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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:
| | | 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. |
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| | A BILL FOR |
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| | SB3649 | | LRB104 19303 KTG 32749 b |
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| 1 | | AN ACT concerning public aid.
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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 Illinois Public Aid Code is amended by |
| 5 | | adding Section 5-54 as follows:
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| 6 | | (305 ILCS 5/5-54 new) |
| 7 | | Sec. 5-54. Electronic visit verification system; live-in |
| 8 | | caregiver exemption. In accordance with federal guidance |
| 9 | | issued by the federal Centers for Medicare and Medicaid |
| 10 | | Services in its "CMCS Informational Bulletin" on August 8, |
| 11 | | 2019 that allows state Medicaid agencies to exempt live-in |
| 12 | | caregivers from the electronic visit verification requirements |
| 13 | | authorized under Section 12006(a) of the 21st Century Cures |
| 14 | | Act (Public Law 114-255), the Department of Healthcare and |
| 15 | | Family Services shall exempt from electronic visit |
| 16 | | verification requirements all live-in caregivers who provide |
| 17 | | personal care services under the Adults with Developmental |
| 18 | | Disabilities waiver and the Support Waiver for Children and |
| 19 | | Young Adults with Developmental Disabilities authorized under |
| 20 | | Section 1915(c) of the Social Security Act. As used in this |
| 21 | | Section, "live-in caregiver" means a caregiver as defined by |
| 22 | | the Department of Human Services. The Department of Healthcare |
| 23 | | and Family Services and the Department of Human Services may |