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SB2434

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CERTIFIED FAMILY HEALTH AIDE

What this bill does

Amends the Nurse Practice Act. Provides that the Act does not prohibit the practice of relevant nursing care by a legally responsible caregiver or a person designated by a legally responsible caregiver who has been certified as a certified family health aide for the specified services. Amends the Illinois Public Aid Code. Establishes requirements for the Department of Healthcare and Family Services to apply for a Home and Community-Based Services State Plan amendment and federal waiver amendment necessary to reimburse a legally responsible caregiver or a person designated by a legally responsible caregiver who has achieved certification as a certified family health aide to perform the specified services. Creates the Certified Family Health Aide Program for Children and Adults Act. Establishes certification requirements for a certified family health aide through the Department of Financial and Professional Regulation. Provides that a certified family health aides must be legally responsible caregiver and 18 years or older, have a relationship with a specified family member, and be certified to perform or assist in performing the specified nursing services. Amends the Home Health, Home Services, Home Nursing Act to include a certified family health aide under a home nursing agency and provides training and recordkeeping requirements for home nursing agencies. Amends the Alternative Health Care Delivery Act and the Hospital Licensing Act to require similar training and recordkeeping requirements in children's community-based health care center and in hospitals managing the care of an individual being discharged under the care of a home nursing agency.

Sponsor: Karina Villa Chamber: Senate Introduced: 2025-02-07
Stuck
P(Advance)
8.9%
Chance it ever reaches a milestone (committee, floor, etc.). Not “next step.”
P(Law)
0.0%
Chance it becomes law given where it is now (stage, momentum).
Confidence: 91%

Calculating prediction drivers...

Pipeline Progress

Current stage: Floor Vote · Last action 281 days ago · STAGNANT

How does a bill become law in Illinois?
  1. Introduction of Bill

    A member of the Senate or the House introduces a bill, which is assigned a unique identifying number (e.g., "H.B. ___" for House bills and "S.B. ___" for Senate bills). If not enacted, it must be reintroduced in the next General Assembly with a new number.

  2. Committee Work — Hearings

    The bill goes to the appropriate committee, which holds hearings to gather expert opinions and determine the need for the legislation.

  3. Committee Work — Markup, Amendments, Report

    The committee may make amendments to the bill. If approved, a committee report endorsing the bill is issued.

  4. Floor Debate

    The bill is debated and can be further amended. The debate transcripts are accessible online for public viewing.

  5. Passage and Consideration in Second Chamber

    If the bill passes in the first chamber, it moves to the second chamber for a similar review process. If both chambers approve, it goes to the governor.

  6. Gubernatorial Action

    The governor can sign the bill into law, veto it, or take no action (resulting in an automatic law after 60 days). The type of veto can be total or amendatory. Once signed, the bill becomes a Public Act and is assigned a Public Act number.

Sponsor Context

Public Engagement

48 witness slips filed 45 proponents / 1 opponents 12 organizations

Witness slips

48 slips filed. Proponent / opponent / no position as filed with the committee.

Name Organization Representing Position Hearing committee Hearing date
Amy Truhlar Self Self Proponent Licensed Activities 2025-03-19
Angela McKenna Self Self Proponent Licensed Activities 2025-03-19
Audrey Haney Self Jameson Frank Proponent Licensed Activities 2025-03-19
Benitra Fair DSCC Seth Burnside-Barksdale Proponent Licensed Activities 2025-03-19
Bryan Netzel Self For myself and my family and for all children with disabilities Proponent Licensed Activities 2025-03-19
Carolyn Foster MD MS FAAP Ann & Robert H. Lurie Children's Hospital of Chicago Ann & Robert H. Lurie Children's Proponent Licensed Activities 2025-03-19
Chelsea bell Self Charlotte bell Proponent Licensed Activities 2025-03-19
Debra Oelker Self Daughter Grace Oelker Proponent Licensed Activities 2025-03-19
Evita Moore Self Self Proponent Licensed Activities 2025-03-19
Ian Clark Self self Proponent Licensed Activities 2025-03-19
Jeanna Polacek Self Mia Polacek Proponent Licensed Activities 2025-03-19
Jessica Burnside DSCC Seth Burnside-Barksdale Proponent Licensed Activities 2025-03-19
Jessica Judge Self Charlotte Finocchio Proponent Licensed Activities 2025-03-19
Joanna Grzegorczyk self Hanna Grzegorczyk Proponent Licensed Activities 2025-03-19
Kassandra Santos Self For my child with disabilities and every child under that needs YOUR help too Proponent Licensed Activities 2025-03-19
Katarina Netzel Self For myself and my family and for all children with disabilities Proponent Licensed Activities 2025-03-19
Kayla waldrop Self McKinlee Waldrop Proponent Licensed Activities 2025-03-19
Kristen Hanna Self Kristen Hanna Proponent Licensed Activities 2025-03-19
Kristin Rubbelke Kristin Rubbelke Consulting, LLC Illinois Homecare and Hospice Association Proponent Licensed Activities 2025-03-19
krystle Myers self group Proponent Licensed Activities 2025-03-19
Lachlan Clark self self Proponent Licensed Activities 2025-03-19
Liz Thornton Self Self Proponent Licensed Activities 2025-03-19
Margaret Storey self PARENT OF CHILD WITH DISABILITY Proponent Licensed Activities 2025-03-19
Mary Trost Self Child Proponent Licensed Activities 2025-03-19
Megan Lindberg None Self on behalf of my 7 yr old son max who is medically complex Proponent Licensed Activities 2025-03-19
Melissa Stiff Self My child Proponent Licensed Activities 2025-03-19
Nancy Saunders Self Kaylee Saunders and Jaycen Saunders Proponent Licensed Activities 2025-03-19
Nicole Gerndt Self Finley O. (Son) Proponent Licensed Activities 2025-03-19
Nora Collins-Mandeville American Civil Liberties Union of Illinois ACLU of Illinois Proponent Licensed Activities 2025-03-19
Patrick Hostert Dept. of Healthcare & Family Services IL Department of Healthcare & Family Services Proponent Licensed Activities 2025-03-19
Rebekah Strate Self Parent of Miracle Strate Proponent Licensed Activities 2025-03-19
Renee Abraham self SELF Proponent Licensed Activities 2025-03-19
Ryan E Clark self self Proponent Licensed Activities 2025-03-19
Sara Hyerdall Self My child Proponent Licensed Activities 2025-03-19
Susan Agrawal MFTD Waiver Families MFTD Waiver Families Proponent Licensed Activities 2025-03-19
Tara Jones Self My disabled daughter Proponent Licensed Activities 2025-03-19
Thomas Boyce Self Self Proponent Licensed Activities 2025-03-19
Toni Erwin lil red brady braids llc Self Proponent Licensed Activities 2025-03-19
Willow Clark self self Proponent Licensed Activities 2025-03-19
Yvonne Anderson Self Gabriel T Gonzalez Proponent Licensed Activities 2025-03-19
Michelle Grisat National Nurses United National Nurses Organizing Committee - Illinois - National Nurses United Opponent Licensed Activities 2025-03-19
Erica Stearns Self MFTD Families and Caregivers Proponent Licensed Activities 2025-04-09
Geroge R Stearns Self MFTD Families and Caregivers Proponent Licensed Activities 2025-04-09
Kristin Rubbelke Kristin Rubbelke Consulting, LLC Illinois Homecare & Hospice Council Proponent Licensed Activities 2025-04-09
Patrick Hostert Dept. of Healthcare & Family Services Illinois Department of Healthcare and Family Services Proponent Licensed Activities 2025-04-09
Susan Agrawal MFTD Waiver Families MFTD Waiver Families Proponent Licensed Activities 2025-04-09
Dan Lewis Illinois Department of Financial and Professional Regulation Illinois Department of Financial and Professional Regulation No Position On Merits Licensed Activities 2025-04-09
Lauren Hund McGuireWoods Consulting Maxim Healthcare No Position On Merits Licensed Activities 2025-04-09

Roll-call votes

Total votes and outcome per event. Deciding vote = margin of 1; those voters on the winning side could have changed the outcome by flipping.

Date Chamber Type Description Yea Nay Present NV Outcome Margin Deciding voters
S Committee Licensed Activities 6 0 0 3 Passed 6 —

Action History

19 actions recorded. Last action: 2025-07-02 — Senate Floor Amendment No. 1 Pursuant to Senate Rule 3-9(b) / Referred toAssignments. Each action's meaning and outcome signal are classified automatically.

2025-02-07 Introduction & Filing
Filed with Secretary bySen. Karina Villa Rule 2-7(b)
Bill officially submitted to the Senate Secretary during the session.
2025-02-07 Introduction & Filing
First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38
Formal introduction — title read into the official record. Required procedural step; bill now exists in the system.
2025-02-07 Committee Assignment
Referred toAssignments Senate Rule 3-8(a); House Rule 18(a)
Sent to a committee (usually Rules in the House, Assignments in the Senate). The gatekeeping step — Rules/Assignments decides which substantive committee hears the bill.
2025-03-04 Committee Assignment
Assigned toLicensed Activities Senate Rule 3-8(a); House Rule 18(b)
Sent to a substantive committee (e.g., Transportation, Revenue). This is where the bill gets a real hearing and evaluation.
2025-03-19 Committee Action Positive
Do PassLicensed Activities; 006-000-000 Rule 3-11(a)(1), Rule 3-12(a)
Committee recommends passage. The most important positive gate — majority of bills never get here.
2025-03-19 Floor Process Positive
Placed on Calendar Order of 2nd Reading March 20, 2025 Rule 3-12(a), Rule 4-4(7)
Bill placed on the order of Second Reading.
2025-03-20 Floor Process Positive
Second Reading Senate Rule 3-12(a)/5-4(a); House Rule 24(a)/40(b)
Bill reaches the floor amendment stage. Floor amendments can be offered here.
2025-03-20 Floor Process Positive
Placed on Calendar Order of 3rd Reading April 1, 2025 Rule 4-4(8)
Bill placed on the Third Reading calendar — queued for final vote.
2025-04-04 Amendment Actions
Senate Floor Amendment No. 1 Filed with Secretary bySen. Karina Villa
[Amendment] Bill officially submitted to the Senate Secretary during the session.
2025-04-04 Amendment Actions
Senate Floor Amendment No. 1 Referred toAssignments
[Amendment] Sent to a committee (usually Rules in the House, Assignments in the Senate). The gatekeeping step — Rules/Assignments decides which substantive committee hears the bill.
2025-04-08 Amendment Actions
Senate Floor Amendment No. 1 Assignments Refers toLicensed Activities
[Amendment] Senate Assignments Committee forwards the bill to a substantive committee.
2025-04-09 Amendment Actions
Senate Floor Amendment No. 1 Postponed -Licensed Activities
[Amendment] Committee hearing postponed. Routine procedural action — does NOT mean the bill is dead. Sponsor may be gathering votes or negotiating amendments.
2025-04-11 Co-Sponsorship Mild +
Added as Co-SponsorSen. Cristina Castro Senate Rule 5-1(a); House Rule 37(a)
A legislator added as co-sponsor.
2025-04-11 Co-Sponsorship Mild +
Added as Co-SponsorSen. Julie A. Morrison Senate Rule 5-1(a); House Rule 37(a)
A legislator added as co-sponsor.
2025-04-11 Co-Sponsorship Mild +
Added as Co-SponsorSen. Meg Loughran Cappel Senate Rule 5-1(a); House Rule 37(a)
A legislator added as co-sponsor.
2025-04-11 Deadlines & Re-referrals
Rule 2-10 Third Reading Deadline Established As May 9, 2025 Rule 2-10(a)(5-6)
Senate Third Reading (floor vote) deadline set or extended.
2025-05-09 Deadlines & Re-referrals Mild −
Rule 3-9(a) / Re-referred toAssignments Rule 3-9(a)
Senate procedural rule — bill re-referred to Assignments for missing Rule 2-10 deadline. Bill is NOT dead but faces uphill battle.
2025-05-13 Co-Sponsorship Mild +
Added as Co-SponsorSen. Mary Edly-Allen Senate Rule 5-1(a); House Rule 37(a)
A legislator added as co-sponsor.
2025-07-02 Amendment Actions Mild −
Senate Floor Amendment No. 1 Pursuant to Senate Rule 3-9(b) / Referred toAssignments
[Amendment] Senate procedural re-referral to Assignments — 31 consecutive days without session.

All actions (table)

Date Chamber Action Category Signal
2025-02-07 Senate Filed with Secretary bySen. Karina Villa Rule 2-7(b) Introduction & Filing —
2025-02-07 Senate First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38 Introduction & Filing —
2025-02-07 Senate Referred toAssignments Senate Rule 3-8(a); House Rule 18(a) Committee Assignment —
2025-03-04 Senate Assigned toLicensed Activities Senate Rule 3-8(a); House Rule 18(b) Committee Assignment —
2025-03-19 Senate Do PassLicensed Activities; 006-000-000 Rule 3-11(a)(1), Rule 3-12(a) Committee Action Positive
2025-03-19 Senate Placed on Calendar Order of 2nd Reading March 20, 2025 Rule 3-12(a), Rule 4-4(7) Floor Process Positive
2025-03-20 Senate Second Reading Senate Rule 3-12(a)/5-4(a); House Rule 24(a)/40(b) Floor Process Positive
2025-03-20 Senate Placed on Calendar Order of 3rd Reading April 1, 2025 Rule 4-4(8) Floor Process Positive
2025-04-04 Senate Senate Floor Amendment No. 1 Filed with Secretary bySen. Karina Villa Amendment Actions —
2025-04-04 Senate Senate Floor Amendment No. 1 Referred toAssignments Amendment Actions —
2025-04-08 Senate Senate Floor Amendment No. 1 Assignments Refers toLicensed Activities Amendment Actions —
2025-04-09 Senate Senate Floor Amendment No. 1 Postponed -Licensed Activities Amendment Actions —
2025-04-11 Senate Added as Co-SponsorSen. Cristina Castro Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-04-11 Senate Added as Co-SponsorSen. Julie A. Morrison Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-04-11 Senate Added as Co-SponsorSen. Meg Loughran Cappel Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-04-11 Senate Rule 2-10 Third Reading Deadline Established As May 9, 2025 Rule 2-10(a)(5-6) Deadlines & Re-referrals —
2025-05-09 Senate Rule 3-9(a) / Re-referred toAssignments Rule 3-9(a) Deadlines & Re-referrals Mild −
2025-05-13 Senate Added as Co-SponsorSen. Mary Edly-Allen Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-07-02 Senate Senate Floor Amendment No. 1 Pursuant to Senate Rule 3-9(b) / Referred toAssignments Amendment Actions Mild −