Illinois HB 4509: NURSING HOME-MENTAL ILLNESS

Status: Passed Both Houses (as of 2026-05-21)

State: Illinois · Session: 104th · Bill: HB 4509

Sponsors: David Koehler, Nicolle Grasse, Mike Simmons

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 Illinois General Assembly - Full Text of HB4509 

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 Full Text of HB4509

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HB4509 EnrolledLRB104 17964 BAB 31401 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 Nursing Home Care Act is amended by 

5changing Section 2-104.3 as follows:

6 (210 ILCS 45/2-104.3)

7 Sec. 2-104.3. Serious mental illness; resident review 

8rescreening.

9 (a) All persons admitted to a nursing home facility with a 

10diagnosis of serious mental illness shall receive a follow-up 

11visit by the Department of Human Services or its designee 

12within 60 days after admission. After admission, any resident 

13with a diagnosis of serious mental illness who experiences a 

14significant change in physical or mental condition as defined 

15in 42 CFR 483.20(b)(2)(ii) shall be referred by the nursing 

16facility for a resident review who remain in the facility for a 

17period of 90 days shall be re-screened by the Department of 

18Human Services or its designee within 72 hours after the 

19significant change at the end of the 90-day period, at 6 

20months, and annually thereafter to assess their continuing 

21need for nursing facility care and shall be advised of all 

22other available care options.

23 (b) The Department of Human Services, by rule, shall 

HB4509 Enrolled- 2 -LRB104 17964 BAB 31401 b

1ensure there are no provide for a prohibition on conflicts of 

2interest for pre-admission screeners. The rule shall provide 

3for waiver of those conflicts by the Department of Human 

4Services if the Department of Human Services determines that a 

5scarcity of qualified pre-admission screeners exists in a 

6given community and

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