Illinois SB 3649: DHFS-LIVE-IN CAREGIVER WAIVER

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
SB3649

Introduced 2/5/2026, by Sen. Sue Rezin 

SYNOPSIS AS INTRODUCED:

305 ILCS 5/5-54 new

 Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that, in accordance with federal guidance issued by the federal Centers for Medicare and Medicaid Services, the Department of Healthcare and Family Services shall exempt from electronic visit verification requirements all live-in caregivers who provide Medicaid-funded personal care services or home health care services under the Illinois Title XIX State Plan or a waiver of the plan, including personal care services and home health care services provided under various home and community-based services waiver programs authorized under the Social Security Act. Defines "live-in caregiver". Grants the Department rulemaking authority. Effective immediately.

LRB104 19303 KTG 32749 b

A BILL FOR

SB3649LRB104 19303 KTG 32749 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 

5adding Section 5-54 as follows:

6 (305 ILCS 5/5-54 new)

7 Sec. 5-54. Electronic visit verification system; live-in 

8caregiver exemption. In accordance with federal guidance 

9issued by the federal Centers for Medicare and Medicaid 

10Services in its "CMCS Informational Bulletin" on August 8, 

112019 that allows state Medicaid agencies to exempt live-in 

12caregivers from the electronic visit verification requirements 

13authorized under Section 12006(a) of the 21st Century Cures 

14Act (Public Law 114-255), the Department of Healthcare and 

15Family Services shall exempt from electronic visi