2023-2024 Regular SessionIllinois Legislature

HB4178: MEDICAID-PAID FAMILY CAREGIVER

Legislative Summary

Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to apply for a Home and Community-Based Services State Plan amendment and any federal waiver necessary to reimburse legally responsible family caregivers as providers of personal care or home health aide services under the Illinois Title XIX State Plan Home and Community-Based Services benefit and the home and community-based services waiver program authorized under the Social Security Act for persons who are medically fragile and technology dependent. Provides that to be eligible for reimbursement, a legally responsible family caregiver must be a certified nursing assistant or certified nurse aide and must provide services to a medically fragile relative who is receiving in-home shift nursing services coordinated by the University of Illinois at Chicago, Division of Specialized Care for Children. Provides that upon federal approval of the State Plan amendment and waiver, the Department shall adopt rules that define who qualifies for reimbursement as a legally responsible family caregiver, specify which personal care and home health aide services are eligible for reimbursement if the provider is a legally responsible family caregiver, establish oversight policies to ensure legally responsible family caregivers meet and comply with licensing and program requirements, and adopt any other policies or procedures necessary to implement the amendatory Act.

Demographic Impact

Overall analysis of equity impact

90% Positive
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Bill History

10/18/2023
Filed with the Clerk by Rep. Jed Davis
House of Representatives
10/25/2023
First Reading
House of Representatives
10/25/2023
Referred to Rules Committee
House of Representatives
1/31/2024
Assigned to Human Services Committee
House of Representatives
2/1/2024
Added Co-Sponsor Rep. Kevin Schmidt
House of Representatives
2/1/2024
Added Co-Sponsor Rep. Brandun Schweizer
House of Representatives
2/1/2024
Added Co-Sponsor Rep. Tom Weber
House of Representatives
2/2/2024
Added Co-Sponsor Rep. Steven Reick
House of Representatives
2/2/2024
Added Co-Sponsor Rep. Dan Caulkins
House of Representatives
2/5/2024
Added Chief Co-Sponsor Rep. Nicole La Ha
House of Representatives
2/6/2024
Added Chief Co-Sponsor Rep. Joyce Mason
House of Representatives
2/6/2024
Added Co-Sponsor Rep. Martin McLaughlin
House of Representatives
2/7/2024
Do Pass / Short Debate Human Services Committee; 009-000-000
House of Representatives
2/8/2024
Added Chief Co-Sponsor Rep. Anne Stava-Murray
House of Representatives
2/8/2024
Added Co-Sponsor Rep. Anna Moeller
House of Representatives
2/8/2024
Added Co-Sponsor Rep. Lindsey LaPointe
House of Representatives
2/8/2024
Added Co-Sponsor Rep. Kelly M. Cassidy
House of Representatives
2/8/2024
Added Co-Sponsor Rep. Barbara Hernández
House of Representatives
2/8/2024
Added Co-Sponsor Rep. Yolonda Morris
House of Representatives
2/8/2024
Added Co-Sponsor Rep. Suzanne M. Ness
House of Representatives
2/8/2024
Added Co-Sponsor Rep. Jackie Haas
House of Representatives
2/8/2024
Added Co-Sponsor Rep. Amy Elik
House of Representatives
2/8/2024
Placed on Calendar 2nd Reading - Short Debate
House of Representatives
3/5/2024
Added Co-Sponsor Rep. Dan Ugaste
House of Representatives
3/19/2024
House Floor Amendment No. 1 Filed with Clerk by Rep. Jed Davis
House of Representatives
3/19/2024
House Floor Amendment No. 1 Referred to Rules Committee
House of Representatives
3/20/2024
House Floor Amendment No. 1 Rules Refers to Human Services Committee
House of Representatives
4/3/2024
House Floor Amendment No. 1 Recommends Be Adopted Human Services Committee; 009-000-000
House of Representatives
4/17/2024
Second Reading - Short Debate
House of Representatives
4/17/2024
Held on Calendar Order of Second Reading - Short Debate
House of Representatives
4/19/2024
Rule 19(a) / Re-referred to Rules Committee
House of Representatives
4/19/2024
House Floor Amendment No. 1 Rule 19(c) / Re-referred to Rules Committee
House of Representatives

Amendments

House Amendment 001

House Amendment 001

3/19/2024Not Adopted