Illinois 104th General Assembly Status: To Executive 3 D cosponsors

SB3365      — MEDICARE/MEDICAID DUAL ELIGIBL

Last action — Public Act . . . . . . . . . 104-0470

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

This bill has been sent to the executive. Introduced February 04, 2026. It awaits signature.

Next likely step: the executive signs it into law or issues a veto.

Odds of enactment

Moderate chance

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

Upgrade to see the exact probability and what's driving it.

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

Prognosis

Likely to advance 70% · moderate confidence

  • To Executive

    Current position in the legislative process.

  • 4 sponsors

    1 primary, 3 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (3 D).

  • Cleared a recorded vote

    Passed 5 recorded votes so far.

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 updates regulations for dual eligible individuals in Medicare and Medicaid managed care.

This bill amends the Nursing Home Residents' Managed Care Rights Law to include fully integrated plans for those eligible for both Medicare and Medicaid. It requires the Department of Healthcare and Family Services to provide specific payment information to managed care organizations.

What this means for you
  • Families: Families of dual eligible individuals may experience improved clarity in the care process and how services are funded.
  • Healthcare: This means healthcare providers will have updated payment frameworks and expectations for serving dual eligible patients.

Summary

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.

Bill Text

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

Read SB3365 on the official Illinois source →

Action History

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

  2. Effective Date July 1, 2027; Some Provisions

  3. Effective Date January 1, 2027; Some Provisions

  4. Effective Date July 1, 2026; Some Provisions

  5. Effective Date June 16, 2026; Some Provisions

  6. Governor Approved

  7. Sent to the Governor

  8. Added as Chief Co-Sponsor Sen. Elgie R. Sims, Jr.

  9. Passed Both Houses

  10. Senate Concurs

  11. House Floor Amendment No. 2 Senate Concurs 059-000-000

  12. House Floor Amendment No. 2 Motion to Concur Be Approved for Consideration Assignments

  13. House Floor Amendment No. 2 Motion to Concur Referred to Assignments

  14. House Floor Amendment No. 2 Motion to Concur Filed with Secretary Sen. Omar Aquino

  15. Placed on Calendar Order of Concurrence House Amendment(s) 2 - May 31, 2026

  16. Secretary's Desk - Concurrence House Amendment(s) 2

  17. Chief Sponsor Changed to Sen. Omar Aquino

  18. House Floor Amendment No. 1 Tabled

  19. Third Reading - Short Debate - Passed 112-000-000

  20. Placed on Calendar Order of 3rd Reading - Short Debate

  21. House Floor Amendment No. 2 Adopted

  22. House Floor Amendment No. 2 Recommends Be Adopted Rules Committee; 005-000-000

  23. House Floor Amendment No. 2 Referred to Rules Committee

  24. House Floor Amendment No. 2 Filed with Clerk by Rep. Anna Moeller

  25. House Floor Amendment No. 1 Referred to Rules Committee

  26. House Floor Amendment No. 1 Filed with Clerk by Rep. Anna Moeller

  27. Alternate Chief Sponsor Changed to Rep. Anna Moeller

  28. Alternate Chief Co-Sponsor Removed Rep. Dagmara Avelar

  29. Third Reading/Final Action Deadline Extended-9(b) May 31, 2026

  30. Held on Calendar Order of Second Reading - Short Debate

  31. Second Reading - Short Debate

  32. Placed on Calendar 2nd Reading - Short Debate

  33. Do Pass / Short Debate Human Services Committee; 012-000-000

  34. Added Alternate Chief Co-Sponsor Rep. Dagmara Avelar

  35. Alternate Chief Sponsor Changed to Rep. Kimberly Du Buclet

  36. Assigned to Human Services Committee

  37. Referred to Rules Committee

  38. First Reading

  39. Chief House Sponsor Rep. Dagmara Avelar

  40. Arrived in House

  41. Third Reading - Passed; 057-000-000

  42. Placed on Calendar Order of 3rd Reading ** April 15, 2026

  43. Added as Co-Sponsor Sen. Rachel Ventura

  44. Placed on Calendar Order of 3rd Reading March 12, 2026

  45. Second Reading

  46. Placed on Calendar Order of 2nd Reading March 5, 2026

  47. Do Pass Health and Human Services; 009-000-000

  48. Chief Sponsor Changed to Sen. Mattie Hunter

  49. Assigned to Health and Human Services

  50. Referred to Assignments

  51. First Reading

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

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 3 co-sponsors · 179 not signed on

Sponsors (1)

Co-sponsors (3)

Not signed on (179)

179 members have not signed on to this bill.

Show all 179 →

"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

Votes

Concurrence

Passed 59 Yea · 0 Nay
Party YeaNayPresentNot Voting
Republican 19000
Democrat 34000
Unaffiliated 5000
Total 58000
% of votes cast 100%0%0%0%
How each member voted (58)
Member Party Vote
Simmons — Yea
Harris, N. — Yea
Johnson — Yea
Glowiak Hilton — Yea
Loughran Cappel — Yea
Bill Cunningham Democrat Yea
Celina Villanueva Democrat Yea
Christopher Belt Democrat Yea
Cristina Castro Democrat Yea
David Koehler Democrat Yea
Doris Turner Democrat Yea
Elgie R. Sims, Jr. Democrat Yea
Emil Jones, III Democrat Yea
Graciela Guzmán Democrat Yea
Javier L. Cervantes Democrat Yea
Julie A. Morrison Democrat Yea
Karina Villa Democrat Yea
Kimberly A. Lightford Democrat Yea
Lakesia Collins Democrat Yea
Laura Ellman Democrat Yea
Laura Fine Democrat Yea
Laura M. Murphy Democrat Yea
Linda Holmes Democrat Yea
Mark L. Walker Democrat Yea
Mary Edly-Allen Democrat Yea
Mattie Hunter Democrat Yea
Michael E. Hastings Democrat Yea
Michael W. Halpin Democrat Yea
Mike Porfirio Democrat Yea
Omar Aquino Democrat Yea
Patrick J. Joyce Democrat Yea
Paul Faraci Democrat Yea
Rachel Ventura Democrat Yea
Ram Villivalam Democrat Yea
Robert F. Martwick Democrat Yea
Robert Peters Democrat Yea
Sara Feigenholtz Democrat Yea
Steve Stadelman Democrat Yea
Willie Preston Democrat Yea
Andrew S. Chesney Republican Yea
Chapin Rose Republican Yea
Chris Balkema Republican Yea
Craig Wilcox Republican Yea
Dale Fowler Republican Yea
Darby A. Hills Republican Yea
Dave Syverson Republican Yea
Donald P. DeWitte Republican Yea
Erica Harriss Republican Yea
Jason Plummer Republican Yea
Jil Tracy Republican Yea
John F. Curran Republican Yea
Li Arellano, Jr. Republican Yea
Neil Anderson Republican Yea
Sally J. Turner Republican Yea
Seth Lewis Republican Yea
Steve McClure Republican Yea
Sue Rezin Republican Yea
Terri Bryant Republican Yea

Official roll call →

Third Reading

Passed 112 Yea · 0 Nay
Party YeaNayPresentNot Voting
Democrat 69001
Republican 33005
Unaffiliated 9000
Total 111006
% of votes cast 95%0%0%5%
How each member voted (117)
Member Party Vote
Jacobs — Yea
Johnson — Yea
Jones — Yea
Du Buclet — Yea
Faver Dias — Yea
Hernandez, Lisa — Yea
Katz Muhl — Yea
La Ha — Yea
Yang Rohr — Yea
Aarón M. Ortíz Democrat Yea
Abdelnasser Rashid Democrat Yea
Amy Briel Democrat Yea
Angelica Guerrero-Cuellar Democrat Yea
Ann M. Williams Democrat Yea
Anna Moeller Democrat Yea
Anne Stava Democrat Yea
Anthony DeLuca Democrat Yea
Barbara Hernandez Democrat Yea
Bob Morgan Democrat Yea
Camille Y. Lilly Democrat Yea
Carol Ammons Democrat Yea
Curtis J. Tarver, II Democrat Yea
Dagmara Avelar Democrat Yea
Daniel Didech Democrat Yea
Dave Vella Democrat Yea
Debbie Meyers-Martin Democrat Yea
Diane Blair-Sherlock Democrat Yea
Edgar González, Jr. Democrat Yea
Eva-Dina Delgado Democrat Yea
Fred Crespo Democrat Yea
Harry Benton Democrat Yea
Hoan Huynh Democrat Yea
Jaime M. Andrade, Jr. Democrat Yea
Jawaharial Williams Democrat Yea
Jay Hoffman Democrat Yea
Jehan Gordon-Booth Democrat Yea
Jennifer Gong-Gershowitz Democrat Yea
Joyce Mason Democrat Not Voting
Justin Cochran Democrat Yea
Justin Slaughter Democrat Yea
Kam Buckner Democrat Yea
Katie Stuart Democrat Yea
Kelly M. Cassidy Democrat Yea
Kevin John Olickal Democrat Yea
La Shawn K. Ford Democrat Yea
Lawrence "Larry" Walsh, Jr. Democrat Yea
Lilian Jiménez Democrat Yea
Lindsey LaPointe Democrat Yea
Lisa Davis Democrat Yea
Marcus C. Evans, Jr. Democrat Yea
Margaret A. DeLaRosa Democrat Yea
Margaret Croke Democrat Yea
Martha Deuter Democrat Yea
Mary Beth Canty Democrat Yea
Mary Gill Democrat Yea
Matt Hanson Democrat Yea
Maura Hirschauer Democrat Yea
Maurice A. West, II Democrat Yea
Michael Crawford Democrat Yea
Michael J. Kelly Democrat Yea
Michelle Mussman Democrat Yea
Nabeela Syed Democrat Yea
Natalie A. Manley Democrat Yea
Nicholas K. Smith Democrat Yea
Nicolle Grasse Democrat Yea
Norma Hernandez Democrat Yea
Rick Ryan Democrat Yea
Rita Mayfield Democrat Yea
Robert "Bob" Rita Democrat Yea
Robyn Gabel Democrat Yea
Sharon Chung Democrat Yea
Sonya M. Harper Democrat Yea
Stephanie A. Kifowit Democrat Yea
Sue Scherer Democrat Yea
Suzanne M. Ness Democrat Yea
Theresa Mah Democrat Yea
Will Guzzardi Democrat Yea
William "Will" Davis Democrat Yea
Yolonda Morris Democrat Yea
Adam M. Niemerg Republican Not Voting
Amy Elik Republican Yea
Amy L. Grant Republican Not Voting
Blaine Wilhour Republican Not Voting
Brad Halbrook Republican Not Voting
Brad Stephens Republican Yea
Bradley Fritts Republican Yea
Brandun Schweizer Republican Yea
Charles Meier Republican Yea
Chris Miller Republican Not Voting
Christopher "C.D." Davidsmeyer Republican Yea
Dan Swanson Republican Yea
Daniel J. Ugaste Republican Yea
Dave Severin Republican Yea
David Friess Republican Yea
Dennis Tipsword Republican Yea
Jackie Haas Republican Yea
Jason R. Bunting Republican Yea
Jed Davis Republican Yea
Jeff Keicher Republican Yea
Jennifer Sanalitro Republican Yea
Joe C. Sosnowski Republican Yea
John M. Cabello Republican Yea
Kevin Schmidt Republican Yea
Kyle Moore Republican Yea
Martin McLaughlin Republican Yea
Michael J. Coffey, Jr. Republican Yea
Norine K. Hammond Republican Yea
Patrick Sheehan Republican Yea
Patrick Windhorst Republican Yea
Regan Deering Republican Yea
Ryan Spain Republican Yea
Steven Reick Republican Yea
Tom Weber Republican Yea
Tony M. McCombie Republican Yea
Travis Weaver Republican Yea
Wayne A. Rosenthal Republican Yea
William E Hauter Republican Yea

Official roll call →

Human Services

Passed 12 Yea · 0 Nay
Party YeaNayPresentNot Voting
Democrat 8000
Republican 4000
Total 12000
% of votes cast 100%0%0%0%
How each member voted (12)
Member Party Vote
Anna Moeller Democrat Yea
Kelly M. Cassidy Democrat Yea
Lindsey LaPointe Democrat Yea
Margaret A. DeLaRosa Democrat Yea
Michael Crawford Democrat Yea
Nicolle Grasse Democrat Yea
Suzanne M. Ness Democrat Yea
Yolonda Morris Democrat Yea
Charles Meier Republican Yea
Jackie Haas Republican Yea
Kevin Schmidt Republican Yea
Norine K. Hammond Republican Yea

Official roll call →

Apr 16, 2026

Passed 57 Yea · 0 Nay
Party YeaNayPresentNot Voting
Republican 19000
Democrat 32002
Unaffiliated 5000
Total 56002
% of votes cast 97%0%0%3%
How each member voted (58)
Member Party Vote
Simmons — Yea
Harris, N. — Yea
Johnson — Yea
Glowiak Hilton — Yea
Loughran Cappel — Yea
Bill Cunningham Democrat Yea
Celina Villanueva Democrat Yea
Christopher Belt Democrat Yea
Cristina Castro Democrat Yea
David Koehler Democrat Yea
Doris Turner Democrat Yea
Elgie R. Sims, Jr. Democrat Yea
Emil Jones, III Democrat Yea
Graciela Guzmán Democrat Yea
Javier L. Cervantes Democrat Yea
Julie A. Morrison Democrat Yea
Karina Villa Democrat Yea
Kimberly A. Lightford Democrat Yea
Lakesia Collins Democrat Yea
Laura Ellman Democrat Yea
Laura Fine Democrat Yea
Laura M. Murphy Democrat Yea
Linda Holmes Democrat Yea
Mark L. Walker Democrat Yea
Mary Edly-Allen Democrat Yea
Mattie Hunter Democrat Yea
Michael E. Hastings Democrat Yea
Michael W. Halpin Democrat Yea
Mike Porfirio Democrat Not Voting
Omar Aquino Democrat Yea
Patrick J. Joyce Democrat Yea
Paul Faraci Democrat Yea
Rachel Ventura Democrat Yea
Ram Villivalam Democrat Yea
Robert F. Martwick Democrat Yea
Robert Peters Democrat Not Voting
Sara Feigenholtz Democrat Yea
Steve Stadelman Democrat Yea
Willie Preston Democrat Yea
Andrew S. Chesney Republican Yea
Chapin Rose Republican Yea
Chris Balkema Republican Yea
Craig Wilcox Republican Yea
Dale Fowler Republican Yea
Darby A. Hills Republican Yea
Dave Syverson Republican Yea
Donald P. DeWitte Republican Yea
Erica Harriss Republican Yea
Jason Plummer Republican Yea
Jil Tracy Republican Yea
John F. Curran Republican Yea
Li Arellano, Jr. Republican Yea
Neil Anderson Republican Yea
Sally J. Turner Republican Yea
Seth Lewis Republican Yea
Steve McClure Republican Yea
Sue Rezin Republican Yea
Terri Bryant Republican Yea

Official roll call →

Health and Human Services

Passed 9 Yea · 0 Nay · 3 Other
Party YeaNayPresentNot Voting
Republican 2002
Democrat 7001
Total 9003
% of votes cast 75%0%0%25%
How each member voted (12)
Member Party Vote
David Koehler Democrat Yea
Doris Turner Democrat Yea
Elgie R. Sims, Jr. Democrat Yea
Graciela Guzmán Democrat Yea
Julie A. Morrison Democrat Yea
Karina Villa Democrat Not Voting
Mary Edly-Allen Democrat Yea
Michael E. Hastings Democrat Yea
Dave Syverson Republican Yea
Jason Plummer Republican Not Voting
Li Arellano, Jr. Republican Yea
Neil Anderson Republican Not Voting

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

What does SB3365      do?
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.
Who sponsors SB3365     ?
SB3365      is sponsored by Anna Moeller, Omar Aquino (Democrat), Elgie R. Sims, Jr. (Democrat), and Rachel Ventura (Democrat).
What is the current status of SB3365     ?
This bill has been sent to the executive. Introduced February 04, 2026. It awaits signature.
Where can I track SB3365     ?
Track SB3365      free on One Click Politics — get push/email alerts when it moves.

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