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SB 3365·IL·senate

MEDICARE/MEDICAID DUAL ELIGIBL

EnactedFiled Feb 4, 2026
Sponsor: Omar Aquino (D)
Latest Action

Public Act . . . . . . . . . 104-0470

Jun 16, 2026

Summary

The bill updates Illinois’ Medicare‑Medicaid Alignment Initiative to cover fully integrated dual‑eligible special needs plans and any managed‑care plan for people who qualify for both Medicare and Medicaid. It also changes how the Department of Healthcare and Family Services reimburses nursing homes under these contracts, using a facility‑specific nursing component per diem rather than the standard RUG‑IV rate, plus additional care and capital add‑ons. The changes take effect immediately.

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