# Illinois HB1597: FACILITY-TRANSFER & DISCHARGE Illinois HB1597, FACILITY-TRANSFER & DISCHARGE, is a 104th General Assembly (2025–2026) House bill sponsored by no sponsor on record; status signed, last action 2025-08-15 (Public Act . . . . . . . . . 104-0191) (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/IL-HB1597-2025-2026 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Illinois HB1597 - State: Illinois - Session: 104th General Assembly (2025–2026) - Title: FACILITY-TRANSFER & DISCHARGE - Status: signed - Chamber: House - Introduced: 2025-01-22 - Last action: 2025-08-15, Public Act . . . . . . . . . 104-0191 - Sponsors: no sponsor on record - Cosponsors: 5 - Subjects: human services, assignments, health and human services - Touches household money: no - Roll calls: 4 (180 yes, 0 no in all) - Economic provisions PRIA read: 8 ## Summary Amends the Assisted Living and Shared Housing Act. Makes changes to assessments for admission to establishments and service plan requirements. Requires an establishment to notify the resident and the resident's representative when there is a significant change in the resident's condition that affects the establishment's ability to meet the resident's needs. Prohibits an establishment from terminating or reducing any service without the consent of the resident or the resident's representative for the purpose of making it more difficult or impossible for the resident to remain in the establishment. Adds new requirements for establishments and the Department of Public Health regarding the involuntary termination of residency. Provides that a resident has the right to not be unlawfully transferred or discharged. Makes other changes. Amends the Nursing Home Care Act. Prohibits a resident from being transferred or discharged in violation of the Act. Provides that a resident has the right not to be unlawfully transferred or discharged. Provides for the assessment of a $2,500 fine for a facility that fails to comply with an order to readmit a resident who wishes to return to the facility and is appropriate for that level of care and services provided. Requires a facility that complies with an order to readmit a resident that has been deemed to have been unlawfully discharged to notify the Department within 10 business days after the resident has been readmitted to the facility. Provides that a facility may involuntarily transfer or discharge a resident because the facility is unable to meet the medical needs of the resident, as documented in the resident's clinical record by the resident's physician. Provides that the Department maintains jurisdiction over the transfer or discharge irrespective of the timing of the notice and discharge. Provides that if the Department determines that a transfer or discharge is not authorized, then the Department shall issue a written decision stating that the transfer or discharge is denied. Makes other changes. Effective immediately. ## Bill overview: provisions PRIA read - Assisted-living residents gain safeguards against forced moves: benefit, medium. Beginning January 1, 2026, assisted-living establishments must notify residents and any representatives when major condition changes affect their ability to provide care. Involuntary termination rules then apply. Written termination notices must also reach the Illinois Department of Public Health,… - Clearer care plans and resident rights: benefit, medium. Beginning January 1, 2026, assisted-living assessments must recognize an Alzheimer’s or related dementia diagnosis as a significant change. Care plans must reflect residents’ interests, preferences, dislikes, and known triggers for behavior that endangers anyone. Providers, residents, and any repre… - More options for staying in assisted living: benefit, medium. Beginning January 1, 2026, people needing catheter insertion, sterile irrigation, or replacement can enter or remain in assisted living. A nurse must meet required education, certification, and training standards, with oversight from an infection preventionist or infection control committee. An est… - Nursing-home hearings pause transfers and discharges: benefit, medium. Beginning January 1, 2026, a requested nursing-home hearing pauses both transfer and discharge while the hearing or appeal is pending. A newly arising emergency health or physical-safety condition can permit a move in less than 30 days. For cases outside specified Medicaid actions, the department m… - Nursing-home residents gain protection when returning: benefit, medium. Beginning January 1, 2026, nursing homes cannot refuse return from medical leave when care needs fit their license and current services. Another lawful transfer or discharge reason can still apply, and facilities must follow notice and other required procedures. When the health department finds an… - Nursing-home residents get stronger discharge safeguards: benefit, medium. Beginning January 1, 2026, ordinary written notice before an involuntary nursing-home transfer or discharge increases from 21 to 30 days. A required discussion must also occur; exceptions remain for emergency health needs, physical safety, and identified offenders. Medical transfers or discharges r… - Wrongfully excluded assisted-living residents can return: benefit, medium. Beginning January 1, 2026, the health department must order immediate readmission after finding an unlawful termination based on denied return after an absence. This covers hospitalization, medical leave, and other absences, unless a valid transfer or discharge reason develops in the meantime. The… - Stronger enforcement protects nursing-home residents after readmission: benefit, low. Beginning January 1, 2026, nursing homes face a $2,500 fine for failing to obey a health department readmission order. The resident must want to return and fit the facility’s care level; compliance means living there or agreeing on a return schedule. After complying with an order following unlawful… ## Sponsors and cosponsors - Cosponsor: Anne Stava (Democratic), House - Cosponsor: Hoan Huynh (Democratic), House - Cosponsor: Kimberly A. Lightford (Democratic), Senate - Cosponsor: Nicolle Grasse (Democratic), House - Cosponsor: Norma Hernandez (Democratic), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-05-22 | Senate | Third Reading - Passed; | pass | 58 | 0 | | | 2025-04-30 | Senate | Do Pass Health and Human Services; | pass | 8 | 0 | | | 2025-04-07 | House | Third Reading - Short Debate - Passed | pass | 102 | 0 | | | 2025-03-19 | House | Do Pass as Amended / Short Debate Human Services Committee; | pass | 12 | 0 | | ## Actions (33) - 2025-08-15: Public Act . . . . . . . . . 104-0191 (House) - 2025-08-15: Effective Date January 1, 2026 (House) - 2025-08-15: Governor Approved (House) - 2025-06-20: Sent to the Governor (House) - 2025-05-22: Passed Both Houses (House) - 2025-05-22: Third Reading - Passed; 058-000-000 (Senate) - 2025-05-20: Placed on Calendar Order of 3rd Reading ** (Senate) - 2025-05-07: Placed on Calendar Order of 3rd Reading May 8, 2025 (Senate) - 2025-05-07: Second Reading (Senate) - 2025-04-30: Placed on Calendar Order of 2nd Reading May 1, 2025 (Senate) - 2025-04-30: Do Pass Health and Human Services; 008-000-000 (Senate) - 2025-04-25: Added Co-Sponsor Rep. Hoan Huynh (House) - 2025-04-23: Assigned to Health and Human Services (Senate) - 2025-04-14: Referred to Assignments (Senate) - 2025-04-14: First Reading (Senate) - 2025-04-14: Chief Senate Sponsor Sen. Kimberly A. Lightford (Senate) - 2025-04-08: Placed on Calendar Order of First Reading April 9, 2025 (Senate) - 2025-04-08: Arrive in Senate (Senate) - 2025-04-07: Added Co-Sponsor Rep. Norma Hernandez (House) - 2025-04-07: Added Co-Sponsor Rep. Nicolle Grasse (House) - 2025-04-07: Third Reading - Short Debate - Passed 102-000-000 (House) - 2025-03-26: Placed on Calendar Order of 3rd Reading - Short Debate (House) - 2025-03-26: Second Reading - Short Debate (House) - 2025-03-19: Placed on Calendar 2nd Reading - Short Debate (House) - 2025-03-19: Do Pass as Amended / Short Debate Human Services Committee; 012-000-000 (House) - 2025-03-19: House Committee Amendment No. 1 Adopted in Human Services Committee; by Voice Vote (House) - 2025-03-11: House Committee Amendment No. 1 Rules Refers to Human Services Committee (House) - 2025-03-05: House Committee Amendment No. 1 Referred to Rules Committee (House) - 2025-03-05: House Committee Amendment No. 1 Filed with Clerk by Rep. Anne Stava (House) - 2025-02-18: Assigned to Human Services Committee (House) - 2025-01-28: Referred to Rules Committee (House) - 2025-01-28: First Reading (House) - 2025-01-22: Filed with the Clerk by Rep. Anne Stava (House) ## Bill text - Engrossed: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB1597eng.pdf) - Enrolled: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB1597enr.pdf) - House Amendment 1: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB1597ham001.pdf) - Introduced: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB1597.pdf) ## Related bills - HB5198: AFFORDABLE HOUSING-CILAS (passed house) - SB1937: PENSION CODE-VARIOUS (passed senate) - HB2563: CONDO-RESERVE STUDY (in committee) - HB4701: LIMITATIONS FACILITY FEES ACT (in committee) - SB3008: DHS-ABLE PROGRAM INFO MATERIAL (passed senate) - SB3484: VEH CD-PLATES-REGISTRATION (signed) ## Sources - [Engrossed (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB1597eng.pdf) - [Enrolled (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB1597enr.pdf) - [House Amendment 1 (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB1597ham001.pdf) - [Introduced (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB1597.pdf) ## Related - [HB5198: AFFORDABLE HOUSING-CILAS](https://policyrisk.com/state-bill/IL-HB5198-2025-2026) - [SB1937: PENSION CODE-VARIOUS](https://policyrisk.com/state-bill/IL-SB1937-2025-2026) - [HB2563: CONDO-RESERVE STUDY](https://policyrisk.com/state-bill/IL-HB2563-2025-2026) - [HB4701: LIMITATIONS FACILITY FEES ACT](https://policyrisk.com/state-bill/IL-HB4701-2025-2026) - [SB3008: DHS-ABLE PROGRAM INFO MATERIAL](https://policyrisk.com/state-bill/IL-SB3008-2025-2026) - [SB3484: VEH CD-PLATES-REGISTRATION](https://policyrisk.com/state-bill/IL-SB3484-2025-2026) - [Illinois bills](https://policyrisk.com/states/illinois/bills) - [Illinois state hub](https://policyrisk.com/states/illinois) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/IL-HB1597-2025-2026 (as of 2026-11-01).