Illinois SB 3554: MEDICAID-BRAIN INJURY WAIVER

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
SB3554

Introduced 2/5/2026, by Sen. David Koehler 

SYNOPSIS AS INTRODUCED:

305 ILCS 5/5-70 new

 Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that, on and after January 1, 2027, certain services shall be eligible for reimbursement at approved programs through the Brain Injury waiver for eligible individuals over the age of 21, including, but not limited to: (1) case management; (2) nursing services; (3) medical oversight by consulting medical director; (4) physical therapy; and (5) occupational therapy. Requires the Department of Human Services to reimburse approved programs at the rates in effect for the Home and Community-Based Services Waiver program most recently approved. Effective January 1, 2027.

LRB104 19789 KTG 33239 b

A BILL FOR

SB3554LRB104 19789 KTG 33239 b

1 AN ACT concerning State government.

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

3represented in the General Assembly:

4 Section 5. The Illinois Public Aid Code is amended by 

5adding Section 5-70 as follows:

6 (305 ILCS 5/5-70 new)

7 Sec. 5-70. Brain injury waiver services.

8 (a) Findings. The General Assembly finds that:

9 (1) Annually, over 141,000 new brain injuries are 

10 sustained by children and adult Illinois residents.

11 (2) The State provides services and support for 

12 individuals with brain injuries through the Persons with 

13 Brain Injury waiver, which is part of the Home and 

14 Community-Based Services Waiver and is operated by the 

15 Department of Human Services' Division of Rehabilitation 

16 Services. This program is administered by the Department 

17 of Healthcare and Family Services. Day-to-day operations 

18 are ma