Rep. Amy L. Grant absent for vote on SB3365, which extends managed care rights for dual-eligible residents

Rep. Amy L. Grant (R-47th) was marked excused during the vote on SB3365—legislation intended to expand managed care rights for dual Medicare-Medicaid beneficiaries—on May 31, 2026, during the 104th General Assembly. According to the Illinois House, the measure passed by a margin of 112-0.

As described in the official bill text: "MEDICARE/MEDICAID DUAL ELIGIBL."

The summary below provides an overview of provisions, with clarifications where necessary to aid understanding.

SB3365 broadens the Illinois Medicare-Medicaid Alignment Initiative Nursing Home Residents’ Managed Care Rights Law, now including fully integrated dual eligible special needs plans as well as any managed care program for those qualified for both Medicare and Medicaid. The measure updates the term “Demonstration Project” to incorporate coverage for these plans and specifies the law’s application to the nursing home aspects of such managed care arrangements. In addition, the Department of Healthcare and Family Services must now provide each managed care organization with quarterly, facility-specific rates for nursing, support, capital, and enhanced care per diem payments for contracted nursing homes. The law is effective immediately.

The official legislative action for SB3365 was: 'Third Reading - Short Debate - Passed.'

Grant earned a Bachelor of Science degree from the University of Pittsburgh in 1980.

A Republican, Grant was elected to represent Illinois’ 47th House District in 2023, succeeding Deanne Mazzochi.

In Illinois, bills move through a multi-step legislative process that includes submission in either chamber, committee discussion, floor debates, and votes in both legislative bodies before proceeding to the governor for approval or veto. The General Assembly operates biennially, introducing thousands of bills each session, though only a minority make it through to become law.