Illinois 104th General Assembly Status: Introduced Bipartisan · 9 D · 4 R cosponsors

SB3294      — MEDICAID-CONTINUED COVERAGE

Last action — Rule 3-9(a) / Re-referred to Assignments

  1. 1
    Introduced
  2. 2
    In Committee
  3. 3
    Passed Senate
  4. 4
    Passed House
  5. 5
    To Executive
  6. 6
    Enacted

This bill has been introduced in the Senate. Introduced February 03, 2026. It must pass committee before a floor vote.

Next likely step: a committee referral and hearing.

Odds of enactment

Low chance

Based on the sponsor, cosponsors, and committee posture, this bill has a low chance of becoming law.

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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Advancing 34% · moderate confidence

  • Introduced

    Current position in the legislative process.

  • 13 sponsors

    1 primary, 12 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (9 D · 4 R) — cross-party backing.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

In plain language

The bill ensures continued Medicaid coverage during redetermination for eligible individuals.

This legislation amends the Illinois Public Aid Code to presume continued eligibility for Medicaid services during redetermination. It requires notification procedures for changes in financial circumstances and seeks to reduce annual eligibility checks for individuals with disabilities.

What this means for you
  • Families: Families can expect to maintain Medicaid services for their loved ones during the redetermination process unless financial circumstances change.
  • Healthcare: This means healthcare providers may have more consistent Medicaid coverage for their patients during eligibility reviews.

Summary

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.

Bill Text

We don't have the full text on file for this bill yet.

Read SB3294 on the official Illinois source →

Action History

  1. Rule 3-9(a) / Re-referred to Assignments

  2. Rule 2-10 Committee/3rd Reading Deadline Established As May 22, 2026

  3. Rule 2-10 Committee/3rd Reading Deadline Established As May 15, 2026

  4. Added as Co-Sponsor Sen. Cristina Castro

  5. Added as Co-Sponsor Sen. Li Arellano, Jr.

  6. Added as Co-Sponsor Sen. Erica Harriss

  7. Rule 2-10 Committee Deadline Established As April 24, 2026

  8. Added as Co-Sponsor Sen. Laura Fine

  9. Added as Co-Sponsor Sen. Dave Syverson

  10. Added as Co-Sponsor Sen. Suzy Glowiak Hilton

  11. Added as Co-Sponsor Sen. Graciela Guzmán

  12. Added as Co-Sponsor Sen. Mary Edly-Allen

  13. Added as Co-Sponsor Sen. Meg Loughran Cappel

  14. Added as Co-Sponsor Sen. Darby A. Hills

  15. Added as Co-Sponsor Sen. Javier L. Cervantes

  16. Added as Co-Sponsor Sen. Laura M. Murphy

  17. Assigned to Appropriations- Health and Human Services

  18. Referred to Assignments

  19. First Reading

  20. Filed with Secretary by Sen. Julie A. Morrison

Sponsors

Sponsorship breakdown

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1 sponsors · 12 co-sponsors · 170 not signed on

Sponsors (1)

Co-sponsors (12)

Not signed on (170)

170 members have not signed on to this bill.

Show all 170 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does SB3294      do?
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.
Who sponsors SB3294     ?
SB3294      is sponsored by Julie A. Morrison (Democrat), Laura M. Murphy (Democrat), Javier L. Cervantes (Democrat), Darby A. Hills (Republican), Meg Loughran Cappel (Democrat), Mary Edly-Allen (Democrat), Graciela Guzmán (Democrat), Suzy Glowiak Hilton (Democrat), Dave Syverson (Republican), Laura Fine (Democrat), Erica Harriss (Republican), Li Arellano, Jr. (Republican), and Cristina Castro (Democrat).
What is the current status of SB3294     ?
This bill has been introduced in the Senate. Introduced February 03, 2026. It must pass committee before a floor vote.
Where can I track SB3294     ?
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Last checked for changes 3 months ago · updated continuously

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