Illinois HB 3534: MEDICAID TRANSPARENCY ACT

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
HB3534

Introduced 2/18/2025, by Rep. Tony M. McCombie 

SYNOPSIS AS INTRODUCED:

305 ILCS 5/12-21.22 new

 Amends the Administration Article of the Illinois Public Aid Code. Provides that by January 1, 2026, and every January 1 thereafter, the Department of Healthcare and Family Services shall publish on its official website a complete and comprehensive report of its receipts and expenditures under the Medical Assistance program during the prior fiscal year. Requires the report to be organized by type of service and to detail all State and federal funds received, allocated, and expended during the reporting year, including the amount of any federal matching funds or reimbursements received by the Department for federally mandated services, State optional services, waiver services, and services provided to noncitizens. Requires the report to also include a detailed accounting of any State or federal funds appropriated to the Department for the Medical Assistance program in a prior fiscal year that were subsequently allocated and expended for covered services during the reporting year. Provides that the first report due January 1, 2026 shall include a compilation of individual reports on funding receipts and expenditures under the Medical Assistance program for State fiscal years 2018 through 2025. Effective immediately.

LRB104 08176 KTG 18225 b

A BILL FOR

HB3534LRB104 08176 KTG 18225 b

1 AN ACT concerning public aid.

2 Be it enacted by the People of the State of Illinois, 

3represented in the General Assembly:

4 Section 5. The Illinois Public Aid Code is amended by 

5adding Section 12-21.22 as follows:

6 (305 ILCS 5/12-21.22 new)

7 Sec. 12-21.22. Transparency reports