HB4784 - 104th General Assembly (2025-2026)

MEDICAID-CONTINUED COVERAGE
Last Action
2/06/2026 - House: Referred to Rules Committee
Statutes Amended In Order of Appearance
305 ILCS 5/5-2.03  
305 ILCS 5/5-2.03a new  
Synopsis As Introduced
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, unless the person experiences a material change in financial circumstances that results in the loss of eligibility. Requires any person who experiences a material change in financial circumstances that results in the loss of eligibility to notify the Department of Healthcare and Family Services. Permits the Department to conduct a redetermination of eligibility. Requires the Department to notify the person before the commencement of any redetermination and after the redetermination is concluded along with the results of the redetermination and the effective date of any eligibility change. Requires the Department to seek federal authorization, no later than January 1, 2028, to exempt persons with disabilities who are otherwise eligible for medical assistance from annual eligibility redeterminations, 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.
Actions
DateChamberAction
2/02/2026HouseFiled with the Clerk by Rep. Lindsey LaPointe
2/06/2026HouseFirst Reading
2/06/2026HouseReferred to Rules Committee
2/18/2026HouseAdded Co-Sponsor Rep. Theresa Mah