Illinois HB 4580: HOSPITAL-RULES-NURSING HOMES

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
HB4580

Introduced 2/3/2026, by Rep. Robert "Bob" Rita 

SYNOPSIS AS INTRODUCED:

210 ILCS 85/6.09 from Ch. 111 1/2, par. 147.09

 Amends the Hospital Licensing Act. Removes provisions requiring the Department on Aging to adopt rules to address instances when a case coordination unit is unable to complete an assessment in a hospital prior to the discharge of a patient 60 years or older to a nursing home to ensure that the patient is able to access nursing home care, the nursing home is not penalized for accepting the admission, and the patient's timely discharge from the hospital is not delayed, to the extent permitted under federal law or regulation. 

LRB104 17693 BAB 31124 b

A BILL FOR

HB4580LRB104 17693 BAB 31124 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 Hospital Licensing Act is amended by 

5changing Section 6.09 as follows:

6 (210 ILCS 85/6.09) (from Ch. 111 1/2, par. 147.09)

7 Sec. 6.09. (a) In order to facilitate the orderly 

8transition of aged patients and patients with disabilities 

9from hospitals to post-hospital care, whenever a patient who 

10qualifies for the federal Medicare program is hospitalized, 

11the patient shall be notified of discharge at least 24 hours 

12prior to discharge from the hospital. With regard to pending 

13discharges to a skilled nursing facility, the hospital must 

14notify the case coordination unit, as defined in 89 Ill. Adm. 

15Code 240.260, at least 24 hours prior to discharge. When the 

16assessment is completed in the hospital, the case coordination 

17unit shall provide a copy of the required assessment 

18do