Illinois SB 1465: NURSING HOME-STAFFING RATIO

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
SB1465

Introduced 1/31/2025, by Sen. Julie A. Morrison 

SYNOPSIS AS INTRODUCED:

210 ILCS 45/3-202.05

210 ILCS 45/3-209 from Ch. 111 1/2, par. 4153-209

 Amends the Nursing Home Care Act. Adds infection preventionists, minimum data set assessment nurses, other social workers, certified nursing assistant interns, and medication aides to the list of direct care staff used to compute staff to resident ratios. Provides that, except as otherwise provided by law, 100% of the hours worked by the specified staff shall be counted toward the staff to resident ratio. Provides that no monetary penalties shall be imposed unless the variance between a facility's minimum staffing ratios and the Department of Public Health's computations exceeds 20%. Removes a provision prohibiting waiver of a monetary penalty for non-compliance. In provisions concerning reporting requirements for facilities that violate the minimum staffing requirements, provides that the facility must have a variance that exceeds 20% of the requirements. Makes other changes. Effective immediately.

LRB104 08274 BAB 18324 b

A BILL FOR

SB1465LRB104 08274 BAB 18324 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 Sections 3-202.05 and 3-209 as follows:

6 (210 ILCS 45/3-202.05)

7 Sec. 3-202.05. Staffing ratios effective July 1, 2010 and 

8thereafter.

9 (a) For the purpose of computing staff to resident ratios, 

10direct care staff shall include:

11 (1) registered nurses;

12 (2) licensed practical nurses;

13 (3) certified nurse assistants;

14 (4) psychiatric services r