IllinoisHB1597104th General Assembly (2025–2026)HouseWALLET

FACILITY-TRANSFER & DISCHARGE

Sponsored By: Anne Stava (Democratic)

Became Law

human servicesassignmentshealth and human services

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 2 benefits, 0 costs, 1 mixed.

Stronger right to return for residents

Beginning January 1, 2026, if the Department denies a discharge or transfer, it issues a written denial. When the denial is for failing to readmit after a hospital stay or absence, the Department orders immediate readmission. The facility must comply. If it refuses, it is fined $2,500 per occurrence. After readmission, the facility must tell the Department within 10 business days, send required documents, and reassess care needs to update the plan.

Shorter discharge notice, stronger appeal pause

Beginning January 1, 2026, facilities must give at least 21 days’ written notice before an involuntary discharge, not 30. Emergency or safety moves can still happen faster. If you request a hearing in time, the discharge is paused until the hearing or appeal ends, unless an emergency or safety reason arises. Even after an authorized discharge, you cannot be required to leave before day 34 after notice or day 10 after the decision, whichever is later.

Doctor-led assessments and service plans

Beginning January 1, 2026, a doctor must complete a full assessment before admission to assisted living or shared housing. Residents are reassessed each year and after a big change, including new Alzheimer’s or related dementia. The Department may require more frequent skin and nutrition checks by rule. A written service plan must reflect your preferences and be given to you or your representative on request.

Sponsors & Cosponsors

Sponsor

  • Anne Stava

    Democratic • House

Cosponsors

  • Hoan Huynh

    Democratic • House

  • Kimberly A. Lightford

    Democratic • Senate

  • Nicolle Grasse

    Democratic • House

  • Norma Hernandez

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 180 • No: 0

Senate vote 5/22/2025

Third Reading - Passed;

Yes: 58 • No: 0

Senate vote 4/30/2025

Do Pass Health and Human Services;

Yes: 8 • No: 0

House vote 4/7/2025

Third Reading - Short Debate - Passed

Yes: 102 • No: 0

House vote 3/19/2025

Do Pass as Amended / Short Debate Human Services Committee;

Yes: 12 • No: 0

Actions Timeline

  1. Public Act . . . . . . . . . 104-0191

    8/15/2025House
  2. Effective Date January 1, 2026

    8/15/2025House
  3. Governor Approved

    8/15/2025House
  4. Sent to the Governor

    6/20/2025House
  5. Passed Both Houses

    5/22/2025House
  6. Third Reading - Passed; 058-000-000

    5/22/2025Senate
  7. Placed on Calendar Order of 3rd Reading **

    5/20/2025Senate
  8. Placed on Calendar Order of 3rd Reading May 8, 2025

    5/7/2025Senate
  9. Second Reading

    5/7/2025Senate
  10. Placed on Calendar Order of 2nd Reading May 1, 2025

    4/30/2025Senate
  11. Do Pass Health and Human Services; 008-000-000

    4/30/2025Senate
  12. Added Co-Sponsor Rep. Hoan Huynh

    4/25/2025House
  13. Assigned to Health and Human Services

    4/23/2025Senate
  14. Referred to Assignments

    4/14/2025Senate
  15. First Reading

    4/14/2025Senate
  16. Chief Senate Sponsor Sen. Kimberly A. Lightford

    4/14/2025Senate
  17. Placed on Calendar Order of First Reading April 9, 2025

    4/8/2025Senate
  18. Arrive in Senate

    4/8/2025Senate
  19. Added Co-Sponsor Rep. Norma Hernandez

    4/7/2025House
  20. Added Co-Sponsor Rep. Nicolle Grasse

    4/7/2025House
  21. Third Reading - Short Debate - Passed 102-000-000

    4/7/2025House
  22. Placed on Calendar Order of 3rd Reading - Short Debate

    3/26/2025House
  23. Second Reading - Short Debate

    3/26/2025House
  24. Placed on Calendar 2nd Reading - Short Debate

    3/19/2025House
  25. Do Pass as Amended / Short Debate Human Services Committee; 012-000-000

    3/19/2025House

Bill Text

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