HB4238
View on ILGAMEDICAID-SLF-DEMENTIA CARE
What this bill does
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that, subject to federal approval, beginning January 1, 2027, any individual age 22 to 64 who is diagnosed as having Alzheimer's disease or a related dementia and is determined to be a person with a disability by the Social Security Administration shall be eligible for services in a supportive living dementia care setting if the individual meets all other eligibility requirements to receive services in a supportive living dementia care setting in accordance with specified administrative rules. Requires the Department of Healthcare and Family Services to apply for any federal waiver necessary to implement the amendatory Act. Effective immediately.
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Current stage: In Committee · Last action 235 days ago · STAGNANT
How does a bill become law in Illinois?
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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.
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Committee Work — Hearings
The bill goes to the appropriate committee, which holds hearings to gather expert opinions and determine the need for the legislation.
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Committee Work — Markup, Amendments, Report
The committee may make amendments to the bill. If approved, a committee report endorsing the bill is issued.
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Floor Debate
The bill is debated and can be further amended. The debate transcripts are accessible online for public viewing.
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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.
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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
Bills sponsored by Anna Moeller advance 2% more often than the chamber average.
Campaign finance
This is SBE campaign receipts to the people on this bill, not Moneyball and not earmarked to the bill.
Money is campaign receipts to matched candidate committees, not earmarked to this bill. Window 2025-01-01 – 2026-09-13.
Sponsor and voter funding
| Member | Role | Receipts | Total received | Top donors |
|---|---|---|---|---|
| Anna Moeller | Chief sponsor | 157 | $196,750.18 | Affordable Assisted Living Coalition PAC ($25,000.00); IPACE ($11,750.00); Illinois Hospital Association PAC ($10,000.00) |
| Michelle Mussman | Sponsor | 34 | $44,011.88 | IPACE ($7,500.00); Chicago Land Joint Labor Management PAC ($6,500.00); Superior Air-Ground Ambulance Service ($4,711.88) |
| Suzanne M. Ness | Sponsor | 143 | $207,288.44 | Liuna Chicago Laborers' District Council Political Action Committee ($75,800.00); NextEra Energy Resources Development LLC ($29,833.00); I.P.A.C.E. ($17,500.00) |
| Ann M. Williams | Sponsor | 187 | $242,353.87 | Chicago Land Operators Joint Labor-Management PAC ($12,000.00); Base Power Inc ($10,000.00); Accel Entertainment Gaming, LLC ($7,500.00) |
| Laura Faver Dias | Sponsor | 87 | $99,133.11 | Chicagoland Operators Joint Labor-Management PAC ($9,000.00); IPACE ($7,500.00); Karen Faver ($6,302.50) |
| Will Guzzardi | Sponsor | 75 | $284,200.00 | Carpentry Advancement Political Action Committee Fund ($72,800.00); AFSCME Illinois Council 31 PAC ($41,600.00); SEIU Healthcare Illinois Indiana PAC ($40,000.00) |
| Kevin John Olickal | Sponsor | 59 | $141,415.00 | Friends of Ram ($70,000.00); Health Care Council of Illinois PAC ($10,000.00); Chicago Land Operators Joint Labor-Management PAC ($6,500.00) |
Overlapping donors
Donors who gave to more than one sponsor or voter on this bill. Still not earmarked to the bill.
| Donor | Members | Total |
|---|---|---|
| Carpentry Advancement Political Action Committee Fund | Will Guzzardi, Kevin John Olickal, Laura Faver Dias | $77,800.00 |
| AFSCME Illinois Council 31 PAC | Will Guzzardi, Laura Faver Dias | $43,600.00 |
| Chicago Land Operators Joint Labor-Management PAC | Ann M. Williams, Will Guzzardi, Suzanne M. Ness, Kevin John Olickal | $35,000.00 |
| NextEra Energy Resources Development LLC | Suzanne M. Ness, Laura Faver Dias | $30,083.00 |
| IPACE | Michelle Mussman, Anna Moeller, Laura Faver Dias | $26,750.00 |
| Health Care Council of Illinois PAC | Will Guzzardi, Kevin John Olickal | $20,000.00 |
| Illinois Hospital Association PAC | Michelle Mussman, Ann M. Williams, Anna Moeller, Will Guzzardi | $16,000.00 |
| Sports Betting Alliance | Ann M. Williams, Anna Moeller, Will Guzzardi | $15,000.00 |
| LIUNA Chicago Laborers' District Council PAC | Ann M. Williams, Will Guzzardi, Laura Faver Dias | $14,000.00 |
| Ben Lazare Consulting | Ann M. Williams, Anna Moeller, Will Guzzardi, Suzanne M. Ness, Kevin John Olickal, Laura Faver Dias | $13,000.00 |
| Accel Entertainment Gaming, LLC | Ann M. Williams, Anna Moeller, Will Guzzardi, Suzanne M. Ness, Laura Faver Dias | $12,000.00 |
| Comcast Financial Agency Corporation | Ann M. Williams, Will Guzzardi, Kevin John Olickal, Laura Faver Dias | $12,000.00 |
| Illinois State Medical Society PAC | Ann M. Williams, Anna Moeller, Will Guzzardi, Suzanne M. Ness | $10,000.00 |
| Illinois Trial Lawyers Association PAC | Ann M. Williams, Anna Moeller | $9,500.00 |
| Illinois Federation of Teachers COPE | Ann M. Williams, Anna Moeller, Will Guzzardi, Suzanne M. Ness, Kevin John Olickal, Laura Faver Dias | $9,000.00 |
| Chicago Land Operators Joint Labor Management PAC | Anna Moeller, Suzanne M. Ness | $8,770.34 |
| Midwest Gaming & Entertainment, LLC | Ann M. Williams, Anna Moeller | $7,500.00 |
| Associated Fire Fighters of IL PAC Fund | Michelle Mussman, Ann M. Williams, Anna Moeller, Will Guzzardi | $7,000.00 |
| Realtor Political Action Committee | Anna Moeller, Suzanne M. Ness | $6,500.00 |
| IHA PAC | Anna Moeller, Suzanne M. Ness | $6,500.00 |
| Teamsters Volunteers in Politics | Ann M. Williams, Anna Moeller, Suzanne M. Ness, Kevin John Olickal, Laura Faver Dias | $6,500.00 |
| Constellation Energy Generation | Ann M. Williams, Anna Moeller | $6,000.00 |
| PhRMA | Ann M. Williams, Suzanne M. Ness, Laura Faver Dias | $5,500.00 |
| Chicago Teachers Union PAC | Will Guzzardi, Laura Faver Dias | $5,000.00 |
| Cozen O'Connor | Ann M. Williams, Anna Moeller, Will Guzzardi, Laura Faver Dias | $4,250.00 |
Top donors across these members
| Donor | Occupation | Employer | Receipts | Total |
|---|---|---|---|---|
| Carpentry Advancement Political Action Committee Fund | — | — | 8 | $77,800.00 |
| Liuna Chicago Laborers' District Council Political Action Committee | — | — | 2 | $75,800.00 |
| Friends of Ram | — | — | 1 | $70,000.00 |
| AFSCME Illinois Council 31 PAC | — | — | 3 | $43,600.00 |
| SEIU Healthcare Illinois Indiana PAC | — | — | 2 | $40,000.00 |
| Chicago Land Operators Joint Labor-Management PAC | — | — | 11 | $35,000.00 |
| NextEra Energy Resources Development LLC | — | — | 3 | $30,083.00 |
| IPACE | — | — | 6 | $26,750.00 |
| Affordable Assisted Living Coalition PAC | — | — | 2 | $25,000.00 |
| SEIU Illinois Council PAC Fund | — | — | 1 | $20,000.00 |
| Health Care Council of Illinois PAC | — | — | 2 | $20,000.00 |
| I.P.A.C.E. | — | — | 3 | $17,500.00 |
| Illinois Hospital Association PAC | — | — | 5 | $16,000.00 |
| Sports Betting Alliance | — | — | 3 | $15,000.00 |
| LIUNA Chicago Laborers' District Council PAC | — | — | 4 | $14,000.00 |
| Ben Lazare Consulting | — | — | 9 | $13,000.00 |
| Accel Entertainment Gaming, LLC | — | — | 6 | $12,000.00 |
| Comcast Financial Agency Corporation | — | — | 6 | $12,000.00 |
| Illinois State Medical Society PAC | — | — | 7 | $10,000.00 |
| Base Power Inc | — | — | 2 | $10,000.00 |
| Illinois Trial Lawyers Association PAC | — | — | 5 | $9,500.00 |
| Illinois Federation of Teachers COPE | — | — | 8 | $9,000.00 |
| Chicagoland Operators Joint Labor-Management PAC | — | — | 4 | $9,000.00 |
| Chicago Land Operators Joint Labor Management PAC | — | — | 4 | $8,770.34 |
| Midwest Gaming & Entertainment, LLC | — | — | 2 | $7,500.00 |
Hearings
This bill has not been scheduled for a committee hearing.
Action History
10 actions recorded. Last action: 2026-02-17 — Assigned toAppropriations-Health and Human Services Committee. Each action's meaning and outcome signal are classified automatically.
All actions (table)
| Date | Chamber | Action | Category | Signal |
|---|---|---|---|---|
| 2025-12-17 | House | Filed with the Clerk byRep. Anna Moeller House Rule 6(b) | Introduction & Filing | — |
| 2026-01-14 | House | First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38 | Introduction & Filing | — |
| 2026-01-14 | House | Referred toRules Committee Senate Rule 3-8(a); House Rule 18(a) | Committee Assignment | — |
| 2026-01-27 | House | Added Co-SponsorRep. Michelle Mussman Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2026-01-27 | House | Added Co-SponsorRep. Suzanne M. Ness Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2026-01-27 | House | Added Co-SponsorRep. Ann M. Williams Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2026-01-27 | House | Added Co-SponsorRep. Laura Faver Dias Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2026-01-27 | House | Added Co-SponsorRep. Will Guzzardi Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2026-01-27 | House | Added Co-SponsorRep. Kevin John Olickal Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2026-02-17 | House | Assigned toAppropriations-Health and Human Services Committee Senate Rule 3-8(a); House Rule 18(b) | Committee Assignment | — |