HB4509 - 104th General Assembly (2025-2026)

NURSING HOME-MENTAL ILLNESS
Last Action
4/28/2026 - Senate: Assigned to Health and Human Services
House Sponsors
Rep. Nicolle Grasse

Senate Sponsors
(Sen. David Koehler)
Hearings
Health and Human Services Hearing May 5 2026 3:30PM Capitol 400 Springfield, IL
Statutes Amended In Order of Appearance
210 ILCS 45/2-104.3  
Synopsis As Introduced
Amends the Nursing Home Care Act. Replaces provisions concerning serious mental illness rescreening. Provides that all persons admitted to a nursing home facility with a diagnosis of serious mental illness shall receive a follow-up visit within 60 days after admission and shall receive a resident review by the Department of Human Services or its designee promptly after a significant change in the resident's physical or mental condition. Provides that the Department of Human Services shall ensure there are no conflicts of interest for pre-admission screeners.

House Floor Amendment No. 1
Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill with the following changes. Provides that all persons admitted to a nursing home facility with a diagnosis of serious mental illness shall receive a follow-up visit by the Department of Human Services or its designee within 60 days after admission (rather than just a follow-up visit within 60 days after admission). Provides that, after admission, any resident with a diagnosis of serious mental illness who experiences a specified significant change in physical or mental condition shall be referred by the nursing facility for a resident review by the Department of Human Services or its designee within 72 hours after the significant change.
Actions
DateChamberAction
1/21/2026HouseFiled with the Clerk by Rep. Nicolle Grasse
1/26/2026HouseFirst Reading
1/26/2026HouseReferred to Rules Committee
2/11/2026HouseAssigned to Human Services Committee
2/18/2026HouseDo Pass / Short Debate Human Services Committee; 011-000-000
2/18/2026HousePlaced on Calendar 2nd Reading - Short Debate
4/07/2026HouseHouse Floor Amendment No. 1 Filed with Clerk by Rep. Nicolle Grasse
4/07/2026HouseHouse Floor Amendment No. 1 Referred to Rules Committee
4/08/2026HouseHouse Floor Amendment No. 1 Rules Refers to Human Services Committee
4/08/2026HouseHouse Floor Amendment No. 1 Recommends Be Adopted Human Services Committee; 012-000-000
4/10/2026HouseSecond Reading - Short Debate
4/10/2026HouseHeld on Calendar Order of Second Reading - Short Debate
4/14/2026HouseHouse Floor Amendment No. 1 Adopted
4/14/2026HousePlaced on Calendar Order of 3rd Reading - Short Debate
4/14/2026HouseThird Reading - Short Debate - Passed 109-000-000
4/15/2026SenateArrive in Senate
4/15/2026SenatePlaced on Calendar Order of First Reading
4/15/2026SenateChief Senate Sponsor Sen. David Koehler
4/15/2026SenateFirst Reading
4/15/2026SenateReferred to Assignments
4/28/2026SenateAssigned to Health and Human Services