Bill Text: IL HB4917 | 2025-2026 | 104th General Assembly | Introduced

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Bill Title: Amends the Program of All-Inclusive Care for the Elderly Act. Provides that the Department of Healthcare and Family Services shall coordinate with the Department on Aging and the Department of Human Services to ensure the maximization of all available federal financial participation and existing State revenue sources, which shall include, but not be limited to, identifying and integrating funding streams currently used for the Home and Community-Based Services (HCBS) waivers to support PACE enrollment and developing a unified budgeting approach under which appropriations for long-term services and supports are treated as a fungible pool, allowing funding to transition seamlessly when a participant chooses PACE over traditional waiver services. Provides that, to ensure participant choice and program flexibility, the Department shall establish a service-neutral enrollment mechanism. Provides that if an individual is on a waiting list for a HCBS waiver and chooses to enroll in PACE, the individual's status and slot value shall be preserved and applied to the PACE capitation rate to ensure the State's budget neutrality. Sets forth provisions concerning funding portability, transitioning between PACE and traditional HCBS models, and the use of a Unified Assessment Tool.

Sponsorship: Partisan Bill (Democrat 2)

Status: (Introduced - Dead) 2026-05-21 - Added Co-Sponsor Rep. Theresa Mah [HB4917 Detail]

Download: Illinois-2025-HB4917-Introduced.html

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104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026HB4917 Introduced , by Rep. Anna Moeller SYNOPSIS AS INTRODUCED:
320 ILCS 40/18 new
Amends the Program of All-Inclusive Care for the Elderly Act. Provides that the Department of Healthcare and Family Services shall coordinate with the Department on Aging and the Department of Human Services to ensure the maximization of all available federal financial participation and existing State revenue sources, which shall include, but not be limited to, identifying and integrating funding streams currently used for the Home and Community-Based Services (HCBS) waivers to support PACE enrollment and developing a unified budgeting approach under which appropriations for long-term services and supports are treated as a fungible pool, allowing funding to transition seamlessly when a participant chooses PACE over traditional waiver services. Provides that, to ensure participant choice and program flexibility, the Department shall establish a service-neutral enrollment mechanism. Provides that if an individual is on a waiting list for a HCBS waiver and chooses to enroll in PACE, the individual's status and slot value shall be preserved and applied to the PACE capitation rate to ensure the State's budget neutrality. Sets forth provisions concerning funding portability, transitioning between PACE and traditional HCBS models, and the use of a Unified Assessment Tool.
LRB104 18150 RPS 31589 b
A BILL FOR
HB4917 LRB104 18150 RPS 31589 b
AN ACT concerning aging.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Program of All-Inclusive Care for the
Elderly Act is amended by adding Section 18 as follows:
(320 ILCS 40/18 new)
Sec. 18. Rate-setting, revenue maximization, and
participant flexibility.
(a) Revenue maximization and resource alignment. The
Department shall coordinate with the Department on Aging and
the Department of Human Services to ensure the maximization of
all available federal financial participation and existing
State revenue sources. This shall include, but not be limited
to:
(1) Identifying and integrating funding streams
currently used for the Home and Community-Based Services
(HCBS) waivers to support PACE enrollment.
(2) Developing a unified budgeting approach under
which appropriations for long-term services and supports
are treated as a fungible pool, allowing funding to
transition seamlessly when a participant chooses PACE over
traditional waiver services.
(b) Funding portability. To ensure participant choice and

HB4917 - 2 - LRB104 18150 RPS 31589 b
program flexibility, the Department shall establish a
service-neutral enrollment mechanism.
(1) Preservation of eligibility. An individual found
eligible for a nursing facility level of care for the
purpose of a HCBS waiver shall be deemed clinically
eligible for the PACE program without a requirement for a
separate or additional medical assessment.
(2) Immediate fund transfer. Upon a participant's
voluntary election to enroll in a PACE program, the
Department shall facilitate the immediate transition of
the actuarially equivalent waiver dollar to the PACE
organization's capitated payment.
(3) Waitlist continuity. If an individual is on a
waiting list for a HCBS waiver and chooses to enroll in
PACE, the individual's status and slot value shall be
preserved and applied to the PACE capitation rate to
ensure the State's budget neutrality.
(c) Participant flexibility and reentry. To prevent an
inability to access resident-centered and resident-chosen
services, the Department shall ensure that:
(1) Participants may transition between PACE and
traditional HCBS models during any open enrollment period
or upon a change in medical necessity so long as the
transition does not result in a gap in care or loss of
Medicaid eligibility.
(2) The Department shall use a Unified Assessment Tool

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to ensure that the participant's clinical profile is
portable between the managed care organization-waiver
system and the PACE delivery model.