# Illinois HB4238: MEDICAID-SLF-DEMENTIA CARE

Illinois HB4238, MEDICAID-SLF-DEMENTIA CARE, is a 104th General Assembly (2025–2026) House bill sponsored by Anna Moeller (Democratic); status in committee, last action 2026-05-27 (Added Co-Sponsor Rep. Nicolle Grasse) (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/IL-HB4238-2025-2026
- As of: 2026-11-01
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Illinois HB4238
- State: Illinois
- Session: 104th General Assembly (2025–2026)
- Title: MEDICAID-SLF-DEMENTIA CARE
- Status: in committee
- Chamber: House
- Introduced: 2025-12-17
- Last action: 2026-05-27, Added Co-Sponsor Rep. Nicolle Grasse
- Sponsor: Anna Moeller (Democratic)
- Cosponsors: 11
- Subjects: appropriations-health and human services
- Touches household money: no
- Economic provisions PRIA read: 0

## Summary

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that, subject to federal approval, beginning January 1, 2027, any individual age 22 to 64 who is diagnosed as having Alzheimer's disease or a related dementia and is determined to be a person with a disability by the Social Security Administration shall be eligible for services in a supportive living dementia care setting if the individual meets all other eligibility requirements to receive services in a supportive living dementia care setting in accordance with specified administrative rules. Requires the Department of Healthcare and Family Services to apply for any federal waiver necessary to implement the amendatory Act. Effective immediately.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Anna Moeller (Democratic), House
- Cosponsor: Ann M. Williams (Democratic), House
- Cosponsor: Dagmara Avelar (Democratic), House
- Cosponsor: Jehan Gordon-Booth (Democratic), House
- Cosponsor: Justin Cochran (Democratic), House
- Cosponsor: Kevin John Olickal (Democratic), House
- Cosponsor: Laura Faver Dias (Democratic), House
- Cosponsor: Maura Hirschauer (Democratic), House
- Cosponsor: Michelle Mussman (Democratic), House
- Cosponsor: Nicolle Grasse (Democratic), House
- Cosponsor: Suzanne M. Ness (Democratic), House
- Cosponsor: Will Guzzardi (Democratic), House

## Bill text

- Introduced: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4238.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
- [Introduced (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4238.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-HB4238-2025-2026 (as of 2026-11-01).