Illinois HB 4542: MHDDSA-ONE'S OWN HOME-DEFINED

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
HB4542

Introduced 1/30/2026, by Rep. Amy L. Grant 

SYNOPSIS AS INTRODUCED:

405 ILCS 80/2-3 from Ch. 91 1/2, par. 1802-3

 Amends the Developmental Disability and Mental Disability Services Act. Provides that in one's "own home" means that an adult with a mental disability lives alone; or that an adult with a mental disability is in full-time residence with his or her parents, legal guardian, or other relatives; or that an adult with a mental disability is in full-time residence in a setting not subject to licensure under the Nursing Home Care Act, the Specialized Mental Health Rehabilitation Act of 2013, the ID/DD Community Care Act, the MC/DD Act, or the Child Care Act of 1969 with 5 (rather than 3) or fewer other adults unrelated to the adult with a mental disability who do not provide home-based services to the adult with a mental disability.

LRB104 17801 KTG 31234 b

A BILL FOR

HB4542LRB104 17801 KTG 31234 b

1 AN ACT concerning health.

2 Be it enacted by the People of the State of Illinois, 

3represented in the General Assembly:

4 Section 5. The Developmental Disability and Mental 

5Disability Services Act is amended by changing Section 2-3 as 

6follows:

7 (405 ILCS 80/2-3) (from Ch. 91 1/2, par. 1802-3)

8 Sec. 2-3. As used in this Article, unless the context 

9requires otherwise: 

10 (a) "Agency" means an agency or entity licensed by the 

11Department pursuant to this Article or pursuant to the 

12Community Residential Alternatives Licensing Act.

13 (b) "Department" means the Department of Human Services, 

14as successor to the Department of Mental Health and 

15Developmental Disabilities.

16 (c) "Home-based services" means services provided to an 

1