IllinoisHB4643104th General Assembly (2025–2026)HouseWALLET

DHS-OIG INVESTIGATIONS

Sponsored By: Sponsor information unavailable

Signed by Governor

Summary

Amends the Department of Human Services Act. In the definition of "material obstruction of an investigation", defines the term to mean the intentional failure to timely report an allegation to the hotline or the interference (rather than purposeful interference) with an investigation of physical abuse, sexual abuse, mental abuse, neglect, or financial exploitation for the purpose of obstructing an Office of the Inspector General investigation. Provides that such material obstruction may include, but is not limited to, delaying or withholding reports of allegations to the hotline for the purpose of obstructing an Office of the Inspector General investigation; the withholding or altering of documentation or recorded evidence when reporting an allegation to the hotline or during an investigation; influencing, threatening, or impeding a victim's, complainant's, or required reporter's report of an allegation to the hotline or witness testimony during an investigation; or presenting untruthful information to the hotline or during an investigatory interview. Provides that any employee who fails to cooperate with an Office of the Inspector General investigation may also result in a finding of material obstruction of an investigation. Expands the list of employee conduct during an investigation that is in violation of the Act, including the failure to timely report an incident of abuse or material obstruction of an investigation committed by another employee. Makes changes to the definition of "presenting untruthful information".

human servicesassignments

Personalized for You

How does this bill affect your finances?

Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.

Bill Overview

Analyzed Economic Effects

5 provisions identified: 1 benefits, 1 costs, 3 mixed.

Workers can contest public abuse listings

The Inspector General must report certain substantiated findings about an employee to the public Health Care Worker Registry. The employee has 30 days after notice to request a hearing, where the Department must show reporting is warranted. A worker who formally contests a related job action can pause Registry reporting and hearings; if the job action is overturned, a reported name must be removed. A listed worker can also petition for removal no more than once in any 12-month period and must show removal is in the public interest.

Independent checks on care investigations

The law creates a seven-member Quality Care Board to monitor the Inspector General’s work and advise on investigations, policies, and training. Two members must be people with disabilities or parents of people with disabilities. The Auditor General must audit the office when the Auditor General decides an audit is needed, reviewing legal compliance and investigation effectiveness. Audit findings are due to the General Assembly by January 1 after the audit period.

Religious objections can limit care services

When a person states or implies a religious objection to a service, the facility and specified staff do not have to provide it. Under this section, not providing the service does not count as abuse. This can limit that person’s access to the service.

Care providers face stronger safety oversight

Employees at covered facilities and agencies must report suspected abuse, neglect, sexual abuse, financial exploitation, or obstruction to the hotline within 4 hours. Knowingly breaking reporting rules or delaying a report to obstruct an investigation is a Class A misdemeanor. Facilities must respond to qualifying reports within 30 days with a plan to protect people and fix problems. They must report progress on approved actions, and the Inspector General reviews plans that take more than 120 days. Sanctions can include monitors, moving people, closing units, or ending a facility’s license, funding, or certification.

More review and access to abuse findings

The Inspector General must tell listed officials and people whether allegations were substantiated, unsubstantiated, or unfounded. When allegations are substantiated, victims, guardians, and accused people receive a redacted report; raw records generally stay confidential. Facilities, agencies, victims or guardians, and subject employees can ask for clarification or reconsideration, with review by someone new to the original investigation. People who make or investigate reports must fully testify in related court cases about specified abuse, neglect, exploitation, or obstruction evidence, and some communication privileges cannot keep that evidence out.

Sponsors & Cosponsors

Sponsors

There is no primary sponsor on record.

Cosponsors

  • Kimberly A. Lightford

    Democratic • Senate

  • Lisa Davis

    Democratic • House

  • Michael Crawford

    Democratic • House

  • Nicolle Grasse

    Democratic • House

  • Yolonda Morris

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 171 • No: 0

Senate vote • 5/21/2026

Third Reading - Passed;

Yes: 59 • No: 0

House vote • 4/9/2026

Third Reading - Short Debate - Passed

Yes: 101 • No: 0

House vote • 3/19/2026

Do Pass as Amended / Short Debate Human Services Committee;

Yes: 11 • No: 0

Actions Timeline

  1. Public Act . . . . . . . . . 104-0669

    7/31/2026House
  2. Effective Date January 1, 2027

    7/31/2026House
  3. Governor Approved

    7/31/2026House
  4. Sent to the Governor

    6/18/2026House
  5. Passed Both Houses

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

    5/21/2026Senate
  7. Placed on Calendar Order of 3rd Reading **

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

    5/14/2026Senate
  9. Second Reading

    5/14/2026Senate
  10. Placed on Calendar Order of 2nd Reading April 28, 2026

    4/22/2026Senate
  11. Approved for Consideration Assignments

    4/22/2026Senate
  12. Referred to Assignments

    4/10/2026Senate
  13. First Reading

    4/10/2026Senate
  14. Chief Senate Sponsor Sen. Kimberly A. Lightford

    4/10/2026Senate
  15. Placed on Calendar Order of First Reading

    4/10/2026Senate
  16. Arrive in Senate

    4/10/2026Senate
  17. Third Reading - Short Debate - Passed 101-000-000

    4/9/2026House
  18. Placed on Calendar Order of 3rd Reading - Short Debate

    4/8/2026House
  19. Second Reading - Short Debate

    4/8/2026House
  20. Added Co-Sponsor Rep. Lisa Davis

    3/20/2026House
  21. Added Co-Sponsor Rep. Michael Crawford

    3/20/2026House
  22. Added Co-Sponsor Rep. Nicolle Grasse

    3/20/2026House
  23. Placed on Calendar 2nd Reading - Short Debate

    3/19/2026House
  24. Do Pass as Amended / Short Debate Human Services Committee; 011-000-000

    3/19/2026House
  25. House Committee Amendment No. 1 Adopted in Human Services Committee; by Voice Vote

    3/19/2026House

Bill Text

Related Bills

Back to State Legislation