All Roll Calls
Yes: 134 • No: 61
IllinoisHB3078104th General Assembly (2025–2026)HouseWALLET
DHS-HEALTH CARE ADMINISTRATION
Sponsored By: Camille Y. Lilly (Democratic)
Became Law
human servicesassignments
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Bill Overview
Analyzed Economic Effects
17 provisions identified: 8 benefits, 2 costs, 7 mixed.
Heavy fines for unlicensed care homes
The law penalizes any community mental health or developmental services agency that keeps operating after license revocation or a refused renewal, or after notice of a violation. Each day is a separate offense. The fine is more than $500 and up to $2,000 per day. All fines go to the Mental Health Fund.
New appeals board for FOID cards
Beginning January 1, 2023, a seven‑member FOID Review Board hears most appeals of FOID denials and revocations. The Board can ask for more information, require fingerprints, and take testimony, and usually decides within 45 days after it gets a complete file, with limited extensions. Decisions are confidential. People denied or revoked for a developmental or intellectual disability can seek relief if a Board‑prescribed clinician certification shows the condition is mild; the Board acts within 60 business days. Active law‑enforcement officers and certain corrections staff can get expedited review in 30 business days with required documents.
New DHS watchdog with stronger powers
The law creates an Inspector General inside DHS to investigate abuse, neglect, and financial exploitation. The Governor appoints the IG for a four‑year term, with Senate confirmation, and the office has its own budget line. The IG can make unannounced yearly visits, enter facilities at any time, subpoena witnesses and records, and must train investigators and staff. The IG must set clear rules and avoid duplicate probes with other State agencies. When there is credible evidence of a crime, the IG must tell police within 24 hours.
Faster danger reports and tighter FOID bans
Clinicians must tell DHS within 7 days if a person age 14 or older is found to have a developmental disability. Clear‑and‑present‑danger findings must be reported within 24 hours: clinicians notify DHS; police or school officials notify the State Police. Circuit clerks must notify the State Police of final court results and must immediately report mental‑disability adjudications and involuntary admissions; they also file July 1 and December 30 reports if none occurred. DHS must report in the required form. “Addicted to narcotics” for FOID includes a past‑year conviction for drug offenses or a State Police finding under federal guidance, but not lawful prescriptions. These disclosures are privileged.
Early Intervention: faster help, fair billing
The first evaluation, assessment, and IFSP meeting happen within 45 days of first contact. With consent, services can start before the full assessment and must start within 30 days after consent. The program pays for IFSP services that insurance does not cover, and services are not delayed for insurance rules. Families pay a sliding‑scale fee based on size, income, and out‑of‑pocket medical or disaster costs. If a family gives no income information, the maximum fee applies. Fees are paid to the lead agency’s central billing office.
Faster abuse reports and required fixes
Staff must call the OIG hotline within 4 hours to report suspected abuse, neglect, exploitation, or obstruction. Certain deaths must be reported to the OIG hotline within 24 hours. Victims, guardians, and the accused get redacted IG reports; police and coroners can get full reports on request. After an IG review, a facility has 45 days to respond; after a substantiated case or a report with recommendations, it has 30 days. The Secretary can order site visits, training, technical help, or sanctions. Facilities must send an implementation report within 30 days, then one more update in 30 days, then every 60 days until done. The OIG keeps oversight for up to one year after a license is revoked.
More background checks for care jobs
The law expands who counts as a health care employer. Day training programs, CILA operators, financial management services entities, and comprehensive community mental health centers are included. These employers must run background checks under the Health Care Worker Background Check Act for applicants and staff. More workers will be screened before hire.
Stronger privacy and limited duty to warn
Sharing mental‑health records needs a written, witnessed consent that names who gets the records, why, what is shared, your right to a copy, the effect of refusing, an expiration or same‑day limit, and your right to revoke in writing. Clinicians have no duty to warn unless a person makes a serious threat against an identifiable victim. If there is a duty, it is met by trying to notify the victim and police or by seeking hospitalization. Staff at residential facilities still must protect residents. People who prepare Code documents in good faith and without negligence are immune from civil and criminal liability.
Early intervention lasts longer for late birthdays
Beginning January 1, 2022, some children can stay in early intervention longer. If your child got early intervention before age three, is found eligible for early childhood special education, and has a birthday from May 1 to August 31, services continue. They last until the school year after your child’s third birthday.
More oversight of community living homes
DHS inspects each certified community‑integrated living arrangement at least every two years. If an applicant or licensee does not submit a workplace violence prevention plan that meets State law, the Department can deny, revoke, or refuse to renew the license.
More physician assistants can evaluate patients
The law defines who counts as a physician assistant under the Code. Physician assistants with three years of post‑degree clinical mental‑health experience can serve as qualified examiners for mental‑health evaluations.
Job training for blind adults
The law creates the Illinois Center for Rehabilitation and Education‑Wood. If you are blind, visually impaired, or DeafBlind and meet 89 Ill. Adm. Code 730, the center provides education to help you get competitive work. DHS may use other agencies to check eligibility and deliver services.
Wage increases must reach caregivers
The law requires every licensed developmental services agency to file a yearly report to DHS. The report must certify that any mandated wage increases were passed through to workers. DHS sets the form. This certification is part of the agency’s contract.
Abuse registry checks for state schools
Job applicants at the Illinois School for the Visually Impaired, Illinois School for the Deaf, ICRE‑Roosevelt, and ICRE‑Wood must give written permission for a Central Register check. The check looks for indicated child abuse or neglect. The information is confidential.
Autism checkoff money moved in 2025
On July 1, 2025, or as soon after as practical, the State moves the remaining money in the Autism Research Checkoff Fund to the Autism Awareness Fund. After the transfer, the old fund is dissolved. Future deposits and obligations go to the Autism Awareness Fund. This transfer section is repealed on January 1, 2026.
One State Finance section repealed
The law repeals Section 5.653 of the State Finance Act. The text does not say what that section covered, so the direct budget or household impact is unclear.
One Illinois income tax section repealed
The law repeals Section 507JJ of the Illinois Income Tax Act. The text does not state what that section did. The immediate change to tax bills or revenue is not specified.
Sponsors & Cosponsors
Sponsor
Camille Y. Lilly
Democratic • House
Cosponsors
David Koehler
Democratic • Senate
Mattie Hunter
Democratic • Senate
Roll Call Votes
Senate vote • 5/31/2025
Third Reading - Passed;
Yes: 42 • No: 15
House vote • 4/11/2025
Third Reading - Short Debate - Passed
Yes: 76 • No: 39
House vote • 4/9/2025
House Floor Amendment No. 2 Recommends Be Adopted Human Services Committee;
Yes: 8 • No: 4
House vote • 3/12/2025
Do Pass as Amended / Short Debate Human Services Committee;
Yes: 8 • No: 3
Actions Timeline
Public Act . . . . . . . . . 104-0270
8/15/2025HouseEffective Date August 15, 2025
8/15/2025HouseGovernor Approved
8/15/2025HouseSent to the Governor
6/24/2025HousePassed Both Houses
5/31/2025HouseThird Reading - Passed; 042-015-000
5/31/2025SenateRule 2-10 Third Reading/Passage Deadline Established As June 1, 2025
5/23/2025SenatePlaced on Calendar Order of 3rd Reading May 15, 2025
5/14/2025SenateSecond Reading
5/14/2025SenateAdded as Alternate Chief Co-Sponsor Sen. David Koehler
5/14/2025SenateAlternate Chief Sponsor Changed to Sen. Mattie Hunter
4/29/2025SenatePlaced on Calendar Order of 2nd Reading April 30, 2025
4/29/2025SenateApproved for Consideration Assignments
4/29/2025SenateReferred to Assignments
4/23/2025SenateFirst Reading
4/23/2025SenateChief Senate Sponsor Sen. Karina Villa
4/23/2025SenatePlaced on Calendar Order of First Reading April 29, 2025
4/14/2025SenateArrive in Senate
4/14/2025SenateThird Reading - Short Debate - Passed 076-039-000
4/11/2025HousePlaced on Calendar Order of 3rd Reading - Short Debate
4/11/2025HouseHouse Floor Amendment No. 2 Adopted
4/11/2025HouseHouse Floor Amendment No. 2 Recommends Be Adopted Human Services Committee; 008-004-000
4/9/2025HouseHouse Floor Amendment No. 2 Rules Refers to Human Services Committee
4/7/2025HouseHouse Floor Amendment No. 2 Referred to Rules Committee
4/2/2025HouseHouse Floor Amendment No. 2 Filed with Clerk by Rep. Camille Y. Lilly
4/2/2025House
Bill Text
Engrossed
Enrolled
House Amendment 1
House Amendment 2
Introduced