Illinois SB 3365: MEDICARE/MEDICAID DUAL ELIGIBL

What it does

The legislature's own summary of the bill, or its official long title.

Amends the Medicare-Medicaid Alignment Initiative (MMAI) Nursing Home Residents' Managed Care Rights Law of the Illinois Public Aid Code. Provides that the Article applies to a fully integrated dual eligible special needs plan and any managed care plan for persons who are dually eligible for Medicare and Medicaid. Adds to the definition of "Demonstration Project", a fully integrated dual eligible special needs plan…

Read the full title (137 words)

Amends the Medicare-Medicaid Alignment Initiative (MMAI) Nursing Home Residents' Managed Care Rights Law of the Illinois Public Aid Code. Provides that the Article applies to a fully integrated dual eligible special needs plan and any managed care plan for persons who are dually eligible for Medicare and Medicaid. Adds to the definition of "Demonstration Project", a fully integrated dual eligible special needs plan and any managed care plan for persons who are dually eligible for Medicare and Medicaid. Provides that the Department of Healthcare and Family Services shall provide each managed care organization with the quarterly facility-specific nursing component (instead of RUG-IV nursing component) per diem along with any add-ons for enhanced care services, support component per diem, and capital component per diem effective for each nursing home under contract with the managed care organization. Effective immediately.

Every action

52 steps, oldest first, as the legislature records them.

Show the 44 earlier steps

Feb 4, 2026SenateFiled with Secretary by Sen. Julie A. Morrison
Feb 4, 2026SenateFirst Reading
Feb 4, 2026CommitteeReferred to Assignments · Senate Assignments
Feb 17, 2026CommitteeAssigned to Health and Human Services · Senate Health and Human Services
Feb 19, 2026SenateChief Sponsor Changed to Sen. Mattie Hunter
Mar 4, 2026CommitteeDo Pass Health and Human Services; 009-000-000 · Senate Health and Human Services
Mar 4, 2026SenatePlaced on Calendar Order of 2nd Reading March 5, 2026
Mar 11, 2026SenateSecond Reading
Mar 11, 2026SenatePlaced on Calendar Order of 3rd Reading March 12, 2026
Mar 31, 2026SenateAdded as Co-Sponsor Sen. Rachel Ventura
Apr 14, 2026SenatePlaced on Calendar Order of 3rd Reading ** April 15, 2026
Apr 16, 2026SenateThird Reading - Passed; 057-000-000
Apr 17, 2026HouseArrived in House
Apr 23, 2026HouseChief House Sponsor Rep. Dagmara Avelar
Apr 27, 2026HouseFirst Reading
Apr 27, 2026CommitteeReferred to Rules Committee · House Rules
Apr 27, 2026CommitteeAssigned to Human Services Committee · House Human Services
Apr 30, 2026HouseAlternate Chief Sponsor Changed to Rep. Kimberly Du Buclet
Apr 30, 2026HouseAdded Alternate Chief Co-Sponsor Rep. Dagmara Avelar
May 6, 2026CommitteeDo Pass / Short Debate Human Services Committee; 012-000-000 · House Human Services
May 6, 2026HousePlaced on Calendar 2nd Reading - Short Debate
May 19, 2026HouseSecond Reading - Short Debate
May 19, 2026HouseHeld on Calendar Order of Second Reading - Short Debate
May 22, 2026HouseThird Reading/Final Action Deadline Extended-9(b) May 31, 2026
May 31, 2026HouseAlternate Chief Co-Sponsor Removed Rep. Dagmara Avelar
May 31, 2026HouseAlternate Chief Sponsor Changed to Rep. Anna Moeller
May 31, 2026HouseHouse Floor Amendment No. 1 Filed with Clerk by Rep. Anna Moeller
May 31, 2026CommitteeHouse Floor Amendment No. 1 Referred to Rules Committee · House Rules
May 31, 2026HouseHouse Floor Amendment No. 2 Filed with Clerk by Rep. Anna Moeller
May 31, 2026CommitteeHouse Floor Amendment No. 2 Referred to Rules Committee · House Rules
May 31, 2026CommitteeHouse Floor Amendment No. 2 Recommends Be Adopted Rules Committee; 005-000-000 · House Rules
May 31, 2026HouseHouse Floor Amendment No. 2 Adopted
May 31, 2026HousePlaced on Calendar Order of 3rd Reading - Short Debate
May 31, 2026HouseThird Reading - Short Debate - Passed 112-000-000
May 31, 2026HouseHouse Floor Amendment No. 1 Tabled
May 31, 2026SenateChief Sponsor Changed to Sen. Omar Aquino
May 31, 2026SenateSecretary's Desk - Concurrence House Amendment(s) 2
May 31, 2026SenatePlaced on Calendar Order of Concurrence House Amendment(s) 2 - May 31, 2026
May 31, 2026SenateHouse Floor Amendment No. 2 Motion to Concur Filed with Secretary Sen. Omar Aquino
May 31, 2026CommitteeHouse Floor Amendment No. 2 Motion to Concur Referred to Assignments · Senate Assignments
May 31, 2026CommitteeHouse Floor Amendment No. 2 Motion to Concur Be Approved for Consideration Assignments · Senate Assignments
May 31, 2026SenateHouse Floor Amendment No. 2 Senate Concurs 059-000-000
May 31, 2026SenateSenate Concurs
May 31, 2026SenatePassed Both Houses

May 31, 2026SenateAdded as Chief Co-Sponsor Sen. Elgie R. Sims, Jr.
Jun 10, 2026SenateSent to the Governor
Jun 16, 2026SenateGovernor Approved
Jun 16, 2026SenateEffective Date June 16, 2026; Some Provisions
Jun 16, 2026SenateEffective Date July 1, 2026; Some Provisions
Jun 16, 2026SenateEffective Date January 1, 2027; Some Provisions
Jun 16, 2026SenateEffective Date July 1, 2027; Some Provisions
Jun 16, 2026SenatePublic Act . . . . . . . . . 104-0470

Roll calls

5 recorded votes: 3 on the floor, 2 in committee. Each shows how every member voted.

Third Reading · Full Senate

Passed 57–0

Apr 16, 2026 · journal entry

Yes 57 No 0 Not voting 2

Democrats: 38 yes, 0 no Republicans: 19 yes, 0 no

How each member voted

Yes · 57

Not voting · 2

Third Reading · Full House

Passed 112–0

May 31, 2026 · journal entry

Yes 112 No 0 Not voting 6

Democrats: 77 yes, 0 no Republicans: 35 yes, 0 no

How each member voted

Yes · 112

Not voting · 4

Excused · 2

House Floor Amendment No. 2 - Concurrence · Full Senate

Passed 59–0

May 31, 2026 · journal entry

Yes 59 No 0

Democrats: 40 yes, 0 no Republicans: 19 yes, 0 no

How each member voted

Yes · 59

Committee and other votes

Date	Where	Question	Result
Mar 3, 2026	Senate Health and Human Services	Health and Human Services - Do Pass Members Yes · 9 Dave SyversonR David KoehlerD Doris TurnerD Elgie R. Sims, Jr.D Graciela GuzmánD Julie A. MorrisonD Li Arellano, Jr.R Mary Edly-AllenD Michael E. HastingsD Not voting · 3 Jason PlummerR Karina VillaD Neil AndersonR	9–0
May 6, 2026	House Human Services	Human Services - Do Pass Members Yes · 12 Anna MoellerD Charles MeierR Jackie HaasR Kelly M. CassidyD Kevin SchmidtR Lindsey LaPointeD Margaret A. DeLaRosaD Michael CrawfordD Nicolle GrasseD Norine K. HammondR Suzanne M. NessD Yolonda MorrisD	Passed 12–0

What it does

Every action

Roll calls

Third Reading · Full Senate

Third Reading · Full House

House Floor Amendment No. 2 - Concurrence · Full Senate

Committee and other votes

Sponsors