IL
Illinois Senate Bill SB1284

Illinois 2025-2026 Regular Session

Illinois Senate Bill SB1284 Compare Versions

Only one version of the bill is available at this time.
OldNewDifferences
11 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB1284 Introduced 1/28/2025, by Sen. Sue Rezin SYNOPSIS AS INTRODUCED: 5 ILCS 375/6.17 new215 ILCS 5/356z.80 new305 ILCS 5/5-61 new Amends the State Employees Group Insurance Act of 1971. Prohibits the State from applying for any federal waiver that would reduce or eliminate any protection or coverage required under the Patient Protection and Affordable Care Act (Affordable Care Act) that was in effect on January 1, 2017, including, but not limited to, any protection for persons with preexisting conditions and coverage for services identified as essential health benefits under the Affordable Care Act. Provides that the State or an agency of the executive branch may apply for such a waiver only if granted authorization by the General Assembly through joint resolution. Amends the Illinois Insurance Code. Prohibits the State from applying for any federal waiver that would permit an individual or group health insurance plan to reduce or eliminate any protection or coverage required under the Affordable Care Act that was in effect on January 1, 2017, including, but not limited to, any protection for persons with preexisting conditions and coverage for services identified as essential health benefits under the Affordable Care Act. Provides that the State or an agency of the executive branch may apply for such a waiver only if granted authorization by the General Assembly through joint resolution. Amends the Illinois Public Aid Code. Prohibits the State or an agency of the executive branch from applying for any federal Medicaid waiver that would result in more restrictive standards, methodologies, procedures, or other requirements than those that were in effect in Illinois as of January 1, 2017 for the Medical Assistance Program, the Children's Health Insurance Program, or any other medical assistance program in Illinois operating under any existing federal waiver authorized by specified provisions of the Social Security Act. Provides that the State or an agency of the executive branch may apply for such a waiver only if granted authorization by the General Assembly through joint resolution. Effective immediately. LRB104 06140 BAB 16173 b A BILL FOR 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB1284 Introduced 1/28/2025, by Sen. Sue Rezin SYNOPSIS AS INTRODUCED: 5 ILCS 375/6.17 new215 ILCS 5/356z.80 new305 ILCS 5/5-61 new 5 ILCS 375/6.17 new 215 ILCS 5/356z.80 new 305 ILCS 5/5-61 new Amends the State Employees Group Insurance Act of 1971. Prohibits the State from applying for any federal waiver that would reduce or eliminate any protection or coverage required under the Patient Protection and Affordable Care Act (Affordable Care Act) that was in effect on January 1, 2017, including, but not limited to, any protection for persons with preexisting conditions and coverage for services identified as essential health benefits under the Affordable Care Act. Provides that the State or an agency of the executive branch may apply for such a waiver only if granted authorization by the General Assembly through joint resolution. Amends the Illinois Insurance Code. Prohibits the State from applying for any federal waiver that would permit an individual or group health insurance plan to reduce or eliminate any protection or coverage required under the Affordable Care Act that was in effect on January 1, 2017, including, but not limited to, any protection for persons with preexisting conditions and coverage for services identified as essential health benefits under the Affordable Care Act. Provides that the State or an agency of the executive branch may apply for such a waiver only if granted authorization by the General Assembly through joint resolution. Amends the Illinois Public Aid Code. Prohibits the State or an agency of the executive branch from applying for any federal Medicaid waiver that would result in more restrictive standards, methodologies, procedures, or other requirements than those that were in effect in Illinois as of January 1, 2017 for the Medical Assistance Program, the Children's Health Insurance Program, or any other medical assistance program in Illinois operating under any existing federal waiver authorized by specified provisions of the Social Security Act. Provides that the State or an agency of the executive branch may apply for such a waiver only if granted authorization by the General Assembly through joint resolution. Effective immediately. LRB104 06140 BAB 16173 b LRB104 06140 BAB 16173 b A BILL FOR
22 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB1284 Introduced 1/28/2025, by Sen. Sue Rezin SYNOPSIS AS INTRODUCED:
33 5 ILCS 375/6.17 new215 ILCS 5/356z.80 new305 ILCS 5/5-61 new 5 ILCS 375/6.17 new 215 ILCS 5/356z.80 new 305 ILCS 5/5-61 new
44 5 ILCS 375/6.17 new
55 215 ILCS 5/356z.80 new
66 305 ILCS 5/5-61 new
77 Amends the State Employees Group Insurance Act of 1971. Prohibits the State from applying for any federal waiver that would reduce or eliminate any protection or coverage required under the Patient Protection and Affordable Care Act (Affordable Care Act) that was in effect on January 1, 2017, including, but not limited to, any protection for persons with preexisting conditions and coverage for services identified as essential health benefits under the Affordable Care Act. Provides that the State or an agency of the executive branch may apply for such a waiver only if granted authorization by the General Assembly through joint resolution. Amends the Illinois Insurance Code. Prohibits the State from applying for any federal waiver that would permit an individual or group health insurance plan to reduce or eliminate any protection or coverage required under the Affordable Care Act that was in effect on January 1, 2017, including, but not limited to, any protection for persons with preexisting conditions and coverage for services identified as essential health benefits under the Affordable Care Act. Provides that the State or an agency of the executive branch may apply for such a waiver only if granted authorization by the General Assembly through joint resolution. Amends the Illinois Public Aid Code. Prohibits the State or an agency of the executive branch from applying for any federal Medicaid waiver that would result in more restrictive standards, methodologies, procedures, or other requirements than those that were in effect in Illinois as of January 1, 2017 for the Medical Assistance Program, the Children's Health Insurance Program, or any other medical assistance program in Illinois operating under any existing federal waiver authorized by specified provisions of the Social Security Act. Provides that the State or an agency of the executive branch may apply for such a waiver only if granted authorization by the General Assembly through joint resolution. Effective immediately.
88 LRB104 06140 BAB 16173 b LRB104 06140 BAB 16173 b
99 LRB104 06140 BAB 16173 b
1010 A BILL FOR
1111 SB1284LRB104 06140 BAB 16173 b SB1284 LRB104 06140 BAB 16173 b
1212 SB1284 LRB104 06140 BAB 16173 b
1313 1 AN ACT concerning government.
1414 2 Be it enacted by the People of the State of Illinois,
1515 3 represented in the General Assembly:
1616 4 Section 5. The State Employees Group Insurance Act of 1971
1717 5 is amended by adding Section 6.17 as follows:
1818 6 (5 ILCS 375/6.17 new)
1919 7 Sec. 6.17. Waiver application prohibitions.
2020 8 (a) Notwithstanding any other law to the contrary, except
2121 9 as specified in subsection (b), the State shall not apply for
2222 10 any federal waiver that would reduce or eliminate any
2323 11 protection or coverage required under the Patient Protection
2424 12 and Affordable Care Act (Public Law 111-148) that was in
2525 13 effect on January 1, 2017, including, but not limited to, any
2626 14 protection for persons with preexisting conditions and
2727 15 coverage for services identified as essential health benefits
2828 16 under the Patient Protection and Affordable Care Act.
2929 17 (b) The State or an agency of the executive branch may
3030 18 apply for such a waiver only if the General Assembly, by joint
3131 19 resolution approved by a majority of each house prior to the
3232 20 submission of such a waiver application to the U.S. Department
3333 21 of Health and Human Services, authorizes the State or an
3434 22 agency of the executive branch to apply for such a federal
3535 23 waiver.
3636
3737
3838
3939 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB1284 Introduced 1/28/2025, by Sen. Sue Rezin SYNOPSIS AS INTRODUCED:
4040 5 ILCS 375/6.17 new215 ILCS 5/356z.80 new305 ILCS 5/5-61 new 5 ILCS 375/6.17 new 215 ILCS 5/356z.80 new 305 ILCS 5/5-61 new
4141 5 ILCS 375/6.17 new
4242 215 ILCS 5/356z.80 new
4343 305 ILCS 5/5-61 new
4444 Amends the State Employees Group Insurance Act of 1971. Prohibits the State from applying for any federal waiver that would reduce or eliminate any protection or coverage required under the Patient Protection and Affordable Care Act (Affordable Care Act) that was in effect on January 1, 2017, including, but not limited to, any protection for persons with preexisting conditions and coverage for services identified as essential health benefits under the Affordable Care Act. Provides that the State or an agency of the executive branch may apply for such a waiver only if granted authorization by the General Assembly through joint resolution. Amends the Illinois Insurance Code. Prohibits the State from applying for any federal waiver that would permit an individual or group health insurance plan to reduce or eliminate any protection or coverage required under the Affordable Care Act that was in effect on January 1, 2017, including, but not limited to, any protection for persons with preexisting conditions and coverage for services identified as essential health benefits under the Affordable Care Act. Provides that the State or an agency of the executive branch may apply for such a waiver only if granted authorization by the General Assembly through joint resolution. Amends the Illinois Public Aid Code. Prohibits the State or an agency of the executive branch from applying for any federal Medicaid waiver that would result in more restrictive standards, methodologies, procedures, or other requirements than those that were in effect in Illinois as of January 1, 2017 for the Medical Assistance Program, the Children's Health Insurance Program, or any other medical assistance program in Illinois operating under any existing federal waiver authorized by specified provisions of the Social Security Act. Provides that the State or an agency of the executive branch may apply for such a waiver only if granted authorization by the General Assembly through joint resolution. Effective immediately.
4545 LRB104 06140 BAB 16173 b LRB104 06140 BAB 16173 b
4646 LRB104 06140 BAB 16173 b
4747 A BILL FOR
4848
4949
5050
5151
5252
5353 5 ILCS 375/6.17 new
5454 215 ILCS 5/356z.80 new
5555 305 ILCS 5/5-61 new
5656
5757
5858
5959 LRB104 06140 BAB 16173 b
6060
6161
6262
6363
6464
6565
6666
6767
6868
6969 SB1284 LRB104 06140 BAB 16173 b
7070
7171
7272 SB1284- 2 -LRB104 06140 BAB 16173 b SB1284 - 2 - LRB104 06140 BAB 16173 b
7373 SB1284 - 2 - LRB104 06140 BAB 16173 b
7474 1 Section 10. The Illinois Insurance Code is amended by
7575 2 adding Section 356z.80 as follows:
7676 3 (215 ILCS 5/356z.80 new)
7777 4 Sec. 356z.80. Waiver application prohibitions.
7878 5 (a) Notwithstanding any other law to the contrary, except
7979 6 as specified in subsection (b), the State shall not apply for
8080 7 any federal waiver that would permit an individual or group
8181 8 health insurance plan to reduce or eliminate any protection or
8282 9 coverage required under the Patient Protection and Affordable
8383 10 Care Act (Public Law 111-148) that was in effect on January 1,
8484 11 2017, including, but not limited to, any protection for
8585 12 persons with preexisting conditions and coverage for services
8686 13 identified as essential health benefits under the Patient
8787 14 Protection and Affordable Care Act.
8888 15 (b) The State or an agency of the executive branch may
8989 16 apply for such a waiver only if the General Assembly, by joint
9090 17 resolution approved by a majority of each house prior to the
9191 18 submission of such a waiver application to the U.S. Department
9292 19 of Health and Human Services, authorizes the State or an
9393 20 agency of the executive branch to apply for such a federal
9494 21 waiver.
9595 22 Section 15. The Illinois Public Aid Code is amended by
9696 23 adding Section 5-61 as follows:
9797
9898
9999
100100
101101
102102 SB1284 - 2 - LRB104 06140 BAB 16173 b
103103
104104
105105 SB1284- 3 -LRB104 06140 BAB 16173 b SB1284 - 3 - LRB104 06140 BAB 16173 b
106106 SB1284 - 3 - LRB104 06140 BAB 16173 b
107107 1 (305 ILCS 5/5-61 new)
108108 2 Sec. 5-61. Waiver application prohibitions.
109109 3 (a) Notwithstanding any other law, except as specified in
110110 4 subsection (b), the State or an agency of the executive branch
111111 5 shall not apply for any federal Medicaid waiver that would
112112 6 result in more restrictive standards, methodologies,
113113 7 procedures, or other requirements than those that were in
114114 8 effect in Illinois as of January 1, 2017 for: (i) the Medical
115115 9 Assistance Program, as authorized under this Code and Title
116116 10 XIX of the Social Security Act; (ii) the Children's Health
117117 11 Insurance Program, as authorized under the Children's Health
118118 12 Insurance Program Act and Title XXI of the Social Security
119119 13 Act; or (iii) any other medical assistance program in Illinois
120120 14 that is operating under any existing federal waiver authorized
121121 15 under Section 1115 or Section 1915 of the Social Security Act.
122122 16 (b) The State or an agency of the executive branch may
123123 17 apply for such a waiver only if the General Assembly, by joint
124124 18 resolution approved by a majority of each house prior to the
125125 19 submission of such a waiver application to the U.S. Department
126126 20 of Health and Human Services, authorizes the State or an
127127 21 agency of the executive branch to apply for such a federal
128128 22 waiver.
129129
130130
131131
132132
133133
134134 SB1284 - 3 - LRB104 06140 BAB 16173 b