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IllinoisHB4509Signed into lawas of July 30, 2026

A Illinois bill on care standards, signed into law. Takes effect January 1, 2027.

Official title NURSING HOME-MENTAL ILLNESS

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.

What this affects

Who pays, or is paid
Facilities carry the cost of meeting the standard. Surveyors cite against it.
Which buildings
667 facilities holding 85,157 licensed beds in Illinois.
The dollars, or the rule
Applies to nursing facilities admitting residents with a diagnosis of serious mental illness. Facilities must refer any such resident to DHS or its designee for a resident review within 72 hours after a significant change in physical or mental condition, and new admissions must still get a follow-up visit within 60…
Effective
January 1, 2027.
Status
Signed into law, as of July 30, 2026.

Rules about what a building must do for a resident are what surveyors cite against, and citations are priced into every offer.

Ask us about this bill

Latest action, July 30, 2026: Public Act . . . . . . . . . 104-0659

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Every action this bill has taken, who is carrying it, committee and vote detail, and what it moves for the 667 facilities it reaches. Free to owners and operators, gone in one sign-in.

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Legislative data: LegiScan LLC (legiscan.com) · CC BY 4.0

Bill text and status: ilga.gov · retrieved August 12, 2026

Bill status, history and votes are drawn from the state legislature's own records, as of the date shown. It is market information, not legal advice. A bill can move the day after we checked; confirm anything you intend to act on.

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