# Illinois HB4918: LONG-TERM CARE TRUST ACT

Illinois HB4918, LONG-TERM CARE TRUST ACT, is a 104th General Assembly (2025–2026) House bill sponsored by Justin Cochran (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-HB4918-2025-2026
- As of: 2026-11-01
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Illinois HB4918
- State: Illinois
- Session: 104th General Assembly (2025–2026)
- Title: LONG-TERM CARE TRUST ACT
- Status: in committee
- Chamber: House
- Introduced: 2026-02-03
- Last action: 2026-03-27, Rule 19(a) / Re-referred to Rules Committee
- Sponsor: Justin Cochran (Democratic)
- Cosponsors: 0
- Subjects: appropriations-health and human services
- Touches household money: no
- Economic provisions PRIA read: 0

## Summary

Creates the Long-Term Care Trust Act. Establishes the Long-Term Services and Supports Trust Program (Trust Program) within the Department on Aging to provide long-term services and supports funding benefits to eligible employees through payroll deductions to be deposited into the Long-Term Services and Supports Trust Fund created under the Act. Requires the Department on Aging, an actuary contracted with the Department on Aging, and the Department of Revenue to have the responsibilities of implementing and administering the Trust Program. Sets forth the Department on Aging's responsibilities, including, but not limited to: (i) making determinations regarding an individual's status as an eligible beneficiary; (ii) approving long-term services and supports eligible for payment; (iii) registering long-term services and supports providers that meet minimum qualifications; and (iv) disbursing payments of benefits to registered long-term services and supports providers. Requires the Department of Revenue to collect and assess employee premiums under the program, make eligibility determinations, and other responsibilities. Contains provisions on the responsibilities of the contracted actuary; the establishment of a Long-Term Services and Supports Trust Commission and a Long-Term Services and Supports Trust Council; qualifying beneficiary requirements; payroll premiums and the disbursement of benefits; coverage for self-employed individuals; the management of the Long-Term Services and Supports Trust Fund; appeals of benefit determinations; federal waiver requirements; reporting requirements; and other matters. Effective immediately.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Justin Cochran (Democratic), House

## Actions (5)

- 2026-03-27: Rule 19(a) / Re-referred to Rules Committee (House)
- 2026-02-24: Assigned to Appropriations-Health and Human Services Committee (House)
- 2026-02-06: Referred to Rules Committee (House)
- 2026-02-06: First Reading (House)
- 2026-02-03: Filed with the Clerk by Rep. Justin Cochran (House)

## Bill text

- Introduced: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4918.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/10400HB4918.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-HB4918-2025-2026 (as of 2026-11-01).