Illinois legislation · 104th General Assembly
Illinois SB3365: MEDICARE/MEDICAID DUAL ELIGIBL
Status: Signed into law, June 16, 2026
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.
What the bill says
A bill FOR 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026SB3365Introduced 2/4/2026, by Sen. Julie A. MorrisonSYNOPSIS AS INTRODUCED: ILCS 5/5F-10305 ILCS 5/5F-15305 ILCS 5/5F-35 305 ILCS 5/5F-10 305 ILCS 5/5F-15 305 ILCS 5/5F-35 ILCS 5/5F-10 ILCS 5/5F-15 ILCS 5/5F-35 Amends the Medicare-Medicaid Alignment Initiative (MMAI) Nursing HomeResidents' Managed Care Rights Law of the Illinois Public Aid Code.Provides that the Article applies to a fully integrated dual eligiblespecial needs plan and any managed care plan for persons who are duallyeligible for Medicare and Medicaid…
From the introduced text, February 4, 2026:
A BILL FOR 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026SB3365Introduced 2/4/2026, by Sen. Julie A. MorrisonSYNOPSIS AS INTRODUCED: ILCS 5/5F-10305 ILCS 5/5F-15305 ILCS 5/5F-35 305 ILCS 5/5F-10 305 ILCS 5/5F-15 305 ILCS 5/5F-35 ILCS 5/5F-10 ILCS 5/5F-15 ILCS 5/5F-35 Amends the Medicare-Medicaid Alignment Initiative (MMAI) Nursing HomeResidents' Managed Care Rights Law of the Illinois Public Aid Code.Provides that the Article applies to a fully integrated dual eligiblespecial needs plan and any managed care plan for persons who are duallyeligible for Medicare and Medicaid. Adds to the definition of"Demonstration Project", a fully integrated dual eligible special needsplan and any managed care plan for persons who are dually eligible forMedicare and Medicaid. Provides that the Department of Healthcare andFamily Services shall provide each managed care organization with thequarterly facility-specific nursing component (instead of RUG-IV nursingcomponent) per diem along with any add-ons for enhanced care services,support component per diem, and capital component per diem effective foreach nursing home under contract with the managed care organization.Effective immediately. LRB104 18483 SSS 31925 b LRB104 18483 SSS 31925 b LRB104 18483 SSS 31925 b A BILL FOR SB3365LRB104 18483 SSS 31925 b SB3365 LRB104 18483 SSS 31925 b SB3365 LRB104 18483 SSS 31925 b AN ACT concerning public aid. Be it enacted by the People of the State of Illinois, represented in the General …