Illinois SB 4056: SCHOOLS-MISCELLANEOUS

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
SB4056

Introduced 2/18/2026, by Sen. David Koehler 

SYNOPSIS AS INTRODUCED:

210 ILCS 9/75

 Amends the Assisted Living and Shared Housing Act. In provisions concerning terminally ill residents who receive or would qualify for hospice care, provides that establishments shall ensure that those residents receive care from a licensed health care professional available on-site 7 days per week, 24 hours per day to meet the medical, nursing, and mental and psychosocial care needs of the resident.

LRB104 20045 BAB 33496 b

A BILL FOR

SB4056LRB104 20045 BAB 33496 b

1 AN ACT concerning regulation.

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

3represented in the General Assembly:

4 Section 5. The Assisted Living and Shared Housing Act is 

5amended by changing Section 75 as follows:

6 (210 ILCS 9/75)

7 Sec. 75. Residency requirements. 

8 (a) No individual shall be accepted for residency or 

9remain in residence if the establishment cannot provide or 

10secure appropriate services, if the individual requires a 

11level of service or type of service for which the 

12establishment is not licensed or which the establishment does 

13not provide, or if the establishment does not have the staff 

14appropriate in numbers and with appropriate skill to provide 

15such services.

16 (b) Only adults may be accepted for residency.

17 (c) A person shall not be accepted for residency if:

18 (1) the person poses a serious threat to himself or 

19 herself or to others;

20 (2) the person is not able to communicate his or her 

21 needs and no resident representative residing in the 

22 establishment, and with a prior relationship to the 

23 person, has been appointed t