Illinois HB 4178: MEDICAID-PAID FAMILY CAREGIVER

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
HB4178

Introduced 10/28/2025, by Rep. Robert "Bob" Rita 

SYNOPSIS AS INTRODUCED:

230 ILCS 10/7 from Ch. 120, par. 2407

 Amends the Illinois Gambling Act. Provides that each licensee shall make a reconciliation payment 3 years after the date the licensee begins operating in an amount equal to 75% of the adjusted gross receipts for the most lucrative consecutive 12-month period of operations, minus an amount equal to (i) the initial payment per gaming position paid by the specific licensee and (ii) the $15,000,000 reconciliation fee.

LRB104 15891 LNS 29117 b

A BILL FOR

HB4178LRB104 15891 LNS 29117 b

1 AN ACT concerning gaming.

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

3represented in the General Assembly:

4 Section 5. The Illinois Gambling Act is amended by 

5changing Section 7 as follows:

6 (230 ILCS 10/7) (from Ch. 120, par. 2407)

7 Sec. 7. Owners licenses. 

8 (a) The Board shall issue owners licenses to persons or 

9entities that apply for such licenses upon payment to the 

10Board of the non-refundable license fee as provided in 

11subsection (e) or (e-5) and upon a determination by the Board 

12that the applicant is eligible for an owners license pursuant 

13to this Act and the rules of the Board. From December 15, 2008 

14(the effective date of Public Act 95-1008) until (i) 3 years 

15after December 15, 2008 (the effective date of Public Act 

1695-1008), (ii) the date any organization licensee begins to 

17operate a slot machine or video game of chance under the 

18Illinois Horse Racing Act of 1975 or this Act, (iii) the date 

19that payments begin under subsection (c-5) of Section 13 of 

20this Act, (iv) the wagering tax imposed u