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| | 104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
HB4324 Introduced 1/14/2026, by Rep. Anna Moeller SYNOPSIS AS INTRODUCED:
| | | Amends the Community-Integrated Living Arrangements Licensure and Certification Act. In provisions concerning per diem reimbursement for a community-integrated living arrangement provider, provides that, if it is determined by third-party medical personnel that a resident that required a medical absence is unable to return to the community-integrated living arrangement, or if the resident dies during the medical absence, the provider shall receive 100% of the per diem reimbursement for up to 20 medical absence days. Effective immediately. |
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| | A BILL FOR |
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| | HB4324 | | LRB104 17066 BAB 30481 b |
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| 1 | | AN ACT concerning regulation.
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| 2 | | Be it enacted by the People of the State of Illinois, |
| 3 | | represented in the General Assembly:
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| 4 | | Section 5. The Community-Integrated Living Arrangements |
| 5 | | Licensure and Certification Act is amended by changing Section |
| 6 | | 13.3 as follows:
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| 7 | | (210 ILCS 135/13.3) |
| 8 | | Sec. 13.3. Community-integrated living arrangement per |
| 9 | | diem reimbursement. As used in this Section, "medical absence" |
| 10 | | means a situation in which a resident is temporarily absent |
| 11 | | from a community-integrated living arrangement to receive |
| 12 | | medical treatment or for other reasons that have been |
| 13 | | recommended by third-party medical personnel, including, but |
| 14 | | not limited to, hospitalizations, placements in short-term |
| 15 | | stabilization homes or State-operated facilities, stays in |
| 16 | | nursing facilities, rehabilitation in long-term care |
| 17 | | facilities, or other absences for legitimate medical reasons. |
| 18 | | Beginning January 1, 2025, the Department's Division of |
| 19 | | Developmental Disabilities shall provide 100% of the per diem |
| 20 | | reimbursement to a 24-hour community-integrated living |
| 21 | | arrangement provider for up to 20 days for any resident |
| 22 | | requiring a medical absence. During the medical absence, the |
| 23 | | provider shall hold the bed for the resident. After the |
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| | HB4324 | - 2 - | LRB104 17066 BAB 30481 b |
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| 1 | | medical absence, the resident shall return to the |
| 2 | | community-integrated living arrangement when the resident is |
| 3 | | medically able to return in order for the provider to receive |
| 4 | | the full per diem reimbursement for the absent days. However, |
| 5 | | if it is determined by third-party medical personnel that the |
| 6 | | resident is unable to return to the community-integrated |
| 7 | | living arrangement, or if the resident dies during the medical |
| 8 | | absence, the provider shall receive 100% of the per diem |
| 9 | | reimbursement for up to 20 medical absence days. The per diem |
| 10 | | reimbursement shall be in addition to the existing occupancy |
| 11 | | factor policy set by the Division of Developmental |
| 12 | | Disabilities. |
| 13 | | (Source: P.A. 103-593, eff. 6-7-24.)
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| 14 | | Section 99. Effective date. This Act takes effect upon |
| 15 | | becoming law. |
