Janet Yang Rohr casts affirmative vote on SB3365 to broaden managed care rights for dual-eligible nursing home residents
On May 31, 2026, Rep. Janet Yang Rohr (D-41st) cast a Yes vote on SB3365 during the 104th General Assembly, expanding managed care rights for nursing home residents with dual Medicare and Medicaid eligibility, according to the Illinois House. The measure passed unanimously with a 112-0 tally.
Per the bill's official text: “MEDICARE/MEDICAID DUAL ELIGIBL.”
The overview below reflects our explanation and clarification of the bill’s language and intent.
Essentially, the bill broadens the Medicare-Medicaid Alignment Initiative Nursing Home Residents’ Managed Care Rights Law in Illinois to encompass both fully integrated dual eligible special needs plans and any managed care plan covering individuals qualifying for both Medicare and Medicaid. It updates the “Demonstration Project” definition to include these arrangements and specifies that the law applies to the nursing home element of associated managed care plans. Additionally, the Department of Healthcare and Family Services is required to provide each managed care organization with quarterly, facility-specific details of nursing, support, capital and enhanced care per diem rates for every participating nursing home. The legislation becomes effective immediately.
SB3365’s progress was officially marked as 'Third Reading - Short Debate - Passed.'
Rohr earned her bachelor’s degree from Northwestern University in 2002 and completed graduate studies at the University of Chicago Booth School of Business in 2010.
A Democrat, Rohr entered the Illinois State House in 2021 for the 41st District, taking over from Grant Wehrli.
Legislation in Illinois follows a multi-step legislative process, starting with introduction in either the House or Senate, moving through committee hearings, floor debates, and chamber votes before advancing to the governor for approval or veto. The General Assembly meets biennially, with thousands of bills proposed per session, but only a small percentage ultimately become law.