Illinois HB 4188: STATE GOVERNMENT-TECH

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
HB4188

Introduced 10/28/2025, by Rep. Norine K. Hammond 

SYNOPSIS AS INTRODUCED:

305 ILCS 5/5-35

 Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that beginning January 1, 2027, for a person who is a resident in a facility licensed under the ID/DD Community Care Act or the MC/DD Act for whom payments are made under the Article throughout a month and who is determined to be eligible for medical assistance, the State shall pay an amount in addition to the minimum monthly personal needs allowance authorized under the Social Security Act so that the person's total monthly personal needs allowance from both State and federal sources equals $90. Provides that beginning January 1, 2028, the personal needs allowance described in the amendatory Act shall increase annually at the same rate as the Social Security cost-of-living adjustment to take effect on January 1 of each year. 

LRB104 15995 KTG 29243 b

A BILL FOR

HB4188LRB104 15995 KTG 29243 b

1 AN ACT concerning public aid.

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 

5changing Section 5-35 as follows:

6 (305 ILCS 5/5-35)

7 Sec. 5-35. Personal needs allowance. 

8 (a) For a person who is a resident in a facility licensed 

9under the ID/DD Community Care Act, the Community-Integrated 

10Living Arrangements Licensure and Certification Act, the 

11Specialized Mental Health Rehabilitation Act of 2013, or the 

12MC/DD Act for whom payments are made under this Article 

13throughout a month and who is determined to be eligible for 

14medical assistance under this Article, the State sh