Illinois SB 3144: MEDICAID-SLF-DEMENTIA CARE

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
SB3144

Introduced 2/2/2026, by Sen. Christopher Belt 

SYNOPSIS AS INTRODUCED:

305 ILCS 5/5-5.01a

 Amends the Medical Assistance Article of the Illinois Public Aid Code. In provisions concerning the supportive living facilities program, removes a provision permitting applications for the expansion of supportive living dementia care settings, involving sites not approved by the Department of Healthcare and Family Services, to include new elderly non-dementia units in addition to new dementia care units.

LRB104 20220 KTG 33671 b

A BILL FOR

SB3144LRB104 20220 KTG 33671 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 5-5.01a as follows:

6 (305 ILCS 5/5-5.01a)

7 Sec. 5-5.01a. Supportive living facilities program. 

8 (a) The Department shall establish and provide oversight 

9for a program of supportive living facilities that seek to 

10promote resident independence, dignity, respect, and 

11well-being in the most cost-effective manner.

12 A supportive living facility is (i) a free-standing 

13facility or (ii) a distinct physical and operational entity 

14within a mixed-use building that meets the criteria 

15established in subsection (d). A supportive living facility 

16integrates housing with health, personal care, and supportive 

17services and is a designated setting that offers residents 

18their own separate, private, and distinct living units.

19 Sites for the operation of the program shall be selected 

20by the Department based upon criteria that may include the 

21need for services in a geograph