IllinoisHB4509104th General Assembly (2025–2026)HouseWALLET

NURSING HOME-MENTAL ILLNESS

Sponsored By: Sponsor information unavailable

Signed by Governor

Summary

Amends the Nursing Home Care Act. Replaces provisions concerning serious mental illness rescreening. Provides that all persons admitted to a nursing home facility with a diagnosis of serious mental illness shall receive a follow-up visit within 60 days after admission and shall receive a resident review by the Department of Human Services or its designee promptly after a significant change in the resident's physical or mental condition. Provides that the Department of Human Services shall ensure there are no conflicts of interest for pre-admission screeners.

human servicesassignmentshealth and human services

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Bill Overview

Analyzed Economic Effects

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

Nursing home residents get mental illness reviews

The Illinois Department of Human Services or its designee must visit nursing home residents diagnosed with serious mental illness within 60 days after admission. If a resident later has a significant change in physical or mental condition, the nursing home must refer them for a resident review. The department must also ensure pre-admission screeners have no conflicts of interest and cannot waive this rule because qualified screeners are scarce.

Sponsors & Cosponsors

Sponsors

There is no primary sponsor on record.

Cosponsors

  • David Koehler

    Democratic • Senate

  • Elgie R. Sims, Jr.

    Democratic • Senate

  • Mary Edly-Allen

    Democratic • Senate

  • Mike Simmons

    Democratic • Senate

  • Nicolle Grasse

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 200 • No: 0

Senate vote • 5/21/2026

Third Reading - Passed;

Yes: 59 • No: 0

Senate vote • 5/6/2026

Do Pass Health and Human Services;

Yes: 9 • No: 0

House vote • 4/14/2026

Third Reading - Short Debate - Passed

Yes: 109 • No: 0

House vote • 4/8/2026

House Floor Amendment No. 1 Recommends Be Adopted Human Services Committee;

Yes: 12 • No: 0

House vote • 2/18/2026

Do Pass / Short Debate Human Services Committee;

Yes: 11 • No: 0

Actions Timeline

  1. Public Act . . . . . . . . . 104-0659

    7/30/2026House
  2. Effective Date January 1, 2027

    7/30/2026House
  3. Governor Approved

    7/30/2026House
  4. Sent to the Governor

    6/18/2026House
  5. Added as Alternate Co-Sponsor Sen. Elgie R. Sims, Jr.

    6/1/2026Senate
  6. Added as Alternate Co-Sponsor Sen. Mary Edly-Allen

    5/31/2026Senate
  7. Passed Both Houses

    5/21/2026House
  8. Third Reading - Passed; 059-000-000

    5/21/2026Senate
  9. Added as Alternate Co-Sponsor Sen. Mike Simmons

    5/20/2026Senate
  10. Placed on Calendar Order of 3rd Reading **

    5/19/2026Senate
  11. Placed on Calendar Order of 3rd Reading May 18, 2026

    5/14/2026Senate
  12. Second Reading

    5/14/2026Senate
  13. Placed on Calendar Order of 2nd Reading May 7, 2026

    5/6/2026Senate
  14. Do Pass Health and Human Services; 009-000-000

    5/6/2026Senate
  15. Assigned to Health and Human Services

    4/28/2026Senate
  16. Referred to Assignments

    4/15/2026Senate
  17. First Reading

    4/15/2026Senate
  18. Chief Senate Sponsor Sen. David Koehler

    4/15/2026Senate
  19. Placed on Calendar Order of First Reading

    4/15/2026Senate
  20. Arrive in Senate

    4/15/2026Senate
  21. Third Reading - Short Debate - Passed 109-000-000

    4/14/2026House
  22. Placed on Calendar Order of 3rd Reading - Short Debate

    4/14/2026House
  23. House Floor Amendment No. 1 Adopted

    4/14/2026House
  24. Held on Calendar Order of Second Reading - Short Debate

    4/10/2026House
  25. Second Reading - Short Debate

    4/10/2026House

Bill Text

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