Sen. Karina Villa supports SB3365 to strengthen managed care protections for dual-eligible nursing home residents

Sen. Karina Villa (D-25th) cast a Yes vote on SB3365, legislation aimed at expanding managed care rights for Illinois nursing home residents who are eligible for both Medicare and Medicaid, during the 104th General Assembly on May 31, 2026. The Illinois Senate approved the bill unanimously in a 59-0 vote.

The bill text summarizes the measure as: "MEDICARE/MEDICAID DUAL ELIGIBL."

The summary provided below is based on the actual language of the bill and may clarify its various provisions.

Essentially, the bill broadens the Illinois Medicare-Medicaid Alignment Initiative Nursing Home Residents’ Managed Care Rights Law to include fully integrated dual eligible special needs plans, as well as any managed care plan for individuals qualifying for both Medicare and Medicaid. It adds these options under the definition of “Demonstration Project” and specifies that its provisions relate to the nursing home element of managed care settings. Additionally, the bill directs the Department of Healthcare and Family Services to deliver each managed care organization with quarterly, facility-specific data regarding nursing, support, capital and enhanced care per diem rates for contracted nursing homes. The law is effective immediately.

For SB3365, the recorded legislative action was 'House Floor Amendment No. 2 Senate Concurs'.

Villa, a Democrat, began serving in the Illinois State Senate in 2021 for the 25th Senate District, succeeding Jim Oberweis.

Illinois bills progress through a multi-step legislative process, starting with introduction in either chamber, then advancing to committee review, floor debates, and chamber votes before presentation to the governor. The General Assembly operates on a two-year cycle. Although thousands of bills are introduced each session, only a portion ultimately become law.