104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
HB4188
 
Introduced 10/28/2025, by Rep. Norine K. Hammond
 
SYNOPSIS AS INTRODUCED:
 
305 ILCS 5/5-35
    Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that beginning January 1, 2027, for a person who is a resident in a facility licensed under the ID/DD Community Care Act or the MC/DD Act for whom payments are made under the Article throughout a month and who is determined to be eligible for medical assistance, the State shall pay an amount in addition to the minimum monthly personal needs allowance authorized under the Social Security Act so that the person's total monthly personal needs allowance from both State and federal sources equals $90. Provides that beginning January 1, 2028, the personal needs allowance described in the amendatory Act shall increase annually at the same rate as the Social Security cost-of-living adjustment to take effect on January 1 of each year. 


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A BILL FOR
 
HB4188LRB104 15995 KTG 29243 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 5-35 as follows:
 
6    (305 ILCS 5/5-35)
7    Sec. 5-35. Personal needs allowance.  
8    (a) For a person who is a resident in a facility licensed 
9under the ID/DD Community Care Act, the Community-Integrated 
10Living Arrangements Licensure and Certification Act, the 
11Specialized Mental Health Rehabilitation Act of 2013, or the 
12MC/DD Act for whom payments are made under this Article 
13throughout a month and who is determined to be eligible for 
14medical assistance under this Article, the State shall pay an 
15amount in addition to the minimum monthly personal needs 
16allowance authorized under Section 1902(q) of Title XIX of the 
17Social Security Act (42 U.S.C. 1396a(q)) so that the person's 
18total monthly personal needs allowance from both State and 
19federal sources equals $60.
20    (b) Beginning January 1, 2025, for a person who is a 
21resident in a facility licensed under the Community-Integrated 
22Living Arrangements Licensure and Certification Act for whom 
23payments are made under this Article throughout a month and 
 
 
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1who is determined to be eligible for medical assistance under 
2this Article, the State shall pay an amount in addition to the 
3minimum monthly personal needs allowance authorized under 
4Section 1902(q) of Title XIX of the Social Security Act so that 
5the person's total monthly personal needs allowance from both 
6State and federal sources equals $100. 
7    (c) Beginning January 1, 2026, the personal needs 
8allowance described in subsection (b) shall increase annually 
9at the same rate as the Social Security cost-of-living 
10adjustment to take effect on January 1 of each year. 
11    (d) Beginning January 1, 2027, for a person who is a 
12resident in a facility licensed under the ID/DD Community Care 
13Act or the MC/DD Act for whom payments are made under this 
14Article throughout a month and who is determined to be 
15eligible for medical assistance under this Article, the State 
16shall pay an amount in addition to the minimum monthly 
17personal needs allowance authorized under Section 1902(q) of 
18Title XIX of the Social Security Act so that the person's total 
19monthly personal needs allowance from both State and federal 
20sources equals $90. 
21    Beginning January 1, 2028, the personal needs allowance 
22described in this subsection shall increase annually at the 
23same rate as the Social Security cost-of-living adjustment to 
24take effect on January 1 of each year. 
25(Source: P.A. 103-1060, eff. 1-21-25.)