HB 1108 Illinois House · 104th Regular Session

DHFS-LIVE-IN CAREGIVER WAIVER

Summary

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.

Issues: ✓ Healthcare

Bill status passed 3 of 5 stages cleared

Introduction

Apr 2025

Committee Review

Apr 2025

House Passage

Apr 2025

Senate Passage

Governor

Introduced Apr 8, 2025 Last action Apr 9, 2025

Maddy AI version diff · 1 comparison

What changed between versions

Introduced → Engrossed · 3 edits · Apr 7, 2025

MINOR

The bill was amended to clarify exactly which Medicaid waiver programs qualify for a live-in caregiver exemption from electronic visit verification. It replaced a broad list of general waiver sections with specific references to the 'Adults with Developmental Disabilities' and 'Support Waiver for Children and Young Adults with Developmental Disabilities.' Additionally, the definition of a 'live-in caregiver' was changed from a specific list of federal agencies (like the IRS) to a single reference to the state Department of Human Services, giving the state more flexibility in setting rules.

Scope change

The scope of the exemption was narrowed from potentially covering various unspecified waiver programs to explicitly covering only two specific developmental disabilities waivers.

ELIGIBILITY

Replaced a broad list of Social Security Act sections with specific references to the Adults with Developmental Disabilities waiver and the Support Waiver for Children and Young Adults with Developmental Disabilities.

DEFINITION

Changed the definition of 'live-in caregiver' from requiring compliance with specific federal agencies (U.S. Department of Labor, IRS) to simply being defined by the state Department of Human Services.

REQUIREMENT

Updated the rulemaking authority text to specifically require verification rules for 'live-in caregivers' rather than just 'caregivers'.

Floor votes · House Apr 7, 2025

How they voted

105–1

Passed · 12 other

Total votes 118

Apr 7, 2025

D Democratic78

67 Yea 1 Nay 10

85% Yea

R Republican40

38 Yea 2

95% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Apr 9, 2025

Committee

Referred to Assignments

upper

Apr 8, 2025

Introduced

Arrive in Senate

upper

Apr 7, 2025

Lower · Passed

Third Reading - Short Debate - Passed 105-001-000

lower

Mar 19, 2025

Amended

House Committee Amendment No. 1 Tabled

lower

Mar 19, 2025

Lower · Passed

Do Pass as Amended / Short Debate Human Services Committee; 009-001-000

lower

Mar 19, 2025

Lower · Passed

House Committee Amendment No. 2 Adopted in Human Services Committee; by Voice Vote

lower

Mar 11, 2025

Lower · Passed

House Committee Amendment No. 2 Rules Refers to Human Services Committee

lower

Mar 5, 2025

Committee

House Committee Amendment No. 2 Referred to Rules Committee

lower

Mar 5, 2025

Introduced

House Committee Amendment No. 2 Filed with Clerk by Rep. Charles Meier

lower

Feb 25, 2025

Lower · Passed

House Committee Amendment No. 1 Rules Refers to Human Services Committee

lower

Feb 18, 2025

Committee

House Committee Amendment No. 1 Referred to Rules Committee

lower

Feb 18, 2025

Introduced

House Committee Amendment No. 1 Filed with Clerk by Rep. Charles Meier

lower

Feb 4, 2025

Committee

Assigned to Human Services Committee

lower

Jan 9, 2025

Committee

Referred to Rules Committee

lower

2 primary · 1 co-sponsor