# Illinois HB4509: NURSING HOME-MENTAL ILLNESS Illinois HB4509, NURSING HOME-MENTAL ILLNESS, is a 104th General Assembly (2025–2026) House bill sponsored by no sponsor on record; status signed, last action 2026-07-30 (Public Act . . . . . . . . . 104-0659); PRIA reads it as touching household money (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/IL-HB4509-2025-2026 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Illinois HB4509 - State: Illinois - Session: 104th General Assembly (2025–2026) - Title: NURSING HOME-MENTAL ILLNESS - Status: signed - Chamber: House - Introduced: 2026-01-21 - Last action: 2026-07-30, Public Act . . . . . . . . . 104-0659 - Sponsors: no sponsor on record - Cosponsors: 5 - Subjects: human services, assignments, health and human services - Touches household money: yes - Roll calls: 5 (200 yes, 0 no in all) - Economic provisions PRIA read: 1 ## 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. ## Bill overview: provisions PRIA read - Nursing home residents get mental illness reviews: benefit, low. 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… ## Sponsors and cosponsors - Cosponsor: David Koehler (Democratic), Senate - Cosponsor: Elgie R. Sims, Jr. (Democratic), Senate - Cosponsor: Mary Edly-Allen (Democratic), Senate - Cosponsor: Mike Simmons (Democratic), Senate - Cosponsor: Nicolle Grasse (Democratic), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-05-21 | Senate | Third Reading - Passed; | pass | 59 | 0 | | | 2026-05-06 | Senate | Do Pass Health and Human Services; | pass | 9 | 0 | | | 2026-04-14 | House | Third Reading - Short Debate - Passed | pass | 109 | 0 | | | 2026-04-08 | House | House Floor Amendment No. 1 Recommends Be Adopted Human Services Committee; | pass | 12 | 0 | | | 2026-02-18 | House | Do Pass / Short Debate Human Services Committee; | pass | 11 | 0 | | ## Actions (35) - 2026-07-30: Public Act . . . . . . . . . 104-0659 (House) - 2026-07-30: Effective Date January 1, 2027 (House) - 2026-07-30: Governor Approved (House) - 2026-06-18: Sent to the Governor (House) - 2026-06-01: Added as Alternate Co-Sponsor Sen. Elgie R. Sims, Jr. (Senate) - 2026-05-31: Added as Alternate Co-Sponsor Sen. Mary Edly-Allen (Senate) - 2026-05-21: Passed Both Houses (House) - 2026-05-21: Third Reading - Passed; 059-000-000 (Senate) - 2026-05-20: Added as Alternate Co-Sponsor Sen. Mike Simmons (Senate) - 2026-05-19: Placed on Calendar Order of 3rd Reading ** (Senate) - 2026-05-14: Placed on Calendar Order of 3rd Reading May 18, 2026 (Senate) - 2026-05-14: Second Reading (Senate) - 2026-05-06: Placed on Calendar Order of 2nd Reading May 7, 2026 (Senate) - 2026-05-06: Do Pass Health and Human Services; 009-000-000 (Senate) - 2026-04-28: Assigned to Health and Human Services (Senate) - 2026-04-15: Referred to Assignments (Senate) - 2026-04-15: First Reading (Senate) - 2026-04-15: Chief Senate Sponsor Sen. David Koehler (Senate) - 2026-04-15: Placed on Calendar Order of First Reading (Senate) - 2026-04-15: Arrive in Senate (Senate) - 2026-04-14: Third Reading - Short Debate - Passed 109-000-000 (House) - 2026-04-14: Placed on Calendar Order of 3rd Reading - Short Debate (House) - 2026-04-14: House Floor Amendment No. 1 Adopted (House) - 2026-04-10: Held on Calendar Order of Second Reading - Short Debate (House) - 2026-04-10: Second Reading - Short Debate (House) - 2026-04-08: House Floor Amendment No. 1 Recommends Be Adopted Human Services Committee; 012-000-000 (House) - 2026-04-08: House Floor Amendment No. 1 Rules Refers to Human Services Committee (House) - 2026-04-07: House Floor Amendment No. 1 Referred to Rules Committee (House) - 2026-04-07: House Floor Amendment No. 1 Filed with Clerk by Rep. Nicolle Grasse (House) - 2026-02-18: Placed on Calendar 2nd Reading - Short Debate (House) - 2026-02-18: Do Pass / Short Debate Human Services Committee; 011-000-000 (House) - 2026-02-11: Assigned to Human Services Committee (House) - 2026-01-26: Referred to Rules Committee (House) - 2026-01-26: First Reading (House) - 2026-01-21: Filed with the Clerk by Rep. Nicolle Grasse (House) ## Bill text - Engrossed: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4509eng.pdf) - Enrolled: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4509enr.pdf) - House Amendment 1: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4509ham001.pdf) - Introduced: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4509.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/10400HB4509eng.pdf) - [Enrolled (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4509enr.pdf) - [House Amendment 1 (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4509ham001.pdf) - [Introduced (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4509.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-HB4509-2025-2026 (as of 2026-11-01).