Healthcare (Medicare)

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that, beginning January 1, 2026, providers offering pediatric primary care shall be reimbursed at a rate that is no lower than 100% of the Medicare program's rates for preventative and screening services.

Amends the State Employees Group Insurance Act of 1971. Provides that beginning January 1, 2026, the Director of Central Management Services shall implement a program providing choice to Medicare-primary members and their Medicare-primary dependents. Provides that the program shall include a monthly voucher in the amount that the State would have contributed toward that member's monthly premium if the Medicare-primary member elected to participate in the group health benefits program. Provides that the voucher shall be used by the Medicare-primary member to pay the monthly premium cost of an individual Medicare Advantage plan of his or her choosing. Effective immediately.