Illinois 2025-2026 Regular Session

Illinois Senate Bill SB0206

Introduced
1/22/25  
Refer
1/22/25  
Refer
1/28/25  
Refer
3/21/25  

Caption

MEDICAID-HYPOALLERGENIC FORMLA

Summary

SB0206 amends Section 5-5 of the Illinois Public Aid Code, which governs what medical services the Illinois Department of Healthcare and Family Services must cover under Medicaid. The bill adds a specific requirement that hypoallergenic formula be covered for otherwise eligible medical assistance recipients when it has been prescribed by a physician. It also directs the Department to seek any federal waivers or approvals needed to implement the change and, once approved, to adopt rules setting the minimum daily amount of formula covered. The measure is narrowly focused on Medicaid nutrition coverage, but it operates within a much broader statute that already lists many covered services and conditions. If enacted, it would create a new mandatory benefit for medically prescribed hypoallergenic formula and would require administrative rulemaking and federal coordination before implementation. The bill does not appear to alter eligibility rules generally; instead, it adds a specific covered item for a defined group of Medicaid recipients.

Impact

The bill would amend the Illinois Public Aid Code by adding hypoallergenic formula to the list of covered medical assistance services for eligible Medicaid recipients with a physician prescription. It would require the Department of Healthcare and Family Services to pursue federal approval if needed and, after approval, to establish by rule the amount of formula covered per day. The practical effect would be to expand Medicaid benefits for infants, children, or other patients who need hypoallergenic formula for medical reasons, while also imposing new administrative and rulemaking duties on the Department.

Sentiment

There is no recorded committee transcript or vote history provided for SB0206, so there is no direct evidence of support or opposition in the available materials. Based on the bill text and caption, the measure appears to be a targeted health coverage expansion with a child- and family-focused public health rationale. The absence of recorded debate or votes means the overall sentiment cannot be measured from the provided context.

Contention

No specific points of contention are documented in the available materials. Potential issues that could arise from the bill’s language include the cost of adding a new Medicaid-covered item, the need for federal waivers or approvals, and how the Department would define the daily covered amount by rule. Because the bill is limited to physician-prescribed hypoallergenic formula, any disagreement would likely center on fiscal impact, implementation details, or whether the benefit should be broader or more narrowly tailored.

Companion Bills

No companion bills found.

Similar Bills

No similar bills found.