Illinois 2025-2026 Regular Session

Illinois House Bill HB3287 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 HB3287 Introduced , by Rep. Hoan Huynh SYNOPSIS AS INTRODUCED: New Act Creates the Illinois Medicare for All Health Care Act. Provides that all individuals residing in the State are covered under the Illinois Health Services Program for health insurance. Sets forth the health coverage benefits that participants are entitled to under the Program. Sets forth the qualification requirements for participating health providers. Sets forth standards for provider reimbursement. Provides that it is unlawful for private health insurers to sell health insurance coverage that duplicates the coverage of the Program. Provides that investor-ownership of health delivery facilities is unlawful. Provides that the State shall establish the Illinois Health Services Trust to provide financing for the Program. Sets forth the requirements for claims billing under the Program. Provides that the Program shall include funding for long-term care services and mental health services. Provides that the Program shall establish a single prescription drug formulary and list of approved durable medical goods and supplies. Creates the Pharmaceutical and Durable Medical Goods Committee to negotiate the prices of pharmaceuticals and durable medical goods with suppliers or manufacturers on an open bid competitive basis. Sets forth provisions concerning patients' rights. Provides that the employees of the Program shall be compensated in accordance with the current pay scale for State employees and as deemed professionally appropriate by the General Assembly. Effective January 1, 2026. LRB104 09569 KTG 19632 b A BILL FOR 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 HB3287 Introduced , by Rep. Hoan Huynh SYNOPSIS AS INTRODUCED: New Act New Act Creates the Illinois Medicare for All Health Care Act. Provides that all individuals residing in the State are covered under the Illinois Health Services Program for health insurance. Sets forth the health coverage benefits that participants are entitled to under the Program. Sets forth the qualification requirements for participating health providers. Sets forth standards for provider reimbursement. Provides that it is unlawful for private health insurers to sell health insurance coverage that duplicates the coverage of the Program. Provides that investor-ownership of health delivery facilities is unlawful. Provides that the State shall establish the Illinois Health Services Trust to provide financing for the Program. Sets forth the requirements for claims billing under the Program. Provides that the Program shall include funding for long-term care services and mental health services. Provides that the Program shall establish a single prescription drug formulary and list of approved durable medical goods and supplies. Creates the Pharmaceutical and Durable Medical Goods Committee to negotiate the prices of pharmaceuticals and durable medical goods with suppliers or manufacturers on an open bid competitive basis. Sets forth provisions concerning patients' rights. Provides that the employees of the Program shall be compensated in accordance with the current pay scale for State employees and as deemed professionally appropriate by the General Assembly. Effective January 1, 2026. LRB104 09569 KTG 19632 b LRB104 09569 KTG 19632 b A BILL FOR
2	2	104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 HB3287 Introduced , by Rep. Hoan Huynh SYNOPSIS AS INTRODUCED:
3	3	New Act New Act
4	4	New Act
5	5	Creates the Illinois Medicare for All Health Care Act. Provides that all individuals residing in the State are covered under the Illinois Health Services Program for health insurance. Sets forth the health coverage benefits that participants are entitled to under the Program. Sets forth the qualification requirements for participating health providers. Sets forth standards for provider reimbursement. Provides that it is unlawful for private health insurers to sell health insurance coverage that duplicates the coverage of the Program. Provides that investor-ownership of health delivery facilities is unlawful. Provides that the State shall establish the Illinois Health Services Trust to provide financing for the Program. Sets forth the requirements for claims billing under the Program. Provides that the Program shall include funding for long-term care services and mental health services. Provides that the Program shall establish a single prescription drug formulary and list of approved durable medical goods and supplies. Creates the Pharmaceutical and Durable Medical Goods Committee to negotiate the prices of pharmaceuticals and durable medical goods with suppliers or manufacturers on an open bid competitive basis. Sets forth provisions concerning patients' rights. Provides that the employees of the Program shall be compensated in accordance with the current pay scale for State employees and as deemed professionally appropriate by the General Assembly. Effective January 1, 2026.
6	6	LRB104 09569 KTG 19632 b LRB104 09569 KTG 19632 b
7	7	LRB104 09569 KTG 19632 b
8	8	A BILL FOR
9	9	HB3287LRB104 09569 KTG 19632 b HB3287 LRB104 09569 KTG 19632 b
10	10	HB3287 LRB104 09569 KTG 19632 b
11	11	1 AN ACT concerning health.
12	12	2 Be it enacted by the People of the State of Illinois,
13	13	3 represented in the General Assembly:
14	14	4 Section 1. Short title. This Act may be cited as the
15	15	5 Illinois Medicare for All Health Care Act.
16	16	6 Section 5. Purposes. It is the purpose of this Act to
17	17	7 provide universal access to health care for all individuals
18	18	8 within the State, to promote and improve the health of all its
19	19	9 citizens, to stress the importance of good public health
20	20	10 through treatment and prevention of diseases, and to contain
21	21	11 costs to make the delivery of this care affordable. Should
22	22	12 legislation of this kind be enacted on a federal level, it is
23	23	13 the intent of this Act to become a part of a nationwide system.
24	24	14 Section 10. Definitions. In this Act:
25	25	15 "Board" means the Illinois Health Services Governing
26	26	16 Board.
27	27	17 "Program" means the Illinois Health Services Program.
28	28	18 Section 15. Eligibility; registration. All individuals
29	29	19 residing in this State are covered under the Illinois Health
30	30	20 Services Program for health insurance and shall receive a card
31	31	21 with a unique number in the mail. An individual's social
32	32
33	33
34	34
35	35	104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 HB3287 Introduced , by Rep. Hoan Huynh SYNOPSIS AS INTRODUCED:
36	36	New Act New Act
37	37	New Act
38	38	Creates the Illinois Medicare for All Health Care Act. Provides that all individuals residing in the State are covered under the Illinois Health Services Program for health insurance. Sets forth the health coverage benefits that participants are entitled to under the Program. Sets forth the qualification requirements for participating health providers. Sets forth standards for provider reimbursement. Provides that it is unlawful for private health insurers to sell health insurance coverage that duplicates the coverage of the Program. Provides that investor-ownership of health delivery facilities is unlawful. Provides that the State shall establish the Illinois Health Services Trust to provide financing for the Program. Sets forth the requirements for claims billing under the Program. Provides that the Program shall include funding for long-term care services and mental health services. Provides that the Program shall establish a single prescription drug formulary and list of approved durable medical goods and supplies. Creates the Pharmaceutical and Durable Medical Goods Committee to negotiate the prices of pharmaceuticals and durable medical goods with suppliers or manufacturers on an open bid competitive basis. Sets forth provisions concerning patients' rights. Provides that the employees of the Program shall be compensated in accordance with the current pay scale for State employees and as deemed professionally appropriate by the General Assembly. Effective January 1, 2026.
39	39	LRB104 09569 KTG 19632 b LRB104 09569 KTG 19632 b
40	40	LRB104 09569 KTG 19632 b
41	41	A BILL FOR
42	42
43	43
44	44
45	45
46	46
47	47	New Act
48	48
49	49
50	50
51	51	LRB104 09569 KTG 19632 b
52	52
53	53
54	54
55	55
56	56
57	57
58	58
59	59
60	60
61	61	HB3287 LRB104 09569 KTG 19632 b
62	62
63	63
64	64	HB3287- 2 -LRB104 09569 KTG 19632 b HB3287 - 2 - LRB104 09569 KTG 19632 b
65	65	HB3287 - 2 - LRB104 09569 KTG 19632 b
66	66	1 security number shall not be used for purposes of registration
67	67	2 under this Section. Individuals and families shall receive an
68	68	3 Illinois Health Services Insurance Card in the mail after
69	69	4 filling out a Program application form at a health care
70	70	5 provider. Such application form shall be no more than 2 pages
71	71	6 long. Individuals who present themselves for covered services
72	72	7 from a participating provider shall be presumed to be eligible
73	73	8 for benefits under this Act, but shall complete an application
74	74	9 for benefits in order to receive an Illinois Health Services
75	75	10 Insurance Card and have payment made for such benefits.
76	76	11 Section 20. Benefits and portability.
77	77	12 (a) The health coverage benefits under this Act cover all
78	78	13 medically necessary services, including:
79	79	14 (1) primary care and prevention;
80	80	15 (2) specialty care (other than what is deemed elective
81	81	16 cosmetic);
82	82	17 (3) inpatient care;
83	83	18 (4) outpatient care;
84	84	19 (5) emergency care;
85	85	20 (6) prescription drugs;
86	86	21 (7) durable medical equipment;
87	87	22 (8) long-term care;
88	88	23 (9) mental health services;
89	89	24 (10) the full scope of dental services (other than
90	90	25 elective cosmetic dentistry);
91	91
92	92
93	93
94	94
95	95
96	96	HB3287 - 2 - LRB104 09569 KTG 19632 b
97	97
98	98
99	99	HB3287- 3 -LRB104 09569 KTG 19632 b HB3287 - 3 - LRB104 09569 KTG 19632 b
100	100	HB3287 - 3 - LRB104 09569 KTG 19632 b
101	101	1 (11) substance abuse treatment services;
102	102	2 (12) chiropractic services; and
103	103	3 (13) basic vision care and vision correction.
104	104	4 (b) Health coverage benefits under this Act are available
105	105	5 through any licensed health care provider anywhere in the
106	106	6 State that is legally qualified to provide such benefits and
107	107	7 for emergency care anywhere in the United States.
108	108	8 (c) No deductibles, copayments, coinsurance, or other cost
109	109	9 sharing shall be imposed with respect to covered benefits
110	110	10 except for those goods or services that exceed basic covered
111	111	11 benefits, as defined by the Board.
112	112	12 Section 25. Qualification of participating providers.
113	113	13 (a) Health care delivery facilities must meet regional and
114	114	14 State quality and licensing guidelines as a condition of
115	115	15 participation under the Program, including guidelines
116	116	16 regarding safe staffing and quality of care.
117	117	17 (b) A participating health care provider must be licensed
118	118	18 by the State. No health care provider whose license is under
119	119	19 suspension or has been revoked may participate in the Program
120	120	20 (c) Only non-profit health maintenance organizations that
121	121	21 actually deliver care in their own facilities and directly
122	122	22 employ clinicians may participate in the Program.
123	123	23 (d) Patients shall have free choice of participating
124	124	24 eligible providers, hospitals, and inpatient care facilities.
125	125
126	126
127	127
128	128
129	129
130	130	HB3287 - 3 - LRB104 09569 KTG 19632 b
131	131
132	132
133	133	HB3287- 4 -LRB104 09569 KTG 19632 b HB3287 - 4 - LRB104 09569 KTG 19632 b
134	134	HB3287 - 4 - LRB104 09569 KTG 19632 b
135	135	1 Section 30. Provider reimbursement.
136	136	2 (a) The Program shall pay all health care providers
137	137	3 according to the following standards:
138	138	4 (1) Physicians and other practitioners can choose to
139	139	5 be paid fee-for-service, salaried by institutions
140	140	6 receiving global budgets, or salaried by group practices
141	141	7 or HMOs receiving capitation payments. Investor-owned HMOs
142	142	8 and group practices shall be converted to not-for-profit
143	143	9 status. Only institutions that deliver care shall be
144	144	10 eligible for Program payments.
145	145	11 (2) The Program shall pay each hospital and providing
146	146	12 institution a monthly lump sum (global budget) to cover
147	147	13 all operating expenses. The hospital and Program shall
148	148	14 negotiate the amount of this payment annually based on
149	149	15 past budgets, clinical performance, projected changes in
150	150	16 demand for services and input costs, and proposed new
151	151	17 programs. Hospitals shall not bill patients for services
152	152	18 covered by the Program, and cannot use any of their
153	153	19 operating budgets for expansion, profit, excessive
154	154	20 executive income, marketing, or major capital purchases or
155	155	21 leases.
156	156	22 (3) The Program budget shall fund major capital
157	157	23 expenditures, including the construction of new health
158	158	24 facilities and the purchase of expensive equipment. The
159	159	25 regional health planning districts shall allocate these
160	160	26 capital funds and oversee capital projects funded from
161	161
162	162
163	163
164	164
165	165
166	166	HB3287 - 4 - LRB104 09569 KTG 19632 b
167	167
168	168
169	169	HB3287- 5 -LRB104 09569 KTG 19632 b HB3287 - 5 - LRB104 09569 KTG 19632 b
170	170	HB3287 - 5 - LRB104 09569 KTG 19632 b
171	171	1 private donations.
172	172	2 (b) The Program shall reimburse physicians choosing to be
173	173	3 paid fee-for-service according to a fee schedule negotiated
174	174	4 between physician representatives and the Program on at least
175	175	5 an annual basis.
176	176	6 (c) Hospitals, nursing homes, community health centers,
177	177	7 non-profit staff model HMOs, and home health care agencies
178	178	8 shall receive a global budget to cover operating expenses,
179	179	9 negotiated annually with the Program based on past
180	180	10 expenditures, past budgets, clinical performance, projected
181	181	11 changes in demand for services and input costs, and proposed
182	182	12 new programs. Expansions and other substantive capital
183	183	13 investments shall be funded separately.
184	184	14 (d) All covered prescription drugs and durable medical
185	185	15 supplies shall be paid for according to a fee schedule
186	186	16 negotiated between manufacturers and the Program on at least
187	187	17 an annual basis. Price reductions shall be achieved by bulk
188	188	18 purchasing whenever possible. Where therapeutically equivalent
189	189	19 drugs are available, the formulary shall specify the use of
190	190	20 the lowest-cost medication, with exceptions available in the
191	191	21 case of medical necessity.
192	192	22 Section 35. Prohibition against duplicating coverage;
193	193	23 investor-ownership of health delivery facilities.
194	194	24 (a) It is unlawful for a private health insurer to sell
195	195	25 health insurance coverage that duplicates the benefits
196	196
197	197
198	198
199	199
200	200
201	201	HB3287 - 5 - LRB104 09569 KTG 19632 b
202	202
203	203
204	204	HB3287- 6 -LRB104 09569 KTG 19632 b HB3287 - 6 - LRB104 09569 KTG 19632 b
205	205	HB3287 - 6 - LRB104 09569 KTG 19632 b
206	206	1 provided under this Act. Nothing in this Act shall be
207	207	2 construed as prohibiting the sale of health insurance coverage
208	208	3 for any additional benefits not covered by this Act.
209	209	4 (b) Investor-ownership of health delivery facilities,
210	210	5 including hospitals, health maintenance organizations, nursing
211	211	6 homes, and clinics, is unlawful. Investor-owners of health
212	212	7 delivery facilities at the time of the effective date of this
213	213	8 Act shall be compensated for the loss of their facilities, but
214	214	9 not for loss of business opportunities or for administrative
215	215	10 capacity not used by the Program.
216	216	11 Section 40. Illinois Health Services Trust.
217	217	12 (a) The State shall establish the Illinois Health Services
218	218	13 Trust (IHST), the sole purpose of which shall be to provide the
219	219	14 financing reserve for the purposes outlined in this Act.
220	220	15 Specifically, the IHST shall provide all of the following:
221	221	16 (1) The funds for the general operating budget of the
222	222	17 Program.
223	223	18 (2) Reimbursement for those benefits outlined in
224	224	19 Section 20 of this Act.
225	225	20 (3) Public health services.
226	226	21 (4) Capital expenditures for construction or
227	227	22 renovation of health care facilities or major equipment
228	228	23 purchases deemed necessary throughout the State and
229	229	24 approved by the Board.
230	230	25 (5) Re-education and job placement of persons who have
231	231
232	232
233	233
234	234
235	235
236	236	HB3287 - 6 - LRB104 09569 KTG 19632 b
237	237
238	238
239	239	HB3287- 7 -LRB104 09569 KTG 19632 b HB3287 - 7 - LRB104 09569 KTG 19632 b
240	240	HB3287 - 7 - LRB104 09569 KTG 19632 b
241	241	1 lost their jobs as a result of this transition, limited to
242	242	2 the first 5 years.
243	243	3 (b) The General Assembly or the Governor may provide funds
244	244	4 to the IHST, but may not remove or borrow funds from the IHST.
245	245	5 (c) The IHST shall be administered by the Board, under the
246	246	6 oversight of the General Assembly.
247	247	7 (d) Funding of the IHST shall include, but is not limited
248	248	8 to, all of the following:
249	249	9 (1) Funds appropriated as outlined by the General
250	250	10 Assembly on a yearly basis.
251	251	11 (2) A progressive set of graduated income
252	252	12 contributions: 20% paid by individuals, 20% paid by a
253	253	13 business, and 60% paid by the government.
254	254	14 (3) All federal moneys that are designated for health
255	255	15 care, including, but not limited to, all moneys designated
256	256	16 for Medicaid. The Secretary shall be authorized to
257	257	17 negotiate with the federal government for funding of
258	258	18 Medicare recipients.
259	259	19 (4) Grants and contributions, both public and private.
260	260	20 (5) Any other tax revenues designated by the General
261	261	21 Assembly.
262	262	22 (6) Any other funds specifically ear-marked for health
263	263	23 care or health care education, such as settlements from
264	264	24 litigation.
265	265	25 (e) The total overhead and administrative portion of the
266	266	26 Program budget may not exceed 12% of the total operating
267	267
268	268
269	269
270	270
271	271
272	272	HB3287 - 7 - LRB104 09569 KTG 19632 b
273	273
274	274
275	275	HB3287- 8 -LRB104 09569 KTG 19632 b HB3287 - 8 - LRB104 09569 KTG 19632 b
276	276	HB3287 - 8 - LRB104 09569 KTG 19632 b
277	277	1 budget of the Program for the first 2 years that the Program is
278	278	2 in operation; 8% for the following 2 years; and 5% for each
279	279	3 year thereafter.
280	280	4 (f) The Program may be divided into regional districts for
281	281	5 the purposes of local administration and oversight of programs
282	282	6 that are specific to each region's needs.
283	283	7 (g) Claims billing from all providers must be submitted
284	284	8 electronically and in compliance with current State and
285	285	9 federal privacy laws within 5 years after the effective date
286	286	10 of this Act. Electronic claims and billing must be uniform
287	287	11 across the State. The Board shall create and implement a
288	288	12 statewide uniform system of electronic medical records that is
289	289	13 in compliance with current State and federal privacy laws
290	290	14 within 7 years after the effective date of this Act. Payments
291	291	15 to providers must be made in a timely fashion as outlined under
292	292	16 current State and federal law. Providers who accept payment
293	293	17 from the Program for services rendered may not bill any
294	294	18 patient for covered services. Providers may elect either to
295	295	19 participate fully, or not at all, in the Program.
296	296	20 Section 45. Long-term care payment. The Board shall
297	297	21 establish funding for long-term care services, including
298	298	22 in-home, nursing home, and community-based care. A local
299	299	23 public agency shall be established in each community to
300	300	24 determine eligibility and coordinate home and nursing home
301	301	25 long-term care. This agency may contract with long-term care
302	302
303	303
304	304
305	305
306	306
307	307	HB3287 - 8 - LRB104 09569 KTG 19632 b
308	308
309	309
310	310	HB3287- 9 -LRB104 09569 KTG 19632 b HB3287 - 9 - LRB104 09569 KTG 19632 b
311	311	HB3287 - 9 - LRB104 09569 KTG 19632 b
312	312	1 providers for the full range of needed long-term care
313	313	2 services.
314	314	3 Section 50. Mental health services. The Program shall
315	315	4 provide coverage for all medically necessary mental health
316	316	5 care on the same basis as the coverage for other conditions.
317	317	6 The Program shall cover supportive residences, occupational
318	318	7 therapy, and ongoing mental health and counseling services
319	319	8 outside the hospital for patients with serious mental illness.
320	320	9 In all cases the highest quality and most effective care shall
321	321	10 be delivered, including institutional care.
322	322	11 Section 55. Payment for prescription medications, medical
323	323	12 supplies, and medically necessary assistive equipment.
324	324	13 (a) The Program shall establish a single prescription drug
325	325	14 formulary and list of approved durable medical goods and
326	326	15 supplies. The Board shall, by itself or by a committee of
327	327	16 health professionals and related individuals appointed by the
328	328	17 Board and called the Pharmaceutical and Durable Medical Goods
329	329	18 Committee, meet on a quarterly basis to discuss, reverse, add
330	330	19 to, or remove items from the formulary according to sound
331	331	20 medical practice.
332	332	21 (b) The Pharmaceutical and Durable Medical Goods Committee
333	333	22 shall negotiate the prices of pharmaceuticals and durable
334	334	23 medical goods with suppliers or manufacturers on an open bid
335	335	24 competitive basis. Prices shall be reviewed, negotiated, or
336	336
337	337
338	338
339	339
340	340
341	341	HB3287 - 9 - LRB104 09569 KTG 19632 b
342	342
343	343
344	344	HB3287- 10 -LRB104 09569 KTG 19632 b HB3287 - 10 - LRB104 09569 KTG 19632 b
345	345	HB3287 - 10 - LRB104 09569 KTG 19632 b
346	346	1 re-negotiated on no less than an annual basis. The
347	347	2 Pharmaceutical and Durable Medical Goods Committee shall
348	348	3 establish a process of open forum to the public for the
349	349	4 purposes of grievance and petition from suppliers, provider
350	350	5 groups, and the public regarding the formulary no less than 2
351	351	6 times a year.
352	352	7 (c) All pharmacy and durable medical goods vendors must be
353	353	8 licensed to distribute medical goods through the regulations
354	354	9 outlined by the Board.
355	355	10 (d) All decisions and determinations of the Pharmacy and
356	356	11 Durable Medical Goods Committee must be presented to and
357	357	12 approved by the Board on an annual basis.
358	358	13 Section 60. Illinois Health Services Governing Board.
359	359	14 (a) The Program shall be administered by an independent
360	360	15 agency known as the Illinois Health Services Governing Board.
361	361	16 The Board will consist of a Commissioner, a Chief Medical
362	362	17 Officer, and public State board members. The Board is
363	363	18 responsible for administration of the Program, including:
364	364	19 (1) implementation of eligibility standards and
365	365	20 Program enrollment;
366	366	21 (2) adoption of the benefits package;
367	367	22 (3) establishing formulas for setting health
368	368	23 expenditure budgets;
369	369	24 (4) administration of global budgets, capital
370	370	25 expenditure budgets, and prompt reimbursement of
371	371
372	372
373	373
374	374
375	375
376	376	HB3287 - 10 - LRB104 09569 KTG 19632 b
377	377
378	378
379	379	HB3287- 11 -LRB104 09569 KTG 19632 b HB3287 - 11 - LRB104 09569 KTG 19632 b
380	380	HB3287 - 11 - LRB104 09569 KTG 19632 b
381	381	1 providers;
382	382	2 (5) negotiations of service fee schedules and prices
383	383	3 for prescription drugs and durable medical supplies;
384	384	4 (6) recommending evidence-based changes to benefits;
385	385	5 and
386	386	6 (7) quality and planning functions including criteria
387	387	7 for capital expansion and infrastructure development,
388	388	8 measurement and evaluation of health quality indicators,
389	389	9 and the establishment of regions for long-term care
390	390	10 integration.
391	391	11 (b) At least one-third of the members of the Board,
392	392	12 including all committees dedicated to benefits design, health
393	393	13 planning, quality, and long-term care, shall be consumer
394	394	14 representatives.
395	395	15 Section 65. Patients' rights. The Program shall protect
396	396	16 the rights and privacy of the patients that it serves in
397	397	17 accordance with all current State and federal statutes. With
398	398	18 the development of the electronic medical records, patients
399	399	19 shall be afforded the right and option of keeping any portion
400	400	20 of their medical records separate from the electronic medical
401	401	21 records. Patients have the right to access their medical
402	402	22 records upon demand.
403	403	23 Section 70. Compensation. The Commissioner, the Chief
404	404	24 Medical Officer, public State board members, and subsequent
405	405
406	406
407	407
408	408
409	409
410	410	HB3287 - 11 - LRB104 09569 KTG 19632 b
411	411
412	412
413	413	HB3287- 12 -LRB104 09569 KTG 19632 b HB3287 - 12 - LRB104 09569 KTG 19632 b
414	414	HB3287 - 12 - LRB104 09569 KTG 19632 b
415	415	1 employees of the Program shall be compensated in accordance
416	416	2 with the current pay scale for State employees and as deemed
417	417	3 professionally appropriate by the General Assembly and
418	418	4 reviewed in accordance with all other State employees.
419	419
420	420
421	421
422	422
423	423
424	424	HB3287 - 12 - LRB104 09569 KTG 19632 b