DebateHuman Services Committee; 012-000-000 Rule 3-11(a)(1), Rule 3-12(a) | Committee Action | Positive |
| 2025-03-19 | House | Placed on Calendar 2nd Reading - Short Debate Senate Rule 4-4(7-8)/5-2; House Rule 31(8-9)/38/52 | Floor Process | Positive |
| 2025-03-25 | House | Second Reading - Short Debate Senate Rule 3-12(a)/5-4(a); House Rule 24(a)/40(b)/52(a)(1) | Floor Process | Positive |
| 2025-03-25 | House | Placed on Calendar Order of 3rd Reading - Short Debate Rule 4-4(8) | Floor Process | Positive |
| 2025-04-07 | House | Third Reading - Short Debate - Passed106-000-000 Senate Rule 5-1(f)/7-1/7-2; House Rule 37(f)/49/50 | Floor Vote | Positive |
| 2025-04-07 | House | Added Co-SponsorRep. Nicolle Grasse Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-04-08 | Senate | Arrive in Senate Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12) | Cross-Chamber | Positive |
| 2025-04-08 | Senate | Placed on Calendar Order of First Reading Senate Rule 4-4/7-4; House Rule 31/54 | Procedural | — |
| 2025-04-08 | Senate | Chief Senate SponsorSen. Laura Fine Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12) | Cross-Chamber | Positive |
| 2025-04-08 | Senate | First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38 | Introduction & Filing | — |
| 2025-04-08 | Senate | Referred toAssignments Senate Rule 3-8(a); House Rule 18(a) | Committee Assignment | — |
| 2025-04-11 | Senate | Added as Alternate Chief Co-SponsorSen. Cristina Castro Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-04-16 | House | Added Co-SponsorRep. Hoan Huynh Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-04-23 | Senate | Assigned toHealth and Human Services Senate Rule 3-8(a); House Rule 18(b) | Committee Assignment | — |
| 2025-04-30 | Senate | Do PassHealth and Human Services; 008-000-000 Rule 3-11(a)(1), Rule 3-12(a) | Committee Action | Positive |
| 2025-04-30 | Senate | Placed on Calendar Order of 2nd Reading May 1, 2025 Rule 3-12(a), Rule 4-4(7) | Floor Process | Positive |
| 2025-05-01 | Senate | Second Reading Senate Rule 3-12(a)/5-4(a); House Rule 24(a)/40(b) | Floor Process | Positive |
| 2025-05-01 | Senate | Placed on Calendar Order of 3rd Reading May 6, 2025 Rule 4-4(8) | Floor Process | Positive |
| 2025-05-20 | Senate | Placed on Calendar Order of 3rd Reading ** Rule 4-4(8) | Floor Process | Positive |
| 2025-05-22 | Senate | Third Reading - Passed;058-000-000 Rule 5-1(f) | Floor Vote | Positive |
| 2025-05-22 | House | Passed Both Houses Rule 8-1, Rule 8-4 | Concurrence | Positive |
| 2025-06-20 | House | Sent to the Governor Senate Article IX/Rules 9-1 to 9-6; House Article IX/Rules 77-82 | Governor Action | Positive |
| 2025-08-15 | House | Governor Approved Senate Article IX/Rules 9-1 to 9-6; House Article IX/Rules 77-82 | Governor Action | Positive |
| 2025-08-15 | House | Effective Date August 15, 2025 Article IX | Enacted Into Law | Law |
| 2025-08-15 | House | Public Act . . . . . . . . .104-0286 Article IX | Enacted Into Law | Law |