# Illinois HB4850: MEDICAID-COMMUNTY DAY SERVICES

Illinois HB4850, MEDICAID-COMMUNTY DAY SERVICES, is a 104th General Assembly (2025–2026) House bill sponsored by Gregg Johnson (Democratic); status in committee, last action 2026-03-27 (Rule 19(a) / Re-referred to Rules Committee) (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/IL-HB4850-2025-2026
- As of: 2026-11-01
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Illinois HB4850
- State: Illinois
- Session: 104th General Assembly (2025–2026)
- Title: MEDICAID-COMMUNTY DAY SERVICES
- Status: in committee
- Chamber: House
- Introduced: 2026-02-03
- Last action: 2026-03-27, Rule 19(a) / Re-referred to Rules Committee
- Sponsor: Gregg Johnson (Democratic)
- Cosponsors: 5
- Subjects: appropriations-health and human services
- Touches household money: no
- Economic provisions PRIA read: 0

## Summary

Amends the Mental Health and Developmental Disabilities Administrative Act. Provides that beginning July 1, 2026, the Department of Human Services shall reissue the original cost and wage survey for costs associated with the administration of services to persons with intellectual and developmental disabilities in community day services that was contained in the Department's Guidehouse Rate Study. Provides that the cost and wage survey shall be used to effectuate rate increases in transportation funding for the administration of community day services to persons with intellectual and developmental disabilities and may include provider contact information, total costs of employee salaries and benefits, staff turnover, and other information. Requires the Department to adopt rules. Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to file an amendment to the Home and Community-Based Services Waiver Program for Adults with Developmental Disabilities that removes the 5 hour per day billing maximums at community day services. Provides that the amendment shall not modify monthly and yearly billing maximums for community day services. Provides that implementation is contingent on federal approval. Effective July 1, 2026.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Gregg Johnson (Democratic), House
- Cosponsor: Abdelnasser Rashid (Democratic), House
- Cosponsor: Bob Morgan (Democratic), House
- Cosponsor: Kelly M. Cassidy (Democratic), House
- Cosponsor: Laura Faver Dias (Democratic), House
- Cosponsor: Michelle Mussman (Democratic), House

## Actions (11)

- 2026-03-27: Rule 19(a) / Re-referred to Rules Committee (House)
- 2026-03-20: To Appropriations-Medicaid Subcommittee (House)
- 2026-03-18: Added Co-Sponsor Rep. Kelly M. Cassidy (House)
- 2026-03-16: Added Co-Sponsor Rep. Laura Faver Dias (House)
- 2026-03-12: Assigned to Appropriations-Health and Human Services Committee (House)
- 2026-03-09: Added Co-Sponsor Rep. Abdelnasser Rashid (House)
- 2026-03-04: Added Co-Sponsor Rep. Michelle Mussman (House)
- 2026-02-25: Added Co-Sponsor Rep. Bob Morgan (House)
- 2026-02-06: Referred to Rules Committee (House)
- 2026-02-06: First Reading (House)
- 2026-02-03: Filed with the Clerk by Rep. Gregg Johnson (House)

## Bill text

- Introduced: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4850.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/10400HB4850.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-HB4850-2025-2026 (as of 2026-11-01).