HB 4509 Illinois House · 104th Regular Session

NURSING HOME-MENTAL ILLNESS

Summary
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.
Bill status signed all 5 stages cleared
Introduction
Apr 2026
Committee Review
May 2026
House Passage
May 2026
Senate Passage
May 2026
Signed into Law
Jul 2026
Introduced Apr 15, 2026 Signed Jul 30, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed Enrolled · 2 edits · Jul 30, 2026
MINOR
The document version changed from 'Engrossed' to 'Enrolled', indicating the bill has passed all legislative stages and is now ready for the Governor's signature. A minor formatting correction was made to a page header, changing the text 'ensure there are no provide for a prohibition on conflicts of' to 'provide for a prohibition on conflicts of', which clarifies the intended legal language regarding conflict of interest rules.
TECHNICAL

Updated the document title from 'Engrossed' to 'Enrolled' to reflect the final legislative status.

Corrected a text error in the page header where the phrase 'ensure there are no provide for' was changed to 'provide for', clarifying the conflict of interest provision.

Floor votes · Senate May 21, 2026 · House Apr 14, 2026

How they voted

580
Passed
Total votes 58
May 21, 2026
D Democratic39
39 Yea
100% Yea
R Republican19
19 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
35
Key actions
9
Committee
9
Amendments
2
Jul 30, 2026
Signed into law
Governor Approved
lower
May 21, 2026
Lower · Passed
Passed Both Houses
lower
May 21, 2026
Upper · Passed
Third Reading - Passed; 059-000-000
upper
May 6, 2026
Upper · Passed
Do Pass Health and Human Services; 009-000-000
upper
Apr 28, 2026
Committee
Assigned to Health and Human Services
upper
Apr 15, 2026
Committee
Referred to Assignments
upper
Apr 15, 2026
Introduced
Arrive in Senate
upper
Apr 14, 2026
Lower · Passed
Third Reading - Short Debate - Passed 109-000-000
lower
Apr 14, 2026
Lower · Passed
House Floor Amendment No. 1 Adopted
lower
Apr 8, 2026
Lower · Passed
House Floor Amendment No. 1 Recommends Be Adopted Human Services Committee; 012-000-000
lower
Apr 8, 2026
Lower · Passed
House Floor Amendment No. 1 Rules Refers to Human Services Committee
lower
Apr 7, 2026
Committee
House Floor Amendment No. 1 Referred to Rules Committee
lower
Apr 7, 2026
Introduced
House Floor Amendment No. 1 Filed with Clerk by Rep. Nicolle Grasse
lower
Feb 18, 2026
Lower · Passed
Do Pass / Short Debate Human Services Committee; 011-000-000
lower
Feb 11, 2026
Committee
Assigned to Human Services Committee
lower
Jan 26, 2026
Committee
Referred to Rules Committee
lower
2 primary · 3 co-sponsors

Sponsors