Illinois HB 4324: CILA PER DIEM REIMBURSEMENT

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
HB4324

Introduced 1/14/2026, by Rep. Anna Moeller 

SYNOPSIS AS INTRODUCED:

210 ILCS 135/13.3

 Amends the Community-Integrated Living Arrangements Licensure and Certification Act. In provisions concerning per diem reimbursement for a community-integrated living arrangement provider, provides that, if it is determined by third-party medical personnel that a resident that required a medical absence is unable to return to the community-integrated living arrangement, or if the resident dies during the medical absence, the provider shall receive 100% of the per diem reimbursement for up to 20 medical absence days. Effective immediately.

LRB104 17066 BAB 30481 b

A BILL FOR

HB4324LRB104 17066 BAB 30481 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 Community-Integrated Living Arrangements 

5Licensure and Certification Act is amended by changing Section 

613.3 as follows:

7 (210 ILCS 135/13.3)

8 Sec. 13.3. Community-integrated living arrangement per 

9diem reimbursement. As used in this Section, "medical absence" 

10means a situation in which a resident is temporarily absent 

11from a community-integrated living arrangement to receive 

12medical treatment or for other reasons that have been 

13recommended by third-party medical personnel, including, but 

14not limited to, hospitalizations, placements in short-term 

15stabilization homes or State-operated facilities, stays in 

16nursing facilities, rehabilitation in long-term care 

17facilities, or other absences for legitimate medical reasons. 

18 Beginning January 1, 2025, the Department's Division of 

19Develop