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HB4509

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NURSING HOME-MENTAL ILLNESS

What this bill does

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.

Sponsor: Nicolle Grasse Chamber: House Introduced: 2026-01-21
Stuck
P(Advance)
10.1%
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: 90%

Calculating prediction drivers...

Pipeline Progress

Current stage: Floor Vote · Last action 143 days ago · SLOW

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

Witness slips

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

Name Organization Representing Position Hearing committee Hearing date
Christina Smith DHS DHS Proponent Human Services 2026-02-18
David Schwartz Self Self Proponent Human Services 2026-02-18
Ellen S Byrne Illinois Hospice & Palliative Care Organization IL Hospice & Palliative Care Organization Proponent Human Services 2026-02-18
Hubbard, Kelly Illinois Department of Human Services Illinois Department of Human Services Proponent Human Services 2026-02-18
Lori Hendren AARP IL AARP IL Proponent Human Services 2026-02-18
Kimberly Stoerger HCCI HCCI Opponent Human Services 2026-02-18
Alex Paterakos-Figueroa SEIU Healthcare No Position On Merits Human Services 2026-02-18

Action History

6 actions recorded. Last action: 2026-02-18 — Placed on Calendar 2nd Reading - Short Debate. Each action's meaning and outcome signal are classified automatically.

2026-01-21 Introduction & Filing
Filed with the Clerk byRep. Nicolle Grasse House Rule 6(b)
Bill officially submitted to the House Clerk during the session.
2026-01-26 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.
2026-01-26 Committee Assignment
Referred toRules Committee 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.
2026-02-11 Committee Assignment
Assigned toHuman Services Committee 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.
2026-02-18 Committee Action Positive
Do Pass / Short DebateHuman Services Committee; 011-000-000 Senate Rule 3-11(a)(1); House Rule 22(a)(1), 52(b)
Committee recommends passage and places it on the Short Debate calendar (limited floor discussion time). Strong positive signal — committee believes bill has broad support.
2026-02-18 Floor Process Positive
Placed on Calendar 2nd Reading - Short Debate Senate Rule 4-4(7-8)/5-2; House Rule 31(8-9)/38/52
Bill placed on the Second Reading calendar. Positive — bill is queued for floor action.

All actions (table)

Date Chamber Action Category Signal
2026-01-21 House Filed with the Clerk byRep. Nicolle Grasse House Rule 6(b) Introduction & Filing —
2026-01-26 House First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38 Introduction & Filing —
2026-01-26 House Referred toRules Committee Senate Rule 3-8(a); House Rule 18(a) Committee Assignment —
2026-02-11 House Assigned toHuman Services Committee Senate Rule 3-8(a); House Rule 18(b) Committee Assignment —
2026-02-18 House Do Pass / Short DebateHuman Services Committee; 011-000-000 Senate Rule 3-11(a)(1); House Rule 22(a)(1), 52(b) Committee Action Positive
2026-02-18 House Placed on Calendar 2nd Reading - Short Debate Senate Rule 4-4(7-8)/5-2; House Rule 31(8-9)/38/52 Floor Process Positive