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IllinoisHB3328104th General Assembly (2025–2026)HouseWALLET

ALZHEIMERS & DEMENTIA ASSESS

Sponsored By: Natalie A. Manley (Democratic)

Became Law

health care availability & accessibilityassignmentshealth and human services

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Bill Overview

Analyzed Economic Effects

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

Standard dementia assessments before and during stay

The Department sets a validated dementia assessment standard that scores the same across raters. A doctor must approve each resident’s assessment. The test happens before acceptance, every year, and after any change flagged by family, staff, or a doctor. Before admission, facilities use expert-approved, validated tools to check memory and thinking. Tools are reviewed and updated to match current best practices.

Stronger standards for dementia care units

If a facility offers a special Alzheimer’s or dementia unit, it must meet extra rules. It must give required disclosures to the state and to residents, and name a resident representative. It must have safety plans for wandering and evacuations, keep families informed, and provide cognitive activities. It must keep enough trained staff and require ongoing dementia training for leaders and direct care staff. It must keep emergency procedures and staffing patterns that meet residents’ needs.

Stricter assisted living rules for dementia

Assisted living and shared housing must refuse or discharge a person if they cannot provide or secure needed care. They must say no if services are not licensed or not offered, or if staffing is too low or lacks needed skills. They must not accept or keep someone if health or behavior has worsened so staying would harm them or others. They must not accept or keep someone who is dangerous when the danger cannot be removed with proper treatment. They also must refuse anyone who meets the barred conditions listed in Section 75(b)-(g) of this Act.

Sponsors & Cosponsors

Sponsor

  • Natalie A. Manley

    Democratic • House

Cosponsors

  • Angelica Guerrero-Cuellar

    Democratic • House

  • Camille Y. Lilly

    Democratic • House

  • Dagmara Avelar

    Democratic • House

  • Doris Turner

    Democratic • Senate

  • Harry Benton

    Democratic • House

  • Hoan Huynh

    Democratic • House

  • Jehan Gordon-Booth

    Democratic • House

  • Kimberly A. Lightford

    Democratic • Senate

  • Kimberly Du Buclet

    Democratic • House

  • Laura M. Murphy

    Democratic • Senate

  • Lilian Jiménez

    Democratic • House

  • Mary Beth Canty

    Democratic • House

  • Mary Edly-Allen

    Democratic • Senate

  • Matt Hanson

    Democratic • House

  • Maura Hirschauer

    Democratic • House

  • Maurice A. West, II

    Democratic • House

  • Meg Loughran Cappel

    Democratic • Senate

  • Michael Crawford

    Democratic • House

  • Nicholas K. Smith

    Democratic • House

  • Rita Mayfield

    Democratic • House

  • Sharon Chung

    Democratic • House

  • Sonya M. Harper

    Democratic • House

  • Suzy Glowiak Hilton

    Democratic • Senate

  • Thaddeus Jones

    Democratic • House

  • Yolonda Morris

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 195 • No: 0

Senate vote • 5/22/2025

Third Reading - Passed;

Yes: 58 • No: 0

Senate vote • 5/7/2025

Do Pass Health and Human Services;

Yes: 9 • No: 0

House vote • 4/10/2025

Third Reading - Short Debate - Passed

Yes: 114 • No: 0

House vote • 3/18/2025

Do Pass / Short Debate Health Care Availability & Accessibility Committee;

Yes: 14 • No: 0

Actions Timeline

  1. Public Act . . . . . . . . . 104-0295

    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. Added as Alternate Co-Sponsor Sen. Laura M. Murphy

    5/29/2025Senate

  6. Added as Alternate Co-Sponsor Sen. Suzy Glowiak Hilton

    5/27/2025Senate

  7. Added as Alternate Co-Sponsor Sen. Kimberly A. Lightford

    5/26/2025Senate

  8. Passed Both Houses

    5/22/2025House

  9. Third Reading - Passed; 058-000-000

    5/22/2025Senate

  10. Added as Alternate Co-Sponsor Sen. Mary Edly-Allen

    5/22/2025Senate

  11. Added as Alternate Co-Sponsor Sen. Doris Turner

    5/22/2025Senate

  12. Added Co-Sponsor Rep. Thaddeus Jones

    5/22/2025House

  13. Placed on Calendar Order of 3rd Reading **

    5/20/2025Senate

  14. Placed on Calendar Order of 3rd Reading May 13, 2025

    5/8/2025Senate

  15. Second Reading

    5/8/2025Senate

  16. Placed on Calendar Order of 2nd Reading May 8, 2025

    5/7/2025Senate

  17. Do Pass Health and Human Services; 009-000-000

    5/7/2025Senate

  18. Assigned to Health and Human Services

    4/29/2025Senate

  19. Referred to Assignments

    4/25/2025Senate

  20. First Reading

    4/25/2025Senate

  21. Chief Senate Sponsor Sen. Meg Loughran Cappel

    4/25/2025Senate

  22. Placed on Calendar Order of First Reading April 29, 2025

    4/14/2025Senate

  23. Arrive in Senate

    4/14/2025Senate

  24. Added Co-Sponsor Rep. Mary Beth Canty

    4/14/2025House

  25. Added Co-Sponsor Rep. Sonya M. Harper

    4/11/2025House

Bill Text

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